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Identifier 000444060
Title Εκτίμηση καρδιαγγειιακού κιινδύνου σε ωφελούμενο πληθυσμό χαμηλών οιικονομιικών πόρων της Κρήτης
Alternative Title Cardiovascular risk assessment in beneficiary population of low financial resources in Crete
Author Τσιτσιριδάκη, Μαρία Αγγελική
Thesis advisor Λιονής, Χρήστος
Συμβουλάκης, Εμμανουήλ
Reviewer Αναστασάκη, Μαριλένα
Καρέλης, Ανδρέας
Abstract Introduction Cardiovascular diseases are of the major public health problems and they are the main cause of mortality in the developed western world. The beneficiaries of European Aid Fund for the Underpriviledged (TEVA) belong to the lower socio-economic levels. It seems that these people are getting diagnosed later in life, while their life expectancy seems to be lower. Aim The aim of the present study is to assess the cardiovascular risk in people benefiting from the TEVA as well as to investigate the degree of correlation of cardiovascular risk in the participating population based on its socio-demographic characteristics and health habits. Methods This is a cross-sectional observational study, that took place in Heraklion. Eligible participants were 81 beneficiaries of the TEVA program who were over 40 years old. Questionnaires were completed by participants and recorded socio-demographic characteristics, health habits, medical history, blood pressure and total cholesterol. The 10-year cardiovascular risk assessment using the CVD-Score scale was performed through the open access website https://www.heartscore.org/el_GR/access-heartscore. Data analysis was performed using the software program Statistical Package for Social Sciences (IBM SPSS 26.0). Descriptive statistics were used to present the characteristics of the sample. Chi-squared was used to assess the 10-year risk for CVD. Logistic regression was used to investigate the correlation of the high / very high 10-year risk for CVD in comparison to the participants with low risk, as well as with the characteristics of the participants. Public Health-Primary Health Care-Health Services School of Medicine–University of Crete 7 Results The 10-year cardiovascular risk for vulnerable socio-economic groups was estimated at an average of 4.68%. The average risk seems low, but smoking contributes to a higher percentage (63.5%), since more than half of the participants were smokers and about 2/3 of the risk is due to smoking. The highest risk of developing cardiovascular disease in 10 years is presented by unmarried / divorced / widowed participants (p=0.017) and those who have at least one underlying disease (p=0.046). Women are 73% less likely (OR=0.27 95% CI=0.06-0.87) to have a high 10-year risk of CVD. Those who have at least one underlying disease have a 204% increased chance (OR=3.04 95% CI=0.99-9.32) of a high 10-year risk of CVD. Coronary heart disease and hypertension are predominant in cardiovascular diseases with 42% each. Married people are 78% less likely (OR=0.22 95% CI=0.07-0.71) to have a high 10-year of CVD. Finally, the unemployed have 119% increased chances (OR=2.19 95% CI=0.72-6.68) of a high 10-year risk of CVD. Conclusions The average 10-year risk of developing cardiovascular disease seems low. However, comorbidity, gender and married life can be considered as the best predictor of global cardiovascular risk and should therefore be evaluated in cardiovascular risk management strategies.
Language Greek
Subject Cardiovascular disease
Καρδιαγγειακή νόσος
Issue date 2021-12-01
Collection   School/Department--School of Medicine--Department of Medicine--Post-graduate theses
  Type of Work--Post-graduate theses
Permanent Link https://elocus.lib.uoc.gr//dlib/4/5/6/metadata-dlib-1639658118-32857-1466.tkl Bookmark and Share
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