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心血管疾病风险预防:尼日利亚农村社区基线知识、态度及实践的初步调查

Cardiovascular disease risk prevention: preliminary survey of baseline knowledge, attitude and practices of a nigerian rural community.

作者信息

Oguoma Victor Maduabuchi, Nwose Ezekiel Uba, Bwititi Philip Taderera

机构信息

School of Psychological and Clinical Sciences, Charles Darwin University, Northern Territory, Australia.

School of Psychological and Clinical Sciences, Charles Darwin University, Northern Territory, Australia ; Department of Public and Community Health, Novena University, Ogume, Nigeria ; School of Community Health, Charles Sturt University, New South Wales, Australia.

出版信息

N Am J Med Sci. 2014 Sep;6(9):466-71. doi: 10.4103/1947-2714.141644.

Abstract

BACKGROUND

Knowledge and attitude are significant factors impinging on whether individuals seek healthcare service. This flows on to impact public health knowledge of prevalence of diseases, and in turn, the practice of preventive medicine. As part of the international research collaboration agenda for Prediabetes and Cardiovascular Complications Study, a preliminary survey of one of the Ndokwa communities of Nigeria has been carried out.

AIM

This study was to understand the baseline knowledge, attitudes and practices of a rural community in regards to cardiovascular diseases, and behavior toward risk management.

MATERIALS AND METHODS

Seventy-four volunteer participants were recruited, after public lectures, through secondary school and churches in the community. The survey was done using questionnaire. The knowledge component comprised questions about educational and personal health opinion. The attitude and practice components comprised questions about exercises and visiting healthcare facilities. Occupational backgrounds were also asked.

RESULTS

It is observed that majority of the community dwellers have (1) completed at least secondary education, (2) never attended a health check-up; and (3) do not engage in physical activity in the context of exercise. Twenty of the participants indicated not being in good health, of which only 35% have attended medical check-up for their ailment. Many of those who are yet to seek healthcare service cite affordability as their reason. With specific regards to diabetes and cardiovascular risk, over 71% of the survey participants are yet to do any blood sugar and/or lipid profile tests.

CONCLUSION

This preliminary survey indicates that although the majority of respondents have secondary education and therefore are relatively literate, there is a gap between their knowledge of ill-health versus attitude and practice toward prevention; especially cardiovascular and diabetes diseases.

摘要

背景

知识和态度是影响个人是否寻求医疗服务的重要因素。这进而会影响公众对疾病流行情况的健康知识,反过来也会影响预防医学的实践。作为糖尿病前期与心血管并发症研究国际合作研究议程的一部分,对尼日利亚恩多夸的一个社区进行了初步调查。

目的

本研究旨在了解一个农村社区在心血管疾病方面的基线知识、态度和实践,以及风险管理行为。

材料与方法

在社区的中学和教堂进行公开讲座后,招募了74名志愿者参与者。通过问卷调查进行此项调查。知识部分包括有关教育和个人健康观点的问题。态度和实践部分包括有关锻炼和就诊医疗设施的问题。还询问了职业背景。

结果

观察到大多数社区居民(1)至少完成了中等教育,(2)从未进行过健康检查,(3)在锻炼方面不进行体育活动。20名参与者表示身体不好,其中只有35%因疾病进行过体检。许多尚未寻求医疗服务的人将费用作为他们的理由。具体到糖尿病和心血管疾病风险方面,超过71%的调查参与者尚未进行任何血糖和/或血脂检测。

结论

这项初步调查表明,尽管大多数受访者接受过中等教育,因此相对识字,但他们在健康不佳的知识与预防态度及实践之间存在差距;尤其是在心血管疾病和糖尿病方面。

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