WJCD  Vol.8 No.1 , January 2018
Cardiovascular Risk Factors (CVrf) in Rural and Urban Areas Mali: Data from the Step 2013 Survey
ABSTRACT
Background: Traditional cardiovascular risk factors (CVrf) like hypertension, diabetes, dyslipidemia, obesity, smoking have been studied extensively through theses in hospital studies. Therefore, recent published data from community based studies are rare in Mali. Available data are old justifying to perform a community based study on traditional CVrf in rural and urban areas. Materials and Methods: We retrospectively performed a study which data stemmed from the last STEPS survey carried out in 2013 in some rural and urban areas of Mali. We studied hypertension, diabetes, tobacco smoking, obesity based on body mass index, waist circumference and waist-to-hip ratio. After bivariates analyses, we conducted a logistic regression with rural/urban as dependent variable using SPSS as analysis software for this purpose. Results: Weight, height, WC and HC were higher in urban area with 69.77 Kg, 169.13 cm, 85.98 cm and 97.26 cm compared to 66.27, 165.42, 81.46 and 93.23 in rural area (p < 0.001). We had more female in rural area and educational level was higher in urban area. In bivariate analysis obesity based on BMI, WC, alcohol consumption was more prevalent in urban area while elevated waist-to-hip ratio was more prevalent in rural area. But in logistic regression for female, the Odds for Tobacco smoking rural as reference was 0.334 [CI: 0.151 - 0.738] (p = 0.007) and that for WHr is 0.582 [CI: 0.415 - 0.815] (p < 0.001). The OR for Obesity based on waist circumference was 2.698 [CI: 1.881 - 3.871] (p < 0.001). Rural male as reference diabetes was the only risk factor which became statistically significant with OR of (OR 0.579 and CI [0.346 - 0.971], p = 0.038). Conclusion: Traditional cardiovascular risk factors have high prevalence in this study and need to be monitored with larger studies. Female predictors were raised waist circumference in favour of urban and tobacco smoking and waist-to-hip ratio in favour of urban dwellers. Male diabetes was the only predictor we found.
Cite this paper
Bâ, H. , Menta, I. , Camara, Y. , Sangaré, I. , Landouré, G. , Millogo, G. , Coulibaly, S. and Diall, I. (2018) Cardiovascular Risk Factors (CVrf) in Rural and Urban Areas Mali: Data from the Step 2013 Survey. World Journal of Cardiovascular Diseases, 8, 35-47. doi: 10.4236/wjcd.2018.81005.
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