Received: 2024-11-06
Accepted: 2024-12-04
Published: 2025-01-01
Pages: 19-28
Background: Cardiovascular diseases are the leading cause of death in the world, causing 17.9 million deaths annually. In India, with cities like Mangalore included, the burden of cardiovascular disease is increasing rapidly.
Objectives: To assess knowledge, attitudes, and practices regarding cardiovascular disease risk factors among adults in Mangalore, Karnataka, India.
Methods: A cross-sectional survey was conducted on 215 adults aged above 18 years through stratified random sampling. Data collection was accomplished using a validated structured questionnaire; it measured knowledge relating to cardiovascular disease risk factors, attitudes toward prevention, and health practices. High questionnaire reliability was observed; this is because Cronbach's α for knowledge, attitude, and practice parts appeared to be 0.82, 0.78, and 0.76 respectively. Descriptive statistics, t- tests, ANOVA, and multiple regression were used in the analysis.
Results: The mean age was 42.3±13.7years and females were at 51.2%. Awareness that hypertension is a risk factor for cardiovascular disease was 88.4%, 95% CI: 83.9-92.9%. Conversely, awareness of the risk of diabetes was slightly lower, at 72.1%, 95% CI: 65.9-78.3%. The prevention attitude score is positive, with 90.7%, 95% CI: 86.5-94.9% agreeing to exercise regularly. Only 70.0%, 95% CI: 63.7-76.3% agreed to having had exercised lately. Education level strongly predicted knowledge scores (β=0.15, p=0.02), and knowledge scores were positively correlated with attitude scores (r=0.45, p<0.01).
Conclusion: Knowledge-practice gaps are critical despite high awareness levels and positive attitudes, especially on diabetes awareness and implementation of physical activity. Interventions focusing on behavior change and diabetes education are therefore recommended to bridge these gaps.
Keywords: Attitudes, Cardiovascular diseases (CVDs), Health Education, Knowledge, Practices, Risk factors.
1. Kim HC. Epidemiology of cardiovascular disease and its risk factors in Korea. Glob Health Med. 2021;3(3):134-41. [DOI: 10.35772/ghm.2021.01008]
2. Olvera Lopez E et al. Cardiovascular Disease. [Available from: https://www.ncbi.nlm.nih.gov/books/NBK535419]
3. Shams P et al. Treasure Island (FL): StatPearls Publishing; 2025 Jan. [Available from: https://www.ncbi.nlm.nih.gov/books/NBK539800/]
4. Peters F et al. Cardiovasc Diagn Ther. 2020;10(2):305. [DOI: 10.21037/cdt.2019.10.07]
5. Amini M et al. Trend analysis of cardiovascular disease mortality, incidence, and mortality-to-incidence ratio: results from the Global Burden of Disease Study 2017. BMC Public Health. 2021; 21:1-2. [DOI: 10.1186/s12889-021-10429- 0]
6. Sharifi-Rad J et al. Int J Environ Res Public Health. 2020;17(7):2326. [DOI: 10.3390/ijerph17072326]
7. Schwalm JD et al. Resource-effective strategies to prevent and treat cardiovascular disease. Circulation. 2016;133(8):742-55. [DOI: 10.1161/CIRCULATIONAHA.115.008721]
8. Ravaghi H et al. BMC Health Serv Res. 2023;23(1):44. [DOI: 10.1186/s12913-022-08983-3]
9. Teo KK et al. Cardiovascular risk factors and prevention: a perspective from developing countries. Can J Cardiol. 2021;37(5):733-43. [DOI: 10.1016/j.cjca.2021.02.009]
10. Ingalgi DM et al. Demography: a case study of Mangalore city. Int J Sci Res. 2023;12(11):1094-8. [Available from: https://www.ijsr.net/archive/v12i11/SR231115122619.pdf]
11. Gupta A et al. Ten years risk prediction of cardiovascular disease among adults in rural area of Dakshina Kannada, Karnataka. J Med Sci Health. 2022;8(3):246-51. [DOI: 10.46347/jmsh.v8i3.22.275]
12. Koohi F et al. Knowledge, attitude, and practice regarding cardiovascular diseases in adults attending health care centers in Tehran, Iran. Int J Endocrinol Metab. 2020;18(3): e101612. [DOI: 10.5812/ijem.101612]
13. Rippe JM et al. Lifestyle strategies for risk factor reduction, prevention and treatment of cardiovascular disease. Am J Lifestyle Med. 2018;13(2):204-12. [DOI: 10.1177/1559827618812395]
14. Rana MS et al. One Health. 2021;13:100308. [DOI: 10.1016/j.onehlt.2021.100308]
15. Mohammed E et al. Healthcare. 2023;11(20):2807. [DOI: 10.3390/healthcare11202807]
16. Chaokromthong K et al. Apheit Int J. 2021;10(2):76-86 [Available from: https://so04.tcithaijo.org/index.php/ATI/article/view/254253]
17. Singh K et al. Indian Heart J. 2024 Nov-Dec;76(6):376-384.[DOI: 10.1016/j.ihj.2024.11.002]
18. Khan AA et al. Int J Prev Med Health. 2022;2(4):7-14. [DOI: 10.54105/ijpmh.D1019.052422]
19. Mohammad NB et al. J Pharm Bioallied Sci. 2018;10(1):7-14. [DOI: 10.4103/jpbs.JPBS_227_17]
20. Shrestha M et al. Relig. 2020;349:74-6. [DOI: 10.3126/njh.v17i1.28806]
21. Nyagasare LN et al. J Public Health Int. 2022;5(1):23-36. [DOI: 10.14302/issn.2641-4538.jphi-22-4189]
22. Ejaz S et al. Int J Soc Sci Manage. 2018;5(3):76-82. [DOI: 10.3126/ijssm.v5i3.19902]