Risk factors for cardiovascular disease among people with mental illness in Namibia.

Journal: Ghana medical journal

Volume: 56

Issue: 4

Year of Publication: 2023

Affiliated Institutions:  Mental Health Care Centre, Private Bag , Windhoek, Namibia. Department of Statistics and Population Studies, University of Namibia, P. O. Box , Ausspannplatz, Windhoek, Namibia. Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Post box , Brumunddal, Norway.

Abstract summary 

To determine the prevalence of risk factors for cardiovascular disease (CVD) among people with mental illness attending the Mental Health Care Centre, Windhoek, Namibia.Observational, cross-sectional study.Mental health Care Centre, Windhoek Central Hospital. Namibia.Adult patients with a mental illness attending the Mental Health Care Centre, Windhoek.Within a systematic random sampling method, 385 adult patients with mental illness were recruited between May and December 2017.Validated assessment tools were used. Descriptive summary statistics and Chi-squared tests of association were conducted.One-third (31.7%) of participants used alcohol, 21% used nicotine, 21.3% had hypertension, 55% were over-weight or obese, 59.2% of females and 11.5% of males had abdominal obesity. About twenty per cent (19.9%) of participants did meet the World Health Organisation recommended level of activity, while more than two-thirds of participants did not participate in moderate or vigorous physical activities. The patient's psychiatric condition was significantly associated with alcohol use (Chi-square=20.450, p=0.002) and physical activity (Chi-square=20.989, p=0.002). The psychiatric condition was not associated with the waist circumference and gender of the participant.The increased prevalence of CVD risk factors in people with mental illness calls for mental health practitioners to screen, monitor and manage these risk factors regularly. Systematically screening and monitoring for cardiovascular risk factors is likely to contribute to National targets and significantly impact cardiovascular morbidity and mortality in people with mental illness.This work was financed by internal resources of the Mental Health Care Centre, Windhoek Central Hospital.

Authors & Co-authors:  Mthoko Ndahambelela F N NFN Pazvakawambwa Lilian L Leonhardt Marja M Lien Lars L

Study Outcome 

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Statistics
Citations :  Rajan S, McKee M, Rangarajan S, Bangdiwala S, Rosengren A, Gupta R, et al. Association of Symptoms of Depression With Cardiovascular Disease and Mortality in Low-, Middle-, and High-Income Countries. JAMA Psychiatry. 2020;77(10):1052–1063.
Authors :  4
Identifiers
Doi : 10.4314/gmj.v56i4.7
SSN : 2616-163X
Study Population
Males,Females
Mesh Terms
Adult
Other Terms
Mental illness;Namibia;cardiovascular disease;prevalence;risk factor
Study Design
Study Approach
Country of Study
Namibia
Publication Country
Ghana