Number of comorbidities and the risk of delay in seeking treatment for coronary heart disease: a longitudinal study in Bogor City, Indonesia

Number of comorbidities and the risk of delay in seeking treatment for coronary heart disease: a longitudinal study in Bogor City, Indonesia

The aim of this study was to investigate the relationship between the number of patient comorbidities and the delays in seeking treatment for coronary heart disease (CHD). This longitudinal study utilized secondary data from the Non-Communicable Disease Risk Factor (NCDRF) cohort study conducted in...

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Bibliographic Details
Published in:Osong public health and research perspectives Vol. 15; no. 3; pp. 201 - 211
Main Authors: Tuminah, Sulistyowati, Indrawati, Lely, Riyadina, Woro, Wurisastuti, Tri, Letelay, Alfons M, Sitorus, Nikson, Putri, Alifa S, Isfandari, Siti, Irmansyah, Irmansyah
Format: Journal Article
Language:English
Published: Korea (South) Korea Disease Control and Prevention Agency 01-06-2024
질병관리청
Subjects:
comorbidity
coronary disease
delay in seeking treatment
Original
예방의학
Delay in seeking treatment
Comorbidity
Coronary disease
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Summary:The aim of this study was to investigate the relationship between the number of patient comorbidities and the delays in seeking treatment for coronary heart disease (CHD). This longitudinal study utilized secondary data from the Non-Communicable Disease Risk Factor (NCDRF) cohort study conducted in Bogor City. Individuals who participated in the NCDRF cohort study and were diagnosed with CHD within the 6-year study period met the inclusion criteria. Respondents who were not continuously monitored up to the 6th year were excluded. The final sample included data from respondents with CHD who participated in the NCDRF cohort study and were monitored for the full 6-year duration. The final logistic regression analysis was conducted on data collected from 812 participants. Among the participants with CHD, 702 out of 812 exhibited a delay in seeking treatment. The risk of a delay in seeking treatment was significantly higher among individuals without comorbidities, with an odds ratio (OR) of 3.5 (95% confidence interval [CI], 1.735-7.036; p<0.001). Among those with a single comorbidity, the risk of delay in seeking treatment was still notable (OR, 2.6; 95% CI, 1.259-5.418; p=0.010) when compared to those with 2 or more comorbidities. These odds were adjusted for age, sex, education level, and health insurance status. The proportion of patients with CHD who delayed seeking treatment was high, particularly among individuals with no comorbidities. Low levels of comorbidity also appeared to correlate with a greater tendency to delay in seeking treatment.
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ISSN:2210-9099
2233-6052
DOI:10.24171/j.phrp.2023.0337