Patterns among factors associated with myocardial infarction: chi-squared automatic interaction detection tree and binary logit model

Abstract Background Although mortality from myocardial infarction (MI) has declined worldwide due to advancements in emergency medical care and evidence-based pharmacological treatments, MI remains a significant contributor to global cardiovascular morbidity. This study aims to examine the risk fact...

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Main Authors: Esra Bayrakçeken, Süheyla Yarali, Uğur Ercan, Ömer Alkan
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21536-7
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author Esra Bayrakçeken
Süheyla Yarali
Uğur Ercan
Ömer Alkan
author_facet Esra Bayrakçeken
Süheyla Yarali
Uğur Ercan
Ömer Alkan
author_sort Esra Bayrakçeken
collection DOAJ
description Abstract Background Although mortality from myocardial infarction (MI) has declined worldwide due to advancements in emergency medical care and evidence-based pharmacological treatments, MI remains a significant contributor to global cardiovascular morbidity. This study aims to examine the risk factors associated with individuals who have experienced an MI in Türkiye. Methods Microdata obtained from the Türkiye Health Survey conducted by Turkish Statistical Institute in 2019 were used in this study. Binary logistic regression, Chi-Square, and CHAID analyses were conducted to identify the risk factors affecting MI. Results The analysis identified several factors associated with an increased likelihood of MI, including hyperlipidemia, hypertension, diabetes, chronic disease status, male gender, older age, single marital status, lower education level, and unemployment. Marginal effects revealed that elevated hyperlipidemia levels increased the probability of MI by 4.6%, while the presence of hypertension, diabetes, or depression further heightened this risk. Additionally, individuals with chronic diseases lasting longer than six months were found to have a higher risk of MI. In contrast, factors such as being female, having higher education, being married, being employed, engaging in moderate physical activity, and moderate alcohol consumption were associated with a reduced risk of MI. Conclusion To prevent MI, emphasis should be placed on enhancing general education and health literacy. There should be a focus on increasing preventive public health education and practices to improve variables related to healthy lifestyle behaviours, such as diabetes, hypertension, and hyperlipidemia.
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institution Kabale University
issn 1471-2458
language English
publishDate 2025-01-01
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series BMC Public Health
spelling doaj-art-99b8f809df6b410193fdc02b8ef5394c2025-01-26T12:55:59ZengBMCBMC Public Health1471-24582025-01-0125111410.1186/s12889-025-21536-7Patterns among factors associated with myocardial infarction: chi-squared automatic interaction detection tree and binary logit modelEsra Bayrakçeken0Süheyla Yarali1Uğur Ercan2Ömer Alkan3Department of Medical Services and Techniques, Vocational School of Health Services, Ataturk UniversityDepartment of Public Health Nursing, Faculty of Nursing, Ataturk UniversityDepartment of Informatics, Akdeniz UniversityDepartment of Econometrics, Faculty of Economics and Administrative Sciences, Ataturk UniversityAbstract Background Although mortality from myocardial infarction (MI) has declined worldwide due to advancements in emergency medical care and evidence-based pharmacological treatments, MI remains a significant contributor to global cardiovascular morbidity. This study aims to examine the risk factors associated with individuals who have experienced an MI in Türkiye. Methods Microdata obtained from the Türkiye Health Survey conducted by Turkish Statistical Institute in 2019 were used in this study. Binary logistic regression, Chi-Square, and CHAID analyses were conducted to identify the risk factors affecting MI. Results The analysis identified several factors associated with an increased likelihood of MI, including hyperlipidemia, hypertension, diabetes, chronic disease status, male gender, older age, single marital status, lower education level, and unemployment. Marginal effects revealed that elevated hyperlipidemia levels increased the probability of MI by 4.6%, while the presence of hypertension, diabetes, or depression further heightened this risk. Additionally, individuals with chronic diseases lasting longer than six months were found to have a higher risk of MI. In contrast, factors such as being female, having higher education, being married, being employed, engaging in moderate physical activity, and moderate alcohol consumption were associated with a reduced risk of MI. Conclusion To prevent MI, emphasis should be placed on enhancing general education and health literacy. There should be a focus on increasing preventive public health education and practices to improve variables related to healthy lifestyle behaviours, such as diabetes, hypertension, and hyperlipidemia.https://doi.org/10.1186/s12889-025-21536-7Myocardial infarctionCardiovascularCHAIDBinary logistic regression Türkiye
spellingShingle Esra Bayrakçeken
Süheyla Yarali
Uğur Ercan
Ömer Alkan
Patterns among factors associated with myocardial infarction: chi-squared automatic interaction detection tree and binary logit model
BMC Public Health
Myocardial infarction
Cardiovascular
CHAID
Binary logistic regression Türkiye
title Patterns among factors associated with myocardial infarction: chi-squared automatic interaction detection tree and binary logit model
title_full Patterns among factors associated with myocardial infarction: chi-squared automatic interaction detection tree and binary logit model
title_fullStr Patterns among factors associated with myocardial infarction: chi-squared automatic interaction detection tree and binary logit model
title_full_unstemmed Patterns among factors associated with myocardial infarction: chi-squared automatic interaction detection tree and binary logit model
title_short Patterns among factors associated with myocardial infarction: chi-squared automatic interaction detection tree and binary logit model
title_sort patterns among factors associated with myocardial infarction chi squared automatic interaction detection tree and binary logit model
topic Myocardial infarction
Cardiovascular
CHAID
Binary logistic regression Türkiye
url https://doi.org/10.1186/s12889-025-21536-7
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AT suheylayarali patternsamongfactorsassociatedwithmyocardialinfarctionchisquaredautomaticinteractiondetectiontreeandbinarylogitmodel
AT ugurercan patternsamongfactorsassociatedwithmyocardialinfarctionchisquaredautomaticinteractiondetectiontreeandbinarylogitmodel
AT omeralkan patternsamongfactorsassociatedwithmyocardialinfarctionchisquaredautomaticinteractiondetectiontreeandbinarylogitmodel