肯尼亚理想心血管健康的流行率和决定因素：使用 2015 年肯尼亚 STEPwise 调查数据的横断面研究》。

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Global Heart Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI:10.5334/gh.1363

James Odhiambo Oguta, Penny Breeze, Elvis Wambiya, Catherine Akoth, Grace Mbuthia, Peter Otieno, Oren Ombiro, Yvette Kisaka, Lilian Mbau, Elizabeth Onyango, Gladwell Gathecha, Pete R J Dodd

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引用次数: 0

摘要

背景：由于流行病学和人口结构的变化以及风险因素的增加，肯尼亚的心血管疾病（CVDs）负担日益加重。美国心脏协会（AHA）定义的理想心血管健康（iCVH）包括八项评估心血管健康的指标。本研究评估了 iCVH 在肯尼亚的流行程度和决定因素：分析了 2015 年肯尼亚 STEPwise 非传染性疾病风险因素调查的数据，调查对象包括 4500 名 18-69 岁的成年人。iCVH 根据尼古丁暴露、体育锻炼、饮食、体重指数、血压、血糖和血脂水平这七个因素，采用 2022 AHA 标准进行评估。心血管健康（CVH）CVH 评分≥80% 的个体即为 iCVH。多变量二元和序数逻辑回归确定了与 iCVH 相关的因素：肯尼亚的平均 CVH 得分为 78.6%（95% CI：77.9,79.2%），女性（79.3%）、农村地区（79.5%）和不饮酒者（79.6%）分别高于男性（77.9%）、城市居民（77.0%）和饮酒者（75.4%）。iCVH（CVH评分≥80%）的患病率为45.6%，而6.4%的人CVH较差（CVH评分为结论）：不到一半的肯尼亚成年人有iCVH，老年人、城市居民和酗酒者的CVH状况更差。有针对性的公共卫生干预措施可减轻心血管疾病负担，提高肯尼亚的健康水平。

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Prevalence and Determinants of Ideal Cardiovascular Health in Kenya: A Cross-Sectional Study Using Data From the 2015 Kenya STEPwise Survey.

Background: Kenya is experiencing a rising burden of cardiovascular diseases (CVDs) due to epidemiological and demographic shifts, along with increasing risk factors. Ideal cardiovascular health (iCVH), defined by the American Heart Association (AHA), encompasses eight metrics to evaluate cardiovascular well-being. This study assessed the prevalence and determinants of iCVH in Kenya.

Methods: Data from the 2015 Kenya STEPwise survey on non-communicable disease risk factors, including 4,500 adults aged 18-69, were analysed. iCVH was assessed using 2022 AHA criteria based on seven factors: nicotine exposure, physical activity, diet, BMI, blood pressure, glucose, and lipid levels. A cardiovascular health (CVH) CVH score of ≥80% classified individuals as having iCVH. Multivariable binary and ordinal logistic regression identified factors associated with iCVH.

Results: The mean CVH score in Kenya was 78.6% (95% CI: 77.9,79.2%), higher in females (79.3%), rural areas (79.5%), and non-drinkers (79.6%) than in males (77.9%), urban residents (77.0%), and alcohol drinkers (75.4%), respectively. The prevalence of iCVH (CVH score ≥80%) was 45.6%, while 6.4% had poor CVH (CVH score <50%). Only 1.2% achieved the maximum CVH score. iCVH prevalence declined with age and was lower among married individuals (43.7%), alcohol drinkers (32.3%), and urban residents (39.7%). Older adults had 50-80% lower odds of iCVH compared to those under 30 years. Alcohol users (AOR 0.5; p < 0.001) and urban residents (AOR 0.6; p < 0.001) were less likely to have iCVH. Residents of Nairobi and Central regions had 40-60% lower odds of iCVH compared to those in Rift Valley. The Kalenjin (AOR 0.5; p = 0.027) and Turkana (AOR 0.3; p = 0.002) ethnic groups had lower odds of iCVH compared to the Kisii.

Conclusion: Less than half of Kenyan adults have iCVH, with poorer CVH status among older adults, urban residents, and alcohol users. Targeted public health interventions could mitigate the CVD burden and enhance health outcomes in Kenya.

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来源期刊

Global Heart Medicine-Cardiology and Cardiovascular Medicine

CiteScore

5.70

自引率

5.40%

发文量

审稿时长

5 weeks

期刊介绍： Global Heart offers a forum for dialogue and education on research, developments, trends, solutions and public health programs related to the prevention and control of cardiovascular diseases (CVDs) worldwide, with a special focus on low- and middle-income countries (LMICs). Manuscripts should address not only the extent or epidemiology of the problem, but also describe interventions to effectively control and prevent CVDs and the underlying factors. The emphasis should be on approaches applicable in settings with limited resources. Economic evaluations of successful interventions are particularly welcome. We will also consider negative findings if important. While reports of hospital or clinic-based treatments are not excluded, particularly if they have broad implications for cost-effective disease control or prevention, we give priority to papers addressing community-based activities. We encourage submissions on cardiovascular surveillance and health policies, professional education, ethical issues and technological innovations related to prevention. Global Heart is particularly interested in publishing data from updated national or regional demographic health surveys, World Health Organization or Global Burden of Disease data, large clinical disease databases or registries. Systematic reviews or meta-analyses on globally relevant topics are welcome. We will also consider clinical research that has special relevance to LMICs, e.g. using validated instruments to assess health-related quality-of-life in patients from LMICs, innovative diagnostic-therapeutic applications, real-world effectiveness clinical trials, research methods (innovative methodologic papers, with emphasis on low-cost research methods or novel application of methods in low resource settings), and papers pertaining to cardiovascular health promotion and policy (quantitative evaluation of health programs.