Yücel DEMİRAL, Ahmet SOYSAL, BÜLENT KILIÇ, Reyhan UÇKU, Ahmet Can BİLGİN, Nuriye KARAKUŞ, Belgin ÜNAL

İzmir Konak ilçesinde 20 yaş ve üzeri nüfusta sosyoekonomik göstergeler ve koroner kalp hastalığı ilişkisi

Bu çalışmada Türkiye’de kentsel bir nüfusta, 20 yaş ve üstü yetişkinlerde Koroner Kalp Hastalığı (KKH) sıklığı ve KKH risk faktörleri ile sosyal ve ekonomik etmenlerin ilişkilerinin incelenmesi amaçlanmıştır. Hipertansiyon, bel çevresi, toplam kolesterol, yüksek dansiteli lipoprotein kolesterol, bozulmuş glikoz toleransı ve sigara kullanımı koroner risk faktörleri olarak alınmıştır. Daha önce doktor tarafından tanı almış olmak ve EKG bulgularında pozitif iskemi bulgusu olanlar koroner kalp hastası olarak kabul edilmiştir. Çalışma 389’u kadın toplam 607 kişi ile tamamlanmıştır. Kadınlarda KKH sıklığı, hipertansiyon, santral obesite, ve bozulmuş glikoz toleransı okur yazar olmayanlarda anlamlı düzeyde yüksektir. Babaları tarım çalışanı olan kadınlarda hipertansiyon, santral obesite ve yüksek kolesterol anlamlı düzeyde yüksek bulunmuştur. Erkeklerde eğitim düzeyi düşük olanlarda hipertansiyon anlamlı düzeyde yüksek bulunmuştur. Çocukluk dönemine göre ekonomik durumlarında kötüleşme olduğunu düşünen erkeklerde, bozulmuş glikoz toleransı anlamlı düzeyde yüksek olarak saptanmıştır. Sonuç olarak Türkiye’de kentsel bir nüfusta yapılan bu çalışmada sosyoekonomik durum ve KKH sıklığı ve KKH risk faktörleri arasında, endüstrileşmiş ülkelerdekine benzer olarak ters yönde, ancak daha zayıf bir birliktelik saptanmıştır.

Anahtar Kelimeler:

Sosyal sınıf, Sosyoekonomik faktörler, Risk faktörleri, Koroner hastalık

Association of socioeconomic variables and coronary hearth disease in a population over 20 years old at Konak district of İzmir

The aim of this study was to determine the relationship between socioeconomic variables and coronary hearth disease (CHD) and risk factors among a Turkish urban population aged 20 years and older. Hypertension, waist circumferences, total cholesterol, high density lipoprotein cholesterol, glucose intolerance, and smoking were used as the major CHD risk factors. CHD was defined as the previous doctor diagnosis and derivation ECG findings. The study completed with 607 people, of those 389 were women. Among women, illiterates showed significantly higher CHD, hypertension, central obesity, and glucose intolerance were higher than the higher educated groups. Additionally hypertension, central obesity and high cholesterol were higher among the women with agricultural origin. Hypertension was higher in the less educated men. Of those economical status’ was less favorable compared with the current status glucose intolerance prevalence was higher. As the conlusion socioeconomic and CHD and CHD risk factors were inversy associated like industrial countries.

Keywords:

Social Class, Socioeconomic Factors, Risk Factors, Coronary Disease,

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