scholarly journals Exploratory study into awareness of heart disease and healthcare seeking behaviour among Emirati women (UAE) - Cross sectional descriptive study

2017 ◽  
Vol 1 (1) ◽  
pp. 41
Author(s):  
Sarah Khan
Keyword(s):  
Heart Disease ◽  
United Arab Emirates ◽  
Heart Diseases ◽  
Heart Association ◽  
Descriptive Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Healthcare Seeking ◽  
Atypical Symptoms ◽  
Associated Risk Factors

Introduction: Cardiovascular disease was the leading cause of death among women in the United Arab Emirates (UAE) in 2010. Heart attacks usually occur at an older age in women compared to men, consequently the atypical symptoms of heart disease that often appear among women are masked by symptoms of other chronic diseases. Non-recognition of symptoms could explain the reason behind delays in seeking healthcare and the high mortality following a heart attack among Emirati women. This study seeks to a) highlight the awareness of heart diseases among Emirati women and b) to understand Emirati women’s healthcare seeking behaviour.  Methods: A cross sectional, descriptive study was conducted using a survey     instrument adapted from the American Heart Association National survey. A    convenience sample of 676 Emirati women between the ages of 18-55 years completed the questionnaire. Results: The study showed low levels of awareness of heart disease and associated risk factors in Emirati women; only 19.4% participants were found to be aware of heart diseases. Awareness levels were highest in Dubai (OR 2.18, p<0.05) among all the other emirates and in the 18-45 years age group (OR 2.74, p<0.05). Despite low awareness levels, women paradoxically perceived themselves to be self-efficacious in seeking healthcare. Interestingly, just 49.1% Emirati women   believed that good quality and affordable healthcare was available in the UAE. Only 28.8% of the participants believed there were sufficient female doctors to respond to health needs of women in UAE. Furthermore, only 36.7% Emirati women chose to be treated in the UAE over treatment in other countries. Conclusion: Emirati women clearly lack knowledge on severity and vulnerability to heart disease in the region that is essential to improve cardiovascular related health outcomes. This study has identified the need for wider outreach that focuses on gender and age specific   awareness on heart disease risks and symptoms. The study has also highlighted  potential modifiable barriers in seeking healthcare that should be overcome to reduce morbidity and mortality due to heart disease among national women of UAE.

Burden of Care Among Mothers Having Children with Congenital Heart Diseases

2020 ◽  
Vol 40 (2) ◽  
pp. 72-77
Author(s):  
Nita Sharma ◽  
Pratima Sharma ◽  
Tulashi Adhikari Mishra
Keyword(s):  
Heart Disease ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Sampling Technique ◽  
Structured Interview ◽  
Health Condition ◽  
P Value ◽  
Burden Of Care ◽  
Cross Sectional ◽  
Significance Level

Introduction: Congenital Heart Disease (CHD) is a problem with structure and function of the heart that is present at birth.  Children with CHD require special care, treatment and follow up for a number of common conditions which may be quite straining to the care givers. The objective of the study was to find out the burden of care among mothers having children with CHD. Methods: This descriptive cross-sectional study was carried out in a cardiac centre of Nepal. A total of 95 mothers having children with CHD attending outpatient department of our institute were selected as the sample for the study using non-probability purposive sampling technique. A semi structured interview questionnaire consisting of the Modified Caregiver Strain Index was used to assess the burden of care among mothers having children with CHD. Frequency and percent were used to describe the variables and chi- square test at 0.05 significance level was used to analyse associations. Results: Most (77.9%) of the mothers were regularly strained to find that their children’s health condition was deteriorating due to CHD. Nearly half (44.2%) of the mothers always had financial constrain while giving care to the child, nearly half (40%) of the mothers had done emotional adjustments to take care of their children with CHD, another two-fifths (28.4%) of the mothers sometimes had disturbed sleep and almost half (46.3%) of the mothers were always upset due to some behaviour of their child with CHD. Half (50.5%) of the mothers had high level of burden of care. Statistically significant association were found between age of the mother and level of burden of care (p value = 0.05). Similarly, the type of family (p value = 0.005), age of the children (p value = 0.000) and type of CHD (p value = 0.002) were significantly associated with the level of burden of care among the mothers. Conclusion: The study concluded that mothers tend to feel less burden of care as the child grows older, mothers having children with cyanotic heart disease tend to experience more burden of care. Mothers of less than thirty years of age and living in a joint family also experience more burden of care.  

