Cardiovascular health control in the family health strategy
IntroductionIn Brazil, the Unified Health System (SUS) controls and oversees public health care, and the Family Health Strategy (FHS) is its primary access, with 60% of the population registered in it. The surveillance of risk factors for cardiovascular diseases (CVD) is the responsibility of the FH...
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| Format: | Article |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.933972/full |
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| author | Gilberto Andrade Tavares Gilberto Andrade Tavares Joathan Borges Ribeiro Joathan Borges Ribeiro Marcos Antonio Almeida-Santos Marcos Antonio Almeida-Santos Antônio Carlos Sobral Sousa Antônio Carlos Sobral Sousa Antônio Carlos Sobral Sousa Antônio Carlos Sobral Sousa José Augusto Soares Barreto-Filho José Augusto Soares Barreto-Filho José Augusto Soares Barreto-Filho José Augusto Soares Barreto-Filho |
| author_facet | Gilberto Andrade Tavares Gilberto Andrade Tavares Joathan Borges Ribeiro Joathan Borges Ribeiro Marcos Antonio Almeida-Santos Marcos Antonio Almeida-Santos Antônio Carlos Sobral Sousa Antônio Carlos Sobral Sousa Antônio Carlos Sobral Sousa Antônio Carlos Sobral Sousa José Augusto Soares Barreto-Filho José Augusto Soares Barreto-Filho José Augusto Soares Barreto-Filho José Augusto Soares Barreto-Filho |
| author_sort | Gilberto Andrade Tavares |
| collection | DOAJ |
| description | IntroductionIn Brazil, the Unified Health System (SUS) controls and oversees public health care, and the Family Health Strategy (FHS) is its primary access, with 60% of the population registered in it. The surveillance of risk factors for cardiovascular diseases (CVD) is the responsibility of the FHS. In 2010, the American Heart Association (AHA) proposed the evaluation of seven metrics (smoking, Body Mass Index (BMI), physical activity, diet, total cholesterol, blood pressure and blood glucose) with an aim to monitoring cardiovascular health (CVH). However, the results of the FHS regarding the CVH of the Brazilian population are unascertained.ObjectiveEvaluate the control of CVH among adult patients treated by the FHS in the city of Aracaju, Sergipe, Brazil.Material and methodsA cross-sectional study was conducted using the seven metrics recommended by the AHA to evaluate CVH among patients treated by the FHS. The city of Aracaju has a population of 571,149 inhabitants, with 394,267 > 20 years of age; therefore, it was admitted that in a simple random sample, sampling error of 5% with 95% CI, 329 individuals would be needed.ResultsAmong 400 patients, only 32.5% had controlled CVH. In a univariate analysis, the adjusted multivariate analysis found that being female (aOR: 2.07 IC: 1.20 to 3.60 p: 0.006) under 45 years old (aOR: 1.61 IC: 1.15 to 2.28 p: 0.006) and with the habit of following health advice from family members and neighbors (aOR: 1.28 IC: 1.15 to 2.28 p: 0.040) were associated with control of CVH. On the other hand, those ones who had a greater number of children (aOR: 0.91 IC: 0.84 to 0.95 p: 0.020) were associated with less control of CVH.ConclusionsThe study showed that only 32.5% of patients have controlled CVH. Being a woman, young and following health advice from family members and neighbors have a positive influence in controlling CVH. More children reduced controlling these metrics. |
| first_indexed | 2024-04-11T21:55:05Z |
| format | Article |
| id | doaj.art-b2bb8ee60bf6418e9b19dc33760c3a9a |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-11T21:55:05Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-b2bb8ee60bf6418e9b19dc33760c3a9a2022-12-22T04:01:07ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-08-01910.3389/fcvm.2022.933972933972Cardiovascular health control in the family health strategyGilberto Andrade Tavares0Gilberto Andrade Tavares1Joathan Borges Ribeiro2Joathan Borges Ribeiro3Marcos Antonio Almeida-Santos4Marcos Antonio Almeida-Santos5Antônio Carlos Sobral Sousa6Antônio Carlos Sobral Sousa7Antônio Carlos Sobral Sousa8Antônio Carlos Sobral Sousa9José Augusto Soares Barreto-Filho10José Augusto Soares Barreto-Filho11José Augusto Soares Barreto-Filho12José Augusto Soares Barreto-Filho13Postgraduate Program in Health Sciences, Federal University of Sergipe, Aracaju, BrazilDepartment of Medicine Lagarto, Federal University of Sergipe, Aracaju, BrazilPostgraduate Program in Adult Health