Introduction
Methods
Ethical considerations
Study design and eligibility criteria
Sample size determination
Data collection
The questionnaire
Statistical analysis
Results
Demographic characteristics
Variable | Non-CVD (N = 463) | CVD (N = 128) | Total | P-value |
---|---|---|---|---|
Age, Median (IQR) | 22(21–25) | 25(19–72) | 23(16–72) | < 0.001 |
Age groups, n (%) | ||||
Young (< 45) | 450(97.2) | 101(78.9) | 551(93) | < 0.001 |
Adult (45–65) | 11(2.4) | 23(18) | 34(5.8) | |
Elderly (> 65) | 2(0.4) | 4(3.1) | 6(1) | |
Sex, n (%) | ||||
Male | 208(44.9) | 98(76.6) | 306(51.8) | < 0.001 |
Female | 255(55.1) | 30(23.4) | 285(48.5) | |
Marital Status, n (%) | ||||
Single | 343(74.1) | 10(7.8) | 353(59.7) | < 0.001 |
Married | 117(25.3) | 113(88.3) | 230(38.9) | |
Divorced | 3(0.6) | 1(0.8) | 4(0.7) | |
Widow | 0 | 4(3.1) | 4(0.7) | |
Occupation, n (%) | ||||
Employed | 218(47.1) | 106(82.8) | 324(54.8) | < 0.001 |
Educational level, n (%) | ||||
No Formal Education | 0 | 9(7) | 9(1.5) | < 0.001 |
Primary Level | 0 | 3(2.3) | 3(0.5) | |
Preparatory Level | 0 | 5(3.9) | 5(0.8) | |
Secondary Level | 40(8.6) | 6(4.7) | 46(7.8) | |
University Level | 389(84) | 104(81.3) | 493(83.4) | |
Post-graduate | 34(7.3) | 1(0.8) | 35(5.9) | |
Socioeconomic status, n (%) | ||||
Low | 67(14.5) | 112(87.5) | 179(30.3) | < 0.001 |
Moderate | 372(80.3) | 15(11.7) | 387(65.5) | |
High | 24(5.2) | 1(0.8) | 25(4.2) | |
Are you working in the healthcare field?, n (%) | ||||
Yes | 184(39.7) | 4(3.1) | 188(31.8) | < 0.001 |
Are you currently a smoker?, n (%) | ||||
Yes | 40(8.6) | 47(36.7) | 87(14.7) | < 0.001 |
Medical history, n (%) | ||||
Diabetes Mellitus | 11(2.4) | 42(32.8) | 53(9) | < 0.001 |
Hypertension | 24(5.2) | 78(60.9) | 102(17.3) | < 0.001 |
High Cholesterol | 19(4.1) | 29(22.7) | 48(8.1) | < 0.001 |
Previous Surgeries | 67(14.5) | 29(22.7) | 96(16.2) | 0.026 |
Obesity | 54(11.7) | 23(18) | 77(13) | 0.061 |
Lung Disease | 16(3.5) | 21(16.4) | 37(6.3) | < 0.001 |
Thyroid Disease | 8(1.7) | 6(4.7) | 14(2.4) | 0.51 |
Liver Disease | 4(0.9) | 12(9.4) | 16(2.7) | < 0.001 |
Renal Disease | 7(1.5) | 9(7) | 16(2.7) | < 0.001 |
Source of Information, n (%) | ||||
TV and Radio | 119(25.7) | 29(22.7) | 148(25) | 0.481 |
Attending Medical Conferences | 78(16.8) | 1(0.8) | 79(13.4) | < 0.001 |
Healthcare Worker | 219(47.3) | 111(86.7) | 330(55.8) | < 0.001 |
Specialized health Journals | 146(31.5) | 10(7.8) | 156(26.4) | < 0.001 |
Experience of Cardiac Patient | 119(25.7) | 29(22.7) | 148(25) | 0.481 |
Newspapers and General Magazines | 82(17.7) | 15(11.7) | 97(16.4) | 0.105 |
CVD-related KAP
Score | Grade | Study Group | Total, n (%) | P-value | |
---|---|---|---|---|---|
NON-CVD, n (%) | CVD, n (%) | ||||
Knowledge | Fail | 7(1.5) | 7(5.5) | 14(2.4) | < 0.001$ |
Pass | 210(45.4) | 34(26.5) | 244(41.3) | ||
Outstanding | 246(53) | 87(68) | 333(56.3) | ||
Attitude | Good | 264(57.1) | 34(26.5) | 298(50.4) | < 0.001$ |
Moderate | 172(37.1) | 87(68) | 259(43.8) | ||
Poor | 27(5.8) | 7(5.5) | 34(5.8) | ||
Physical Activity | Low | 130(28.6) | 67(53.2) | 197(34) | < 0.001$ |
Moderate | 324(71.4) | 59(46.8) | 383(66) |
Variable | Value | Non-CVD | CVD | Total | P-value |
---|---|---|---|---|---|
Knowledge | Mean (SD) | 21.37(7) | 20(6.9) | 21(7) | 0.007* |
Attitude | Mean (SD) | 67.35(8.7) | 62.8(7.4) | 66.38(8.7) | < 0.001* |
Physical Activity | Median (Range) | 1371 [1163–17,230] | 306 [207–6521] | 1188 [1121–18,761] | < 0.001* |
CVD-related knowledge