scholarly journals Analysis of Sociodemographic and Clinical Factors Associated with Hospitalized Stroke Patients of Bangladesh

1970 ◽  
Vol 6 (1) ◽  
pp. 19-23 ◽  
Author(s):  
AM Hossain ◽  
NU Ahmed ◽  
M Rahman ◽  
MR Islam ◽  
G Sadhya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Ischaemic Heart Disease ◽  
Low Income ◽  
Heart Diseases ◽  
Previous History ◽  
Stroke Patients ◽  
College Hospital ◽  
Cross Sectional ◽  
History Of

A hospital based cross sectional study was carried out to analyze prevalence of risk factors for stroke in hospitalized patient in a medical college hospital. 100 patients were chosen using purposive sampling technique. Highest incidence of stroke was between the 6th and 7th decade. Patients came from both urban (54%) and rural (46%) areas and most of them belong to the low-income group (47%). In occupational category; service holder (28%) and retired person (21%) were the highest groups. Most of the study subjects were literate (63%). CT scan study revealed that the incidence of ischaemic stroke was 61% and haemorrhagic stroke 39%. Analysis indicated hypertension as major risk factor for stroke (63%) and major portion of the patients (42.85%) were on irregular or no treatment. Twenty four percent of the patients had heart diseases and out of 24 patients 45.83% were suffering from ischaemic heart disease. The present study detected diabetes in 21% patients. Fifty three percent of the study subjects were smoker, 39% patients had habit of betelnut chewing. Out of 26 female patients, only 23% had history of using oral contraceptives. Majority of the patients were sedentary workers (46%). Thirty seven percent of the stroke patients were obese. Among the stroke patients 9% had previous history of stroke and 3% had TIA respectively. Most of the patients (21%) were awake while they suffered from stroke and the time of occurrence was mostly in the afternoon (46%). This study found that hypertension, cigarette smoking, ischaemic heart disease and diabetes mellitus are the major risk factors prevalent in our community while other risk factors demand further study. Key words: stroke; risk factors; hospitalized patients; Bangladesh. DOI: 10.3329/fmcj.v6i1.7405 Faridpur Med. Coll. J. 2011;6(1): 19-23

Risk Factors of Coronary Heart Disease among Civil Employees of a Tertiary Level Hospital

2020 ◽  
Vol 11 (1) ◽  
pp. 22-28
Author(s):  
Md Saydur Rahman ◽  
Nurun Nahar
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Heart Diseases ◽  
Positive Family History ◽  
Risk Behaviour ◽  
Educational Status ◽  
Normal Weight ◽  
Cross Sectional

Background: Cardiovascular risk factors are the most inimical and deleterious elements to develop coronary heart disease (CHD). To identify the factors contributing to develop CHD is therefore of paramount importance. It needs endless attention to address the riddle. This effort is to candle the light on sociodemographic & other factors of CHD. Methods & Materials: This cross-sectional study was conducted in CMH Dhaka from September to December 2011 on 287 respondents. Data were collected by interview using semi-structured questionnaire. Data were checked, edited, coded, categorized, cleaned and analyzed using (SPSS version 20). Results: The study disclosed that respondent's mean age was 39.40+9.42 years, 67.2% were male and 32.8% were female. It was founded that 34.14% were smoker. The prevalence rate of HTN and DM were 14.3% and 4.5% respectably. The mean BMI was 24.55 with 58.5% had normal weight and 41.5% were overweight, 18.8% had positive family history of suffering from CHD. among the respondents 88.5% has got at least one risk factor, 60% has got 5-10 risk factors, 13.6% got 6-10 risk factors, 14.3% got>10 risk factors. Age was significantly associated with smoking (p<.049), educational status (p<.001) and blood pressure (p<.001). Physical exercise was associated with BMI (p<.001) and blood pressure (p<.001). Risk factors had highly significant association with age (p<.001). Conclusion: All these findings suggest that a substantial evidence of risk factors of coronary heart diseases were prevailing among the study population. Proper care through positive motivation, avoidance of risk behaviour, intervention of clinical conditions can resist risk factors of coronary heart disease thus coronary heart disease can be prevented. Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 22-28

