Title:
The prevalence of cardiovascular risk factors among insulin dependent type 2 patients in governmental phc clinics-Bethlehem / by Ghada Mahmoud Ibrahim Sha'fout ; supervised by Dr. Asma Imam. معدل انتشار بعض عوامل الخطورة لأمراض القلب والأوعية الدموية بين مرضى السكري النوع الثاني المعالجين بالأنسولين والأنسولين والأقراص (compound) في مديرية صحة بيت لحم
معدل انتشار بعض عوامل الخطورة لأمراض القلب والأوعية الدموية بين مرضى السكري النوع الثاني المعالجين بالأنسولين والأنسولين والأقراص (compound) في مديرية صحة بيت لحم معدل انتشار بعض عوامل الخطورة لأمراض القلب والأوعية الدموية بين مرضى السكري النوع الثاني المعالجين بالأنسولين والأنسولين والأقراص (compound) في مديرية صحة بيت لحم
Author:
Sha'fout, Ghada Mahmoud Ibrahim, author.
Imam, Asma, supervisor.
Al-Quds University (Jerusalem, Palestine). Faculty of Graduate studies. Faculty of Public Health.
General Notes:
Thesis (M. Sc. in Public Health)--Al-Quds University (Jerusalem, Palestine), Faculty of Graduate studies,Faculty of Public Health, 2018.
Includes bibliographical references and index.
Background
Diabetes Mellitus (DM)incidence is growing rapidly globally and represents major challenges to public health, economy and social developments.DM is considered as one of the most important risk factors of cardiovascular disease (CVD).Moreover it is associated with the presence of other risk factors of CVD including obesity ,dyslipidemia and hypertension which increase the risk of having CVD and causing premature death and disability among diabetic patients .
The aim of the study:
To determine the prevalence of cardiovascular risk factors, including hypertension,
obesity, physical inactivity, dyslipidemia and smoking among patients with Type 2 DM at the diabetic clinics in the Bethlehem Health Directorate .
Method:
This is across sectional study through stratified random sample that was carried out in 5 diabetic clinics of Ministry of Health (MoH). The total number of participants was233in the period between June to November 2016 .
Results:
Results showed that 100 of 233 participants were having CVD which represented 43% of our sample ,the rest were not having CVD but having high prevalence rate of risk factors of CVD.
Prevalence rate of risk factors of CVD among 133 patients :
There were a statistical significant difference in both total cholesterol and obesity within the gender (p=.0001) in which females had a higher prevalence
IV
than males by 80.2% and 83% respectively. Furthermore, results showed that approximately more than one-fifth of participants were overweight by 23.3% .
Physical inactivity was the highest prevalence among other risk factors by 86.5% and sedentary lifestyle mean was 12.1±3.3 hours with statistical significant difference with age (P=0.001), gender (p=.022)and duration of diabetes (p=.005) .
Hypertension was observed in 66.2% of participants with no statistical difference and smoking was the lowest prevalence rate by 6.8% for current smokers .
Also results showed that age was significantly associated with the risk of coronary heart disease CHD (p=.0001), while, age and duration of diabetes were statistically associated with stroke p=.0001 and p=.001 respectively .
With lipid analysis , results showed that total cholesterol was statically associated with gender (p=.004) and the same for triglycerides (P=.002 ).
Conclusion:
The number of diabetics is increasing every year in Palestine, with many factors pushing for this increase, such as changing the lifestyle and urbanization as well as obesity. Screening and early detection for diabetes are necessary to reduce the incidence of diabetes and reduce cardiovascular morbidity and mortality. Moreover , monitoring and controlling risk factors of CVD by providing effective treatment could decrease or delay the onset of CVD.
The electronic version is available in theses database \\ University of Jordan.
Includes abstracts in Arabic and English.
Subject:
Public health -- Palestine.
Diabetes mellitus
Hypertension -- Risk factors.
Dissertation Note:
Thesis (M. Sc. in Public Health)--Al-Quds University (Jerusalem, Palestine), Faculty of Graduate studies,Faculty of Public Health, 2018.
Physical Description:
1CD-ROM : PDF.
Publication Date:
2018.
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