The study of the status of behavioral risk factors and the causes of non-referral of PeoPle at high risk of cardiovascular events to health centers in the Plan IraPen city of Marand, 1396-97

Abstract

Background: Cardiovascular disease is the most common cause of death in most countries around the world, including Iran. Reducing fatal or non-fatal heart attacks and strokes requires improving the lifestyle of people at high risk for cardiovascular disease Methods: It was a cross-sectional-analytical study. 167 people entered the study. Data were collected through demographic information checklist, behavioral risk assessment checklist, and non-referral causes questionnaire. The chi-Square test was used to analyze and analyze the descriptive section. In order to compare the behavioral risk factors in the period before and after the risk assessment, if the variable is two-tier, two-state logistic regression and if the variable is more than two-tier, sequential logistic regression was used. Significant level in all tests 0.05 was considered. Results: Findings of behavioral risk factors showed that lifestyle training during risk assessment increased dairy consumption OR = 1.56(1.10، 2.23), vegetables OR =1.45(1.01، 2.10.), liquid oil OR=3.15(3.63 ،7.77) physical activity OR =1.43(1.05 1.93), and decreased salt consumption. At the table OR= 5.84(3.88 8.79), beverages and fast foodOR =4.66(2.93، 7.41) and tobacco use OR =2.12(1.48، 3.03) (P< 0.05). and fruit consumption OR =1.04(0.68، 1.58), Second-hand smoke OR =1.2( 10.92 ،1.60) did not change compared to before training (P >0.05). Findings of non-referral causes showed that among the causes, the most common cause was 32.6% referral to a private physician, 30.2% referral to the Social Security Clinic, and 23.3% personal problems Conclusion: Significant statistical differences observed in some aspects of lifestyle (consumption of vegetables, dairy products, oil, physical activity, smoking, salt, soft drinks and fast food) showed the effect of training on risk assessment. Also, among the causes of non-referral, the most common causes were referral to a private physician, social security clinic and personal problems.