Nursing, University of São Paulo, São Paulo, BrazilIntensive Care Unit, Hospital Sírio-Libanês, São Paulo, BrazilPostgraduate Program in Health and Environment, Tiradentes University, Aracaju, BrazilSão Lucas Clinic and Hospital / Rede D‘Or São Luiz, Aracaju, BrazilPostgraduate Program in Health Sciences, Federal University of Sergipe, Aracaju, BrazilSão Lucas Clinic and Hospital / Rede D‘Or São Luiz, Aracaju, BrazilDivision of Cardiology, University Hospital, Federal University of Sergipe, Aracaju, BrazilDepartment of Internal Medicine, Federal University of Sergipe, Aracaju, BrazilPostgraduate Program in Health Sciences, Federal University of Sergipe, Aracaju, BrazilSão Lucas Clinic and Hospital / Rede D‘Or São Luiz, Aracaju, BrazilDivision of Cardiology, University Hospital, Federal University of Sergipe, Aracaju, BrazilDepartment of Internal Medicine, Federal University of Sergipe, Aracaju, BrazilIntroductionIn Brazil, the Unified Health System (SUS) controls and oversees public health care, and the Family Health Strategy (FHS) is its primary access, with 60% of the population registered in it. The surveillance of risk factors for cardiovascular diseases (CVD) is the responsibility of the FHS. In 2010, the American Heart Association (AHA) proposed the evaluation of seven metrics (smoking, Body Mass Index (BMI), physical activity, diet, total cholesterol, blood pressure and blood glucose) with an aim to monitoring cardiovascular health (CVH). However, the results of the FHS regarding the CVH of the Brazilian population are unascertained.ObjectiveEvaluate the control of CVH among adult patients treated by the FHS in the city of Aracaju, Sergipe, Brazil.Material and methodsA cross-sectional study was conducted using the seven metrics recommended by the AHA to evaluate CVH among patients treated by the FHS. The city of Aracaju has a population of 571,149 inhabitants, with 394,267 > 20 years of age; therefore, it was admitted that in a simple random sample, sampling error of 5% with 95% CI, 329 individuals would be needed.ResultsAmong 400 patients, only 32.5% had controlled CVH. In a univariate analysis, the adjusted multivariate analysis found that being female (aOR: 2.07 IC: 1.20 to 3.60 p: 0.006) under 45 years old (aOR: 1.61 IC: 1.15 to 2.28 p: 0.006) and with the habit of following health advice from family members and neighbors (aOR: 1.28 IC: 1.15 to 2.28 p: 0.040) were associated with control of CVH. On the other hand, those ones who had a greater number of children (aOR: 0.91 IC: 0.84 to 0.95 p: 0.020) were associated with less control of CVH.ConclusionsThe study showed that only 32.5% of patients have controlled CVH. Being a woman, young and following health advice from family members and neighbors have a positive influence in controlling CVH. More children reduced controlling these metrics.https://www.frontiersin.org/articles/10.3389/fcvm.2022.933972/fullcardiovascular diseases—epidemiologycommunity health services [MeSH]family health (source: DeCS BIREMIRE)health policyhealth services |
| spellingShingle | Gilberto Andrade Tavares Gilberto Andrade Tavares Joathan Borges Ribeiro Joathan Borges Ribeiro Marcos Antonio Almeida-Santos Marcos Antonio Almeida-Santos Antônio Carlos Sobral Sousa Antônio Carlos Sobral Sousa Antônio Carlos Sobral Sousa Antônio Carlos Sobral Sousa José Augusto Soares Barreto-Filho José Augusto Soares Barreto-Filho José Augusto Soares Barreto-Filho José Augusto Soares Barreto-Filho Cardiovascular health control in the family health strategy Frontiers in Cardiovascular Medicine cardiovascular diseases—epidemiology community health services [MeSH] family health (source: DeCS BIREMIRE) health policy health services |
| title | Cardiovascular health control in the family health strategy |
| title_full | Cardiovascular health control in the family health strategy |
| title_fullStr | Cardiovascular health control in the family health strategy |
| title_full_unstemmed | Cardiovascular health control in the family health strategy |
| title_short | Cardiovascular health control in the family health strategy |
| title_sort | cardiovascular health control in the family health strategy |
| topic | cardiovascular diseases—epidemiology community health services [MeSH] family health (source: DeCS BIREMIRE) health policy health services |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.933972/full |
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