Key result
CV risk factors without established CVD linked to ~157% higher odds of poor heart attack knowledge.
Why the study?
Assessment of knowledge, attitudes, and practices regarding cardiovascular diseases and risk factors is critical to inform prevention strategies, but limited community-level data exist from developing countries including India.
Cross-Sectional (n=502)
Yes
Answers are grounded in this paper and cite their sources.
Knowledge of cardiovascular symptoms and risk factors remains low in India, highlighting the potential need for non-physician health workers and mHealth interventions to improve secondary and primary prevention.
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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Singh et al. (2024) conducted a cross-sectional in Cardiovascular diseases and cardiovascular risk factors (n=502). Cardiovascular risk factors (without established CVD) vs. Established cardiovascular disease was evaluated on Low knowledge of heart attack symptoms (≤75% correct responses) (OR 2.57, 95% CI 1.43-4.62). Individuals with cardiovascular risk factors without established disease had 2.57 times higher odds of having low knowledge of heart attack symptoms compared to those with established cardiovascular disease.
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