Skip to main content Skip to main navigation menu Skip to site footer

A structural model of Mapalus culture, health behavior and coronary artery disease incidence in the Minahasa ethnic community in North Sulawesi Province

Abstract

Introduction: Coronary artery disease (CAD) is a disease that has caused death across the world, including in Indonesia. CAD is a multifactorial disease. Many studies have been conducted to examine the causes of CAD. Based on previous research, the risk factors questioned are fixed and nonfixed risk factors. Fixed risk factors include age, gender and family history. Nonfixed risk factors include smoking habits, blood cholesterol levels, behavioral types, socioeconomic status and cultural factors, among others. The purpose of this study is to find a structural model of the influence of Mapalus culture and health behavior on the incidence of CAD in the Minahasa ethnic group in North Sulawesi Province.

Method: This research is a case-control research type that uses 220 respondents (110 case and 110 control respondents). The variables studied were Mapalus culture (ethos and principles) and health behavior (smoking habits, knowledge of CAD, healthy behavior and sickness behavior) as independent variables and CAD incidence as the dependent variable. Data analysis used pathway analysis by employing GeSCA software.

Result: The results of this study indicate that Mapalus culture and health behavior influence the occurrence of CAD. The influence of Mapalus culture will be stronger/greater if it interacts with health behavior.

Conclusion: Based on the results of this study, control must be exercised on smoking habits, increasing knowledge about CAD and having a healthy lifestyle.

