Good general health and lack of family history influence the underestimation of cardiovascular risk: a cross-sectional study

Grauman, Åsa; Veldwijk, Jorien; James, Stefan; Hansson, Mats; Byberg, Liisa

doi:10.1093/eurjcn/zvab019

Cited by 10 publications

(6 citation statements)

References 30 publications

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“…66 The majority of our study participants had inaccurate risk-perception of CVD risk, mainly due to CVD risk underestimation, which is also consistent with several studies that reported poor risk-perceptions agreement between patients' perceived and their FRS 10-year CVD risk calculated with tendencies for optimism (risk underestimation). 5,52,54,[61][62][63][64][65][66][67][68][69][70][71][72][73] The finding of consistently low agreements between patients' subjectively perceived and objectively predicted CVD risk in the present and several previous studies' findings may signal the importance of appraising patients' CVD risk factors. The paramount importance of studies of risk perceptions is their ability to uncover individuals' risk appraisal of a disease threat or a health condition and the ability to self-evaluate and construe its potential health consequences.…”

Section: Discussionmentioning

confidence: 79%

Low Subjective Cardiovascular Disease Risk Perceptions among Hypertensive Patients in Addis Ababa, Ethiopia

Mengistu¹,

Goshu²,

Yalew³

et al. 2022

IBPC

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Background Accurate cardiovascular disease (CVD) risk appraisal is essential for hypertensive patients to identify correctly their risk status and take efficient behavioral measures timely to avoid major adverse outcomes. However, hypertensive patients’ risk perceptions of CVD events in Ethiopia are unknown. Thus, the study aimed to compare the subjective CVD risk perception level of patients with the nonlaboratory Framingham Risk Score (nl-FRS). Methods A cross-sectional design was used. The Attitudes and Beliefs about Cardiovascular Disease Risk Questionnaire and the nl-FRS were used to compare subjective versus objective measures of CVD risk. Agreement between participants’ risk perceptions and the nl-FRS were examined using the kappa statistic. Bivariate chi-square test and multinomial logistic regression analyses were run to identify factors associated with risk perceptions. The statistical significance was set at a p-value < 0.05 level. Results Participants (n=377) had a mean age of 53.61 ± 12.80-years, range (18–82 years), 51.2% were males, 42.7% had less than high school education, 45.1% achieved target BP control, and mean HTN duration was 8.01 ± 6.07 years. The majority (58.62%) of the participants had a low subjective risk perception of CVD events (mean 17.79, 95% CI: 17.43–18.15). Approximately three-fourths (72.4%) had a moderate nl-FRS risk calculation (mean, 13.84, 95% CI: 13.36–14.33). Agreement between participants perceived-risk and the nl-FRS was poor (kappa = 0.0002, standard error = 0.023, p =0.99). Participants’ CVD risk-perception inaccuracy was also high (76%) primarily due to underestimation. Hypertension duration, frequency of physician visits, and level of diabetes control were significant predictors of CVD risk underestimation. Conclusion Hypertensive patients had inaccurate and low subjective risk perceptions of CVD events compared to moderate objective risks identified using the nl-FRS. Planned education on HTN and CVD risk factors is essential to improve patients’ CVD risk perception to reduce adverse CVD events.

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Section: Discussionmentioning

confidence: 79%

Low Subjective Cardiovascular Disease Risk Perceptions among Hypertensive Patients in Addis Ababa, Ethiopia

Mengistu¹,

Goshu²,

Yalew³

et al. 2022

IBPC

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“…However, the statistical models were designed for health literacy, and therefore the results should be interpreted with caution. Furthermore, most participants in this study perceived their cardiovascular risk as low [32], which may explain why fewer participants than expected searched for information. Among the participants that searched for information to better understand their test results, individuals with sufficient health literacy were almost three times as likely to use the online national health information portal Healthcare Guide 1177.…”

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

“…This add-on study to SCAPIS was enabled by adding questions to the original SCAPIS web-based questionnaire, e.g., about risk perception, mental distress, and health literacy. Studies about risk perception and mental distress have been published previously [ 32 , 33 ]. Based on power calculations for the earlier studies, 615 participants was deemed a sufficient number.…”

