High prevalence of lack of knowledge of symptoms of acute myocardial infarction inPakistan and its contribution to delayed presentationto the hospital

Khan, Muhammad; Jafary, Fahim H.; Faruqui, Azhar; Rasool, Syed Ishtiaq; Hatcher, Juanita; Chaturvedi, Nish; Jafar, Tazeen H.

doi:10.1186/1471-2458-7-284

Cited by 66 publications

(71 citation statements)

References 43 publications

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“…16 This trend suggests that poor CV health literacy is not only a national issue, however a global dilemma and accentuates the urgency for the widescale implementation of comprehensive educational programs. 20,28 These findings are also a decisive step in identifying specific knowledge gaps. Respondents' knowledge regarding CVD "risk factors" was superior when compared to other domains.…”

Section: Discussionmentioning

confidence: 91%

“…5 It is expected to increase to 23.6 million by 2030 (5) (28) which is a projected 35% increase over the next decade. 6 Approximately three-quarters of CVD deaths take place in low and middle-income countries and furthermore, 80% of CVDs are attributed to lifestyle decisions, for example unhealthy diet, physical inactivity and harmful use of alcohol and tobacco smoking.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiologic insight into Trinidad’s awareness and prevention of heart disease. The EPITAPH study - a trinidadian cardiovascular health literacy survey

Seecheran

Baldeo

Balbosa

et al. 2017

Int J Community Med Public Health

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Background: The aim of the study is to assess the degree of CV health literacy in the Trinidadian public health sector and to identify any factors associated with it. Methods: The descriptive, cross-sectional study was conducted at a single, public health care tertiary hospital, cardiology outpatient clinic located in northern-central Trinidad. Participants: A total of 420 persons were approached, of whom, 390 agreed to participate. Participants included all sexes and ethnicities. The study only excluded patients who declined participation and those younger than 18 years of age. Primary and secondary outcome measures: The primary endpoints were the mean score and percentage of correctly answered items, and percentages of modest and high levels of knowledge. Secondary endpoints were the proportion of participants with tertiary or above level education. Results: The study had a response rate of approximately 93%. The domain of “risk factors” had the most correct responses (69.4%), whereas “medical knowledge” reflected the least correct (57.7%) responses. The overall mean score was 19.7 out of the 30-question questionnaire. This translated to a 65.8% correct response rate. The percentage of participants who scored less than 70% and greater than 70% of the questions correctly were 56.2% and 43.8% respectively. The study participants were found to be more knowledgeable about CVD if they reported “tertiary education,” OR 2.572 (95% CI 1.508-4.387) (p = .001).Conclusions: Respondents displayed a modest level of knowledge and key deficiencies were identified which could potentially translate into suboptimal CV clinical outcomes. The study underscores the paramount importance of establishing comprehensive educational interventions to improve overall CVD literacy in Trinidad and Tobago. Further studies are required to confirm and validate these findings.

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Epidemiologic insight into Trinidad’s awareness and prevention of heart disease. The EPITAPH study - a trinidadian cardiovascular health literacy survey

Seecheran

Baldeo

Balbosa

et al. 2017

Int J Community Med Public Health

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“…However, achieving the desired health behaviour requires a deeper understanding of the underlying social context of disease 13 14. Hence, studies on knowledge, attitude and practice (KAP) increase our understanding of cardiovascular health literacy and community behaviour 15. Currently, such studies have been limited in South Asia.…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular health knowledge, attitude and practice/behaviour in an urbanising community of Nepal: a population-based cross-sectional study from Jhaukhel-Duwakot Health Demographic Surveillance Site

