000 03971nam a22003257a 4500
001 CUHAS/MPH/6000209/T/19
003 CUHAS/MPH/6000209/T/19
005 20240422134102.0
008 210821b |||||||| |||| 00| 0 eng d
028 _bWurzburg Road 35, BMC Premises, Post Code: 33102:
028 _b P. O Box 1464, Mwanza – Tanzania:
028 _bPhone: +255 28 298 3384:
028 _b Fax: +255 28 298 3386:
028 _bEmail: vc@bugando.ac.tz :
028 _bwww.bugando.ac.tz
035 _aCUHAS/MPH/6000209/T/19
040 _bEnglish
_cddc
041 _aEnglish
100 _a Irene Kokwendwa Mukerebe
_d[Female]
_922837
_eCUHAS/MPH/6000209/T/19
222 _aKey words:
_b Cardiovascular diseases, risk factors, prediction chart, adult
245 _aThe Risk of Developing Cardiovascular Events Among Adults Living in Lake Zone Region Tanzania.
260 _aMwanza, Tanzania:
_bCatholic University of Health and Allied Sciences [CUHAS - Bugando] :
_c2020
300 _axiv; 89 Pages
300 _aIncludes References and Appendices
520 _aAbstract: Background: The burned of cardiovascular diseases is currently growing in Tanzania mainly due to changes in life style and environmental exposures. Having limited data on estimated risk of developing cardiovascular events and the associated factors, could impend planning for tailor made interventions. Objectives: This study aimed at predicting the 10 year risk of developing cardiovascular events across different age groups of adults living in Lake Zone Region, in Tanzania. Methodology: This was a secondary data analysis study involving 6,958 adults aged >18 years obtained from community based cross-sectional survey conducted by Catholic University of Health and Allied Sciences in September 2019 in six regions of Lake Zone Tanzania. A multistage cluster sampling was deployed to obtained participants and a WHO stepwise questionnaire was used. Blood glucose levels and systolic blood pressure were measured using standard protocols. The participants 10 year of developing cardiovascular events was assessed using WHO AFRE prediction chart. Data were analyzed using STATA version 13; univariate and multivariate logistic analysis was done to identify the predictor of 10-year risk for developing cardiovascular disease at 5% level of significance. Results: The median age of participants was 42 [IQR: 30-56] years. Prevalence of systolic hypertension and diabetes mellitus were 30.1% and 5.7% respectively. Prevalence of behavioral Cardiovascular risk factors were as follows; current tobacco smoking 6.1%, excessive alcohol use 10.1%, unhealthy diet 77.8% and physical inactivity 49.4%. Proportion of participants with no behavioral CVD risk factors were 11.8%while 53.9% had combined 2 or more behavioral CVD risk factors. The proportion of participants with high risk of developing CVDs within 10 years was 4%. Respondent with age > 55 years (aOR; 5.96CI; 1.59-2.98), female (aOR; 0.48 CI; 0.35-0.66), current tobacco smoking (aOR; 5.96CI; 3.99-8.92), systolic hypertension (aOR; 1.1CI; 1.09-1.11) and diabetes mellitus (AOR; 3.98 CI; 2.59-6.08) were associated with the higher likelihood of developing cardiovascular events in the next 10 years. Conclusion: result of this study signifies the increase in cardiovascular events in the next 10 years in rural communities. Increased magnitude of modifiable behavioral cardiovascular disease risk factors indicated the increased morbidity, disability and mortality from stroke and coronary heart diseases in the next 10 years. Recommendation: Public awareness, community screening and continuous diseases surveillance programs should be applied to the whole population to influence positive behavioral change and control cardiovascular diseases risk factors.
654 _xPublic Health
700 _aKapesa, Anthony
_919801
700 _aWajanga, Bahati
_920534
942 _2ddc
_cMP
999 _c18511
_d18511