Section: Methodsmentioning

confidence: 99%

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Health literacy and digital health information-seeking behavior – a cross-sectional study among highly educated Swedes

2022

Self Cite

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Background The benefits of digital development in health care may be obscured by unequal opportunities to make use of digital resources. The aim of this study was to investigate the association of health literacy with I) accessing health check test results in the Patient Electronic Health Record (PAEHR), II) searching for information to better understand individual test results, and III) using the national health information online portal provided by the Swedish national health care system. Methods This cross-sectional study included data from 434 individuals, 50–64 years old, randomly selected from the Swedish population during the year 2017 to a cohort study including health examination and a web-based survey. Health literacy was assessed at baseline using the Swedish Communicative and Critical Health Literacy scale. Digital information outcomes were assessed after three months. Adjusted odds ratios (ORs) and 95% confidence intervals (CI) for the separate outcomes were computed using logistic regression. Covariates included sex, age, education, country of birth, cardiovascular risk factors at baseline, general health, risk perception, referral, and new cardiovascular risk factors detected at health examination. Results About a third of the participants (35%) had limited health literacy, while 65% had sufficient health literacy. Sufficient health literacy was associated with accessing the PAEHR (adjusted OR 1.81 95% CI 1.07–3.06) and use of the online national health information portal provided by the Swedish national health care system (adjusted OR 2.91 95% CI 1.13–7.52) but not with searching information to better understand individual test results (adjusted OR 1.29 0.75–2.20). Conclusions Individuals with limited health literacy do not access their personal health information nor search for health information on the online national health information portal provided by the Swedish national health care system to the same extent as individuals with sufficient health literacy. More research is needed about how the level of health literacy relates to differences in online health information-seeking behavior and how digital health information sources and e-health services can be designed to ensure that the entire population has equal access to trustworthy and quality-ensured health information.

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“…Robinson and colleagues (2018) indicate significant discrepancy in African American women when it comes to the association between CVD risk factors and risk estimation [14]. Others indicate there is a difference in perception of symptoms for myocardial infarction; [15] recognizing a heart attack; [16] and how family members perceive risk during an out-ofhospital cardiac arrest and general health [17][18]. Education about how to decrease cardiac risk factors is often the priority for staying heart healthy [1][2][3][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Cross Validation of the Post Event-Cardiovascular Risk Perception Survey Instrument among Cardiac Rehabilitation Patients

Prue-Owens,

Smith,

Sinclair

et al. 2024

JCNRC

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Background: By 2035, nearly half of U.S. adults will have some form of heart disease. COVID-19 altered the delivery of care for cardiac rehabilitation patients who experienced a cardiac event.Objective: To cross-validate the Post Event-Cardiovascular Risk Perception Survey (PE-CRPS).Methods: A cross-sectional and descriptive study was conducted to validate CVD risk perception survey. Explorative factor analysis (EFA) was utilized to explore the factors, validate the scale, and measure variance in the data.Results: Of the 261 individuals, majority were males (71%, mean age: 65.77 years), Caucasian-Non-Hispanic origin (94%) with co morbidities (hypertension, hyper-lipidemia and diabetes). EFA identified 16 latent (eigenvalues >1) with 45 observed variables to measure CVD risk perception. Factors explained 68% of the variance. Bartlett’s test of sphericity was significant (p=.001), indicating variances not significant and the factors correlated.Conclusions: PE-CRPS was valid and can be used to assess cardiac risk perceptions among cardiac rehabilitation individuals.

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Good general health and lack of family history influence the underestimation of cardiovascular risk: a cross-sectional study

Cited by 10 publications

References 30 publications

Low Subjective Cardiovascular Disease Risk Perceptions among Hypertensive Patients in Addis Ababa, Ethiopia

Low Subjective Cardiovascular Disease Risk Perceptions among Hypertensive Patients in Addis Ababa, Ethiopia

Health literacy and digital health information-seeking behavior – a cross-sectional study among highly educated Swedes

Cross Validation of the Post Event-Cardiovascular Risk Perception Survey Instrument among Cardiac Rehabilitation Patients

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