Mixed-methods approach identifies barriers to CRFA in NCDs and periodontal disease, suggesting policy improvements.
Introduction: Periodontal disease (PD) shares risk factors with NCDs. CRFA can enable integrated prevention but faces implementation barriers. methods: KAP survey among 440 medical/dental practitioners and interviews; hospital-based cross-sectional analytical study with 600 participants categorized into NCD+PD, NCD only, PD only. Results: High awareness but limited CRFA implementation due to time/resources and lack of integrated systems. Shared predictors: age >50, education, obesity, HbA1c ≥6.5%, triglycerides >150 mg/dL. Poor oral hygiene predicted PD; family history and dyslipidaemia predicted NCDs. Conclusions: CRFA integration into NCD programs is recommended, with interdisciplinary training, infrastructure investment, and policy support to improve population health.
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Lakshmi et al. (2026) studied this question.
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