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

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• 作者：Fahim H Jafary (1)
  Fawad Aslam (1)
  Hussain Mahmud (1)
  Abdul Waheed (1)
  Murtaza Shakir (1)
  Atif Afzal (1)
  Mohammad A Qayyum (2)
  Javed Akram (3)
  Iqbal S Khan (4)
  Irshad U Haque (2)
  
• 刊名：BMC Public Health
• 出版年：2005
• 出版时间：December 2005
• 年：2005
• 卷：5
• 期：1
• 全文大小：511KB
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  13. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/5/124/prepub
  
• 作者单位：Fahim H Jafary (1)
  Fawad Aslam (1)
  Hussain Mahmud (1)
  Abdul Waheed (1)
  Murtaza Shakir (1)
  Atif Afzal (1)
  Mohammad A Qayyum (2)
  Javed Akram (3)
  Iqbal S Khan (4)
  Irshad U Haque (2)
  
  1. Department of Medicine, Section of Cardiology, Aga Khan University Hospital, Karachi, Pakistan
  2. Allied General Hospital, Faisalabad, Pakistan
  3. Mayo Hospital, Lahore, Pakistan
  4. Pakistan Institute of Medical Sciences, Islamabad, Pakistan
  
• ISSN：1471-2458

文摘

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.