Doenças cardiovasculares em adultos : fatores de risco e utilização de serviços preventivos

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

30/06/2010

RESUMO

Cardiovascular diseases account for the first cause of morbid-mortality in Brazil and worldwide. Despite their high incidence and severity, most of them could be avoided by measures of control and prevention of risk factors. This present study aimed at the characterization of the prevention against cardiovascular diseases in adults residing within the area covered by a Basic Health Unit. A home enquiry was made with a randomly selected population of 427 people aged 40 years of age or older, 238 females and 189 males, residents in the area of the Basic Health Unit of Londrina – PR. All the regional microareas were considered. Selection was made by systematic sampling with data from SIAB – the Information System for Basic Care. Quotas for each micro-area were defined and the same ratio for sex and age range was assured. The main results evidenced an age mean of 57.6 years. Out of all the interviewees, 66.7% are married and 66.0% belong to B2, C1 e C2 economic classes according to the economic classification of the Brazilian Association of Research Companies. As for the prevalence of risk factors of cardiovascular diseases, 72.1% either did not perform any physical activity or did it less than three times a week, 60.9% were either overweight or obese, 42.4% were diagnosed with arterial hypertension and 14.1% with diabetes. In relation to feeding habits, 60.9% reported that they ate fruits and 73.8% ate either greens or vegetables five or more times a week and 41.0% ate red meat daily. The males presented a significantly higher prevalence of risk factors than did the females respectively to smoking (23.8% and 12.2%), alcoholic drinking (35.4% and 9.2%), fat red meat consumption (44.9% and 19.7%), and lower prevalence in the habit of eating greens or vegetables (64.6% and 81.1%) and fruits (55.0% and 65.5%). In the age range, higher prevalence of smoking (20.6%) and alcoholic drinking (26.3%) was among the interviewees aged 40 to 59 years old as compared to those over 60 years of age (12.1% for smoking and alcoholic drinking). Those who reported a medical diagnosis of arterial hypertension and diabetes had a significantly lower prevalence of smoking and consumption of fat red meat and a higher frequency for the habit of eating fruits. An increasing tendency to smoking was verified accordingly to a lesser economic status whereas a higher consumption of greens and vegetables followed a better economic status. As for the use of health services, it was verified that the females had a higher frequency in medical consultations (84.0%) and cholesterol dosage tests (88.7%). The subjects who have a private health care plan more often made visits to a doctor (84.6%), had their arterial pressure checked (46.3% with less than a month interval), tested their cholesterol dosage (89.4%), received professional guidance (33.5%), and took part in courses (20.8%). In conclusion, the male population, the younger and those of a lower economic class, make less use of health services.

ASSUNTO(S)

sistema cardiovascular - doenças coração - doenças - prevenção coração - doenças - fatores de risco cardiovascular system diseases heart diseases prevention heart diseases risks factors

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