scholarly journals Life style associated risk factors in teenage students, in Miraj town: a cross sectional descriptive study

2017 ◽  
Vol 4 (8) ◽  
pp. 2830
Author(s):  
Ganesh S. Lokhande ◽  
Sachin B. Jadhav ◽  
Shekhar S. Rajderkar ◽  
Yogita G. Bavaskar
Keyword(s):  
Risk Factors ◽  
Dietary Habits ◽  
Descriptive Study ◽  
Junior Colleges ◽  
Overweight And Obesity ◽  
Age Group ◽  
Cross Sectional ◽  
Group 13 ◽  
Study Population ◽  
Associated Risk Factors

Background: The transition from childhood to adulthood may be referred to as ‘adolescence’ or ‘teenage’. Adolescence is not only a time of opportunity but also of vulnerability to risky behavior, which can have life-long consequences, especially on education, career and various aspects of health. Behavior patterns that influence health in adulthood have their origin in adolescence. Considering such factors, the present study had been undertaken with the objectives to study dietary habits and nutritional status of study population, to study knowledge, attitude & practices of study population regarding risk factors and to study the significant behavioral deviation including drug abuse.Methods: Cross sectional, descriptive study was being conducted in selected High schools and Junior Colleges in the Miraj town. The method of data collection was the pre-designed, pre-tested proforma. The data was analyzed by using SPSS.Results: Overall prevalence of under-nutrition was 49.83%. Prevalence of overweight and obesity was 3.68% and 1.49% respectively. Overall prevalence of overweight and obesity was more in participants with habit of eating outside home. Various forms of tobacco, alcohol and pan masala were used by 58.9% of the family members / friends / peer groups of the study participants.Conclusions: The students of age group 18-19 year were more likely to have risk taking behavior than students of age-group 13-17 year. 

scholarly journals SO088BURDEN OF VALVULAR HEART DISEASE IN HAEMODIALYSIS RECIPIENTS

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Mohamed Elewa ◽  
Anu Jayanti
Keyword(s):  
Heart Disease ◽  
Mitral Valve ◽  
Aortic Valve ◽  
Valve Replacement ◽  
Valvular Heart Disease ◽  
Heart Association ◽  
Mitral Valve Stenosis ◽  
Annual Data ◽  
Cross Sectional ◽  
Dialysis Vintage

