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Epidemiology of Cardiovascular disease and associated risk factors in Gaza Strip- Palestine

Abstract : Introduction: Arab Middle East Countries which have a predominance of young population have undergone rapid socioeconomic changes, instability and epidemiologic transition. In these countries cardiovascular disease (CVD) mortality accounts for 45% of deaths, in Palestine it was estimated up to 30.3% in 2018. Also, the burden of risk factors is worrying; one quarter of adult population was hypertensives, tobacco smoking exceeds 30% in males, obesity is alarming mainly in females, and 9.2% of adults are living with diabetes. Very few community-based on CVD studies were conducted in these countries. Methods: In 2017 a cross-sectional study using stratified cluster sample, was conducted in accordance with WHO’s STEP wise. A sample of 2240 participants aged ≥25 years participated in the study. Results: The prevalence of CAD is 8.3%, stroke 3.0%, hypertension is found with a prevalence of 28.4%, diabetes19.1% and obesity 47.8% with higher rate in females (60%). Lower extremity artery disease (LEAD) is found with a prevalence of 13.7%. The prevalence increased with age and is higher in females than in males (respectively15.6% vs 11.6%). Hypertension and diabetes are the most significant associated factors with LEAD. Metabolic syndrome is present with a prevalence of 41% higher in females than males (50% vs 39%) and it is significantly associated with all cardiovascular conditions. Conclusion: According to these data the situation in Gaza strip is alarming, effort and research to monitor and improve strategies and policies for reducing cardiovascular risk are mandatory
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Amal Jamee Shahwan. Epidemiology of Cardiovascular disease and associated risk factors in Gaza Strip- Palestine. Human health and pathology. Université de Limoges, 2019. English. ⟨NNT : 2019LIMO0011⟩. ⟨tel-02560078⟩

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