Assessing Community Awareness of Ischemic Heart Disease Risk Factors in Nangarhar: A Comprehensive Study

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Qudratullah Rahimee
Khalil Ahmad Behsoodwal
Muhammad Asif Azemi

Abstract

Background: Ischemic heart disease (IHD) is the impairment of the heart due to reduced blood flow to the heart. Usually, the reduced flow is the result of coronary artery disease, a condition in which the coronary artery is narrowed. The risk factors for IHD are classified into modifiable risk factors (age, sex, ethnicity, family history) and non-modifiable risk factors (hypertension, hyperlipidemia, diabetes mellitus, obesity, smoking, poor diet, sedentary lifestyle). The study aimed to evaluate the awareness of adults about IHD-related risk factors and to recognize demographic variables correlated with this knowledge level.
Materials and Methods: This descriptive cross-sectional study was conducted among a convenience sample of 114 adults taking part in a health awareness fair held in a shopping mall in Nangarhar, in January 2023. A modified version of the IHD Facts questionnaire was used to estimate awareness of IHD risk factors. The number of correct responses for each item, which ranged from 0 to 21, has been integrated up in order to calculate the score. A mean score of less than 70% indicated insufficient awareness. To determine correlated demographic variables and demonstrate the participants' knowledge level, descriptive and multivariate logistic regression analyses were carried out.
Findings: The study had a response rate of 87.7%, with 114 subjects participating in total. Of the participants, 69 individuals (60.5%) showed a mean IHD awareness score that was insufficient. It was found that there was a significant correlation between body mass index (odds ratio = 0.739; p = 0.023), marital status (OR = 0.057; p = 0.036), and education level (OR = 9.243; p = 0.006) and awareness of IHD risk factors.
Conclusion: The Nangarhar study population showed a low level of awareness regarding IHD risk factors. It appears that the participants' inability to engage in prevention is a result of their limited awareness. These results underline how important it is for Nangarhar to carry out educational initiatives to raise public awareness of IHD risk factors and prevention.

Keywords

Awareness, Ischemic Heart Disease, Risk factors, Nangarhar

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How to Cite
Rahimee, Q., Behsoodwal, K. A., & Azemi, M. A. (2023). Assessing Community Awareness of Ischemic Heart Disease Risk Factors in Nangarhar: A Comprehensive Study. Nangarhar University International Journal of Biosciences, 2(03), 144–152. https://doi.org/10.70436/nuijb.v2i03.83

