Faktor yang Berhubungan dengan Kejadian Penyakit Jantung Koroner (PJK) pada Penduduk di Wilayah Perkotaan dan Perdesaan: Analisis Data Survei Kesehatan Indonesia (SKI) 2023
DOI:
https://doi.org/10.55123/sehatmas.v5i2.7877Keywords:
Coronary Heart Disease, Risk Factors, Urban and Rural Areas, Indonesian Health Survey (SKI)Abstract
Differences in socioeconomic and lifestyle characteristics between urban and rural populations may shape the distribution of CHD risk factors, but comparative evidence remains limited. This study examined factors associated with CHD among adults aged ≥35 years between urban and rural areas. A cross-sectional study was conducted using data from the 2023 Indonesian Health Survey, including 426,581 respondents aged ≥35 years. Data were analyzed using univariate, bivariate, and multivariable logistic regression. CHD prevalence was higher in urban than rural areas (2.3% vs. 1.1%). In urban areas, CHD was significantly associated with older age (adjusted prevalence odds ratio [aPOR] for ≥75 years: 7.11; 95% CI: 5.30–9.55), hypertension (aPOR: 4.83; 95% CI: 4.27–5.47), diabetes mellitus (aPOR: 2.67; 95% CI: 2.26–3.17), low physical activity (aPOR: 1.48; 95% CI: 1.25–1.76), sex (aPOR: 1.21; 95% CI: 1.08–1.37), and alcohol consumption (aPOR: 0.53; 95% CI: 0.36–0.78). In rural areas, significant factors included older age (aPOR for ≥75 years: 2.68; 95% CI: 1.69–4.23), hypertension (aPOR: 5.66; 95% CI: 4.62–6.93), diabetes mellitus (aPOR: 3.57; 95% CI: 2.67–4.77), low physical activity (aPOR: 1.70; 95% CI: 1.22–2.37), smoking (aPOR: 0.55; 95% CI: 0.42–0.73), sex (aPOR: 1.38; 95% CI: 1.10–1.73), and low vegetable consumption (aPOR: 2.57; 95% CI: 1.20–5.49). Hypertension was the strongest factor associated with CHD in both urban and rural areas. Targeted prevention strategies should prioritize hypertension control and context-specific healthy lifestyle interventions.
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Appelman, Y., Gulati, M., & Lennep, J. E. R. van. (2025). Cardiovascular disease in women: traditional and sex-specific risk factors. European Heart Journal, 1–16. https://doi.org/10.1093/eurheartj/ehaf1001
Blankenberg, Magnussen, & Ojeda. (2025). Global Effect of Modifiable Risk Factors on Cardiovascular Disease and Mortality. J Am Coll Cardiol, 86(22), 2167–2243. https://doi.org/10.1016/j.jacc.2025.08.015
Borkowski, P., Natalia Borkowska, & Mangeshkar, S. (2024). Racial and Socioeconomic Determinants of Cardiovascular Health: A Comprehensive Review. Cureus Journal, 16(5), e59497. https://doi.org/10.7759/cureus.59497
Chen, X., Shi, S., & Wang, Y. (2024). Global, regional, and national burden of valvular heart disease, 1990–2021. Journal of the American Heart Association. https://doi.org/https://doi.org/10.1161/JAHA.124.037991
Chiadi, Rangaswami, J., & L, S. (2023). Cardiovascular-Kidney-Metabolic Health: A Presidential Advisory From the American Heart Association. AHA/ASA Journals, 148(20). https://doi.org/10.1161/CIR.0000000000001184
Elizabeth, A., & Jackson, M. (2023). Global Effect of Modifiable Risk Factors on CVD and Mortality. American College of Cardiology, 389(14). https://doi.org/10.1056/NEJMoa2206916
Gauen, K., Wang, Y., & Perak, A. (2024). Adherence to pediatric screening. Journal of the American Heart Association, 13(21). https://doi.org/10.1161/JAHA.123.033589
Hartopo, A. B., Inggriani, M. P., & Jhundy, B. W. (2023). Modifiable risk factors for coronary artery disease in the Indonesian population: a nested case-control study. Indonesian Journal of Cardiology, 5(1), 24–34. https://doi.org/https://doi.org/10.36011/cpp.2023.5.e3
Kemenkes RI. (2018). Laporan Reset Kesehatan Nasional Indonesia Tahun 2018.
