ABSTRACT
To contribute information on coronary heart disease and its risk factors (information which is still scarce in developing countries), this report is presented on a population screening study done in urban Jakarta, using the MONICA Protocol. A randomly selected sample of 2073 people (25-64 years) from 3 districts (total population 523,000) of Jakarta were examined. The results were as follows: electrocardiogram (ECG) signs of old myocardial infarction were found in 2.7%, and sequelae of stroke in 0.5% of respondents: prevalence of hypertension was found in 14.9%; male smokers were 59.9% (females only 5.9%); mean serum total cholesterol concentrations were 5.2 mmol/L in men and 5.4 mmol/L in women, with 13.4% of all respondents having hypercholesterolaemia (greater than or equal to 6.5 mmol/L); regular alcohol drinkers were only 2.7%. Anti-smoking, anti-hypertension and active physical exercise campaigns already launched many years ago will be boosted, along with the preservation of the traditional low fat diet of the common Indonesian.
Subject(s)
Coronary Disease/etiology , Population Surveillance , Adult , Cholesterol/blood , Coronary Disease/epidemiology , Electrocardiography , Female , Humans , Hypertension/epidemiology , Indonesia/epidemiology , Longitudinal Studies , Male , Middle Aged , Risk Factors , Smoking/epidemiologyABSTRACT
This study reports on the presentation of illness complaints by 90 individuals to nine traditional healers in three Indonesian cities. Focus is on the nature of problems, client explanations and expectations, healer treatment and subsequent outcome as judged by clients. Selected clients were observed and interviewed by a psychiatrist and one other health professional, and followed in a subsequent home visit. Complaints were categorized according to dimensions of acuteness and chronicity of problem, presumed self-limited characteristics, and psychological, general medical and other factors. Sixty-five percent of all clients had received prior treatment for the same problem in a biomedical health care setting. The study holds practical implications for policies regarding relations between health and mental health services and traditional healers in Indonesia.
