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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
Kathmandu Medical College, Kathmandu, Nepal / Nordic School of Public Health NHV, Gothenburg.
Kathmandu Medical College, Kathmandu, Nepal / Nordic School of Public Health NHV, Gothenburg.
Nordic School of Public Health NHV / Sahlgrenska Academy at University of Gothenburg.ORCID iD: 0000-0002-4583-9315
2013 (English)In: BMJ Open, ISSN 2044-6055, Vol. 3, no 10, e002976Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: This study determined the knowledge, attitude and practice/behaviour of cardiovascular health in residents of a semiurban community of Nepal.

DESIGN: To increase the understanding of knowledge, attitude and practice/behaviour towards cardiovascular health, we conducted in-home interviews using a questionnaire based on the WHO STEPwise approach to surveillance and other resources, scoring all responses. We also recorded blood pressure and took anthropometric measurements.

SETTING: Our study was conducted as part of the Heart-Health-Associated Research and Dissemination in the Community project in the Jhaukhel-Duwakot Health Demographic Surveillance Site in two urbanising villages near Kathmandu.

PARTICIPANTS: The study population included 777 respondents from six randomly selected clusters in both villages.

RESULTS: Seventy per cent of all participants were women and 26.9% lacked formal education. The burden of cardiovascular risk factors was high; 20.1% were current smokers, 43.3% exhibited low physical activity and 21.6% were hypertensive. Participants showed only poor knowledge of heart disease causes; 29.7% identified hypertension and 11% identified overweight and physical activity as causes, whereas only 2.2% identified high blood sugar as causative. Around 60% of respondents did not know any heart attack symptoms compared with 20% who knew 2-4 symptoms. Median percentage scores for knowledge, attitude and practice/behaviour were 79.3, 74.3 and 48, respectively. Nearly 44% of respondents had insufficient knowledge and less than 20% had highly satisfactory knowledge. Among those with highly satisfactory knowledge, only 14.7% had a highly satisfactory attitude and 19.5% and 13.9% had satisfactory and highly satisfactory practices, respectively.

CONCLUSIONS: Our study demonstrates a gap between cardiovascular health knowledge, attitude and practice/behaviour in a semiurban community in a low-income nation, even among those already affected by cardiovascular disease.

Place, publisher, year, edition, pages
BMJ Group , 2013. Vol. 3, no 10, e002976
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:his:diva-11349DOI: 10.1136/bmjopen-2013-002976PubMedID: 24157816OAI: oai:DiVA.org:his-11349DiVA: diva2:846446
Available from: 2015-08-17 Created: 2015-08-17 Last updated: 2016-04-12Bibliographically approved

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CiteExportLink to record
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