Kemenkes RI. (2023). Laporan Survei Kesehatan Indonesia (SKI) tahun 2023.
Kim, H.-L. (2023). Arterial stiffness and hypertension. Clin Hypertens, 29(1), 31. https://doi.org/10.1186/s40885-023-00258-1
Liu, M., Marinacci, L. X., Joynt Maddox, K. E., & Wadhera, R. K. (2025). Cardiovascular Health among Rural and Urban US Adults - Healthcare, Lifestyle, and Social Factors. JAMA Cardiology, 10(6), 585–594. https://doi.org/10.1001/jamacardio.2025.0538
Marinacci, L. X., Zheng, Z., & Stephen Mein. (2024). Rural-Urban Differences in Cardiovascular Mortality in the United States, 2010-2022. JACC Journals, 85(1). https://doi.org/10.1016/j.jacc.2024.09.1215
Mensah, G. A., Fuster, V., & Christopher Murray. (2023). Global burden of cardiovascular diseases attributable to modifiable risk factors. Journal of the American College of Cardiology, 82(25). https://doi.org/10.1016/j.jacc.2023.11.007
Notara, V., Kokkou, S., & Emanouil Bindakos. (2023). Differences between Urban and Rural Environments on Cardiovascular Health: A Systematic Review. J Environ Pathol Toxicol Oncol, 42(4), 87–94. https://doi.org/https://doi.org/10.1615/jenvironpatholtoxicoloncol.2023047649
Rajagopalan, S., Vergara-Martel, A., Zhong, J., Khraishah, H., Kosiborod, M., Neeland, I. J., Dazard, J. E., Chen, Z., Munzel, T., Brook, R. D., Nieuwenhuijsen, M., Hovmand, P., & Al-Kindi, S. (2024). The Urban Environment and Cardiometabolic Health. Circulation, 149(16), 1298–1314. https://doi.org/10.1161/CIRCULATIONAHA.123.067461;SUBPAGE:STRING:FULL
Ramadhan, R. (2022). Faktor risiko penyakit jantung koroner pada populasi dewasa. Jurnal Kesehatan Masyarakat Indonesia, 17(2), 120–128.
Rugel, Chow, & Corsi. (2022). Developing indicators of age-friendly neighbourhood environments for urban and rural communities across countries. BMC Public Health, 22(87). https://doi.org/10.1186/s12889-021-12438-5
Sekkarie, A., Woodruff, R. C., & Casper, M. (2025). Rural-urban disparities in cardiovascular disease mortality vary by poverty level and region. J Rural Health, 41(1), e12874. https://doi.org/https://doi.org/10.1111/jrh.12874
Shahjehan, R. D., Sharma, S., & Bhutta, B. S. (2024). Coronary Artery Disease. Mistake-Based Learning in Cardiology: Avoiding Medical Errors, 94–119. https://doi.org/10.1016/B978-0-323-93157-1.00006-X
Wang, Y., Li, Q., & 1, L. B. (2024). Global trends in the burden of ischemic heart disease based on the global burden of disease study 2021: the role of metabolic risk factors. BMC Public Health, 25(1), 310. https://doi.org/10.1186/s12889-025-21588-9.
Wei, T. S. C., Bin-Bin, Z., & Tang, M.-L. (2025). Global Burden of Cardiovascular Diseases and its Risk Factors, 1990–2021: A Systematic Analysis for the Global Burden of Disease Study 2021. An International Journal of Medicine, 118(6), 411–422. https://doi.org/10.1093/qjmed/hcaf022
WHO. (2019). Cardiovascular Diseases (CVDs).
World Health Organization (WHO). (2025). Cardiovascular diseases (CVDs). World Health Organization. https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
World Heart Federation. (2023). World Heart Report 2023: Full Report - World Heart Federation. https://world-heart-federation.org/resource/world-heart-report-2023/
Xia, M., An, J., & M, M. (2024). Cardiovascular risk associated with social determinants of health at individu and Area Levels. JAMA Network, 7(4), e248584. https://doi.org/10.1001/jamanetworkopen.2024.8584
Xia, M., An, J., & Safford, M. M. (2024). Cardiovascular Risk Associated With Social Determinants of Health at Individual and Area Levels. JAMA Netw Open, 7(4), e248584. https://doi.org/10.1001/jamanetworkopen.2024.8584.
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