References

  1. Malakar AK, Choudhury D, Halder B, Paul P, Uddin A, Chakraborty S. A review on coronary artery disease, its risk factors, and therapeutics. J Cell Physiol. 2019;234(10):16812–23.
  2. Bahr T, Djohan A. Patofisiologi Dan Penatalaksanaan Penyakit Jantung Koroner. 2004;(June):1–8.
  3. Waspadji S, Ranakusuma AB, Suyono S, Supartondo S, Sukaton U. Diabetes mellitus in an urban population in Jakarta, Indonesia. Tohoku J Exp Med. 1983;141(Suppl):219–28. Available from: http://dx.doi.org/10.1620/tjem.141.suppl_219
  4. WHO. Global Adult Tobacco Survey: Indonesia Report 2011. 2011.
  5. Kivimäki M, Singh-Manoux A, Nyberg S, Batty GD. Job strain and coronary heart disease – Authors’ reply. Lancet. 2013;381(9865):448–9. Available from: http://dx.doi.org/10.1016/s0140-6736(13)60244-5
  6. Lee I-M, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet (London, England). 2012;380(9838):219–29. Available from: https://pubmed.ncbi.nlm.nih.gov/22818936
  7. Afriyanti R, Pangemanan J, Palar S. Hubungan Antara Perilaku Merokok Dengan Kejadian Penyakit Jantung Koroner. e-CliniC. 2015;3(1). Available from: http://dx.doi.org/10.35790/ecl.3.1.2015.6747
  8. AR D, Indrawan B. Hubungan Usia dan Merokok pada Penderita Penyakit Jantung Koroner di Poli Penyakit Dalam RS MHPalembang Periode Tahun 2012. Syifa’ Med J Kedokt dan Kesehat. 2014;5(1):16. Available from: http://dx.doi.org/10.32502/sm.v5i1.1420
  9. Afriyanti R, Pangemanan J, Palar S. Hubungan Antara Perilaku Merokok Dengan Kejadian Penyakit Jantung Koroner. J e-Clinic. 2015;3(April):98–102.
  10. Shoufiah R. Hubungan Faktor Resiko Dan Karakteristik Penderita Dengan Kejadian Penyakit Jantung Koroner. Mahakam Nurs J. 2016;1(1):17–26.
  11. RI K. Riset Kesehatan Dasar 2013. Kementerian Kesehatan Republik Indonesia. 2013.
  12. Nelwan JE. Mapalus dalam Pembangunan Kesehatan Masyarakat Minahasa di Sulawesi Utara. Sam Ratulangi J Public Heal. 2020;1(1):23. Available from: http://dx.doi.org/10.35801/srjoph.v1i1.27275
  13. Abdi GM. Pemodelan Prevalensi Kejadian Kusta dengan Pendekatan Spatial Durbin Model – SEM PLS ( Structural Equation Modelling Partial Least Square ) Prevalence of Leprosy Phenomena Modelling Through Spatial Durbin Model – SEM PLS ( Structural Equation Modelling Pa. Inst Teknol Sepuluh Novemb. 2016;
  14. Nelwan JE, Widjajanto E, Andarini S, Djati S, Sumampouw OJ. The Role of Mapalus Culture by Minahasa Ethnic in North Sulawesi to the Coronary Heart Disease Incidents. Int J Sci Res Publ. 2018;8(3). Available from: http://dx.doi.org/10.29322/ijsrp.8.3.2018.p7508
  15. Nababan D. Hubungan Faktor Risiko Dan Karakteristik Penderita Dengan Kejadian Penyakit Jantung Koroner Di Rsu Dr. Pirngadi Medan Tahun 2008. USU. 2008;
  16. Kevin. Hubungan Antara Perilaku Merokok Dan Penyakit Jantung Koroner Di Unit Rawat Inap Rumah Sakit Umum Santo Antonius Pontianak Tahun 2012. Univ Tanjungpurra. 2013;
  17. Carroll D. Type A Behaviour and Coronary Heart Disease [Internet]. Health Psychology. Routledge; 2019. p. 11–21. Available from: http://dx.doi.org/10.4324/9780203970447-2
  18. Whalley B, Rees K, Davies P, Bennett P, Ebrahim S, Liu Z, et al. Psychological interventions for coronary heart disease. In: Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd; 2011. Available from: http://dx.doi.org/10.1002/14651858.cd002902.pub3
  19. Albus C. Psychological and social factors in coronary heart disease. Ann Med. 2010;42(7):487–94. Available from: http://dx.doi.org/10.3109/07853890.2010.515605
  20. Liu K, Daviglus ML, Loria CM, Colangelo LA, Spring B, Moller AC, et al. Healthy lifestyle through young adulthood and the presence of low cardiovascular disease risk profile in middle age: the Coronary Artery Risk Development in (Young) Adults (CARDIA) study. Circulation. 2012/01/30. 2012;125(8):996–1004. Available from: https://pubmed.ncbi.nlm.nih.gov/22291127
  21. Kim ES, Sun JK, Park N, Kubzansky LD, Peterson C. Purpose in life and reduced risk of myocardial infarction among older U.S. adults with coronary heart disease: a two-year follow-up. J Behav Med. 2012;36(2):124–33. Available from: http://dx.doi.org/10.1007/s10865-012-9406-4
  22. Patriyani REH, Purwanto DF. Faktor Dominan Risiko Terjadinya Penyakit Jantung Koroner (PJK). J Keperawatan Glob. 2016;1(1):23–30.
  23. Ahda Y, Sumarni L, Elsa Yuniarti. Koroner Etnis Minangkabau the Life Style and Genetic Factor of Coronary Heart Disease Patients of Minangkabau Ethnic. Pros Semirata. 2005;377–85.
  24. Fajar K Al. Hubungan Aktivitas Fisik dan Kejadian Penyakit Jantung Koroner di Indonesia : Analisis Data Riskesdas Tahun 2013 [Internet]. 2015. 84 p. Available from: http://repository.uinjkt.ac.id/dspace/bitstream/123456789/28908/1/Kemal Al Fajar-fkik.pdf
  25. Critchley JA, Capewell S. Smoking cessation for the secondary prevention of coronary heart disease. Cochrane Database Syst Rev. 2012; Available from: http://dx.doi.org/10.1002/14651858.cd003041.pub3
  26. Al-Delaimy WK. Risk of coronary heart disease and chronic respiratory diseases among former smokers [Internet]. Advances in Smoking Cessation. Future Medicine Ltd; 2013. p. 6–22. Available from: http://dx.doi.org/10.2217/ebo.13.233
  27. Chow CK, Jolly S, Rao-Melacini P, Fox KAA, Anand SS, Yusuf S. Association of Diet, Exercise, and Smoking Modification With Risk of Early Cardiovascular Events After Acute Coronary Syndromes. Circulation. 2010;121(6):750–8. Available from: http://dx.doi.org/10.1161/circulationaha.109.891523
  28. Farahdika A, Azam M. Faktor Risiko Yang Berhubungan Dengan Penyakit Jantung Koroner Pada Usia Dewasa Madya (41-60 Tahun) (Studi Kasus Di ES Umum Daerah Kota Semarang). Unnes J Public Heal. 2015;4(2):117–23.

How to Cite

Nelwan, J. E., Sumampouw, O. J., Rumayar, A. A., Maramis, F., Pinontoan, O. R., Musa, E., Ticoalu, J., & Widjajanto, E. (2022). A structural model of Mapalus culture, health behavior and coronary artery disease incidence in the Minahasa ethnic community in North Sulawesi Province. Bali Medical Journal, 11(1), 148–154. https://doi.org/10.15562/bmj.v11i1.2814

HTML
0

Total
0

Share

Search Panel

Jeini Ester Nelwan
Google Scholar
Pubmed
BMJ Journal


Oksfriani Jufri Sumampouw
Google Scholar
Pubmed
BMJ Journal


Adisti Aldegonda Rumayar
Google Scholar
Pubmed
BMJ Journal


Franckie Maramis
Google Scholar
Pubmed
BMJ Journal


Odi Roni Pinontoan
Google Scholar
Pubmed
BMJ Journal


Ester Musa
Google Scholar
Pubmed
BMJ Journal


Jansje Ticoalu
Google Scholar
Pubmed
BMJ Journal


Edi Widjajanto
Google Scholar
Pubmed
BMJ Journal