Abstract Background and Aims Valvular heart disease (VHD) is highly prevalent in maintenance haemodialysis patients. This high prevalence is associated with poor outcomes and higher mortality [Samad et al., Journal of the American Heart Association, 6 (10), (2017)]. Previous large studies found VHD prevalence between 14% and 16% among prevalent haemodialysis patients [2018 USRDS Annual Data Report | Vol 2] [Hickson et al., Journal of the American College of Cardiology, 67(10), (2016)]. KDIGO consensus group identified several evidence gaps where research is necessary in order to improve our understanding of diagnosis and management of VHD in this population [Marwick et al., Kidney international, 96 (4), (2019)]. The aim of our study is to assess the burden of VHD in a large cohort of haemodialysis recipients in one center in the United Kingdom (UK). Method This is a retrospective cross-sectional evaluation of valvular heart disease in prevalent haemodialysis patients. Prevalent haemodialysis recipients were defined as patients established on haemodialysis for ≥ 3 months. Echocardiographic data was collected for all patients. Patients were considered to have VHD if they had significant aortic (AVD) or mitral valve disease (MVD) based on standard echocardiographic criteria. These valvular diseases are classified as mild, moderate or severe. Here, we report some descriptive statistics from our data. Results The study group includes 544 prevalent haemodialysis patients. Mean age was 62 years (SD 15.28), 40% females and 60% were males. Median dialysis vintage was 1.9 years (IQR 1, 3.2) [Range: 0.2, 10.2]. 14 % of patients received home-based hemodialysis and 86% received in-center dialysis. 30% of patients were actively awaiting a transplant. A total of 1155 echocardiography studies were reviewed. Of the 425 patients who had an echocardiogram; 34% (n=143) had evidence of VHD as defined above. Significant AVD was identified in 18% of patients (n=78). The dominant lesion was aortic regurgitation in 11%, and aortic stenosis in 7% of patients. 20% of patients (n=85) had significant MVD with mitral valve stenosis in 0.7% of patients (n=3) and mitral regurgitation in 18% of patients. 5% of patients had cardiothoracic intervention (n=21) for valvular heart disease, which included aortic valve replacement (n=9), transcatheter aortic valve implantation (TAVI) (n=9), and mitral valve replacement (n=3). Conclusion We found that at least one third (34%) of patients in this cohort had significant VHD- higher than the previously published figures. The numbers are likely to be higher, if echocardiogram information was available for all patients in the study. Timely echocardiographic studies and follow-up imaging for those with established disease are essential to identify patients with significant VHD, in order to establish impact of disease on both dialysis delivery and patient symptoms.

The Advisory Brought to Practice Routine Screening on Depression (and Anxiety) in Coronary Heart Disease; Consequences and Implications

2011 ◽  
Vol 10 (4) ◽  
pp. 228-233 ◽  
Author(s):  
M.L.A. Luttik ◽  
T. Jaarsma ◽  
R. Sanderman ◽  
J. Fleer
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Depressive Symptoms ◽  
Stressful Life Events ◽  
Medical Center ◽  
Heart Association ◽  
Cross Sectional Study ◽  
Routine Screening ◽  
Anxiety And Depression ◽  
Cross Sectional

Introduction: Following the evidence, the American Heart Association recently published a Science Advisory with the recommendation that patients with Coronary Heart Disease (CHD) should be screened for depressive symptoms and depression. Also the Heart Failure Guidelines recommend routine screening for depressive symptoms. Screening for anxiety was not included in these recommendations, despite findings in literature suggesting that cardiac patients are at risk for high levels of anxiety. Objective: The aim of the current study is to obtain a realistic estimation of the consequences and implications of this advice for clinical practice. Method: Data on anxiety, and depression, need for help, demographics and disease related variables were collected in a cross-sectional study within a 2-month period (July–August 2008) at the cardiac outpatient clinic of the University Medical Center Groningen (The Netherlands). Patients: Data of 217 patients were analyzed, mean age was 58 years (±16) and 62% of the respondents were male. Results: Of 217 patients, 26% indicated to have depressive symptoms and 42% indicated elevated levels of anxiety. About 35–50% of these patients indicated a moderate to high need for help. The prevalence of anxiety and depression was mainly associated with demographic factors and the occurrence of stressful life events. Conclusion: Routine screening will put an increased demand on psychosocial diagnostics and treatment, therefore the availability of professionals should be guaranteed in advance.

scholarly journals The Ratio of Second to Fourth Digit Length (2D:4D) and Heart Disease

2016 ◽  
Vol 15 (4) ◽  
pp. 529-532
Author(s):  
Naveen Kumar ◽  
Mohammad Arsyd Bin Sallehuddin ◽  
Syed Mohd Farris Bin Syed ◽  
Muhammad Hafiz Bin Idris ◽  
Terry Anak Jamba ◽  
...  
Keyword(s):  
Heart Disease ◽  
Heart Diseases ◽  
Medical Science ◽  
Calculated Data ◽  
Cross Sectional Study ◽  
Project Work ◽  
Cross Sectional ◽  
Balanced Diet ◽  
Fourth Digit ◽  
History Of

