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Patterns among factors associated with myocardial infarction: chi-squared automatic interaction detection tree and
Esra Bayrakçeken1, Süheyla Yarali2, Uğur Ercan3
1Department of Medical Services and Techniques, Vocational School of Health Services, Ataturk University, Erzurum, Türkiye.
Insights
Myocardial infarction (MI) risk factors in Türkiye include hyperlipidemia, hypertension, diabetes, and chronic diseases. Prevention strategies should focus on education and healthy lifestyle behaviors to reduce MI incidence.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Myocardial infarction (MI) remains a major cause of cardiovascular morbidity despite declining mortality rates.
- This study investigates risk factors for MI in the Turkish population.
Purpose of the Study:
- To identify key risk factors associated with myocardial infarction (MI) in Türkiye.
- To inform public health strategies for MI prevention.
Main Methods:
- Utilized microdata from the 2019 Türkiye Health Survey.
- Employed binary logistic regression, Chi-Square, and CHAID analyses to determine risk factors.
Main Results:
- Identified hyperlipidemia, hypertension, diabetes, chronic disease, male gender, older age, single marital status, lower education, and unemployment as risk factors for MI.
- Factors like female gender, higher education, marriage, employment, moderate physical activity, and moderate alcohol consumption were associated with reduced MI risk.
- Elevated hyperlipidemia increased MI probability by 4.6%; hypertension, diabetes, and depression further elevated risk.
Conclusions:
- Public health initiatives should prioritize enhancing general education and health literacy.
- Preventive strategies must focus on improving lifestyle behaviors related to diabetes, hypertension, and hyperlipidemia to mitigate MI risk.
Background:
Although mortality from myocardial infarction (MI) has declined worldwide due to advancements in emergency medical care and evidence-based pharmacological treatments, MI remains a significant contributor to global cardiovascular morbidity. This study aims to examine the risk factors associated with individuals who have experienced an MI in Türkiye.
Methods:
Microdata obtained from the Türkiye Health Survey conducted by Turkish Statistical Institute in 2019 were used in this study. Binary logistic regression, Chi-Square, and CHAID analyses were conducted to identify the risk factors affecting MI.
Results:
The analysis identified several factors associated with an increased likelihood of MI, including hyperlipidemia, hypertension, diabetes, chronic disease status, male gender, older age, single marital status, lower education level, and unemployment. Marginal effects revealed that elevated hyperlipidemia levels increased the probability of MI by 4.6%, while the presence of hypertension, diabetes, or depression further heightened this risk. Additionally, individuals with chronic diseases lasting longer than six months were found to have a higher risk of MI. In contrast, factors such as being female, having higher education, being married, being employed, engaging in moderate physical activity, and moderate alcohol consumption were associated with a reduced risk of MI.
Conclusion:
To prevent MI, emphasis should be placed on enhancing general education and health literacy. There should be a focus on increasing preventive public health education and practices to improve variables related to healthy lifestyle behaviours, such as diabetes, hypertension, and hyperlipidemia.
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