Morbilidad cardiovascular por autoreporte y suasociaci¾n con factores biopsicosociales, Tolima,Colombia / Self reported cardiovascular disease and association with biopsychosocial factors, Tolima, Colombia

RESUMEN

Objetivo: establecer la prevalencia de morbilidadcardiovascular por autoreporte en adultos de 18 a 69 a±os, enel Tolima, y explorar su asociaci¾n con factores biol¾gicos,psicol¾gicos y sociales, a partir de la Encuesta Nacionalde Salud 2007. MetodologÝa estudio epidemiol¾gicoobservacional, con un componente descriptivo-transversaly otro analÝtico-transversal de asociaci¾n, que emple¾ 1219registros de personas entre 18 y 69 a±os del departamento delTolima, provenientes de la Encuesta Nacional de Salud 2007.Se describieron las caracterÝsticas demogrßficas y se determin¾la prevalencia de factores de riesgo biopsicosociales paraenfermedad cardiovascular por auto-reporte. Se exploraronasociaciones entre esos factores y enfermedad cardiovasculargrave. Resultados: los factores de riesgo mßs prevalentes enlas personas que desarrollaron un evento cardiovascular fueronhipertensi¾n 16,8%; dependencia al alcohol 14,1%; niveleducativo nulo 14%; la prevalencia de eventos cardiovascularesgraves es del 5,5%. Al ajustar por variables de sexo y edadse encontr¾ que los factores de riesgo para enfermedadcardiovascular grave son el autoreporte de problemasde salud mental, hipertensi¾n, dependencia al alcohol,hipercolesterolemia e hipertrigliceridemia. Conclusiones:ademßs de los factores biol¾gicos reconocidos, se encontr¾que el autoreporte de problemßticas mentales tambiÚn es unfactor de riesgo para la enfermedad cardiovascular grave autoreportada...

ABSTRACT

Objective: to determine the prevalence of self-reportedcardiovascular disease in adults aged 18 to 69 in Tolima andto explore their association with biological, psychologicaland social factors from the 2007 National Health Survey.Methodology: an observational epidemiological study witha descriptive component and an analytic cross section ofassociation, employing 1219 records of people between theages of 18 and 69 in the Tolima department, taken from the2007 National Health Survey. Demographic characteristicswere described and the prevalence of biopsychosocial riskfactors for cardiovascular disease by self-reporting wasdetermined. The relationships between these factors andsevere cardiovascular disease were explored. Results:the most prevalent risk factors in people who developeda cardiovascular event were high blood pressure 16.8%;alcohol dependence 14.1%; lack of education 14%. Theprevalence of major cardiovascular events was 5.5%. Afteradjusting for age and sex variables it was found that riskfactors for major cardiovascular disease are self-reporting ofmental health problems, hypertension, alcohol dependence,hypercholesterolemia and hypertriglyceridemia. Conclusions:in addition to the biological factors that were identified, it wasfound that self-reporting mental health issues is also a riskfactor for self-reported serious cardiovascular disease...