Cardiovascular health control in the family health strategy

Gilberto Andrade Tavares; Joathan Borges Ribeiro; Marcos Antonio Almeida-Santos; Antônio Carlos Sobral Sousa; José Augusto Soares Barreto-Filho

doi:10.3389/fcvm.2022.933972

Cardiovascular health control in the family health strategy

Front Cardiovasc Med. 2022 Aug 18:9:933972. doi: 10.3389/fcvm.2022.933972. eCollection 2022.

Authors

Gilberto Andrade Tavares^{1

2}, Joathan Borges Ribeiro^{3

4}, Marcos Antonio Almeida-Santos^{5

6}, Antônio Carlos Sobral Sousa^{1

6

7

8}, José Augusto Soares Barreto-Filho^{1

6

7

8}

Affiliations

¹ Postgraduate Program in Health Sciences, Federal University of Sergipe, Aracaju, Brazil.
² Department of Medicine Lagarto, Federal University of Sergipe, Aracaju, Brazil.
³ Postgraduate Program in Adult Health Nursing, University of São Paulo, São Paulo, Brazil.
⁴ Intensive Care Unit, Hospital Sírio-Libanês, São Paulo, Brazil.
⁵ Postgraduate Program in Health and Environment, Tiradentes University, Aracaju, Brazil.
⁶ São Lucas Clinic and Hospital / Rede D'Or São Luiz, Aracaju, Brazil.
⁷ Division of Cardiology, University Hospital, Federal University of Sergipe, Aracaju, Brazil.
⁸ Department of Internal Medicine, Federal University of Sergipe, Aracaju, Brazil.

Abstract

Introduction: In Brazil, the Unified Health System (SUS) controls and oversees public health care, and the Family Health Strategy (FHS) is its primary access, with 60% of the population registered in it. The surveillance of risk factors for cardiovascular diseases (CVD) is the responsibility of the FHS. In 2010, the American Heart Association (AHA) proposed the evaluation of seven metrics (smoking, Body Mass Index (BMI), physical activity, diet, total cholesterol, blood pressure and blood glucose) with an aim to monitoring cardiovascular health (CVH). However, the results of the FHS regarding the CVH of the Brazilian population are unascertained.

Objective: Evaluate the control of CVH among adult patients treated by the FHS in the city of Aracaju, Sergipe, Brazil.

Material and methods: A cross-sectional study was conducted using the seven metrics recommended by the AHA to evaluate CVH among patients treated by the FHS. The city of Aracaju has a population of 571,149 inhabitants, with 394,267 > 20 years of age; therefore, it was admitted that in a simple random sample, sampling error of 5% with 95% CI, 329 individuals would be needed.

Results: Among 400 patients, only 32.5% had controlled CVH. In a univariate analysis, the adjusted multivariate analysis found that being female (aOR: 2.07 IC: 1.20 to 3.60 p: 0.006) under 45 years old (aOR: 1.61 IC: 1.15 to 2.28 p: 0.006) and with the habit of following health advice from family members and neighbors (aOR: 1.28 IC: 1.15 to 2.28 p: 0.040) were associated with control of CVH. On the other hand, those ones who had a greater number of children (aOR: 0.91 IC: 0.84 to 0.95 p: 0.020) were associated with less control of CVH.

Conclusions: The study showed that only 32.5% of patients have controlled CVH. Being a woman, young and following health advice from family members and neighbors have a positive influence in controlling CVH. More children reduced controlling these metrics.

Keywords: cardiovascular diseases—epidemiology; community health services [MeSH]; family health (source: DeCS BIREMIRE); health policy; health services.