Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
Student Research Committee, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
Ethiop J Health Sci. 2021 Sep;31(5):1011-1018. doi: 10.4314/ejhs.v31i5.13.
Although the main risk factors of acute coronary syndrome (ACS) have been previously identified, there is not yet strong and consistent evidence about the ethnical differences of these risk factors. The aim of this study was to identify and compare the distribution of risk factors of ACS among two ethnic groups in northern Iran.
This cross-sectional study was done on a total of 250 patients (100 Fars and 150 Turkmen ethnics) with ACS admitted in coronary care units (CCU) of medical centers in Gonbad-e Kavus, a city in the Northeast of Iran. The demographic characteristics, clinical parameters and anthropometric indices of patients in two ethnic groups were recorded. In addition, Beacke's questionnaire and Cohen's scale were used to evaluate and compare the patients' level of physical activity and perceived stress, respectively.
The mean age of the patients was 60.9±11.9 years and they were mostly males (54.8%) and married (84.8%). Findings showed that the prevalence of myocardial infarction in Fars patients was significantly higher than Turkmens (24% versus 15.3%; P=0.04). In addition, there was a significant difference in terms of the history of using opium (P=0.07) and opium sap (P=0.03), socioeconomic status (P=0.009), the place of residence (P=0.001) and type of health insurance services (P=0.001) between two groups. However, the clinical parameters and anthropometric indices and the level of physical activity and perceived stress were not significantly different between two groups (P>0.05).
This study showed a significant difference in the prevalence and risk factor of ACS in patients with different ethnicity in northern Iran. This finding points to the importance of paying attention to the ethnicity-based difference in ACS prevalence and risk factors, especially in patients who are at high to intermediate risk for ACS, such as Turkmens.
尽管急性冠状动脉综合征（ACS）的主要危险因素已被确定，但关于这些危险因素的种族差异，目前还没有强有力且一致的证据。本研究旨在确定并比较伊朗北部两个民族的 ACS 危险因素分布。
这是一项在伊朗东北部城市贡巴德卡武斯的医疗中心冠心病监护病房（CCU）中接受治疗的共 250 名 ACS 患者（100 名法尔斯人和 150 名土库曼人）的横断面研究。记录了两组患者的人口统计学特征、临床参数和人体测量指数。此外，使用 Beacke 问卷和 Cohen 量表分别评估和比较患者的身体活动水平和感知压力水平。
患者的平均年龄为 60.9±11.9 岁，大多数为男性（54.8%）和已婚（84.8%）。研究结果表明，法尔斯族患者心肌梗死的患病率明显高于土库曼族（24%比 15.3%；P=0.04）。此外，两组患者在使用鸦片（P=0.07）和鸦片浆（P=0.03）、社会经济地位（P=0.009）、居住地点（P=0.001）和医疗保险服务类型（P=0.001）方面存在显著差异。然而，两组患者的临床参数和人体测量指数、身体活动水平和感知压力水平没有显著差异（P>0.05）。
本研究表明，伊朗北部不同民族 ACS 的患病率和危险因素存在显著差异。这一发现表明，在 ACS 患病率和危险因素方面，应注意基于种族的差异，尤其是在 ACS 高危和中危患者中，如土库曼族患者。
