Hoare Erin, Stavreski Bill, Kingwell Bronwyn A, Jennings Garry L
Metabolic and Vascular Physiology, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
National Heart Foundation of Australia, Melbourne, Victoria, Australia.
Prev Med Rep. 2017 Oct 17;8:204-209. doi: 10.1016/j.pmedr.2017.10.007. eCollection 2017 Dec.
This research aimed to determine Australian adults' perceptions of risk factors for heart disease, self-reported behaviours relating to modifiable risk factors, and knowledge of leading causes of death. This study reports on survey data collected between January 2015 and December 2015 in a sample of Australian adults. The setting of the research was Australian communities, with all states and territories represented in the final sample. Participants were Australian adults aged 30-59 years (n = 8425), and were representative of the wider Australian population based on key demographic and health characteristics. Half of the sample overall correctly identified as the biggest underlying cause of death of males, and 26% for women. For risk factors for heart disease, respondents most frequently reported; (58.2%, 95%CI 57.0-59.1), (49.0%, 95%CI 47.9-50.1) and (38.7%, 95%CI 37.7-39.8). A low proportion (< 10%) recognised underlying clinical risk factors for heart disease including (6.3%, 95%CI 5.8-6.8) and (9.8%, 95%CI 9.2-10.5). This study revealed broad misconceptions with regard to the leading cause of death and risk factors for heart disease among Australian men and women. Overall the lack of understanding in all groups suggests the need for a comprehensive national campaign reaching schools and the broad adult population. The health system alone cannot achieve national and international targets for disease prevention without understanding and engagement in the general community.
本研究旨在确定澳大利亚成年人对心脏病风险因素的认知、与可改变风险因素相关的自我报告行为,以及对主要死因的了解。本研究报告了2015年1月至2015年12月期间在澳大利亚成年人样本中收集的调查数据。研究背景为澳大利亚社区,最终样本涵盖了所有州和地区。参与者为年龄在30至59岁之间的澳大利亚成年人(n = 8425),基于关键人口统计学和健康特征,他们代表了更广泛的澳大利亚人口。总体样本中有一半正确地将其确定为男性最大的潜在死因,女性为26%。对于心脏病的风险因素,受访者最常报告的是;(58.2%,95%置信区间57.0 - 59.1),(49.0%,95%置信区间47.9 - 50.1)和(38.7%,95%置信区间37.7 - 39.8)。认识到心脏病潜在临床风险因素的比例较低(<10%),包括(6.3%,95%置信区间5.8 - 6.8)和(9.8%,95%置信区间9.2 - 10.5)。这项研究揭示了澳大利亚男性和女性在主要死因和心脏病风险因素方面存在广泛的误解。总体而言,所有群体缺乏了解表明需要开展一项覆盖学校和广大成年人口的全面全国性运动。如果没有普通社区的理解和参与,仅靠卫生系统无法实现国家和国际疾病预防目标。