Singh Kavita, Kondal Dimple, Mohan Deepa, Gandral Mareesha, Rajan Sheril, Mohan Viswanathan, Ali Mohammed K, Narayan Km Venkat, Huffman Mark D, Prabhakaran Dorairaj, Tandon Nikhil
Public Health Foundation of India, New Delhi, India; Heidelberg Institute of Global Health, Heidelberg University, Germany; Centre for Chronic Disease Control, New Delhi, India.
Centre for Chronic Disease Control, New Delhi, India.
Indian Heart J. 2024 Nov-Dec;76(6):376-384. doi: 10.1016/j.ihj.2024.11.002. Epub 2024 Nov 14.
Assessment of knowledge, attitudes, and practices regarding cardiovascular diseases (CVD) and cardiovascular risk factors (CVRF) is critical to inform CVD prevention strategies, but limited community-level data exist from developing countries.
To assess the knowledge, attitudes, and practices regarding CVD and CVRF and acceptability of non-physician health workers and text-message based reminders to guide CVD prevention strategies in India.
We conducted a telephone-based survey nested in the on-going Centre for Cardiometabolic Risk Reduction in South Asia (CARRS) cohort in Delhi and Chennai, India between January 2021 to February 2021. We randomly selected people with CVRF, but no established CVD and those with existing CVD from the CARRS cohort (n = 502 participants) and assessed their 1) knowledge of CVD symptoms and risk factors, 2) attitude towards non-physician health workers (NPHW) facilitated care and text-messages for healthy lifestyle, and 3) practices regarding monitoring of CVRF. We performed logistic regression analyses to investigate the factors associated with KAP.
We interviewed 502 participants (283 with CVRF and 219 with CVD); 45.8 % were female, and mean age (SD) was 48.1 (11.2) years. The knowledge of heart attack symptoms, stroke symptoms, and CVRF (>75 % correct answers) were: 12.9 %, 20.7 %, and 17.3 %, respectively. Individuals with CVRF had 2.5 times lower knowledge of CVD symptoms compared to those with existing CVD. Acceptability of NPHW-facilitated care and text-messages for healthy lifestyle was 60 % and 84 %, respectively.
The knowledge of CVD symptoms and risk factors is below optimal levels, particularly among individuals at high risk of CVD, unskilled workers, those with lower levels of education and income. Innovative use of NPHW along with mHealth tools could potentially offer solutions to reduce the burden of CVD.
评估关于心血管疾病（CVD）和心血管危险因素（CVRF）的知识、态度和行为对于为心血管疾病预防策略提供信息至关重要，但发展中国家社区层面的数据有限。
评估印度关于心血管疾病和心血管危险因素的知识、态度和行为，以及非医师卫生工作者和基于短信的提醒对指导心血管疾病预防策略的可接受性。
2021年1月至2021年2月期间，我们在印度德里和金奈正在进行的南亚心血管代谢风险降低中心（CARRS）队列中开展了一项基于电话的调查。我们从CARRS队列中随机选择有心血管危险因素但无确诊心血管疾病的人和现有心血管疾病患者（n = 502名参与者），并评估他们：1）对心血管疾病症状和危险因素的了解；2）对非医师卫生工作者（NPHW）促进的护理以及关于健康生活方式短信的态度；3）关于监测心血管危险因素的行为。我们进行了逻辑回归分析以调查与知识、态度和行为相关的因素。
我们采访了502名参与者（283名有心血管危险因素，219名有心血管疾病）；45.8%为女性，平均年龄（标准差）为48.1（11.2）岁。对心脏病发作症状、中风症状和心血管危险因素的知晓率（正确答案>75%）分别为12.9%、20.7%和17.3%。与现有心血管疾病患者相比，有心血管危险因素的个体对心血管疾病症状的知晓率低2.5倍。非医师卫生工作者促进的护理和关于健康生活方式短信的可接受性分别为60%和84%。
关于心血管疾病症状和危险因素的知识低于最佳水平，特别是在心血管疾病高风险个体、非技术工人、教育和收入水平较低的人群中。创新性地利用非医师卫生工作者以及移动健康工具可能为减轻心血管疾病负担提供解决方案。