Objectives: The risk of getting heart diseases is unpredictable due to many predisposing factors range from lifestyle to genetic inheritance. Scientist made the discovery after studying men of various age who had suffered heart disease made a finding; the length of ring fingers (4D) are shorter than index fingers (2D) are at greater risk of premature heart attack at their early 30. Based on these facts, we carried out this project work by analyzing 2D and 4D ratios with the perspective of risk of heart disease among the Malaysian undergraduate students.Materials and method: A cross sectional study using questionnaire about subject’s family history of heart related problems if any, followed by measurement of length of second and fourth digit was carried out. 2D:4D ratio index was calculated. Data obtained were tabulated according to index more than 1 and less than 1.Results and discussion: In the present study, total 66 subjects (n= 120) presented with a ratio greater than 1.0, this accounted for a total of 55%, while remaining 45% of subjects had 2D:4D <1.0. Even though we couldn’t confirmed that this test confirms an accurate indicator to determine the risk, it is yet the strongest predictor of heart disease later in life.Conclusion: We hope that this study could create awareness among the students with 2D4D ratio greater than 1.0 to avoid heart diseases by leading a better lifestyle with balanced diet and regular exercise.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.529-532

scholarly journals General Public’s Knowledge Regarding Basic Life Support: A Pilot Study with a Portuguese Sample

2019 ◽  
Vol 32 (2) ◽  
pp. 111
Author(s):  
Carla Sá-Couto ◽  
Abel Nicolau
Keyword(s):  
Basic Life Support ◽  
Life Support ◽  
Descriptive Study ◽  
Technical Knowledge ◽  
General Knowledge ◽  
Self Perception ◽  
Cross Sectional ◽  
Convenience Sample ◽  
The Mean ◽  
Previous Training

Introduction: Basic life support is a key manoeuvre in a cardiac arrest situation that can often save a victim’s life. This study investigates the general public’s knowledge about the fundamentals of basic life support, and its association with previous training/education on basic life support and self-perception of knowledge. A secondary goal is to assess the opinion on training needs.Material and Methods: This is a cross-sectional, exploratory, and descriptive study, using a convenience sample of 655 individuals. A survey containing 21 questions was applied. A descriptive and inferential statistical analysis explored potential associations between variables.Results: The mean score for general knowledge (75.9% ± 14.2%) was statistically significantly higher (p < 0.001) than for technical knowledge (31.2% ± 29.7). Considering the overall knowledge, the mean score was 49.0% ± 20.3%, with 100 (15.3%) respondents scoring equal or higher than 70%, and only 12 (1.8%) answering all questions correctly. Less than 30% of the sample had previous training in basic life support.Discussion: The source of knowledge and time elapsed from previous training have relevant and statistically significant associations with the knowledge scores. Association of the self-perception of knowledge and the actual scores showed, in general, that participants have a correct perception of their knowledge. The knowledge scores indicate clear lack of training and knowledge among the general population.Conclusion: The results of this study reinforce the need for practical and regular basic life support training, ideally early in life and in the workplace. Participants recognize that they have residual or low basic life support knowledge and are motivated to attend training and refresher courses. 

scholarly journals Impact of medical and behavioural factors on influenza-like illness, healthcare-seeking, and antiviral treatment during the 2009 H1N1 pandemic: USA, 2009–2010

2013 ◽  
Vol 142 (1) ◽  
pp. 114-125 ◽  
Author(s):  
M. BIGGERSTAFF ◽  
M. A. JHUNG ◽  
C. REED ◽  
S. GARG ◽  
L. BALLUZ ◽  
...  
Keyword(s):  
Heart Disease ◽  
High Risk ◽  
Antiviral Treatment ◽  
Healthcare Access ◽  
Cross Sectional ◽  
Financial Barriers ◽  
Influenza Like Illness ◽  
Healthcare Seeking ◽  
Treatment Practices ◽  
The Impact

