SOCIO DEMOGRAPHIC PROFILES OF RHEUMATIC HEART DISEASE (RHD) PATIENTS IN SABAH
Keywords:
Socio demography, Rheumatic Heart DiseaseAbstract
Introduction: Rheumatic Heart Disease (RHD) has been thought as a disease of poor socioeconomic status. It is more prevalent in underdeveloped and developing countries than in developed countries. It is also common among the population with multiple social issues such as overcrowded dwellings, under-nutrition, poor sanitation and suboptimal medical care. This study was done to review the socio demographic profiles of RHD patients in Hospital Queen Elizabeth (HQE) ll, Kota Kinabalu, Sabah.
Methodology: A one- year data review of all patients registered under the RHD registry in HQE ll from July 2013 to June 2014.
Results: 204 RHD patients were included. Nearly three quarter (74.0%) were female. The mean age was 40.43 (14.75) years old. 61.1% has completed secondary education. 42.7% were housewives. The mean monthly income was RM 1363.83 (1297.05) which was categorized under the vulnerable income group. When they were categorized under the poverty level and the vulnerable income group, 42.6% and 76.5% of them fell under those categories respectively. The nearest health facilities to their houses were district hospitals (33.3%) with the mean distance of 9.17 km and health clinics (30.8%) with the mean distance of 4.27 km. Only 11.5% of them lived near the specialist hospitals with the mean distance of 21.32 km.
Conclusion: Results from this review confirmed that majority of RHD patients were in the low socioeconomic group with less access to health care facilities with specialist care. They are the most vulnerable groups and need to be prioritized in the specialized care program.
References
Seckeler, MD., Hoke, TR. The Worldwide Epidemiology Of Acute Rheumatic Fever And Rheumatic Heart Disease. Clin Epidemiol. 2011; 3: 67-84.
Carapetis, JR., Steer, AC., Mulholland, EK., Weber, M. The Global Burden Of Group A Streptococcal Disease. Lancet Infect Dis. 2005; 5: 685-694.
Periwal, KL., Gupta, BK., Panwar, RB., Khatri, PC., Raja, S., Gupta, R. Prevalence Of Rheumatic Heart Disease In School Children In Bikaner: An Echocardiographic Study. J Assoc Physicians India. 2006; 54:279–82.
Longo-Mbenza, B., Bayekula, M., Ngiyulu, R. et al. Survey Of Rheumatic Heart Disease In School Children Of Kinshasa Town. Int J Cardiol. 1998; 63:287–94.
Garis Panduan Pelaksanaan Bantuan Dan Projek Di Bawah Program Pembasmian Kemiskinan Bandar, Seksyen Kemiskinan Bandar (SKB), Bahagian Kesejahteraan Bandar, Kementerian Wilayah Persekutuan dan Kesejahteraan Bandar.
Ibrahim, A., et al. Rheumatic Heart Disease in Malaysian school children: A prevalence study. 2nd International Heart Health Conference. 1995: Barcelona.
Omar, A. Pattern of Acute Rheumatic Fever in a Local Teaching Hospital. Med J Malaysia. 1995; Vol 50 (No 2, June).
Dajani, AS. Rheumatic fever. In: Braunwald E, Zipes DP, Libby P, eds. Heart disease: a textbook of cardiovascular medicine, 6th edn. Philadelphia: WB Sounders, 2001;2192
Rizvi, SF., Khan, MA., Kundi, A., Marsh, DR., Samad, A., Pasha, O. Status of rheumatic heart disease in rural Pakistan. Heart. 2004; 90: 394-399.
Agarwal, AK., Yunus, M., Ahmad, J., et al. Rheumatic heart disease in India. J R Soc Health. 1995; 115: 303-4, 309.
Rauf-ur Rashid Kaul, et al,. Prevalence of rheumatic heart disease in school children in a rural block of Srinagar. JK Practitioner. 2005; 12(3); 160-162
WHO Expert Consultation on Rheumatic Fever and Rheumatic Heart Disease. Rheumatic fever and rheumatic heart disease: report of a WHO Expert Consultation, 29 October - 1 November 2001. Geneva; 2004.
Antibiotic use for the Prevention and Treatment of Rheumatic Fever and Rheumatic Heart Disease in Children. Report for the 2nd Meeting of World Health Organization’s subcommittee of the Expert Committee of the Selection and Use of Essential Medicines
