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.