Assessment of Knowledge and Attitude Regarding Risk Factors of Cardiovascular Disease among General People Residing in Nepalgunj, Banke, Nepal

Ramesh Prasad Tharu^1, and Shirya Rawal²

¹Department of Statistics, Mahendra Multiple Campus, Tribhuvan University, Kathamandu, Nepalgunj, Banke; Nepal

²Department of Nursing, Bheri Nursing College, Nepalgunj, Banke; Affiliated to Purbanchal University, Nepal

Cite this paper

Ramesh Prasad Tharu and Shirya Rawal. Assessment of Knowledge and Attitude Regarding Risk Factors of Cardiovascular Disease among General People Residing in Nepalgunj, Banke, Nepal. American Journal of Public Health Research. 2021; 9(4):130-141. doi: 10.12691/AJPHR-9-4-2

Abstract

Background: Cardiovascular disease (CVD) is a group of disorders of heart and blood vessels. It is the leading cause of death globally. With the growing epidemic of Cardiovascular disease (CVD) in Nepal, population knowledge and attitude regarding CVD is important for any such interventions. Therefore, this study aimed to assess the level of knowledge and attitude regarding risk factors of cardiovascular disease among general people residing in Nepalgunj, Banke; Nepal. Methods: A community-based cross-sectional study was conducted and 150 respondents were selected using non-probability convenience sampling technique. The descriptive analysis was performed using frequencies, percentage, mean ± SD. Multinomial logistic regression (MNLR) model was used to identify the statistically significant factors associated with knowledge and attitude. Results: Of total 150 subjects, mean age was 35.73±10.83 years, ranging from 20 to 60 years. Overall, 35(23.3%), 61(40.7%) and 54 (36.0%) of the respondents respectively had good, average and poor knowledge. Likewise, 77(51.3%) respondents had unfavourable, 54 (36.0%) neutral and 19 (12.7%) favourable attitude towards risk factors of CVD. MNLR analysis revealed that education and profession were significant predictor variables in association with the level of CVD knowledge: illiterates were 80.5% less likely (AOR = 0.195, 95% CI: 0.074 – 0514, P = 0.001 < 0.05) to have average knowledge and 67% less likely (AOR = 0.330, 95% CI: 0.117–0.929, P = 0.036 < 0.05) to have good knowledge about risk factors of CVD compared with literates relative to poor knowledge; participants having government jobs were 10.389 times more likely (AOR = 10.389, 95% CI: 2.015–53.560, P = 0.005 < 0.05) to have average knowledge and 12.673 times more likely (AOR = 12.673, 95% CI: 1.475–108.884, P = 0.021 < 0.05) to have good knowledge compared to those participants involving agriculture as reference to poor knowledge. Gender and education were significant predictor variables in association with the level of CVD attitude category; males were 69.9% less likely (AOR = 0.301, 95% CI: 0.140–0.648, P = 0.002 < 0.05) to have unfavourable attitude in comparison to female over neutral attitude and illiterates were 4.158 times more likely (AOR = 4.158, 95% CI: 1.707–10.128, P = 0.002< 0.05) to have unfavourable attitude more than literates relative to neutral attitude. Conclusion: The findings of the study conclude that, even though the knowledge was adequate, the attitude was unfavourable towards risk factors of CVD among general people. Thus, health education needs to be provided about risk factors of CVD in order to increase knowledge among illiterate groups as well as participants involving in agriculture, and to improve attitude among male participants and groups involving in agriculture as well. For this, health working sectors under government body should make planning, and implement of promoting and intervening majors against all risk factors of CVD to reduce its future burden in general people of Nepal from the organizations of various health awareness campaigns.

