Osong Public Health Res Perspect.  2019 Apr;10(2):56-63. 10.24171/j.phrp.2019.10.2.03.

Associated Factors of Ischemic Heart Disease Identified Among Post-Menopausal Women

• Ra JS
• Kim HS
• Jeong YH

• KMID: 2447833
• DOI: http://doi.org/10.24171/j.phrp.2019.10.2.03

Abstract

OBJECTIVES
This study identifies associated factors of ischemic heart disease (IHD) among post-menopausal Korean women at the biomedical (age, family history of hypertension, dyslipidemia, type 2 diabetes mellitus, or cerebro-cardiovascular disease, body mass index, and metabolic syndrome), biosocial (socioeconomic status and educational level), and psychosocial levels (stress, depression, smoking, binge alcohol consumption, and physical activity).
METHODS
This study used a cross-sectional design with secondary data analysis of the 2013-2016 Korean National Health and Nutrition Examination Survey. Data from 3,636 women were analyzed by logistic regression analysis using a complex sample procedure.
RESULTS
Of the biomedical factors, older age [odds ratio (OR): 2.99, 95% confidence interval (CI): 1.87-4.80, p < 0.001], family history (OR: 2.29, 95% CI: 1.44-3.65, p = 0.001), and metabolic syndrome (OR: 1.93, 95% CI: 1.27-2.95, p = 0.002) were associated with IHD in post-menopausal women. Of the psychosocial factors, depression (OR: 2.56, 95% CI: 1.66-3.96, p < 0.001) and smoking (OR: 1.92, CI: 1.04-3.55, p = 0.038) were associated with IHD in post-menopausal women.
CONCLUSION
These findings suggest that healthcare providers need to consider the contributing adverse effects of older age, family history, metabolic syndrome, depression and smoking when evaluating risk factors for IHD in post-menopausal women.

Keyword

coronary artery disease; myocardial ischemia; post-menopause; women

MeSH Terms

Alcohol Drinking
Body Mass Index
Coronary Artery Disease
Depression
Diabetes Mellitus, Type 2
Dyslipidemias
Female
Health Personnel
Humans
Hypertension
Logistic Models
Myocardial Ischemia*
Nutrition Surveys
Postmenopause
Psychology
Risk Factors
Smoke
Smoking
Statistics as Topic
Smoke