Estimated total cardiovascular risk in a rural area of Bangladesh: a household level cross-sectional survey done by local community health workers
| Autor: | Kamrun Nahar Chowdhury, Mohammad Moniruzzaman, M Mostafa Zaman, Salma Zareen, Ahm Enayet Hossain |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Rural Population medicine.medical_specialty hypertension Cross-sectional study Population diabetes & endocrinology Cardiovascular Medicine preventive medicine Risk Assessment primary care Risk Factors Environmental health Diabetes mellitus Health care medicine Prevalence Humans education Preventive healthcare Aged cardiac epidemiology Community Health Workers education.field_of_study Bangladesh business.industry General Medicine Middle Aged medicine.disease Local community Blood pressure Cross-Sectional Studies Cardiovascular Diseases Heart Disease Risk Factors Medicine Female Rural area business |
| Zdroj: | BMJ Open BMJ Open, Vol 11, Iss 8 (2021) |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveThe aim of this study was to estimate 10-year cardiovascular disease (CVD) risk among Bangladeshi rural community residents, using the 2014 WHO/International Society of Hypertension (WHO/ISH) risk prediction charts.Study designCross-sectional population-based study done by local community healthcare workers engaging the lowest level facilities of the primary healthcare system.Setting and participantsA total of 1545 rural adults aged ≥40 years of Debhata upazila of Satkhira district of Bangladesh participated in this survey done in 2015. The community health workers collected data on age, smoking, blood pressure, blood glucose and treatment history of diabetes and hypertension.Primary outcome measuresWe estimated total 10-year CVD risk using the WHO/ISH South East Asia Region-D charts without cholesterol and categorised the risk into low (ResultsThe participants’ mean age (±SD) was 53.9±11.6 years. Overall, the 10-year CVD risks (%, 95% CI) were as follows: low risk (81.6%, 95% CI 78.4% to 84.6%), moderate risk (9.9%, 95% CI 7.4% to 12.1%), high risk (5.8%, 95% CI 4.4% to 7.2%) and very high risk (2.8%, 95% CI 1.5% to 4.1%). In women, moderate to very high risks were higher (moderate 12.1%, high 6.1% and very high 3.7%) compared with men (moderate 7.5%, high 5.5% and very high 1.9%) but none of these were statistically significant. The age-standardised prevalence of very high risk increased from 2.9% (0.7%–5.2%) to 8.5% (5%–12%) when those with anti-hypertensive medication having controlled blood pressure (ConclusionThe very high-risk estimates could be used for planning resource for CVD prevention programme at upazila level. There is a need for a national level study, covering diversities of rural areas, to contribute to national planning of CVD prevention. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|