A Path Model of Factors Associated With Cardiovascular Disease in West Borneo: Analysis of Indonesian Basic Health Survey 2018
Objective: Non-communicable diseases are estimated to account for 73% of all deaths in Indonesia and Cardiovascular Disease contributed 35%. Unhealthy dietary behavior leads to several NCDs, such as diabetes mellitus, obesity, hypertension, Cardiovascular Disease, and stroke. This study aimed to examine factors associated with hypertension and coronary disease using Basic Health Survey and path analysis model.
Methods: This was a cross sectional study using a secondary data from Indonesian Basic Health Survey Year 2018. The study selected 10,171 samples aged ≥ 15 years from West Borneo Province. The dependent variable was coronary disease. The independent variables were hypertension, age, gender, education, smoking, vegetables consumption, fruit consumption, fat intake, alcohol consumption, instant noodles consumption, soft drink consumption, physical activity, and residence. Data analysis was conducted by a path analysis.
Results: Coronary disease was directly increased by hypertension (b=1.19; 95% CI (Confidence Interval)=0.90 to 1.48; p<0.001), age ≥ 43 years (b=0.88; 95% CI=0.55 to 1.21; p<0.001), and high physical activity (b=-0.49; 95% CI=-0.81 to -0.17; p=0.003). It was directly decreased by alcohol consumption, but it was statistically non significant (b=-0.71; 95% CI=-1.54 to 0.11; p=0.088).
Conclusion: Coronary disease was indirectly affected by male, smoking, vegetables consumption, fruits consumption, fat intake, grilled food consumption, energy drink consumption, instant noodles consumption, soft drink consumption, residence, and education.