SUMMARYWe analysed a cross-sectional telephone survey of U.S. adults to assess the impact of selected characteristics on healthcare-seeking behaviours and treatment practices of people with influenza-like illness (ILI) from September 2009 to March 2010. Of 216 431 respondents, 8·1% reported ILI. After adjusting for selected characteristics, respondents aged 18–64 years with the following factors were more likely to report ILI: a diagnosis of asthma [adjusted odds ratio (aOR) 1·88, 95% CI 1·67–2·13] or heart disease (aOR 1·41, 95% CI 1·17–1·70), being disabled (aOR 1·75, 95% CI 1·57–1·96), and reporting financial barriers to healthcare access (aOR 1·63, 95% CI 1·45–1·82). Similar associations were seen in respondents aged ⩾65 years. Forty percent of respondents with ILI sought healthcare, and 14% who sought healthcare reported receiving influenza antiviral treatment. Treatment was not more frequent in patients with high-risk conditions, except those aged 18–64 years with heart disease (aOR 1·90, 95% CI 1·03–3·51). Of patients at high risk for influenza complications, self-reported ILI was greater but receipt of antiviral treatment was not, despite guidelines recommending their use in this population.

scholarly journals The prevalence of hypercholesterolemia and associated risk factors in Al-Kharj population, Saudi Arabia: a cross-sectional survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jamaan Al-Zahrani ◽  
Mamdouh M. Shubair ◽  
Sameer Al-Ghamdi ◽  
Abdullah A. Alrasheed ◽  
Abdulrahman A. Alduraywish ◽  
...  
Keyword(s):  
Risk Factors ◽  
Saudi Arabia ◽  
General Population ◽  
Vascular Diseases ◽  
Positive Association ◽  
Heart Association ◽  
High Cholesterol ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Associated Risk Factors

Abstract Background Hypercholesterolemia (HC) is an important precursor to many cardiovascular, cerebrovascular, and peripheral vascular diseases. A report conducted by the American Heart Association showed the prevalence of HC to be 11.9%, with around 28.5 million adults age ≥ 20 years having high cholesterol levels. This study aimed to evaluate the prevalence of HC and its associated risk factors among the general population of Al-Kharj, Saudi Arabia. Method A cross-sectional study was conducted on the general population of Al-Kharj, Saudi Arabia in 2016. The representative sample consisted of 1019 individuals, who all participated on a voluntary basis. The statistical analysis was performed using SPSS version 25. Results The results of this study showed the prevalence of HC in the sample to be 12.5%. There was a significant moderate positive association between increasing age and the prevalence of HC (r = 0.240, P < 0.0001). Males had a significantly higher prevalence of HC (56.7%) compared to their female counterparts (43.3%) (X2 = 23.093, P ≤ 0.0001). BMI was positively and significantly associated with high cholesterol status. Participants in the overweight category had a significantly higher risk of HC (OR = 1.727; 95% CI = 1.58–1.914; P = 0.046). The non-obese (< 25 kg/m2) participants had an inverse significant association with the risk of hypercholesterolemia. (OR = 0.411; 95% CI = 0.216–0.783; P = 0.007). Conclusion In this population-based study, the predominant risk factors of HC in Al-Kharj region were being of a Saudi nationality, male, having obesity, being unemployed, and being a civilian worker. There is a clear need for future screening studies of HC, as most previous studies have reported contradictory prevalence data (because they were conducted in different regions of KSA). Furthermore, well-designed prospective cohort studies are needed in the future to assess how the association between lifestyle behavioural factors such as dietary intake patterns and levels of physical activity may affect the relative risk of HC status.

Sign in / Sign up

Export Citation Format

Share Document