Community-level knowledge, attitudes, and practices regarding cardiovascular diseases and modifiable risk factors in India.

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Indian heart journal Pub Date : 2024-11-14 DOI:10.1016/j.ihj.2024.11.002

Kavita Singh, Dimple Kondal, Deepa Mohan, Mareesha Gandral, Sheril Rajan, Viswanathan Mohan, Mohammed K Ali, Km Venkat Narayan, Mark D Huffman, Dorairaj Prabhakaran, Nikhil Tandon

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Abstract

Background: Assessment of knowledge, attitudes, and practices regarding cardiovascular diseases (CVD) and cardiovascular risk factors (CVRF) is critical to inform CVD prevention strategies, but limited community-level data exist from developing countries.

Objective: To assess the knowledge, attitudes, and practices regarding CVD and CVRF and acceptability of non-physician health workers and text-message based reminders to guide CVD prevention strategies in India.

Methods: We conducted a telephone-based survey nested in the on-going Centre for Cardiometabolic Risk Reduction in South Asia (CARRS) cohort in Delhi and Chennai, India between January 2021 to February 2021. We randomly selected people with CVRF, but no established CVD and those with existing CVD from the CARRS cohort (n = 502 participants) and assessed their 1) knowledge of CVD symptoms and risk factors, 2) attitude towards non-physician health workers (NPHW) facilitated care and text-messages for healthy lifestyle, and 3) practices regarding monitoring of CVRF. We performed logistic regression analyses to investigate the factors associated with KAP.

Results: We interviewed 502 participants (283 with CVRF and 219 with CVD); 45.8 % were female, and mean age (SD) was 48.1 (11.2) years. The knowledge of heart attack symptoms, stroke symptoms, and CVRF (>75 % correct answers) were: 12.9 %, 20.7 %, and 17.3 %, respectively. Individuals with CVRF had 2.5 times lower knowledge of CVD symptoms compared to those with existing CVD. Acceptability of NPHW-facilitated care and text-messages for healthy lifestyle was 60 % and 84 %, respectively.

Conclusion: The knowledge of CVD symptoms and risk factors is below optimal levels, particularly among individuals at high risk of CVD, unskilled workers, those with lower levels of education and income. Innovative use of NPHW along with mHealth tools could potentially offer solutions to reduce the burden of CVD.

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印度社区对心血管疾病和可改变风险因素的认识、态度和做法。

背景：评估有关心血管疾病（CVD）和心血管风险因素（CVRF）的知识、态度和实践对于制定心血管疾病预防策略至关重要，但发展中国家社区层面的数据有限：目的：在印度评估有关心血管疾病和心血管风险因素的知识、态度和实践，以及非医生卫生工作者和基于短信提醒的可接受性，以指导心血管疾病预防策略：2021 年 1 月至 2021 年 2 月期间，我们在印度德里和钦奈进行了一项电话调查，该调查嵌套于正在进行的南亚心脏代谢风险降低中心（CARRS）队列中。我们从 CARRS 队列中随机选取了有 CVRF 但未确诊心血管疾病的人群和已有心血管疾病的人群（502 人），并评估了他们的以下情况：1）对心血管疾病症状和风险因素的了解程度；2）对非医生卫生工作者（NPHW）提供的护理和健康生活方式短信的态度；3）监测 CVRF 的做法。我们对与 KAP 相关的因素进行了逻辑回归分析：我们采访了 502 名参与者（283 名 CVRF 患者和 219 名心血管疾病患者）；45.8% 为女性，平均年龄（标清）为 48.1 (11.2) 岁。参与者对心脏病发作症状、中风症状和心血管风险的知晓率（>75% 正确答案）分别为分别为 12.9%、20.7% 和 17.3%。与患有心血管疾病的人相比，患有心血管疾病的人对心血管疾病症状的了解程度要低 2.5 倍。对国家卫生计生委协助的护理和健康生活方式短信的接受度分别为60%和84%：结论：对心血管疾病症状和风险因素的了解低于最佳水平，尤其是在心血管疾病高危人群、非技术工人、教育水平和收入较低的人群中。创新性地使用国家保健福祉和移动医疗工具有可能为减轻心血管疾病负担提供解决方案。

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来源期刊

Indian heart journal CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.60

自引率

6.70%

发文量

审稿时长

52 days

期刊介绍： Indian Heart Journal (IHJ) is the official peer-reviewed open access journal of Cardiological Society of India and accepts articles for publication from across the globe. The journal aims to promote high quality research and serve as a platform for dissemination of scientific information in cardiology with particular focus on South Asia. The journal aims to publish cutting edge research in the field of clinical as well as non-clinical cardiology - including cardiovascular medicine and surgery. Some of the topics covered are Heart Failure, Coronary Artery Disease, Hypertension, Interventional Cardiology, Cardiac Surgery, Valvular Heart Disease, Pulmonary Hypertension and Infective Endocarditis. IHJ open access invites original research articles, research briefs, perspective, case reports, case vignette, cardiovascular images, cardiovascular graphics, research letters, correspondence, reader forum, and interesting photographs, for publication. IHJ open access also publishes theme-based special issues and abstracts of papers presented at the annual conference of the Cardiological Society of India.