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Knowledge of risk factors for diabetes or cardiovascular disease (CVD) is poor among individuals with risk factors for CVD

Author

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  • Monique F Kilkenny
  • Libby Dunstan
  • Doreen Busingye
  • Tara Purvis
  • Megan Reyneke
  • Mary Orgill
  • Dominique A Cadilhac

Abstract

Background: There is limited evidence on whether having pre-existing cardiovascular disease (CVD) or risk factors for CVD such as diabetes, ensures greater knowledge of risk factors important for motivating preventative behaviours. Our objective was to compare knowledge among the Australian public participating in a health check program and their risk status. Methods: Data from the Stroke Foundation ‘Know your numbers’ program were used. Staff in community pharmacies provided opportunistic health checks (measurement of blood pressure and diabetes risk assessment) among their customers. Participants were categorised: 1) CVD ± risk of CVD: history of stroke, heart disease or kidney disease, and may have risk factors; 2) risk of CVD only: reported having high blood pressure, high cholesterol, diabetes or atrial fibrillation; and 3) CVD risk free (no CVD or risk of CVD). Multivariable logistic regression analyses were performed including adjustment for age and sex. Findings: Among 4,647 participants, 12% had CVD (55% male, 85% aged 55+ years), 47% were at risk of CVD (40% male, 72% 55+ years) and 41% were CVD risk free (33% male, 27% 55+ years). Participants with CVD (OR: 0.66; 95% CI: 0.55, 0.80) or risk factors for CVD (OR: 0.65; 95% CI: 0.57, 0.73) had poorer knowledge of the risk factors for diabetes/CVD compared to those who were CVD risk free. After adjustment, only participants with risk factors for CVD (OR: 0.80; 95% CI: 0.69, 0.93) had poorer knowledge. Older participants (55+ years) and men had poorer knowledge of diabetes/CVD risk factors and complications of diabetes. Conclusions: Participants with poorer knowledge of risk factors were older, more often male or were at risk of developing CVD compared with those who were CVD risk free. Health education in these high risk groups should be a priority, as diabetes and CVD are increasing in prevalence throughout the world.

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  • Monique F Kilkenny & Libby Dunstan & Doreen Busingye & Tara Purvis & Megan Reyneke & Mary Orgill & Dominique A Cadilhac, 2017. "Knowledge of risk factors for diabetes or cardiovascular disease (CVD) is poor among individuals with risk factors for CVD," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-11, February.
  • Handle: RePEc:plo:pone00:0172941
    DOI: 10.1371/journal.pone.0172941
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    References listed on IDEAS

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    1. Robert Adams & Natasha Howard & Graeme Tucker & Sarah Appleton & Anne Taylor & Catherine Chittleborough & Tiffany Gill & Richard Ruffin & David Wilson, 2009. "Effects of area deprivation on health risks and outcomes: a multilevel, cross-sectional, Australian population study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(3), pages 183-192, May.
    2. Ying Zeng & Guo‐Ping He & Guang‐Hui Yi & Yan‐Jin Huang & Qing‐Hai Zhang & Ling‐Ling He, 2012. "Knowledge of stroke warning signs and risk factors among patients with previous stroke or TIA in China," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(19pt20), pages 2886-2895, October.
    3. Eva K Fenwick & Jing Xie & Gwyn Rees & Robert P Finger & Ecosse L Lamoureux, 2013. "Factors Associated with Knowledge of Diabetes in Patients with Type 2 Diabetes Using the Diabetes Knowledge Test Validated with Rasch Analysis," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-8, December.
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    1. Celina Janene Cathro & Tormod Brenn & Sairah Lai Fa Chen, 2023. "Education Level and Self-Reported Cardiovascular Disease in Norway—The Tromsø Study, 1994–2016," IJERPH, MDPI, vol. 20(11), pages 1-10, May.
    2. Sarah Addison & Yesol Yang & Faith Metlock & Mikayla King & Alicia McKoy & Amaris Williams & John Gregory & Darrell M. Gray & Joshua J. Joseph & Timiya S. Nolan, 2022. "The Role of Social Support in Cardiovascular Clinical Trial Participation among Black Men: Black Impact," IJERPH, MDPI, vol. 19(19), pages 1-16, September.
    3. Lemye Zehirlioglu & Hatice Mert & Dilek Sezgin & Ebru Özpelit, 2020. "Cardiovascular Risk, Risk Knowledge, and Related Factors in Patients With Type 2 Diabetes," Clinical Nursing Research, , vol. 29(5), pages 322-330, June.

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