2013

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ObjectivesThis study determined the knowledge, attitude and practice/behaviour of cardiovascular health in residents of a semiurban community of Nepal.DesignTo increase the understanding of knowledge, attitude and practice/behaviour towards cardiovascular health, we conducted in-home interviews using a questionnaire based on the WHO STEPwise approach to surveillance and other resources, scoring all responses. We also recorded blood pressure and took anthropometric measurements.SettingOur study was conducted as part of the Heart-Health-Associated Research and Dissemination in the Community project in the Jhaukhel-Duwakot Health Demographic Surveillance Site in two urbanising villages near Kathmandu.ParticipantsThe study population included 777 respondents from six randomly selected clusters in both villages.ResultsSeventy per cent of all participants were women and 26.9% lacked formal education. The burden of cardiovascular risk factors was high; 20.1% were current smokers, 43.3% exhibited low physical activity and 21.6% were hypertensive. Participants showed only poor knowledge of heart disease causes; 29.7% identified hypertension and 11% identified overweight and physical activity as causes, whereas only 2.2% identified high blood sugar as causative. Around 60% of respondents did not know any heart attack symptoms compared with 20% who knew 2–4 symptoms. Median percentage scores for knowledge, attitude and practice/behaviour were 79.3, 74.3 and 48, respectively. Nearly 44% of respondents had insufficient knowledge and less than 20% had highly satisfactory knowledge. Among those with highly satisfactory knowledge, only 14.7% had a highly satisfactory attitude and 19.5% and 13.9% had satisfactory and highly satisfactory practices, respectively.ConclusionsOur study demonstrates a gap between cardiovascular health knowledge, attitude and practice/behaviour in a semiurban community in a low-income nation, even among those already affected by cardiovascular disease.

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“…Umur dapat mengubah bentuk dan fungsi dari vaskuler dimana asetilkolin pada endotelium pembuluh darah menurun karena ketuaan serta memicu gangguan aliran darah koroner (Rahmawati, 2010 Kurangnya pengetahuan terhadap penyakit salah satunya PJK akan memberikan dampak yang fatal pada seseorang karena PJK dapat datang secara tiba-tiba dan tanpa diketahui sebelumnya terutama pada saat umur 40 tahun. Menurut Khan et al (2007) sebanyak 74,6 % pasien PJK yang berumur lebih dari 40 tahun datang ke rumah sakit terlambat karena tidak tahu tentang gejala-gejala PJK yaitu nyeri dada yang menyerupai sakit pada lambung. Mengantisipasi hal tersebut cara yang tepat dan baik menurut Khan et al (2007) memberikan edukasi dan konseling baik dilakukan pada kelompok umur resiko PJK (> 40 tahun) sebagai upaya preventif dan promotif.…”

Section: Hasil Dan Pembahasan Karakteristik Responden Umurunclassified

“…Menurut Khan et al (2007) sebanyak 74,6 % pasien PJK yang berumur lebih dari 40 tahun datang ke rumah sakit terlambat karena tidak tahu tentang gejala-gejala PJK yaitu nyeri dada yang menyerupai sakit pada lambung. Mengantisipasi hal tersebut cara yang tepat dan baik menurut Khan et al (2007) memberikan edukasi dan konseling baik dilakukan pada kelompok umur resiko PJK (> 40 tahun) sebagai upaya preventif dan promotif. Preventif dan promotif yang dilakukan oleh seseorang menunjukkan mampu memberdayakan diri dan memiliki keyakinan untuk meningkatkan kesehatan.…”

Section: Hasil Dan Pembahasan Karakteristik Responden Umurunclassified

Pemberdayaan dan Efikasi Diri Pasien Penyakit Jantung Koroner melalui Edukasi Kesehatan Terstruktur

Wahyuni

Rezkiki

2015

JIT

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This study aims to determine the effectiveness of health education on patient empowerment and selfefficacy of Coronary Heart Disease (CHD). This study used a quasi-experimental design conducted in June -October 2014 (p = 0,001). Tidak ada perbedaan yang bermakna antara pemberdayaan dan efikasi diri sebelum dan sesudah diberikan edukasi pada kelompok kontrol (p = 0,157; p = 0,213). Ada perbedaan yang bermakna antara pemberdayaan dan efikasi diri pada kelompok kontrol dan intervensi (p = 0,001

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High prevalence of lack of knowledge of symptoms of acute myocardial infarction inPakistan and its contribution to delayed presentationto the hospital

Abstract: Background: We conducted an observational study to determine the delay in presentation to hospital, and its associates among patients experiencing first Acute Myocardial Infarction (AMI) in Karachi, Pakistan.

Cited by 66 publications

References 43 publications

Epidemiologic insight into Trinidad’s awareness and prevention of heart disease. The EPITAPH study - a trinidadian cardiovascular health literacy survey

Epidemiologic insight into Trinidad’s awareness and prevention of heart disease. The EPITAPH study - a trinidadian cardiovascular health literacy survey

Cardiovascular health knowledge, attitude and practice/behaviour in an urbanising community of Nepal: a population-based cross-sectional study from Jhaukhel-Duwakot Health Demographic Surveillance Site

Pemberdayaan dan Efikasi Diri Pasien Penyakit Jantung Koroner melalui Edukasi Kesehatan Terstruktur

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