TY - JOUR
T1 - Relationship between environmental factors and rheumatic heart disease
AU - Tobing, Tina Christina Lumban
AU - Ontoseno, Teddy
AU - Rahayuningsih, Sri
AU - Ganie, Ratna Akbari
AU - Siregar, Yahwardiah
N1 - Publisher Copyright:
© 2021 Tina Christina Lumban Tobing, Teddy Ontoseno, Sri Rahayuningsih, Ratna Akbari Ganie, Yahwardiah Siregar.
PY - 2021
Y1 - 2021
N2 - BACKGROUND: Rheumatic fever and rheumatic heart disease (RHD) are the most common acquired heart diseases in children. Environmental factors have been reported to play an important role in RHD’s prevalence. AIM: The main purpose of this study is to assess the associations between environmental factors and RHD in children. METHODS: A case-control study was conducted in the Department of Child Health, Haji Adam Malik Hospital from April to June 2017. The case group consisted of children aged 5–18 years with RHD while control group consisted of healthy children. Demographic, anthropometric, and laboratory data were collected along with environmental factors. Statistical analysis was done using Statistical Product and Service Solution. A P value of <0,05 with 95% confidence interval was considered significant. RESULTS: A total of 39 children were enrolled in each group. Subjects’ father who only went to elementary and junior high school had a higher risk of having children with RHD (OR 28; p = 0.032 and OR 15.75; p = 0.011, respectively). Subjects’ mother who only went to junior high school had 7 times higher risk of having children with RHD (p = 0.026). Low monthly income increased the risk of RHD (OR 3,68; p = 0,009). Tap water usage, meat consumption more than once per week, and feasibility to buy clothes >1 pair per year decreased the risk of RHD at 0,31 (p = 0,013), 0,3 (p = 0,016), and 0,04 times (p <0,001), respectively. CONCLUSION: Parent’s education, monthly family income, water source, frequency of meat consumption, and feasibility to buy clothes are related to RHD in children.
AB - BACKGROUND: Rheumatic fever and rheumatic heart disease (RHD) are the most common acquired heart diseases in children. Environmental factors have been reported to play an important role in RHD’s prevalence. AIM: The main purpose of this study is to assess the associations between environmental factors and RHD in children. METHODS: A case-control study was conducted in the Department of Child Health, Haji Adam Malik Hospital from April to June 2017. The case group consisted of children aged 5–18 years with RHD while control group consisted of healthy children. Demographic, anthropometric, and laboratory data were collected along with environmental factors. Statistical analysis was done using Statistical Product and Service Solution. A P value of <0,05 with 95% confidence interval was considered significant. RESULTS: A total of 39 children were enrolled in each group. Subjects’ father who only went to elementary and junior high school had a higher risk of having children with RHD (OR 28; p = 0.032 and OR 15.75; p = 0.011, respectively). Subjects’ mother who only went to junior high school had 7 times higher risk of having children with RHD (p = 0.026). Low monthly income increased the risk of RHD (OR 3,68; p = 0,009). Tap water usage, meat consumption more than once per week, and feasibility to buy clothes >1 pair per year decreased the risk of RHD at 0,31 (p = 0,013), 0,3 (p = 0,016), and 0,04 times (p <0,001), respectively. CONCLUSION: Parent’s education, monthly family income, water source, frequency of meat consumption, and feasibility to buy clothes are related to RHD in children.
KW - Environmental factors
KW - Rheumatic heart disease
KW - Rheumatic heart disease
KW - Socioeconomic status
UR - http://www.scopus.com/inward/record.url?scp=85122045751&partnerID=8YFLogxK
U2 - 10.3889/oamjms.2021.7836
DO - 10.3889/oamjms.2021.7836
M3 - Article
AN - SCOPUS:85122045751
SN - 1857-5749
VL - 9
SP - 1795
EP - 1798
JO - Open Access Macedonian Journal of Medical Sciences
JF - Open Access Macedonian Journal of Medical Sciences
IS - B
ER -