CARDIOVASCULAR RISK STATUS AND ASSOCIATED FACTORS AMONG PUBLIC COMMUNITY 40-74 AGED.

Abstract

Abstract Introduction: Cardiovascular disease (CVDs) are a chronic disease that worsen overtime which affect the heart and blood vessels. It will be essential to establish cost-effective preventive methods through fighting the risk actors that can be modifiable. Also there is limited studies regarding CVD risk Assessment in Addis Ababa, Ethiopia. Objective: - To assess cardiovascular risk status and associated factors among 40-74 aged public community at public hospital, Addis Ababa, Ethiopia 2024. Method: - Institution based cross-sectional study design was conducted among randomly selected 408 public community aged between 40-74 at selected public hospital from April 1 30/2024. Three trained BSc nurses were collected the data through kobo toolbox with 5% pretested non laboratory based WHO 10- year cardiovascular risk predicting chart with risk factors; age, sex, smoking status, systolic blood pressure. The collinearity test was run to check the assumption of the logistic regression for identifying the strong association between independent variable and Hosmer and Lemshow’s test was used to check the model fitness. Descriptive statistics including by mean, frequency, and percentages were computed. Binary logistic regression was done to select candidate variable for the multivariable logistic analysis at p-value < 0.25. Multivariate logistics regression analysis was employed to detriment the strength of association using adjusted odds ratio at 95% confidence level and P-value of less than 0.05. Result: - The prevalence of high 10 year CVD risk was 13.7% (95%CI 10.5,17.2) among the study participants. A high CVD risk level was found to be associated with age 50-59 (AOR 4, 95%CI 1.5 to 10.6) and age ≥ 60 (AOR 16.6, 95% CI 4.5 to 61.6), Being male (AOR 2.8, 95% CI 1.02 to 7.7), Abdominal obesity (AOR 2.8, 95% CI 1.08 to 7.27). Overweight (AOR 1.94, 95% CI 0.8 to 4.7) and obese (AOR 6.2 95% CI 1.62 to 23.68), Being nonsmoker with (AOR 0.52, 95% CI 0.02 to 0.14) and High SBP ≥ 160(AOR 8.795% CI 2.08 to 37.0). Conclusion: - Being at high risk for CVD (risk level of >=10 %) is significant (13.7%) public health important problem in study area. It is aggravated by age, being male, High SBP, Abdominal obesity and obesity and prevented by non- smoking cigarette. Keyword: - Addis Ababa, 40-74 years old, Cardiovascular diseases risk, Status, Public community,