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Associated Factors of Ischemic Heart Disease Identified Among Post-Menopausal Women
Jin Suk Ra1, Hye Sun Kim1, Yeon-Hee Jeong1
1College of Nursing, Chungnam National University, Deajeon, Korea.
Insights
Older age, family history, metabolic syndrome, depression, and smoking are key risk factors for ischemic heart disease (IHD) in post-menopausal women. Healthcare providers should consider these factors during IHD risk assessments.
Area of Science:
- Cardiovascular Health
- Public Health
- Gerontology
Background:
- Ischemic heart disease (IHD) poses a significant health burden on post-menopausal women.
- Identifying associated risk factors is crucial for effective prevention and management strategies.
Purpose of the Study:
- To identify biomedical, biosocial, and psychosocial factors associated with IHD in post-menopausal Korean women.
- To inform targeted interventions for reducing IHD risk in this demographic.
Main Methods:
- Cross-sectional study utilizing secondary data from the 2013-2016 Korean National Health and Nutrition Examination Survey.
- Analysis of data from 3,636 post-menopausal women using logistic regression with complex sample procedures.
Main Results:
- Older age, family history of cardiovascular disease, and metabolic syndrome were significantly associated with IHD (biomedical factors).
- Depression and smoking were identified as significant psychosocial factors linked to IHD.
- Odds ratios indicated increased risk with older age (OR: 2.99), family history (OR: 2.29), metabolic syndrome (OR: 1.93), depression (OR: 2.56), and smoking (OR: 1.92).
Conclusions:
- Older age, family history, metabolic syndrome, depression, and smoking are critical risk factors for IHD in post-menopausal Korean women.
- Healthcare providers should integrate these factors into IHD risk assessments for this population.
- Further research may explore the interplay of these factors and develop targeted interventions.
Objectives:
This study identifies associated factors of ischemic heart disease (IHD) among post-menopausal Korean women at the biomedical (age, family history of hypertension, dyslipidemia, type 2 diabetes mellitus, or cerebro-cardiovascular disease, body mass index, and metabolic syndrome), biosocial (socioeconomic status and educational level), and psychosocial levels (stress, depression, smoking, binge alcohol consumption, and physical activity).
Methods:
This study used a cross-sectional design with secondary data analysis of the 2013-2016 Korean National Health and Nutrition Examination Survey. Data from 3,636 women were analyzed by logistic regression analysis using a complex sample procedure.
Results:
Of the biomedical factors, older age [odds ratio (OR): 2.99, 95% confidence interval (CI): 1.87-4.80, p < 0.001], family history (OR: 2.29, 95% CI: 1.44-3.65, p = 0.001), and metabolic syndrome (OR: 1.93, 95% CI: 1.27-2.95, p = 0.002) were associated with IHD in post-menopausal women. Of the psychosocial factors, depression (OR: 2.56, 95% CI: 1.66-3.96, p < 0.001) and smoking (OR: 1.92, CI: 1.04-3.55, p = 0.038) were associated with IHD in post-menopausal women.
Conclusion:
These findings suggest that healthcare providers need to consider the contributing adverse effects of older age, family history, metabolic syndrome, depression and smoking when evaluating risk factors for IHD in post-menopausal women.
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