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Prediction of cardiovascular disease risk among low-income urban dwellers in metropolitan Kuala Lumpur, Malaysia.

Su TT, Amiri M, Mohd Hairi F, Thangiah N, Bulgiba A, Majid HA - Biomed Res Int (2015)

Bottom Line: Our study indicated that one out of five low-income urban dwellers has high chance of having CVD within ten years.Health care expenditure, other illness related costs and loss of productivity due to CVD would worsen the current situation of low-income urban population.As such, the public health professionals and policy makers should establish substantial effort to formulate the public health policy and community-based intervention to minimize the upcoming possible high mortality and morbidity due to CVD among the low-income urban dwellers.

View Article: PubMed Central - PubMed

Affiliation: Centre for Population Health (CePH), Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.

ABSTRACT
We aimed to predict the ten-year cardiovascular disease (CVD) risk among low-income urban dwellers of metropolitan Malaysia. Participants were selected from a cross-sectional survey conducted in Kuala Lumpur. To assess the 10-year CVD risk, we employed the Framingham risk scoring (FRS) models. Significant determinants of the ten-year CVD risk were identified using General Linear Model (GLM). Altogether 882 adults (≥30 years old with no CVD history) were randomly selected. The classic FRS model (figures in parentheses are from the modified model) revealed that 20.5% (21.8%) and 38.46% (38.9%) of respondents were at high and moderate risk of CVD. The GLM models identified the importance of education, occupation, and marital status in predicting the future CVD risk. Our study indicated that one out of five low-income urban dwellers has high chance of having CVD within ten years. Health care expenditure, other illness related costs and loss of productivity due to CVD would worsen the current situation of low-income urban population. As such, the public health professionals and policy makers should establish substantial effort to formulate the public health policy and community-based intervention to minimize the upcoming possible high mortality and morbidity due to CVD among the low-income urban dwellers.

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Related in: MedlinePlus

Study sample.
© Copyright Policy - open-access
Related In: Results  -  Collection


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fig1: Study sample.

Mentions: However, we decided to include all eligible participants from the household survey to increase precision of the study findings. We excluded respondents who (i) aged less than 30 years old; and (ii) who had CVD incidence of at least one of the following diseases: coronary death, myocardial infarction, coronary insufficiency, angina, ischemic stroke, haemorrhagic stroke, transient ischemic attack, peripheral artery disease, and heart failure [24, 25]. Subsequently, 882 participants were included for CVD risk prediction model (see Figure 1).


Prediction of cardiovascular disease risk among low-income urban dwellers in metropolitan Kuala Lumpur, Malaysia.

Su TT, Amiri M, Mohd Hairi F, Thangiah N, Bulgiba A, Majid HA - Biomed Res Int (2015)

Study sample.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4363497&req=5

fig1: Study sample.
Mentions: However, we decided to include all eligible participants from the household survey to increase precision of the study findings. We excluded respondents who (i) aged less than 30 years old; and (ii) who had CVD incidence of at least one of the following diseases: coronary death, myocardial infarction, coronary insufficiency, angina, ischemic stroke, haemorrhagic stroke, transient ischemic attack, peripheral artery disease, and heart failure [24, 25]. Subsequently, 882 participants were included for CVD risk prediction model (see Figure 1).

Bottom Line: Our study indicated that one out of five low-income urban dwellers has high chance of having CVD within ten years.Health care expenditure, other illness related costs and loss of productivity due to CVD would worsen the current situation of low-income urban population.As such, the public health professionals and policy makers should establish substantial effort to formulate the public health policy and community-based intervention to minimize the upcoming possible high mortality and morbidity due to CVD among the low-income urban dwellers.

View Article: PubMed Central - PubMed

Affiliation: Centre for Population Health (CePH), Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.

ABSTRACT
We aimed to predict the ten-year cardiovascular disease (CVD) risk among low-income urban dwellers of metropolitan Malaysia. Participants were selected from a cross-sectional survey conducted in Kuala Lumpur. To assess the 10-year CVD risk, we employed the Framingham risk scoring (FRS) models. Significant determinants of the ten-year CVD risk were identified using General Linear Model (GLM). Altogether 882 adults (≥30 years old with no CVD history) were randomly selected. The classic FRS model (figures in parentheses are from the modified model) revealed that 20.5% (21.8%) and 38.46% (38.9%) of respondents were at high and moderate risk of CVD. The GLM models identified the importance of education, occupation, and marital status in predicting the future CVD risk. Our study indicated that one out of five low-income urban dwellers has high chance of having CVD within ten years. Health care expenditure, other illness related costs and loss of productivity due to CVD would worsen the current situation of low-income urban population. As such, the public health professionals and policy makers should establish substantial effort to formulate the public health policy and community-based intervention to minimize the upcoming possible high mortality and morbidity due to CVD among the low-income urban dwellers.

Show MeSH
Related in: MedlinePlus