低资源环境中的心血管疾病流行率及相关因素：索马里首次人口健康调查的多层次分析

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Problems in Cardiology Pub Date : 2024-09-22 DOI:10.1016/j.cpcardiol.2024.102861

Abdirashid M. Yousuf , Hodo Abdikarim , Mohamed A. Hussein , Abdikadir N. Abdi , Harun I. Warsame , Abdisalam Hassan Muse

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引用次数: 0

摘要

背景心血管疾病（CVD）是全球死亡的主要原因之一，中低收入国家受到的影响尤为严重。索马里正努力应对持续的人道主义危机和不断增加的非传染性疾病负担，但有关心血管疾病发病率及其风险因素的数据却十分有限。本研究是索马里的首项此类研究，利用首次全国代表性人口健康调查的数据，研究了索马里成年人心血管疾病的患病率和相关因素。方法利用 2020 年索马里人口健康调查的数据进行了横断面分析，共有 5062 名 35 岁及以上的参与者。利用多层次逻辑回归探讨了个人层面和社区层面因素与心血管疾病患病率之间的关联。个人因素包括年龄、性别、婚姻状况、教育程度、财富、吸烟和咀嚼阿拉伯茶叶。结果发现，索马里的心血管疾病患病率为 7.1%。社区因素与心血管疾病的发病率有很大关系。苏勒地区的居民患心血管疾病的几率较高，而巴纳迪尔地区的居民患心血管疾病的几率较低。与城市地区相比，游牧社区的心血管疾病风险较低。入学率与心血管疾病风险的关系不大。在对其他因素进行控制后，户主的性别仍具有重要意义，女性患心血管疾病的几率略低。研究结果突出表明，有必要在社区内采取有针对性的干预措施，以解决地域差异并促进健康的生活方式。未来的研究应深入探讨这些关联的内在机制，并探讨就学率和性别等个人层面因素对心血管疾病风险的影响。

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Cardiovascular disease prevalence and associated factors in a low-resource setting: A multilevel analysis from Somalia's first demographic health survey

Background

Cardiovascular diseases (CVDs) are a leading cause of death globally, with low- and middle-income countries disproportionately affected. Somalia, a nation grappling with persistent humanitarian crises and a rising burden of non-communicable diseases, has limited data on CVD prevalence and its risk factors. This study, the first of its kind in Somalia, leverages data from the inaugural nationally representative demographic health survey to examine the prevalence and associated factors of CVD among Somali adults.

Methods

A cross-sectional analysis was conducted using data from the 2020 Somali Demographic Health Survey, encompassing 5062 participants aged 35 years and older. Multilevel logistic regression was utilized to explore associations between individual-level and community-level factors and CVD prevalence. Individual-level factors included age, sex, marital status, education, wealth, smoking, and khat chewing. Community-level factors encompassed region and type of residence.

Results

The prevalence of CVD in Somalia was found to be 7.1%. Community-level factors were significantly associated with CVD prevalence. Residents of Sool region exhibited higher odds of CVD, while those in Banadir region had lower odds. Nomadic communities demonstrated lower CVD risk compared to urban areas. School attendance was marginally associated with CVD risk. After controlling for other factors, sex of the household head remained significant, with females having slightly lower odds of CVD.

Conclusion

This study underscores the critical influence of community-level factors, particularly region and type of residence, on CVD prevalence in Somalia. The findings highlight the need for targeted interventions that address geographic disparities and promote healthy lifestyles within communities. Future research should delve deeper into the underlying mechanisms of these associations and explore the impact of individual-level factors like school attendance and sex on CVD risk.

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来源期刊

Current Problems in Cardiology 医学-心血管系统

CiteScore

4.80

自引率

2.40%

发文量

392

审稿时长

6 days

期刊介绍： Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.