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Different Patterns in Ranking of Risk Factors for the Onset Age of Acute Myocardial Infarction between Urban and Rural Areas in Eastern Taiwan

Author

Listed:
  • Hsiu-Ju Huang

    (Institute of Medical Sciences, Tzu Chi University, Hualien 97004, Taiwan
    These authors contributed equally to this work.)

  • Chih-Wei Lee

    (Institute of Medical Sciences, Tzu Chi University, Hualien 97004, Taiwan
    Department of Physical Therapy, Tzu Chi University, Hualien 97004, Taiwan
    These authors contributed equally to this work.)

  • Tse-Hsi Li

    (School of Medicine, College of Medicine, Taipei Medical University, Taipei 11041, Taiwan)

  • Tsung-Cheng Hsieh

    (Institute of Medical Sciences, Tzu Chi University, Hualien 97004, Taiwan
    Doctoral Degree Program in Translational Medicine, Tzu Chi University and Academia Sinica, Hualien 97004, Taiwan)

Abstract

This cross-sectional study aimed to investigate the difference in ranking of risk factors of onset age of acute myocardial infarction (AMI) between urban and rural areas in Eastern Taiwan. Data from 2013 initial onset of AMI patients living in the urban areas (n = 1060) and rural areas (n = 953) from January 2000 to December 2015, including onset age, and conventional risk factors including sex, smoking, diabetes, hypertension, dyslipidemia, and body mass index (BMI). The results of multiple linear regressions analysis showed smoking, obesity, and dyslipidemia were early-onset reversible risk factors of AMI in both areas. The ranking of impacts of them on the age from high to low was obesity (β = −6.7), smoking (β = −6.1), and dyslipidemia (β = −4.8) in the urban areas, while it was smoking (β = −8.5), obesity (β= −7.8), and dyslipidemia (β = −5.1) in the rural areas. Furthermore, the average onset ages for the patients who smoke, are obese, and have dyslipidemia simultaneously was significantly earlier than for patients with none of these comorbidities in both urban (13.6 years) and rural (14.9 years) areas. The findings of this study suggest that the different prevention strategies for AMI should be implemented in urban and rural areas.

Suggested Citation

  • Hsiu-Ju Huang & Chih-Wei Lee & Tse-Hsi Li & Tsung-Cheng Hsieh, 2021. "Different Patterns in Ranking of Risk Factors for the Onset Age of Acute Myocardial Infarction between Urban and Rural Areas in Eastern Taiwan," IJERPH, MDPI, vol. 18(11), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5558-:d:560203
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    References listed on IDEAS

    as
    1. Min-Liang Chu & Chiao-Yu Shih & Tsung-Cheng Hsieh & Han-Lin Chen & Chih-Wei Lee & Jen-Che Hsieh, 2019. "Acute Myocardial Infarction Hospitalizations between Cold and Hot Seasons in an Island across Tropical and Subtropical Climate Zones—A Population-Based Study," IJERPH, MDPI, vol. 16(15), pages 1-14, August.
    2. Yohei Numasawa & Shun Kohsaka & Hiroaki Miyata & Akio Kawamura & Shigetaka Noma & Masahiro Suzuki & Susumu Nakagawa & Yukihiko Momiyama & Kotaro Naito & Keiichi Fukuda, 2015. "Impact of Body Mass Index on In-Hospital Complications in Patients Undergoing Percutaneous Coronary Intervention in a Japanese Real-World Multicenter Registry," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-17, April.
    Full references (including those not matched with items on IDEAS)

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