Lifestyle risk indicators and health promotion priorities among adults with heart failure in Hargeisa Somaliland: a hospital based cross sectional study
- 1School of Public Health, School of Postgraduate Studies and Research, Amoud University
- 2School of Public Health and Nutrition, College of Health Sciences, Amoud University
- 3Faculty of Education, Amoud University
Abstract
Background: Evidence on lifestyle-related health-promotion needs among people receiving heart- failure care in Somaliland is scarce. This study estimated the prevalence of self-reported cigarette smoking, lack of regular physical activity, and self-rated dietary patterns among adults with heart failure attending a specialist cardiac center in Hargeisa.
Methods: A hospital-based cross-sectional survey was conducted in March 2026 among 200 adults with a clinical diagnosis of heart failure who were recruited at Indo Gargaar Metro Cardiac Center. A structured, interviewer-administered questionnaire assessed self-reported cigarette smoking, regular physical activity, and self-rated diet. Categorical data were summarized using frequencies, percentages, and 95% Wilson confidence intervals (CIs). The analysis was descriptive because all participants had heart failure and no comparison group or longitudinal outcome was available.
Results: Of the 200 participants, 149 (74.5%) were men, 98 (49.0%) were aged 60 years or older, and 148 (74.0%) lived in urban areas. Self-reported cigarette smoking was reported by 90 participants (45.0%; 95% CI: 38.3–51.9), while 117 reported no regular physical activity (58.5%; 95% CI: 51.6–65.1). Nine participants (4.5%) rated their diet as healthy, 147 (73.5%) as moderate, and 44 (22.0%) as unhealthy. Overall, 191 (95.5%; 95% CI: 91.7–97.7) did not rate their diet as healthy.
Conclusion: Self-reported cigarette smoking, reported inactivity, and perceived suboptimal diet were common in this clinic-based sample. Heart-failure services should incorporate standardized lifestyle screening, individualized education, and culturally appropriate smoking-cessation, activity, and nutrition support. These findings describe patients receiving specialist care and should not be interpreted as population prevalence or as evidence that the measured behaviors caused heart failure.
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BibTeX
@article{osman2026lifestyle,
title = {{Lifestyle risk indicators and health promotion priorities among adults with heart failure in Hargeisa Somaliland: a hospital based cross sectional study}},
author = {Abdirahman Ali Osman and Vitalis Okath and Abdikarim Mousse Duale and Ahmed Mousse Ahmed},
journal = {Frontiers in Public Health},
year = {2026},
month = nov,
doi = {10.3389/fpubh.2026.2001046},
url = {https://www.frontiersin.org/articles/10.3389/fpubh.2026.2001046/full},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Lifestyle risk indicators and health promotion priorities among adults with heart failure in Hargeisa Somaliland: a hospital based cross sectional study
AU - Abdirahman Ali Osman
AU - Vitalis Okath
AU - Abdikarim Mousse Duale
AU - Ahmed Mousse Ahmed
PY - 2026
DA - 2026/11/04
JO - Frontiers in Public Health
DO - 10.3389/fpubh.2026.2001046
UR - https://www.frontiersin.org/articles/10.3389/fpubh.2026.2001046/full
AB - Background: Evidence on lifestyle-related health-promotion needs among people receiving heart- failure care in Somaliland is scarce. This study estimated the prevalence of self-reported cigarette smoking, lack of regular physical activity, and self-rated dietary patterns among adults with heart failure attending a specialist cardiac center in Hargeisa. Methods: A hospital-based cross-sectional survey was conducted in March 2026 among 200 adults with a clinical diagnosis of heart failure who were recruited at Indo Gargaar Metro Cardiac Center. A structured, interviewer-administered questionnaire assessed self-reported cigarette smoking, regular physical activity, and self-rated diet. Categorical data were summarized using frequencies, percentages, and 95% Wilson confidence intervals (CIs). The analysis was descriptive because all participants had heart failure and no comparison group or longitudinal outcome was available. Results: Of the 200 participants, 149 (74.5%) were men, 98 (49.0%) were aged 60 years or older, and 148 (74.0%) lived in urban areas. Self-reported cigarette smoking was reported by 90 participants (45.0%; 95% CI: 38.3–51.9), while 117 reported no regular physical activity (58.5%; 95% CI: 51.6–65.1). Nine participants (4.5%) rated their diet as healthy, 147 (73.5%) as moderate, and 44 (22.0%) as unhealthy. Overall, 191 (95.5%; 95% CI: 91.7–97.7) did not rate their diet as healthy. Conclusion: Self-reported cigarette smoking, reported inactivity, and perceived suboptimal diet were common in this clinic-based sample. Heart-failure services should incorporate standardized lifestyle screening, individualized education, and culturally appropriate smoking-cessation, activity, and nutrition support. These findings describe patients receiving specialist care and should not be interpreted as population prevalence or as evidence that the measured behaviors caused heart failure.
SN - 2296-2565
ER -