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Cardiovascular risk factors in the Bedouin population: management and compliance

Oren Tamir1, Roni Peleg, Jacob Dreiher

  • 1Siaal Research Center for Family Medicine and Primary Care, Department of Family Medicine, Division of Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.

The Israel Medical Association Journal : IMAJ
|October 18, 2007
PubMed

Insights

Cardiovascular disease risk factors like diabetes are increasing in the Israeli Bedouin population. Poor compliance with medication and follow-up tests is a significant issue for Bedouin patients.

Area of Science:

  • Public Health
  • Epidemiology
  • Cardiovascular Medicine

Background:

  • Coronary heart disease and stroke were historically rare in Israeli Bedouins but are now increasing.
  • This population exhibits a higher prevalence of cardiovascular diseases compared to the Jewish population.

Purpose of the Study:

  • To determine the prevalence of diagnosed cardiovascular risk factors (hypertension, diabetes mellitus, dyslipidemia) among Bedouins.
  • To assess patient compliance with follow-up tests and prescribed drug treatments.

Main Methods:

  • Data from computerized databases of eight Bedouin clinics and two Jewish teaching clinics in Beer Sheva were analyzed.
  • Included patients aged 20+; risk factor data, drug purchasing, HbA1c, and LDL-cholesterol levels were extracted.

Main Results:

  • Bedouins showed a significantly higher prevalence of diabetes (12% vs. 8%) compared to the Jewish population.
  • Lower prevalence of dyslipidemia (5.8% vs. 18.2%) and hypertension (17% vs. 21%) was observed in Bedouins.
  • Treatment compliance was low: two-thirds of hypertensive Bedouins, 72.9% of diabetic Bedouins, and 10.4% of Bedouins with dyslipidemia were non-compliant.

Conclusions:

  • Compliance with drug therapy and follow-up tests presents a major challenge within the Bedouin population.
  • Addressing these compliance issues is crucial for managing cardiovascular risk factors in this community.
Abstract

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