Key result
Higher CVD knowledge linked to ~6% lower odds of high cardiovascular risk per point.
Why the study?
Cardiovascular disease prevention relies on identifying at-risk individuals and ensuring adequate knowledge of modifiable risk factors, motivating an assessment of 10-year cardiovascular risk, its predictors, and its relationship with CVD knowledge among adults in Egyptian primary care.
Cross-Sectional (n=345)
Among Egyptian primary care adults, higher cardiovascular disease knowledge is significantly associated with lower 10-year estimated cardiovascular risk, highlighting the potential value of targeted health education in primary prevention.
Background: Cardiovascular disease (CVD) prevention depends on identifying individuals at increased risk and ensuring adequate knowledge of modifiable risk factors. This study assessed 10-year cardiovascular risk, its predictors, and its relationship with CVD knowledge among adults attending primary health care in 10th of Ramadan City, Egypt. Methods: A facility based cross sectional study included 345 adults. Ten-year cardiovascular risk was estimated using the American College of Cardiology/American Heart Association Pooled Cohort Equations, while CVD knowledge was assessed using the 25-item Heart Disease Fact Questionnaire. Sociodemographic, clinical, lifestyle and laboratory data were collected. Knowledge was compared across risk categories. Results: Mean 10-year cardiovascular risk was 9.5 ± 10.6%, with 12.8% classified as high risk. Mean knowledge score was 72.7 ± 19.4%, and 57.1% had good knowledge. Knowledge differed significantly across risk categories (p < 0.001); median score decreased from 88.0 in the low-risk group to 62.0 in the high-risk group, while good knowledge declined from 68.5% to 29.5%. Awareness was highest for hypertension (93.6%), weight control in diabetes (93.3%) and smoking (90.4%), but lowest for cholesterol control in diabetes (22.3%) and prolonged hyperglycaemia raising cholesterol (25.2%). Each 1-point increase in knowledge score was associated with 5.7% lower odds of high cardiovascular risk (AOR = 0.943, 95% CI 0.913–0.973, p < 0.001). Conclusion: Higher cardiovascular risk was associated with lower CVD knowledge. Male sex and diabetes were the strongest predictors of high risk, whereas higher knowledge and marriage were inversely associated. Targeted, literacy-sensitive education may strengthen cardiovascular prevention in primary care
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Elsaid et al. (2026) conducted a cross-sectional in Cardiovascular disease risk (n=345). Cardiovascular disease knowledge score (per 1-point increase) vs. Lower CVD knowledge score / across cardiovascular risk categories was evaluated on High 10-year cardiovascular risk (AOR 0.943, 95% CI 0.913-0.973, p=<0.001). Each 1-point increase in CVD knowledge score was associated with lower odds of high 10-year cardiovascular risk (AOR 0.943; 95% CI 0.913-0.973; p<0.001).
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