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Ischemic heart disease and its related factors in Mongolia: a nationwide survey
Tsogzolbaatar Enkh-Oyun1, Kazuhiko Kotani, Dambadarjaa Davaalkham
1Department of Public Health, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke City, Tochigi, 329-0498, Japan. enkhoyun_t@yahoo.com
Insights
Ischemic heart disease (IHD) affects 16.2% of Mongolians over 40. Risk factors like smoking in men and alcohol in women highlight the need for targeted prevention strategies in Mongolia.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Ischemic heart disease (IHD) is a leading cause of global mortality and a significant cardiovascular concern in Mongolia.
- Understanding the prevalence and risk factors of IHD in the Mongolian population is crucial for public health interventions.
Purpose of the Study:
- To determine the prevalence of Ischemic heart disease (IHD) in the general Mongolian population.
- To identify factors associated with IHD across different demographic groups in Mongolia.
Main Methods:
- A nationwide cross-sectional survey was conducted from March to September 2009.
- Participants were recruited using a multistage random cluster sampling method from urban and rural areas.
- Ischemic heart disease (IHD) diagnosis was based on the World Health Organization's Rose questionnaire and electrocardiographic findings.
Main Results:
- A total of 2,280 participants were surveyed, with 369 (16.2%) diagnosed with Ischemic heart disease (IHD).
- IHD prevalence increased with age, from 9.9% in those aged 40-44 to 17.7% in individuals over 60.
- Significant associations included smoking and low fruit/vegetable intake in men, and heavy alcohol consumption and lower education in women.
Conclusions:
- Ischemic heart disease (IHD) is prevalent in Mongolia, particularly in individuals over 40 years old.
- Sex-specific risk factors for IHD were identified, suggesting the need for tailored prevention programs.
- The study provides essential data for developing targeted strategies to prevent Ischemic heart disease (IHD) in Mongolia.
Abstract:
Ischemic heart disease (IHD) remains one of the most important disorders associated with disability and mortality worldwide, and is one of the major causes of cardiovascular diseases in Mongolia. The objective of the current study was to determine the prevalence of IHD and its related factors in a general population in Mongolia. We conducted a nationwide cross-sectional survey between March and September, 2009. General participants were recruited from urban to rural regions in a multistage random cluster sampling method. The diagnosis of IHD was based on the Rose questionnaire (World Health Organization) and electrocardiographic findings. A total of 369 (16.2 %) subjects with IHD were diagnosed among 2,280 participants. The prevalence of subjects with IHD was significantly increased by age: from 9.9 % in individuals age 40-44 years compared to 17.7 % in those over 60 years. Smoking habits (former and current) and non-frequent intake of fruits and vegetables were significantly positively associated with IHD in men, while heavy alcohol drinking habits and lower education period of time were significantly positively associated with IHD in women. IHD was found to be prevalent, especially among people aged over 40 years, in Mongolia. Statistical factors related to IHD were found to be significantly different based on sex. The current data may provide relevant information to prevent IHD in the Mongolian population.
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