Objectives: The aim of this study was to investigate the relationship between the number of patient comorbidities and the delays in seeking treatment for coronary heart disease (CHD). Methods: This longitudinal study utilized secondary data from the Non-Communicable Disease Risk Factor (NCDRF) cohort study conducted in Bogor City. Individuals who participated in the NCDRF cohort study and were diagnosed with CHD within the 6-year study period met the inclusion criteria. Respondents who were not continuously monitored up to the 6th year were excluded. The final sample included data from respondents with CHD who participated in the NCDRF cohort study and were monitored for the full 6-year duration. The final logistic regression analysis was conducted on data collected from 812 participants. Results: Among the participants with CHD, 702 out of 812 exhibited a delay in seeking treatment. The risk of a delay in seeking treatment was significantly higher among individuals without comorbidities, with an odds ratio (OR) of 3.5 (95% confidence interval [CI], 1.735–7.036; p<0.001). Among those with a single comorbidity, the risk of delay in seeking treatment was still notable (OR, 2.6; 95% CI, 1.259–5.418; p=0.010) when compared to those with 2 or more comorbidities. These odds were adjusted for age, sex, education level, and health insurance status. Conclusion The proportion of patients with CHD who delayed seeking treatment was high, particularly among individuals with no comorbidities. Low levels of comorbidity also appeared to correlate with a greater tendency to delay in seeking treatment.

Introduction: Compliance of Alternate Healthy Eating Index (AHEI) 2010 relates to the reduction of mortality risks due to Coronary Heart Disease (CHD). In Indonesia, AHEI has not been widely used to evaluate diet quality especially for CHD. This study aims to analyse the diet quality changes for CHD. Methods: This study used the secondary data of Cohort Study of Non-Communicable Disease Risk Factors from the Indonesian Ministry of Health. The diet quality was assessed by using modified AHEI 2010 USA, adjusted to the Indonesian portion. Single 24-hour dietary was performed once prior to CHD and once after CHD. The CHD sufferers were assessed based on the result of ECG and 124 new cases. This study used the longitudinal repeated measures. Results: The total score for diet quality a year prior to CHD was 58.6 point and a year after CHD was 63.6 point. After the improvement, the diet quality score a year after CHD increased five points, 66.9% which shows score improvement (improved diet quality) and 33.1% which shows score deterioration (deteriorating diet quality). There are some differences and the significant improvement diet quality is at the total score, specifically fruits, nuts and sodium score (P<0.05). Conclusion: The CHD diet quality had improved up to five points, in which the points of fruits components were 2.8, nuts and sodium were one. Although, it was significantly improved, the intake had not achieved the recommendation.