生活方式的改变导致疾病模式从传染病和营养不良转变为退化性疾病,如冠心病(CHD)。印尼工人和普通民众的心血管疾病患病率不断上升,不仅会给医疗费用带来负担,还会降低工作效率,导致更多的工伤和工伤损失。这项研究的目的是确定冠心病的危险因素(年龄,性别,血压,吸烟,糖尿病,身体质量指数,和每周的体育锻炼)和大学工作人员的冠心病风险水平。在医学院的工人中进行了一项横断面研究,Malikussaleh大学,Lhokseumawe,印度尼西亚。采用Jakarta心血管评分法计算冠心病的风险水平,并采用多元logistic回归模型分析预测模型。我们的数据发现58.2%,25.5%和16.3%的大学工人有低,患有冠心病的中高风险。最终的模型表明,心脏病的风险是由性别决定的,年龄,以及高血压和糖尿病的存在。与女性相比,男性的比值比(OR)30.84,年龄>41岁的OR为11.52,高血压的OR为4.87,糖尿病的OR为13.99,41岁以下的人,没有高血压和糖尿病,分别。总之,我们的数据表明,超过15%的受访者(大学雇员)有冠心病的高风险,并且是男性和老年人,高血压和糖尿病与冠心病的风险相关。因此,在大学中实施预防措施很重要。
Change in lifestyle leads to change in disease patterns from infectious diseases and malnutrition to degenerative diseases, such as coronary heart disease (CHD). The increasing prevalence of cardiovascular diseases among Indonesian workers and the general public will not only burden medical care expenses but also reduce work productivity, leading to more work-related injuries and work-related losses. The aim of this study was to determine the risk factors for CHD (age, sex, blood pressure, smoking, diabetes mellitus, body mass index, and weekly physical activity) and the CHD risk level among university workers. A cross-sectional study was conducted at workers at School of Medicine, Universitas Malikussaleh, Lhokseumawe, Indonesia. The risk level of CHD was calculated using Jakarta Cardiovascular Score and predicting model analyzed with multiple logistic regression model. Our data found that 58.2%, 25.5% and 16.3% of the university workers had low-, medium- and high-risk to have CHD. The final model indicted that the risk of heart disease was determined by gender, age, and the presence of hypertension and diabetes mellitus. Being male had odds ratio (OR) 30.84, aged >41 years old had OR 11.52, having hypertension had OR 4.87 and having diabetes mellitus had OR 13.99 for having high risk of CHD compared to female, those younger than 41 years old, having no hypertension and having no diabetes mellitus, respectively. In conclusion, our data suggests that more than 15% the respondents (university employees) have high risk of CHD and being male and older, and having hypertension and diabetes mellitus are associated with risk of CHD. Implantation of the preventive measures is therefore important to be implemented at the universities.