CVD-related attitude
CVD-related physical activity
Correlation among KAP score parameters
Score | Subgroups | Spearman Correlation | Pearson Correlation | ||
---|---|---|---|---|---|
r | P-value | r | P-value | ||
Attitude Versus Knowledge | Total | 0.145 | < 0.001 | 0.131 | 0.001 |
No - CVD | 0.101 | 0.029 | 0.12 | 0.01 | |
CVD | 0.166 | 0.062 | 0.104 | 0.242 | |
Attitude Versus Physical Activity | Total | 0.047 | 0.254 | 0.045 | 0.281 |
No - CVD | -0.006 | 0.904 | 0.25 | 0.588 | |
CVD | 0.08 | 0.387 | 0.08 | 0.387 | |
Knowledge Versus Physical Activity | Total | 0.063 | 0.127 | 0.063 | 0.13 |
No - CVD | 0.024 | 0.601 | 0.047 | 0.31 | |
CVD | 0.202 | 0.029 | 0.101 | 0.275 |
Sociodemographic characteristics of CVD patients and non-CVD participants with poor knowledge, poor attitude, and low physical activity score
Variable | % Poor Knowledge | % Poor Attitude | % Low Physical activity | ||
---|---|---|---|---|---|
Gender | Male | Non-CVD | 51.4 | 5.8 | 46 |
CVD | 67.3 | 5.1 | 30.8 | ||
Female | Non-CVD | 54.5 | 5.9 | 48.6 | |
CVD | 70 | 6.7 | 23.3 | ||
Age | < 45 | Non-CVD | 52.9 | 6 | 28.4 |
CVD | 69.3 | 5.9 | 57.3 | ||
45–65 | Non-CVD | 54.5 | 0 | 41.7 | |
CVD | 65.2 | 4.3 | 23.1 | ||
> 65 | Non-CVD | 100 | 0 | 0 | |
CVD | 50 | 0 | 33.3 | ||
Marital Status | Single | Non-CVD | 51.6 | 6.7 | 45.2 |
CVD | 80 | 10 | 60 | ||
Married | Non-CVD | 57.3 | 3.4 | 26.5 | |
CVD | 67.3 | 5.3 | 2.7 | ||
Divorced | Non-CVD | 66.7 | 0 | 66.7 | |
CVD | 0 | 0 | 0 | ||
Widowed | Non-CVD | 0 | 0 | 0 | |
CVD | 75 | 0 | 0 | ||
Education | No Formal Education | Non-CVD | 0 | 0 | 0 |
CVD | 66.7 | 11.1 | 0 | ||
Primary Level | Non-CVD | 0 | 0 | 0 | |
CVD | 66.7 | 0 | 0 | ||
Preparatory Level | Non-CVD | 0 | 0 | 0 | |
CVD | 60 | 0 | 0 | ||
Secondary Level | Non-CVD | 62.5 | 10 | 52.5 | |
CVD | 50 | 0 | 0 | ||
University Level | Non-CVD | 53.2 | 5.7 | 39.1 | |
CVD | 69.2 | 4.8 | 7.7 | ||
Post-graduate | Non-CVD | 42.2 | 2.9 | 44.1 | |
CVD | 100 | 100 | 100 | ||
Occupation | Employed | Non-CVD | 49.1 | 5.5 | 35.3 |
CVD | 67.9 | 6.6 | 6.6 | ||
Unemployed | Non-CVD | 56.7 | 6.1 | 45.3 | |
CVD | 68.2 | 0 | 9.1 | ||
Social and Economic Status | Low | Non-CVD | 61.2 | 7.5 | 11.9 |
CVD | 68.8 | 5.4 | 0 | ||
Moderate | Non-CVD | 53.2 | 5.6 | 45.7 | |
CVD | 66.7 | 6.7 | 60 | ||
High | Non-CVD | 29.2 | 4.2 | 41.7 | |
CVD | 0 | 0 | 0 | ||
Smoking Status | Smoker | Non-CVD | 52.2 | 5.9 | 41.4 |
CVD | 67.9 | 4.9 | 8.6 | ||
Non-smoker | Non-CVD | 62.5 | 5 | 32.5 | |
CVD | 68.1 | 6.4 | 4.3 |
Factors affecting knowledge and attitude scores of the enrolled CVD patients and non-CVD participants
Predictors of KAP among enrolled populations
Discussion
Strength and limitations
Research recommendation
Conclusion
Acknowledgements
Omar Elsayed Mohamed | Faculty of Medicine, Misr University of Sciences and Technology | 3maralsayed2001@gmail.com |
Abdelrahman Ahmed Anter | Faculty of Medicine, Misr University of Sciences and Technology | Bedoahmed1999@gmail.com |
Mohamed Fouad Abdrabo | Faculty of Medicine, Tanta University, Egypt | mohamedfouadabdrabo@gmail.com |
Abdelnasser Mahmoud Elbeshbeshy | Faculty of Medicine, Al-Azhar University, Cairo, Egypt | naser.ma7m0ud484@gmail.com |
Sarah Ahmed Mostafa | Faculty of Medicine, Helwan University | sarahelghondakli@yahoo.com |
Toka Mohamed MagdAldin | Faculty of Medicine, Misr University of Sciences and Technology | toqa.magd@gmail.com |
Amr Shehab | Faculty of Medicine, Misr University of Sciences and Technology | amr.hazem.shehab@gmail.com |