Assessing the risk of cardiovascular diseases in women and men in the primary health care: A case study in Ardabil Iran - Payesh (Health Monitor)
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Volume 22, Issue 6 (November-December 2023)                   Payesh 2023, 22(6): 699-708 | Back to browse issues page

Ethics code: IR.ARUMS.REC.1399.152


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Darabi F, Ezatti F, Mohammadhossrini T. Assessing the risk of cardiovascular diseases in women and men in the primary health care: A case study in Ardabil, Iran. Payesh 2023; 22 (6) :699-708
URL: http://payeshjournal.ir/article-1-2160-en.html
1- Department Of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran
2- Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
Abstract:   (863 Views)
Objective(s): In Iran, half of all deaths and 79% of deaths from non-communicable diseases are attributed to cardiovascular diseases. On the other hand, more than 76% of the total burden of diseases and the first cause of catastrophic health expenses in Iran are related to these diseases. This study was conducted with the aim of determining the status and trend of providing cardiovascular disease risk assessment services by gender, in order to carry out the necessary interventions in the comprehensive health service centers of Ardabil province, Iran.
Methods: The present descriptive study was conducted in Ardabil University of Medical Sciences. It used the data available in the registration system of the Health Network. The research population consisted of all men and women aged between 40 and 80 who visited the comprehensive health service centers to perform risk assessment of cardiovascular strokes in the province from 2018 to the end of 2022. The data were entered into Excel software. FORCAST function was used to predict the future through a linear regression analysis. To compare the final results, which is actually a reduction in mortality due to cardiovascular diseases, the difference test of two mortality rates due to cardiovascular diseases was used in 2018 and march 2023.
Results: The results showed a relatively high prevalence of some risk factors for cardiovascular diseases including history of hypertension, diabetes, abdominal obesity, suspected diabetes, lipid disorder, body mass index of 30 and above in women. Also, the results of the study showed that 38.3% of men and 61.72% of women were at the risk level of 10-20%, 34.8% of men and 65.2% of women were at the risk level of 20-30%, and 28.9% of men and 71.1% of women were at the risk level above 30%.
conclusion: Women were more at risk of cardiovascular diseases and complications than men. Knowing the common risk factors in the region helps to focus interventions on effective prevention and treatment measures and to adopt evidence-informed policies in order to reduce these risk factors.
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type of study: Descriptive | Subject: Helath Services Management
Received: 2023/06/1 | Accepted: 2023/09/23 | ePublished ahead of print: 2023/09/30 | Published: 2023/11/5

References
1. Derakhshan S, Khalili D, Etemad K, Hashemi Nazari S S, Kavousi A, Hadavand F, et al . Prevalence of Cardiovascular Risk Factors in Men and Women Referred to Health Centers in the Four Cities of the Ira-pen Pilot Program, 2016-2017. Iranian Journal of Endocrinology and Metabolism 2021; 23:9-20 [Persian]
2. Hadavand Siri F, Khalili D, Hashemi Nazari S S, Ostovar A, Mahdavi A. Adherence to Iran's Package of Essential Noncommunicable Diseases (IraPEN) Program for Regular Follow-up to Reduce the Risk of Cardiovascular Disease in Healthcare Centers. Iranian Journal of Endocrinology and Metabolism 2020; 22:116-126 [Persian]
3. WHO. Cardiovascular diseases. http//www.emro.who.int/healthtopics/ cardiovascular-diseases/index.html. [Access date:16/04/2022]
4. Harirchi I MS, Ahmadnezhad E, Abdi Z. Observatory on Health System. Islamic Republic of Iran, National Institute for Health Research Tehran: Aftab-e-Andishe. 2017. https://nih.tums.ac.ir/Show/Item/660
5. Sadeghi V JA, Sadeghi-Bazargani H, Imani A. Which Interventions should be Included in National Health System Assessment Framework? Selecting Essential Interventions Based on Effective Coverage Approach. Annals of Medical and Health Science Research 2019;9:542-9
6. Koosha A NM ea. Package of Essential Non-Communicable (PEN) Disease Interventions for Primary Health Care in Iran (IraPEN). (Implementation Tools for General Practitioner). Tehran: Ministry of Health and Medical Education: IranTehran:Mojassameh; 2017. https://malard.iums.ac.ir/files/malard/files/%D9%81%D8%B4%D8%A7%D8%B1_%D8%AE%D9%88%D9%6/%D8%A7%DB%8C%D8%B1%D8%A7%D9%BE%D9%86/FixMohtava-Behvarz.pdf
7. Jahani MA BM, Abbasi M, Yazdani Charati J, Mahmoodi G. Analysis of the Results of Cardiovascular Disease Risk Assessment Program. Journal of Babol University of Medical Sciences 2021;23:236-43 [Persian]
8. Motamed N ea. The 10-year absolute risk of cardiovascular (CV) events in northern Iran: A Population Based Study. Materia Socio-Medica 2015; 27:158-62 [DOI:10.5455/msm.2015.27.158-162]
9. Karami M, Mobasheri F, Khosravi Shadmani F. Potential Impact Fraction of modifying selected risk factors on burden of cardiovascular disease in Iran: comparative risk assessment. Razi Journal of Medical Sciences 2013;20:62-71 [Persian]
10. Bansal M, Kasliwal RR. Optimum cardiovascular risk prediction algorithm for South-Asians - Are WHO risk prediction charts really the right answer? Indian Heart Journal 2016;68:581-2 [DOI:10.1016/j.ihj.2016.05.007]
11. Van der Aalst CM, Denissen S, Vonder M, Gratama JWC, Adriaansen HJ, Kuijpers D, et al. screening for cardiovascular disease risk using traditional risk factor assessment or coronary artery calcium scoring: the ROBINSCA trial. Journal of the European Society of Cardiology 2020;21:1216-24 [DOI:10.1093/ehjci/jeaa168]
12. Nakhaie MR, Koor BE, Salehi SO, Karimpour F. Prediction of cardiovascular disease risk using Framingham risk score among office workers, Iran, 2017. Saudi Journal of Kidney Diseases and Transplantation 2018;29:608-14 [DOI:10.4103/1319-2442.235179]
13. Hajian-Tilaki K, Heidari B. Comparison of abdominal obesity measures in predicting of 10-year cardiovascular risk in an Iranian adult population using ACC/AHA risk model: A population based cross sectional study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews 2018;12:991-7 [DOI:10.1016/j.dsx.2018.06.012]
14. Hojat M, Jahromi M, Koshkaki S, Rahmanian M. Comparison of risk factors of cardiovascular diseases in male and female nurses. Journal of Education and Health Promotion 2019;8:19-19
15. Bowry AD, Lewey J, Dugani SB, Choudhry NK. The Burden of Cardiovascular Disease in Low- and Middle-Income Countries: Epidemiology and Management. Canadian Journal of Cardiology 2015;31:1151-9 [DOI:10.1016/j.cjca.2015.06.028]
16. Sarrafzadegan N, Mohammmadifard N. Cardiovascular Disease in Iran in the Last 40 Years: Prevalence, Mortality, Morbidity, Challenges and Strategies for Cardiovascular Prevention. Archives of Iranian Medicine 2019;22:204-10

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