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Gender differences in health conditions and socio-economic status of adults with congenital heart disease in a developing country
Mid Sweden University, Sundsvall, Sweden. (Folkhälsovetenskap)
Mid Sweden University, Sundsvall, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Mid Sweden University, Sundsvall, Sweden. (Folkhälsovetenskap)
Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
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2013 (English)In: Cardiology in the Young, ISSN 1047-9511, E-ISSN 1467-1107, Vol. 23, no 2, p. 209-218Article in journal (Refereed) Published
Abstract [en]

Background Providing appropriate care for adults with congenital heart disease requires the evaluation of their current situation. There is limited research in Iran about these patients, particularly in relation to gender differences in the demographic/socio-economic and lifestyle factors, as well as disease parameters.

Materials and methods The sample consisted of 347 congenital heart disease patients in the age group of 18–64 years, including 181 women, assessed by an analytical cross-sectional study. The patients were recruited from the two major heart hospitals in Tehran. Data were collected using questionnaires.

Results The mean age of the patients was 33.24 years. Women were more often married and more often had offspring than men (p < 0.001). Educational level and annual income were similar between women and men. Unemployment was higher among women (p < 0.001), but financial strain was higher among men (p < 0.001). Smoking, alcohol, and water-pipe use was higher among men than among women (p < 0.001). Cardiac factors, for example number of cardiac defects, were similar among women and men, except that there were more hospitalisations owing to cardiac problems, for example arrhythmia, among men. Disease was diagnosed mostly at the hospital (57.4%). Most medical care was provided by cardiologists (65.1%). Only 50.1% of patients had knowledge about their type of cardiac defect.

Conclusion Gender differences exist in the socio-economic and lifestyle characteristics of adults with congenital heart disease, in some cases related to the disease severity. Our findings also point to the need for interventions to increase patients’ knowledge about, and use of, healthier lifestyle behaviours, irrespective of gender. Furthermore, providing appropriate jobs, vocational training, and career counselling may help patients to be more productive.

Place, publisher, year, edition, pages
2013. Vol. 23, no 2, p. 209-218
Keywords [en]
Grown-up with congenital heart disease, lifestyle, socio-demographic status
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-16042ISI: 000318623000007Scopus ID: 2-s2.0-84879804094OAI: oai:DiVA.org:hig-16042DiVA, id: diva2:688754
Available from: 2012-04-16 Created: 2014-01-17 Last updated: 2018-03-13Bibliographically approved

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Eslami, BaharehÖrjan, SundinMacassa, GloriaSoares, Joaquim J. F.

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