TITLE

Cardiovascular health knowledge and behavior in patient attendants at four tertiary care hospitals in Pakistan -- a cause for concern

AUTHOR(S)
Jafary, Fahim H.; Aslam, Fawad; Mahmud, Hussain; Waheed, Abdul; Shakir, Murtaza; Afzal, Atif; Qayyum, Mohammad A.; Akram, Javed; Khan, Iqbal S.; Haque, Irshad U.
PUB. DATE
January 2005
SOURCE
BMC Public Health;2005, Vol. 5, p124
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Knowledge about coronary heart disease (CHD) and its risk factors is an important pre-requisite for an individual to implement behavioral changes leading towards CHD prevention. There is scant data on the status of knowledge about CHD in the general population of Pakistan. The objective of this study was to assess knowledge of CHD in a broad Pakistani population and identify the factors associated with knowledge. Methods: Cross sectional study was carried out at four tertiary care hospitals in Pakistan using convenience sampling. Standard questionnaire was used to interview 792 patient attendants (persons accompanying patients). Knowledge was computed as a continuous variable based on correct answers to fifteen questions. Multivariable linear regression was conducted to determine the factors independently associated with knowledge. Results: The mean age was 38.1 (±13) years. 27.1% had received no formal education. The median knowledge score was 3.0 out of a possible maximum of 15. Only 14% were able to correctly describe CHD as a condition involving limitation in blood flow to the heart. Majority of respondents could identify only up to two risk factors for CHD. Most commonly identified risk factors were stress (43.4%), dietary fat (39.1%), smoking (31.9%) and lack of exercise (17.4%). About 20% were not able to identify even a single risk factor for CHD. Factors significantly associated with knowledge included age (p = 0.023), income (p < 0.001), education level (p < 0.001), residence (p < 0.001), a family history of CHD (p < 0.001) and a past history of diabetes (p = 0.004). Preventive practices were significantly lacking; 35%, 65.3% and 84.6% had never undergone assessment of blood pressure, glucose or cholesterol respectively. Only a minority felt that they would modify their diet, stop smoking or start exercising if a family member was to develop CHD. Conclusion: This is the first study assessing the state of CHD knowledge in a relatively diverse non-patient population in Pakistan. There are striking gaps in knowledge about CHD, its risk factors and symptoms. These translate to inadequate preventive behavior patterns. Educational programs are urgently required to improve the level of understanding of CHD in the Pakistani population.
ACCESSION #
29361884

 

Related Articles

  • The contribution of major depression to the global burden of ischemic heart disease: a comparative risk assessment. Charlson, Fiona J.; Moran, Andrew E.; Freedman, Greg; Norman, Rosana E.; Stapelberg, Nicolas J. C.; Baxter, Amanda J.; Theo Vos; Whiteford, Harvey A. // BMC Medicine;2013, Vol. 11 Issue 1, p1 

    Background: Cardiovascular disease and mental health both hold enormous public health importance, both ranking highly in results of the recent Global Burden of Disease Study 2010 (GBD 2010). For the first time, the GBD 2010 has systematically and quantitatively assessed major depression as an...

  • Predictive markers for one-year outcome in patients with Stemi trated with primary Percutaneous Coronary Intervention (PCI). Krstic, Nebojsa; Pavlovic, Milan; Koracevic, Goran; Stojkovic, Aleksandar; Pavlovic, Svetlana // HealthMed;2012, Vol. 6 Issue 7, p916 

    Objective: The objective of this study was to investigate prognostic significance of markers of necrosis and inflammation, echocardiographic parameters and risk factors for coronary heart disease, for one-year outcome (death, recurrent MI, repeated percutaneous coronary intervention-PCI,...

  • Interleukin-17 Could Promote Breast Cancer Progression at Several Stages of the Disease. Welte, Thomas; Zhang, Xiang H.-F. // Mediators of Inflammation;12/13/2015, p1 

    Metastatic disease accounts for more than 90% of deaths from breast cancer. Yet the factors that trigger metastasis, often years after primary tumor removal, are not understood well. Recently the proinflammatory cytokine interleukin- (IL-) 17 family has been associated with poor prognosis in...

  • Nutrition and Physical Activity Educational Intervention on CHD Risk Factors: A Systematic Review Study. Rahmati-Najarkolaei, Fatemeh; Ghaffarpasand, Eiman; Gholami Fesharaki, Mohammad; Jonaidi-Jafari, Nematollah // Archives of Iranian Medicine (AIM);Jan2015, Vol. 18 Issue 1, p51 

    Introduction: Fast-growing epidemic of chronic diseases causes many health challenges over the world. Regarding reported pros and cons, the aim of the current study is to review the effect of nutrition and physical educational intervention in decreasing cardiovascular risk factors. Methods &...

  • Long-Term Interleukin-6 Levels and Subsequent Risk of Coronary Heart Disease: Two New Prospective Studies and a Systematic Review. Mann, Andrea G.; Sarwar, Nadeem; Wood, Angela; Angleman, Sara B.; Wensley, Frances; Higgins, Julian P. T.; Lennon, Lucy; Eiriksdottir, Gudny; Rumley, Ann; Whincup, Peter H.; Lowe, Gordon D. O.; Gudnason, Vilmundur // PLoS Medicine;Apr2008, Vol. 5 Issue 4, pe78 

    John Danesh and colleagues show that long-term IL-6 levels are associated with coronary heart disease risk, thus highlighting the potential relevance of IL-6mediated pathways to coronary heart disease.

  • Risk factors for diabetes and coronary heart disease. Wild, Sarah H.; Bryne, Chrisotpher D // BMJ: British Medical Journal (International Edition);11/11/2006, Vol. 333 Issue 7576, p1009 

    The article discusses the results of research which looked at the relationship between obesity and the development of diabetes and coronary heart disease. Obesity was found to be a risk factor for both diseases. A discussion of treatment options which are available for obese people with health...

  • SHORT CUTS. Tonks, Alison // BMJ: British Medical Journal (International Edition);10/20/2007, Vol. 335 Issue 7624, p796 

    This article presents summaries of medical research published in other medical journals. A study in Canada showed that stress on the job doubled the risk of recurrent heart disease. A study in the U.S. shows that children get poor outpatient care, finding that they got less than half the care...

  • Coronary heart disease and stroke risk in patients with psoriasis: retrospective analysis.  // Advances in Psoriasis & Inflammatory Skin Diseases;2010, Vol. 2 Issue 1, p30 

    The article presents a study which investigates the stroke and coronary heart disease (CHD) risk among patients with psoriasis. The retrospective study shows that patients with moderate-to-severe psoriasis have increased risk of these diseases when compared with the general population. It...

  • Cardiac rehabilitation: fit to face the future? Clark, Alexander M.; Redfern, Julie; Briffa, Tom // Heart;Mar2014, Vol. 100 Issue 5, p355 

    The author reflects on the significance of cardiac rehabilitation for the people with coronary heart disease (CHD) to reduce premature death in people with CHD. Topics discussed include importance of relationship between patients and clinicians, need for proper health care services, healthy...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics