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Urban-rural Differences in Prevalence of CHD: a Population Based Study


Affiliations
1 Community Medicine, SMS & R, Greater Noida, UP, India
2 Community Medicine, SMS&R, Greater Noida, UP, India
3 Community Medicine, MAMC, Delhi, India
4 Community Medicine, SMS&R, Greater Noida, UP, India
     

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Objective

The present study was carried out with the objective to determine and compare the prevalence of CHD in urban and rural communities of Delhi.

Methods

A community-based epidemiological study from Delhi. The study was carried out by conducting a houseto- house survey. WHO Rose Questionnaire was used to detect angina among the study subjects. ECG was recorded using single-channel BPL ECG machine and was reported by a cardiologist.

Results

The overall prevalence of Coronary heart disease was observed to be 12.0% (95%CI: 9.71-14.29). The prevalence of Coronary heart disease was observed to be significantly higher among urban study subjects (14.8%; 95%CI: 11.05- 18.55) as compared to that among rural study subjects (9.7%; 95%CI: 6.88-12.52) (p<0.05). Out of the total 92 cases of Coronary heart disease in the present study, 51(55.5%) cases were detected either on the basis of ECG tracing or Rose questionnaire, while rest of the 41(44.5%) cases were known cases of Coronary heart disease.

Conclusion

The present study clearly indicates that the prevalence of CHD in India is a major problem of public health importance in India.


Keywords

CHD, Prevalence, Urban, Rural, WHO Rose Questionnaire, ECG, Public Health
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  • Urban-rural Differences in Prevalence of CHD: a Population Based Study

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Authors

H. Mahajan
Community Medicine, SMS & R, Greater Noida, UP, India
M. Chaturvedi
Community Medicine, SMS&R, Greater Noida, UP, India
P. Lal
Community Medicine, MAMC, Delhi, India
R. Saha
Community Medicine, MAMC, Delhi, India
V. L. Grover
Community Medicine, SMS&R, Greater Noida, UP, India

Abstract


Objective

The present study was carried out with the objective to determine and compare the prevalence of CHD in urban and rural communities of Delhi.

Methods

A community-based epidemiological study from Delhi. The study was carried out by conducting a houseto- house survey. WHO Rose Questionnaire was used to detect angina among the study subjects. ECG was recorded using single-channel BPL ECG machine and was reported by a cardiologist.

Results

The overall prevalence of Coronary heart disease was observed to be 12.0% (95%CI: 9.71-14.29). The prevalence of Coronary heart disease was observed to be significantly higher among urban study subjects (14.8%; 95%CI: 11.05- 18.55) as compared to that among rural study subjects (9.7%; 95%CI: 6.88-12.52) (p<0.05). Out of the total 92 cases of Coronary heart disease in the present study, 51(55.5%) cases were detected either on the basis of ECG tracing or Rose questionnaire, while rest of the 41(44.5%) cases were known cases of Coronary heart disease.

Conclusion

The present study clearly indicates that the prevalence of CHD in India is a major problem of public health importance in India.


Keywords


CHD, Prevalence, Urban, Rural, WHO Rose Questionnaire, ECG, Public Health

References