Associated Factors of Ischemic Heart Disease Identified Among Post-Menopausal Women
10.24171/j.phrp.2019.10.2.03
- Author:
Jin Suk RA
1
;
Hye Sun KIM
;
Yeon Hee JEONG
Author Information
1. College of Nursing, Chungnam National University, Deajeon, Korea. yeonhee389@naver.com
- Publication Type:Original Article
- Keywords:
coronary artery disease;
myocardial ischemia;
post-menopause;
women
- MeSH:
Alcohol Drinking;
Body Mass Index;
Coronary Artery Disease;
Depression;
Diabetes Mellitus, Type 2;
Dyslipidemias;
Female;
Health Personnel;
Humans;
Hypertension;
Logistic Models;
Myocardial Ischemia;
Nutrition Surveys;
Postmenopause;
Psychology;
Risk Factors;
Smoke;
Smoking;
Statistics as Topic
- From:
Osong Public Health and Research Perspectives
2019;10(2):56-63
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.