Self-reported ischemic heart disease: Prevalence, sociodemographics, health behavior, health-care utilization, and quality of life

Shan Alphin,Nina Konstantin Nissen,Ann-Dorthe Olsen Zwisler,Mette Kjøller,Michael Davidsen

doi:10.4236/ojpm.2012.22035

Abstract

The aim of this study was to present the prevalence of self-reported Ischemic Heart Disease (IHD) based on a national population-based survey and to characterize people with self-reported IHD with respect to health behavior, risk factors, health-care services utilization and health-related HRQoL; further to compare people with self-reported IHD to those with other chronic illness and people without chronic illness. Based on the Danish Health Interview Survey 2005 (SUSY), a sample of 10,983 persons aged 35 years or older was examined. Data was collected through personal interviews (response rate = 66.7%) and self-administered questionnaires (51.5%). The sample was divided into three mutual exclusive groups: IHD; other chronic illnesses; and no chronic illness. The prevalence of IHD was 5.6% (5.2 - 6.0). The disease was more common in men than women, and the average age was 67.5 years. People with self-reported IHD were characterized as having poorer health behaviors; more risk factors: 40% smokers, 21% sedentary lifestyle, 26% obese; higher utilization of the health-care services; and poorer HRQoL. When compared to people with other chronic diseases, people with IHD continued to show the same characteristics. The IHD group had more problems affecting their daily lives than the other two groups. The issues that affected the people with IHD have also been shown to increase the load on the health-care system. Therefore, it is important to the patients, health-care, and society that the prevalence of IHD is reduced and the burden of disease is made a priority.

Highlights

In 2005, the World Health Organization projected that 60% of the deaths worldwide would be caused by chronic diseases [1]
The improved survival rate implies that more people are living with the disease and ischemic heart disease (IHD) appears to be transforming from a fatal to a chronic disease
The aim of this study is to present the prevalence of self-reported IHD based on a national population-based survey and to characterize people with self-reported IHD with respect to health behavior, risk factors, health-care services utilization and health-related health-related quality of life (HRQoL); further to compare people with self-reported IHD to those with other chronic illness and people without chronic illness

Summary

Introduction

In 2005, the World Health Organization projected that 60% of the deaths worldwide would be caused by chronic diseases [1]. Cardiovascular disease is the leading cause of death, responsible for 30% of all deaths worldwide [1,2]. As the mortality rates have declined in Denmark, there has been a documented increase in the rate of hospitalization due to ischemic heart disease (IHD) [3]. This reflects changes in morbidity, risk factor modification, and the treatment of IHD within the healthcare system [3]. The improved survival rate implies that more people are living with the disease and IHD appears to be transforming from a fatal to a chronic disease

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Methods

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Conclusion