Rural-urban disparities in evaluating cardiovascular health- A cross-sectional study from North India


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Article type :

Original Article

Author :

Bijay Prakash Yadav, Poonam Kushwaha

Volume :

15

Issue :

3

Abstract :

Background: India has made significant strides in improving health outcomes in recent years. However, there remains a notable gap in health status between individuals living in rural and urban areas, including in cardiovascular health.Aims and Objectives: To better understand these disparities, we conducted an institution-based, cross-sectional study, among 119 patients examining the factors associated with cardiovascular health among both rural and urban populations seeking medical care.Results: The study comprised (69, 58%) males. 58.8% of the subjects belonged to rural areas, with 60 (50.4%) having lower socioeconomic status, and 80 (67.2%) living in joint families. 72.9% of males were smokers and 37 (62.7%) were alcoholics around 76% and 66.7% of individuals under 40 years of age had abnormal cardiovascular health in urban and rural areas, respectively. In urban areas, a higher percentage of individuals who smoke and consume alcohol have abnormal cardiovascular health status, compared to rural areas. However, a higher percentage of individuals with such health status reside in rural areas despite the lower incidence of comorbidities. Even though rural areas had more COVID cases, only 83% of them showed abnormal cardiovascular health status.Conclusion: To mitigate the incidence of cardiovascular disease (CVD) in rural and remote communities, it is imperative to address the underlying factors that give rise to poor cardiovascular health. This necessitates a collaborative approach that entails forging authentic partnerships spanning diverse sectors, active community engagement, and a long-term commitment to securing viable solutions.

Keyword :

Cardiovascular Health, Rural-urban disparities, Sex-differences, Age-difference, Echocardiography.