Document Type



Doctor of Philosophy (PhD)


Public Health

First Advisor's Name

Elena Bastida

First Advisor's Committee Title


Second Advisor's Name

Dionne Stephens

Second Advisor's Committee Title

committee member

Third Advisor's Name

Gladys E. Ibanéz

Third Advisor's Committee Title

committee member

Fourth Advisor's Name

H. Virginia McCoy

Fourth Advisor's Committee Title

committee member


International Public Health, Medicine and Health Sciences

Date of Defense



Background: Cardiovascular diseases (CVDs) are the largest cause of premature mortality globally. Annually, about 18 million people die from all CVDs, and about 7.6 million, from coronary heart disease (CHD) [2, 3]. About three quarters of CHD-related mortality occurs in low- and-middle income countries (LMIC) with India having the greatest number of deaths worldwide. Risk for CHD in India is thought to be highest among residents of Indian slums since studies have found a high prevalence of CHD risk factors like hypertension and tobacco use among slum dwellers but no studies to date have assessed the prevalence of CHD in this population. Methods: A cross-sectional survey was carried out between October 2017 and May 2018 among a nonprobability sample of 607 slum-dwelling women, 40 to 64 years of age, residing in government-designated slums in Mysore, India. The study measured knowledge about cardiovascular risk factors, and collected data on socio-demographics, tobacco use, alcohol consumption, diet, physical activity, sleep, quality of life, and personal and family history of diagnosed cardiometabolic diseases. Results: Cardiovascular disease risk facto r knowledge was low in this population. A prevalence of CHD of 6.4% was found among participants. Nulliparous women were at heightened riskf or CHD comparedt o parous women with up to five live births.In this sample of slum dwelling women, snoring was associated with obesity and cardio-metabolic disorders. Conclusion:There is a need for interventions focused on lowering CHD in this population.





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