Kim Hack Lyoung, Jung Mi Hyang, Choi Jae Hyuk, Lee Sunki, Kong Min Gyu, Na Jin Oh, Cho Yang Hyun, Cho Kyoung Im, Choi Dong Ju, Kim Eung Ju
Division of Cardiology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
Division of Cardiology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.
Korean Circ J. 2020 Jul;50(7):586-595. doi: 10.4070/kcj.2019.0401. Epub 2020 Mar 12.
Factors associated with low heart failure (HF) awareness have not been well-evaluated. This study was conducted to find out which demographic features would be associated with low HF awareness in the general population of Korea.
A telephone interview was conducted with 1,032 adults (58 years and 50.6% were male) across the country. Based on answer to 15 questions about HF, we scored from 0 to 15 points (mean, 7.53±2.75; median, 8; interquartile range, 6-9). A score of <8 was defined as low HF awareness, and a score of ≥8 was defined as high HF awareness.
A total of 478 subjects (46.3%) had low HF awareness. HF awareness scores were 5.18±1.85 and 9.55±1.50 in subjects of low and high HF awareness groups, respectively. Subjects with low HF awareness were older, more female-dominant, more diabetic, lower educational and house hold income levels, and more frequently living in rural areas, compared to those with high HF awareness (p<0.05 for each). In multivariable logistic regression analyses, older age (≥67 years: odds ratio [OR], 1.61; 95% confidence interval [CI], 1.16-2.19; p=0.004), female sex (OR, 1.33; 95% CI, 1.02-1.73; p=0.034) and low educational level (high school graduate or less vs. college graduate: OR, 2.38; 95% CI, 1.75-3.22; p<0.001) were significantly associated with low HF awareness even after controlling for potential confounders.
Older age, female sex, and lower level of education were independently associated with low HF awareness in the general Korean population. More attention and education are needed for these vulnerable groups to improve HF awareness.
与心力衰竭（HF）认知度低相关的因素尚未得到充分评估。本研究旨在找出韩国普通人群中哪些人口统计学特征与HF认知度低有关。
对全国1032名成年人（年龄58岁，50.6%为男性）进行电话访谈。根据对15个关于HF问题的回答，我们从0到15分进行评分（均值为7.53±2.75；中位数为8；四分位间距为6 - 9）。得分<8分被定义为HF认知度低，得分≥8分被定义为HF认知度高。
共有478名受试者（46.3%）HF认知度低。HF认知度低和高的两组受试者的得分分别为5.18±1.85和9.55±1.50。与HF认知度高的受试者相比，HF认知度低的受试者年龄更大、女性占比更高、糖尿病患者更多、教育程度和家庭收入水平更低，且更频繁地居住在农村地区（各比较p<0.05）。在多变量逻辑回归分析中，即使在控制了潜在混杂因素后，年龄较大（≥67岁：比值比[OR]为1.61；95%置信区间[CI]为1.16 - 2.19；p = 0.004）、女性（OR为1.33；95% CI为1.02 - 1.73；p = 0.034）和低教育水平（高中及以下学历与大学学历相比：OR为2.38；95% CI为1.75 - 3.22；p<0.001）与HF认知度低显著相关。
在韩国普通人群中，年龄较大、女性和较低的教育水平与HF认知度低独立相关。需要对这些弱势群体给予更多关注和教育，以提高HF认知度。