References

  1. Abdullah, A., & Husten, C. (2004). Promotion of smoking cessation in developing countries: a framework for urgent public health interventions. Thorax, 59(7), 623-630.
  2. Al Riyami, A., Elaty, A., Attia, M., & Morsi, M. (2012). Oman World health survey: Part 1 methodology, sociodemographic profile and epidemiology of non-communicable diseases in Oman. Oman medical journal, 100(330), 1-19.
  3. Andersson, P., Sjöberg, R. L., Öhrvik, J., & Leppert, J. (2006). Knowledge about cardiovascular risk factors among obese individuals. European Journal of Cardiovascular Nursing, 5(4), 275-279.
  4. Artac, M., Dalton, A. R., Majeed, A., Car, J., & Millett, C. (2013). Effectiveness of a national cardiovascular disease risk assessment program (NHS Health Check): results after one year. Preventive medicine, 57(2), 129-134.
  5. Awad, A., & Al-Nafisi, H. (2014). Public knowledge of cardiovascular disease and its risk factors in Kuwait: a cross-sectional survey. BMC public health, 14(1), 1-11.
  6. Badran, M., & Laher, I. (2011). Obesity in Arabic-speaking countries. Journal of obesity, 2011.
  7. Bennet, L., Agardh, C.-D., & Lindblad, U. (2013). Cardiovascular disease in relation to diabetes status in immigrants from the Middle East compared to native Swedes: a cross-sectional study. BMC public health, 13(1), 1-8.
  8. Claassen, L., Henneman, L., Van der Weijden, T., Marteau, T., & Timmermans, D. (2012). Being at risk for cardiovascular disease: perceptions and preventive behavior in people with and without a known genetic predisposition. Psychology, health & medicine, 17(5), 511-521.
  9. Cornelia, R. (2012). Body mass index: Knowledge, practice and health evaluation. International Journal of Collaborative Research on Internal Medicine and Public Health, 4, 1276-1284.
  10. Dalusung-Angosta, A. (2013). CHD knowledge and risk factors among Filipino-Americans connected to primary care services. Journal of the American Association of Nurse Practitioners, 25(9), 503-512.
  11. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012) The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts). Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). (2012). European journal of preventive cardiology, 19(4), 585-667.
  12. Forman, D., & Bulwer, B. E. (2006). Cardiovascular disease: optimal approaches to risk factor modification of diet and lifestyle. Current treatment options in cardiovascular medicine, 8(1), 47-57.
  13. Fernandez, R. S., Salamonson, Y., Griffiths, R., Juergens, C., & Davidson, P. (2008). Awareness of risk factors for coronary heart disease following interventional cardiology procedures: A key concern for nursing practice. International journal of nursing practice, 14(6), 435-442.
  14. Ford, E. S., Li, C., Zhao, G., & Tsai, J. (2011). Trends in obesity and abdominal obesity among adults in the United States from 1999–2008. International journal of obesity, 35(5), 736-743.
  15. Green, J. S., Grant, M., Hill, K. L., Brizzolara, J., & Belmont, B. (2003). Heart disease risk perception in college men and women. Journal of American College Health, 51(5), 207-211.
  16. Haidinger, T., Zweimüller, M., Stütz, L., Demir, D., Kaider, A., & Strametz-Juranek, J. (2012). Effect of gender on awareness of cardiovascular risk factors, preventive action taken, and barriers to cardiovascular health in a group of Austrian subjects. Gender Medicine, 9(2), 94-102.
  17. Jensen, L. A., & Moser, D. K. (2008). Gender differences in knowledge, attitudes, and beliefs about heart disease. Nursing Clinics of North America, 43(1), 77-104.
  18. Kandula, N. R., Patel, Y., Dave, S., Seguil, P., Kumar, S., Baker, D. W., . . . Siddique, J. (2013). The South Asian Heart Lifestyle Intervention (SAHELI) study to improve cardiovascular risk factors in a community setting: Design and methods. Contemporary clinical trials, 36(2), 479-487.
  19. Karthik, S., Tahir, N., Thakur, B., & Nair, U. (2006). Risk factor awareness and secondary prevention of coronary artery disease: are we doing enough? Interactive cardiovascular and thoracic surgery, 5(3), 268-271.
  20. Mooney, L. A., & Franks, A. M. (2009). Evaluation of community health screening participants' knowledge of cardiovascular risk factors. Journal of the American Pharmacists Association, 49(4), 529-537.
  21. Mosca, L., Ferris, A., Fabunmi, R., & Robertson, R. M. (2004). Tracking women’s awareness of heart disease: an American Heart Association national study. Circulation, 109(5), 573-579.
  22. Mosca, L., Hammond, G., Mochari-Greenberger, H., Towfighi, A., & Albert, M. A. (2013). Fifteen-year trends in awareness of heart disease in women: results of a 2012 American Heart Association national survey. Circulation, 127(11), 1254-1263.
  23. Mukattash, T. L., Shara, M., Jarab, A. S., Al-Azzam, S. I., Almaaytah, A., & Al Hamarneh, Y. N. (2012). Public knowledge and awareness of cardiovascular disease and its risk factors: a cross-sectional study of 1000 Jordanians. International Journal of Pharmacy Practice, 20(6), 367-376.
  24. Pereira, M., Lunet, N., Azevedo, A., & Barros, H. (2009). Differences in prevalence, awareness, treatment and control of hypertension between developing and developed countries. Journal of hypertension, 27(5), 963-975.
  25. Eastren Meditaran Region. (2016). Framework for health information systems and core indicators for monitoring health situation and health system performance. Geneva (Switzerland): World Health Organization.
  26. Reiner, Ž., Sonicki, Z., & Tedeschi-Reiner, E. (2010). Public perceptions of cardiovascular risk factors in Croatia: the PERCRO survey. Preventive medicine, 51(6), 494-496.
  27. Saeed, O., Gupta, V., Dhawan, N., Streja, L., Shin, J. S., Ku, M., . . . Verma, S. (2009). Knowledge of modifiable risk factors of Coronary Atherosclerotic Heart Disease (CASHD) among a sample in India. BMC International health and human rights, 9(1), 1-6.
  28. Seef, S., Jeppsson, A., & Stafström, M. (2013). What is killing? People’s knowledge about coronary heart disease, attitude towards prevention and main risk reduction barriers in Ismailia, Egypt (Descriptive crosssectional study). Pan African Medical Journal, 15(1).
  29. van Bekkum, J. E., & Hilton, S. (2013). Primary care nurses’ experiences of how the mass media influence frontline healthcare in the UK. BMC family practice, 14, 1-9.
  30. Wagner, J., Lacey, K., Abbott, G., De Groot, M., & Chyun, D. (2006). Knowledge of heart disease risk in a multicultural community sample of people with diabetes. Annals of Behavioral Medicine, 31, 224-230.
  31. Wagner, J., Lacey, K., Chyun, D., & Abbott, G. (2005). Development of a questionnaire to measure heart disease risk knowledge in people with diabetes: the Heart Disease Fact Questionnaire. Patient education and counseling, 58(1), 82-87.
  32. World Health Organization,WHO (2009). Cardiovascular diseases (cvds). http://www. who. int/mediacentre/factsheets/fs317/en/index. html.
  33. World Health Organization (2015). Global status report on road safety 2015: World Health Organization.
  34. Yusuf, S., Hawken, S., Ôunpuu, S., Dans, T., Avezum, A., Lanas, F., . . . Varigos, J. (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. The Lancet, 364(9438), 937-952.