Keywords

knowledge, attitude, risk factors, cardiovascular disease (CVD), general people

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	WHO. Cardiovascular diseases (CVDs). 17 May 2017 [Internet]. Available from URL:https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds).
[2]	Coronary Heart Disease in Nepal –World Life Expectancy; Health Profile, Nepal. Available from: https://www.worldlifeexpectancy.com/country-health-profile/nepal.
[3]	World Health Organization: Cardiovascular diseases (CVDs): Fact sheet No. 317. http://www.who.int/mediacentre/factsheets/fs317/en/.
[4]	Benjamin EJ, Muntner P, Bittencourt MS. Heart disease and stroke statistics-2019 update: a report from the American Heart Association. Circulation. 2019; 139(10): e56-28.
[5]	Ueshima H, Sekikawa A, Miura K, Turin TC, Takashima N, Kita Y, et al. Cardiovascular disease and risk factors in Asia: a selected review. Circulation.2008; 118(25):2702-2709.
[6]	Reddy KKR, Rao AP, Reddy TPK. Socioeconomic status and the prevalence of coronary heart disease risk factors. Asia Pacific Journal of Clinical Nutrition. 2002; 11(2): 98-103.
[7]	Limbu Y R , Maskey A, K.C. Man Bahadur, Malla R, Sharma D, Shrestha N K. A study on cardiovascular disease pattern of admitted cases in newly emerged national heart centre. J Nepal Med Assoc. 2001:41: 284-8.
[8]	Shankar PR, Partha P, Shenoy N, Chandrasekhar TS, Dubey AK. Knowledge about heart attack and hypertension among individuals attending a cardiac camp in Pokhara city. K U Med J; 5(2): 273-278.
[9]	WHO. Global Atlas on Cardiovascular Diseases Prevention Control. Geneva: WHO; 2011.
[10]	Pyakurel P, Karki P, Lamsal M, Ghimire A, Pokharel PK. Cardiovascular risk factors among industrial workers: a cross-sectional study from eastern Nepal. J Occup Med Toxicol. 2016; 11: 25.
[11]	Department of Health Services, Ministry of Health and Population, Government of Nepal. Annual Report [Internet].2074/75(2017/18): 217. Available from: https://dohs.gov.np/wp-content/uploads/2019/07/DoHS-Annual-Report-FY-2074-75-date-22-Ashad-2076-for-web-.1pdf.
[12]	Anderson KM, Odell PM, Wilson PW, Kannel WB. Cardiovascular disease risk profiles. American heart journal. 1991 Jan 1; 121(1): 293-8.
[13]	World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization; 2009.
[14]	Glassman AH, Helzer JE, Covey LS, Cottler LB, Stetner F, Tipp JE, Johnson J. Smoking, smoking cessation, and major depression. Jama.1990 Sep 26; 264(12):1546-9.
[15]	World Health Organization. Global Health Risks: Mortality and Burden of Disease Attributable to Selected Major Risks. World Health Organization; 2009.
[16]	Mendis S, Puska P, Norrving B: Global Atlas on Cardiovascular Disease Prevention and Control. Geneva, Switzerland: World Health Organization; 2011.
[17]	World Health Organization, Nepal Health Research Council: Non Communicable Diseases Risk Factor, STEPS Survey 2013 Nepal, Fact Sheet; 2013.
[18]	Alwan A. Global Status Report on Non-communicable Diseases 2010. Geneva, Switzerland: World Health Organization; 2011.
[19]	Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. The lancet. 2005 Jan 15; 365(9455): 217-23.
[20]	Marks JB, Raskin P. Cardiovascular risk in diabetes: a brief review. Journal of Diabetes and its Complications. 2000 Mar 1; 14(2): 108-15.
[21]	Aryal KK, Mehata S, Neupane S, Vaidya A, Dhimal M, Dhakal P, Rana S, Bhusal CL, Lohani GR, Paulin FH, et al. The burden and determinants of non-communicable diseases risk factors in Nepal: findings from a Nationwide STEPS survey. PLoS One. 2015; 10(8):e0134834.
[22]	Khanal MK, Dhungana RR, Bhandari P, Gurung Y, Paudel KN. Prevalence, associated factors, awareness, treatment, and control of hypertension: Findings from a cross sectional study conducted as a part of a community based intervention trial in Surkhet, Mid-western region of Nepal. PLoS One. 2017:12(10): e0185806.
[23]	Vaidya A. Tackling cardiovascular health and disease in Nepal: epidemiology, strategies and implementation. Heart Asia 2011; 3(1): 87-91.
[24]	Robinson JP, Shaver PR, Wrightsman LS. Criteria for Scale Selection and Evaluation. In: Measures of Personality and Social Psychological Attitudes. 1991.
