Public knowledge of cardiovascular disease and response to acute cardiac events in three cities in China and India
| Autor: | Miranda Bryant, Alexandra Wollum, Kate Allen, Alexander Woldeab, Marie Ng, Maigeng Zhou, Blake Thomson, Bryan K. Phillips, Jonathan C Brown, Herbert C. Duber, R B Guptam, Piyusha Majumdar, Claire R. McNellan, Gregory A. Roth, Yichong Li, Shelley Wilson |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty China Emergency Medical Services Health Knowledge Attitudes Practice Adolescent Urban Population medicine.medical_treatment Psychological intervention India Disease 030204 cardiovascular system & hematology Chest pain 03 medical and health sciences Young Adult 0302 clinical medicine medicine Global health Humans 030212 general & internal medicine Cardiopulmonary resuscitation Myocardial infarction Registries Aged business.industry Incidence Sudden cardiac arrest Middle Aged medicine.disease Focus group Cardiopulmonary Resuscitation Survival Rate Population Surveillance Emergency medicine Female Medical emergency medicine.symptom Cardiology and Cardiovascular Medicine business Out-of-Hospital Cardiac Arrest |
| Zdroj: | Heart (British Cardiac Society). 104(1) |
| ISSN: | 1468-201X |
| Popis: | ObjectiveTo inform interventions targeted towards reducing mortality from acute myocardial infarction (AMI) and sudden cardiac arrest in three megacities in China and India, a baseline assessment of public knowledge, attitudes and practices was performed.MethodsA household survey, supplemented by focus group and individual interviews, was used to assess public understanding of cardiovascular disease (CVD) risk factors, AMI symptoms, cardiopulmonary resuscitation (CPR) and automated external defibrillators (AEDs). Additionally, information was collected on emergency service utilisation and associated barriers to care.Results5456 household surveys were completed. Hypertension was most commonly recognised among CVD risk factors in Beijing and Shanghai (68% and 67%, respectively), while behavioural risk factors were most commonly identified in Bangalore (smoking 91%; excessive alcohol consumption 64%). Chest pain/discomfort was reported by at least 60% of respondents in all cities as a symptom of AMI, but 21% of individuals in Bangalore could not name a single symptom. In Beijing, Shanghai and Bangalore, 26%, 15% and 3% of respondents were trained in CPR, respectively. Less than one-quarter of participants in all cities recognised an AED. Finally, emergency service utilisation rates were low, and many individuals expressed concern about the quality of prehospital care.ConclusionsOverall, we found low to modest knowledge of CVD risk factors and AMI symptoms, infrequent CPR training and little understanding of AEDs. Interventions will need to focus on basic principles of CVD and its complications in order for patients to receive timely and appropriate care for acute cardiac events. |
| Databáze: | OpenAIRE |
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