CLINICAL ASSESSMENT OF CARDIOVASCULAR DISEASE ASSOCIATED RISK FACTORS IN JIMMATOWN, SOUTHWEST ETHIOPIA; A COMMUNITY BASED CROSS – SECTIONAL STUDY

Authors

  • Hailemichael Desalegn St. paul's Hospital Millenium Medical College
  • Sintayehu Fekadu
  • Amare Deribew

Abstract

Introduction: Cardiovascular disease has been identified as emerging epidemic in developing world and Sub-saharan Africa. The prevalence of risk factors associated with cardiovascular disease is not clearly established in our country. We conducted this study to determine the prevalence of cardiovascular disease associated risk factors in Jimma town.

Methods: A cross-sectional study was conducted in sampled adults in Jimma town. Multi-stage sampling was used by combining simple random sampling to select kebeles of Jimma town and then systematic random sampling to select the house hold .An individual was selected with a lottery method if there were more than one adult in the house hold who fulfills inclusion criteria.  Data were collected using the World Health Organization standardized structured questionnaire on cardiovascular risk assessment for developing countries. The study variables included anthropometric measurements, demographic information and behavioral risk factors. The data variables were computed using SPSS version 20.

Results: Majority (70.9%) of the respondents have one or more of the seven cardiovascular disease risk factors assessed. Nearly one forth (23.8%) of the study participants were hypertensive, 6.2% were known diabetes and the prevalence of smoking was 11.8% among males 2% among females. The prevalence of overweight/obesity was 26.8 %.

Conclusion: Majority were found to have at least one of the risk factors for cardiovascular disease. Hypertension and diabetes mellitus were the most common. Screening programs, health education and awareness creation are recommended to prevent the development of the disease. Large scale prospective study with laboratory data will help to further analyze and strengthen the results for policy makers.

 

Keywords:- cardiovascular, risk factors, prevalence, Jimma, Ethiopia

 

References

References

Gaziano JM: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 8th ed, pp 1004-1005

World Health Organization. Global Burden of Deaths and DALYs. http://www.who.int/healthinfo/statistics/bodgbddeathdalyestimates.xls ,2010

Greenland P; Knoll MD; Stamler J; NeatonJD;et al.Major risk factors as antecedents of fatal and nonfatal coronary heart disease events. JAMA 2003 Aug 20; 290(7):891-7.

Lopez AD: Global Burden of Disease and Risk Factors. Washington, D.C. OxfordUniversity Press, 2006

Karen O, DeriB ,Mark E . Coronary Artery Disease in the developing world. Am Heart J 2001 ; 148 ; 7-15

Pal R and Grera A .Coronary Artery Disease in Africa: Community based study of Risk Factors;BJMP 2010;3(2):326

Tesfaye F, Epidemiology of cardiovascular disease risk factors in Ethiopia. Epidemiology & public health sciences. Umea university,Sweden;2008

Mamo Y, Oli K. Trends of acute myocardial infarction admissions over a decade in TikurAnbessaHospital. Ethiop. Med J. 2001; 39:193 - 202.

Norman R, Gaziano T, LaubscherR. et al; South African Comparative Risk Assessment Collaborating Group. Estimating the burden of disease attributable to high blood pressure in South Africa in 2000. S Afr Med J. 2007;97:692-8.

FikruT. Peter W. Population based prevalence of high blood pressure among adults in Addis Ababa.BMC Cardiovascular disorders .2009;9:39

Piegas L. Avezum A,Cesar J, et al. Risk factors for myocardial infarction in Brazil.2003;2:331-338

JablouskiM ,Kosgei R , RerimoiJ. et al. The emerging problem of CHD in Kenya.East African Medical Journal.2006;80:6

Kamadjeu R, Edwards R, Atanga JS, et al: Anthropometry measures and prevalence of obesity in the urban adult population of Cameroon: an update from the Cameroon Burden of Diabetes Baseline Survey. BMC Public Health 2006; 6:228doi: 10.1186/1471-2458-6-228.

Kitange H, Swai A, Masuki G, et al .Coronary heart disease risk factors in sub-Saharan Africa: studies in Tanzanian adolescents.Journal of Epidemiology and community health 1993; 47: 303-307

Lemma S, Tesfaye F. Cardiovascular disease risk factors among college students in Addis Ababa. School of Public Health, Addis Ababa University 2007

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2016-12-19

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