Status of cardiovascular health in the Republic of Serbia: Results from the National Health Survey

Cardiovascular diseases (CVD) remain the most significant cause of death in low- and middle-income countries where the burden of CVD continues to rise due to the increasing incidence of CVD. The aim of this study was to assess the prevalence of ideal cardiovascular health (CVH) across sex and age gr...

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Bibliographic Details
Published in:PloS one 2019-03, Vol.14 (3), p.e0214505
Main Authors: Jankovic, Slavenka, Bjegovic-Mikanovic, Vesna, Jankovic, Janko, Davidovic, Masa
Format: Article
Language:English
Subjects:
Adult
Age
Age Distribution
Aged
Analysis
Biology and Life Sciences
Blood pressure
Body mass
Body mass index
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - epidemiology
Cholesterol
Death
Demographic variables
Demographics
Diet
Economic analysis
Education
Educational Status
Exercise
Female
Glucose
Health care
Health Surveys
Heart
Heart diseases
Households
Humans
Low income groups
Male
Marriage
Medicine
Medicine and Health Sciences
Middle Aged
Mortality
Patient outcomes
People and Places
Physical activity
Physical fitness
Physical Sciences
Population
Prevalence studies (Epidemiology)
Prevention
Principal components analysis
Public health
Regression analysis
Risk Factors
Serbia - epidemiology
Sex
Sex Distribution
Smoking
Social Class
Socio-economic aspects
Socioeconomics
Systematic review
Trends
Variables
Womens health
Young Adult
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Summary:Cardiovascular diseases (CVD) remain the most significant cause of death in low- and middle-income countries where the burden of CVD continues to rise due to the increasing incidence of CVD. The aim of this study was to assess the prevalence of ideal cardiovascular health (CVH) across sex and age groups and to analyze associations between demographic and socio-economic variables and ideal CVH metrics in the adult population of the Republic of Serbia. Information on demographic (age, sex, marital status, and type of settlement) and socio-economic characteristics (education, and wealth index), and the 7 ideal CVH metrics (smoking, physical activity, healthy diet, BMI, blood pressure, cholesterol, and glucose) was obtained for 13100 respondents aged 20 years and above, from the 2013 National Health Survey in the Republic of Serbia. According to the American Heart Association, the ideal CVH was defined as the simultaneous presence of 7 ideal CVH metrics. Out of all ideal CVH metrics, the most prevalent components were ideal glucose (92.2%), ideal cholesterol (86.4%) and ideal smoking (63%), while the least prevalent ideal CVH component was ideal healthy diet (2.4%). Only 0.1% had all 7 CVH components at the ideal level. According to the multivariable logistic regression analysis the higher number of ideal CVH metrics was observed in women (OR = 4.46), younger people (OR = 7.12), people living without partner (OR = 1.70), more educated (OR = 2.51 for middle educated and OR = 3.57 for high educated), as well as among the rich (OR = 1.43). Our findings of existing age-specific, sex and socio-economic differences in the prevalence and number of ideal CVH metrics should serve for the development of appropriate CVD prevention policies tailored to fit specific needs of both sexes, all age groups and people with different socioeconomic status.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0214505