Please use this identifier to cite or link to this item: https://doi.org/10.1186/1471-2261-6-18
Title: Knowledge of modifiable risk factors of heart disease among patients with acute myocardial infarction in Karachi, Pakistan: A cross sectional study
Authors: Khan, M.S
Jafary, F.H
Jafar, T.H 
Faruqui, A.M
Rasool, S.I
Hatcher, J
Chaturvedi, N
Keywords: creatine kinase
troponin T
acute heart infarction
adult
aged
article
cardiovascular risk
confidence interval
diabetes mellitus
electrocardiogram
ethnology
exercise
female
food intake
health education
heart disease
human
interview
lipid diet
major clinical study
male
multivariate logistic regression analysis
nuclear family
obesity
Pakistan
population research
prediction
priority journal
protein blood level
risk factor
smoking
socioeconomics
tertiary health care
thorax pain
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Heart Diseases
Humans
Male
Middle Aged
Myocardial Infarction
Pakistan
Questionnaires
Risk Factors
Issue Date: 2006
Citation: Khan, M.S, Jafary, F.H, Jafar, T.H, Faruqui, A.M, Rasool, S.I, Hatcher, J, Chaturvedi, N (2006). Knowledge of modifiable risk factors of heart disease among patients with acute myocardial infarction in Karachi, Pakistan: A cross sectional study. BMC Cardiovascular Disorders 6 : 18. ScholarBank@NUS Repository. https://doi.org/10.1186/1471-2261-6-18
Rights: Attribution 4.0 International
Abstract: Background: Knowledge is an important pre-requisite for implementing both primary as well as secondary preventive strategies for cardiovascular disease (CVD). There are no estimates of the level of knowledge of risk factor of heart disease in patients with CVD. We estimated the level of knowledge of modifiable risk factors and determined the factors associated with good level of knowledge among patients presenting with their first acute myocardial infarction (AMI) in a tertiary care hospital in Karachi, Pakistan. Methods: A hospital based cross-sectional study was conducted at the National Institute of Cardiovascular Disease, a major tertiary care hospital in Karachi Pakistan. Patients admitted with their first AMI were eligible to participate. Standard questionnaire was used to interview 720 subjects. Knowledge of four modifiable risk factors of heart disease: fatty food consumption, smoking, obesity and exercise were assessed. The participants knowing three out of four risk factors were regarded as having a good level of knowledge. A multiple logistic regression model was constructed to identify the determinants of good level of knowledge. Results: The mean age (SD) was 54 (11.66) years. A mere 42% of our study population had a good level of knowledge. In multiple logistic regression analysis, independent predictors of "good" level of knowledge were (odds ratio [95% confidence interval]) more than ten years of schooling were 2.5 [1.30, 4.80] (verses no schooling at all) and nuclear family system (verses extended family system) 2.54 [1.65, 3.89]. In addition, Sindhi ethnicity OR [3.03], higher level of exercise OR [2.76] and non user of tobacco OR [2.53] were also predictors of good level of knowledge. Conclusion: Our findings highlight the lack of good level of knowledge of modifiable risk factors for heart disease among subjects admitted with AMI in Pakistan. There is urgent need for aggressive and targeted educational strategies in the Pakistani population. © 2006 Khan et al; licensee BioMed Central Ltd.
Source Title: BMC Cardiovascular Disorders
URI: https://scholarbank.nus.edu.sg/handle/10635/178019
ISSN: 14712261
DOI: 10.1186/1471-2261-6-18
Rights: Attribution 4.0 International
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