Knowledge, attitudes, and beliefs about acute coronary syndrome in patients diagnosed with ACS: an Irish cross-sectional study

O’Brien, Frances; O’Donnell, Sharon; McKee, Gábrielle; Mooney, Mary; Moser, Debra K.

doi:10.1177/1474515112446544

Cited by 34 publications

(67 citation statements)

References 38 publications

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“…(23, 24) The findings are also similar to reports of lower knowledge of stroke symptoms among racial/ethnic minorities. (9, 11) In contrast to merely 53% who knew to call 911 if experiencing symptoms of a heart attack in the previous work (2), in this study 89% answered correctly, and there was no difference by FRS or MS.…”

Section: Discussionsupporting

confidence: 83%

Women at Risk for Cardiovascular Disease Lack Knowledge of Heart Attack Symptoms

Flink

Sciacca

Bier

et al. 2013

Clinical Cardiology

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SUMMARY Background It is not known whether cardiovascular disease (CVD) risk level is related to knowledge of the leading cause of death of women, or heart attack symptoms. Hypothesis Women with higher CVD risk estimated by Framingham Risk Score (FRS) or Metabolic Syndrome (MS) have lower CVD knowledge. Methods Women visiting primary care clinics completed a standardized behavioral risk questionnaire. Blood pressure, weight, height, waist size, fasting glucose and lipid profile were assessed. Women were queried regarding CVD knowledge. Results Participants (n=823) were Hispanic women (46%), Non-Hispanic White (37%), Non-Hispanic Black (8%). FRS was determined in 278: low (63%), moderate (29%), and high (8%); 24% had ≥3 components of MS. The leading cause of death was answered correctly by 54%, heart attack symptoms by 67%. Knowledge was lowest among racial/ethnic minorities and those with less education (both p<0.001). Increasing FRS was inversely associated with knowing the leading cause of death (low 72%, moderate 68%, high 45%, p=0.045). After multivariable adjustment, moderate/high FRS was inversely associated with knowing symptoms (moderate OR 0.52, 95% CI 0.28–0.98, high OR 0.29, 95% CI 0.11–0.81), but not the leading cause of death. MS was inversely associated with knowing the leading cause of death (p<0.001) or heart attack symptoms (p=0.018), but not after multivariable adjustment. Conclusions Women with higher FRS were less likely to know heart attack symptoms. Efforts to target those at higher CVD risk must persist or the most vulnerable may suffer disproportionately, not only because of risk factors, but also inadequate knowledge.

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Section: Discussionsupporting

confidence: 83%

Women at Risk for Cardiovascular Disease Lack Knowledge of Heart Attack Symptoms

Flink

Sciacca

Bier

et al. 2013

Clinical Cardiology

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“…Other studies found that ACS knowledge was independently correlated with confidence in accessing care when experiencing ACS symptoms, response to the symptoms, and self-perceived risk for ACS (Dracup et al, 2008;O'Brien, O'Donnell, McKee, Mooney, & Moser, 2013). Individuals who are knowledgeable about ACS are more likely to accurately perceive their risk status, and an awareness of personal risk may shorten delay time in seeking care for ACS symptoms (Dracup et al, 2008).…”

mentioning

confidence: 96%

Knowledge, Self-efficacy, and Self-perceived Risk for Cardiovascular Disease among Asians Living With HIV: The Influence of HIV Stigma and Acculturation

Kamitani

Fukuoka

Dawson–Rose

2015

Journal of the Association of Nurses in AIDS Care

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Cardiovascular disease (CVD) and acute coronary syndrome (ACS) have become major health concerns for people living with HIV (PLWH) as life expectancy has increased with antiretroviral therapy. Studies suggest that motivation to seek health care is associated with knowledge, self-efficacy to engage in the health care system, and self-perceived risks for CVD and ACS. Using cross-sectional data collected from 67 un-/under-insured Asian PLWH in California, we explored the levels of knowledge about CVD, self-efficacy for recognizing ACS symptoms and seeking health care, and self-perceived risk for CVD and ACS, and how HIV stigmatization and acculturation predict these three constructs. Our sample had limited knowledge and low self-perceived risk but had high self-efficacy. Stigmatization was negatively correlated with self-efficacy (p = .004) and acculturation was a positive predictor of knowledge (p = .013). Economically vulnerable Asian PLWH need culturally appropriate interventions to improve their knowledge and self-perceived risks for CVD and ACS.

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“…[9][10][11]31 Factors influencing delay have been grouped into three domains; i) socio-demographic and clinical factors; ii) cognitive and emotional factors; and iii) social factors. [17][18][19][20][21][22][23][24][25][26][27][28][29][30] These factors include recognition of signs and symptoms, gender, ethnicity, education levels, income, and emotional and social factors. Ethnicity, often categorized or described by country of birth, 32,33 is one of the significant nonmodifiable risk factors for cardiovascular disease.…”

Section: Introduction Backgroundmentioning

confidence: 99%

The association between ethnicity and delay in seeking medical care for chest pain

Wechkunanukul¹,

Grantham²,

Damarell³

et al. 2016

JBI Database of Systematic Reviews and Implementation Reports

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Knowledge, attitudes, and beliefs about acute coronary syndrome in patients diagnosed with ACS: an Irish cross-sectional study

Cited by 34 publications

References 38 publications

Women at Risk for Cardiovascular Disease Lack Knowledge of Heart Attack Symptoms

Women at Risk for Cardiovascular Disease Lack Knowledge of Heart Attack Symptoms

Knowledge, Self-efficacy, and Self-perceived Risk for Cardiovascular Disease among Asians Living With HIV: The Influence of HIV Stigma and Acculturation

The association between ethnicity and delay in seeking medical care for chest pain

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