[25]	Awad A, Al-Nafisi H. Public knowledge of cardiovascular disease and its risk factors in Kuwait: a cross-sectional survey. BMC Public Health. 2014 Nov4; 14: 1131.
[26]	Muhamad R, Yahya R, Yusoff HM. Knowledge, attitude and practice on cardiovascular disease among women in North-Eastcoast Malaysia. . International Journal of Collaborative Research on Internal Medicine & Public Health. 2012 Jan; 4(1): 85-98.
[27]	Yahya R, Muhamad R, Yusoff HM. Association between Knowledge, Attitude and Practice on Cardiovascular Disease among Women in Kelantan, Malaysia. International Journal of Collaborative Research on Internal Medicine & Public Health. Vol. 4 No. 8 (2012).
[28]	Andsoy, I.I., Taştan, S., Iyigun, E., & Kopp, L.R. Knowledge and Attitudes towards cardiovascular Disease in a Population of North Western Turkey: A Cross- Sectional Survey. International Journal of Caring Sciences 2015 : 8 (1):115.
[29]	Muthukrishnan G, Kingston C, Ravikumar A. A cross sectional study of knowledge, attitude and practice on cardiovascular disease and its risk factors among anganwadi workers of Cuddalore district. Int. J Community Med Public Health 2018; 5: 2406-10.
[30]	Dayal B and Singh N. Association between knowledge, attitude and practice on cardiovascular disease among early adults of Lucknow city. Al Ameen J Med Sci 2018; 11(1):59-65.
[31]	S. Ejaz et al. Knowledge, Attitude and Practice Regarding Modifiable Risk Factors of Cardiovascular Diseases among Adults in Rural Community, Lahore. Int. J. Soc. Sc. Manage. 2018;5(3): 76-82.
[32]	Vaidya A, Aryal UR, Krettek A. Cardiovascular health knowledge, attitude and practice/behaviour in an urbanising community of Nepal: a population-based cross-sectional study from Jhaukhel-Duwakot Health Demographic Surveillance Site. BMJ open. 2013 Oct 2; 3(10): e002976.
[33]	Mohammad NB, Rahman NA, Haque M. Knowledge, attitude, and practice regarding the risk of cardiovascular diseases in patients attending outpatient clinic in Kuantan, Malaysia.J Pharm Bioall Sci 2018;10: 7-14.
[34]	Ibrahim MM, Rahman NAA, Rahman NIA, Haque M. Knowledge, Attitude and Practice of Malaysian Public University Students on Risk Factors for Cardiovascular Diseases. J App Pharm Sci, 2016; 6 (02): 056-063.
[35]	Temu, T. M., Kirui, N., Wanjalla, C., Ndungu, A. M., Kamano, J. H., Inui, T. S., & Bloomfield, G. S. Cardiovascular health knowledge and preventive practices in people living with HIV in Kenya. BMC infectious diseases, 2015; 15, 421.
[36]	Kopp L.R. Knowledge and attitudes towards cardiovascular disease in a population of North Western Turkey: A cross-sectional survey. International Journal of Caring Sciences. 2015; 8(1): 115.
[37]	Aminde LN, Takah N, Ngwasiri C, Noubiap JJ , Tindong M, Dzudie A and Veerman J.L. Population awareness of cardiovascular disease and its risk factors in Buea, Cameroon. BMC Public Health. 2017, 17: 545.
[38]	Jafary FH, Aslam F, Mahmud H, Waheed A, Shakir M, Afzal A, Qayyum MA, Akram J, Khan IS, Haque IU: Cardiovascular health knowledge and behavior in patient attendants at four tertiary care hospitals in Pakistan–a cause for concern. BMC Public Health 2005, 5: 124.
[39]	Khanal MK, Ahmed MM, Moniruzzaman M, Banik PC, Dhungana RR, Bhandari P, Devkota S, Shayami A. Prevalence and clustering of cardiovascular disease risk factors in rural Nepalese population aged 40-80 years. BMC public health. 2018 Dec; 18(1): 677.
[40]	Dhungana RR, Thapa P, Devkota S, Banik PC, Gurung Y, Mumu SJ, Shayami A, Ali L. Prevalence of cardiovascular disease risk factors: A community-based cross-sectional study in a peri-urban community of Kathmandu, Nepal. Indian heart journal. 2018 Dec 1; 70: S20-S27.
[41]	Tedesco LM, Di Giuseppe G, Napolitano F, Angelillo IF. Cardiovascular diseases and women: knowledge, attitudes, and behavior in the general population in Italy. BioMed research international. 2015; 201.
[42]	A. Field, Discovering Statistics Using IBM SPSS Statistics. SAGE, 2013; 4th edition.
[43]	McCullagh, P. & Nelder, J. A. (1989). Generalized Linear Models (2nd ed.). London, Chapman and Hall.