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Original Article



Non-Communicable Chronic Diseases Risk Prevalence of Family Medicine Patients in the Federation of Bosnia and Herzegovina

Boris Hrabac, Nada Spasojevic.




Abstract

Aim: The aim of this study is to represent the prevalence of non-communicable diseases risks among patients of family medicine practices in the Federation of Bosnia and Herzegovina. Risks prevalence was obtained from an organized massive screening being performed by 100 family medicine teams in four cities of the Federation of B&H during 2013. Material and Methods: Our concept of “preventive treatment of a patient” included detecting and monitoring the following chronic non-communicable diseases risk factors: (a) hypertension; (b) obesity; (c) smoking; (d) physical inactivity; and (e) dyslipidemia; (f) diabetes mellitus. Our sample of examined patients was 46.638. Results: Highest risk prevalence within entire F B&H is observed for dyslipidemia (90.3%) and physical inactivity (64.7%). Lowest prevalence was found for blood sugar and hypertension at 19.2% and 21.6%, respectively. Smoking prevalence of the examined patients was 28.4%. Prevalence of the obesity as health risk (ITM > 30) was 25.5 %. It is of interest that statistically significant differences of individual risk prevalence among cities are evident. Risk distribution among cities ranked from highest to lowest prevalence, shows clearly that Sarajevo is leading in four risks compared to the other cities, while Zenica is ranked lowest for four risk factors. The examined population of the four cities can be ranked from lowest to highest prevalence of the examined risk factors as follows: Sarajevo, Mostar, Tuzla, and Zenica.

Key words: non-communicable diseases risks prevalence, regional differences, preventive-promotive program, family medicine, Bosnia and Herzegovina.






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