Knowledge, attitudes and practices among patients with coronary artery disease in Dhaka, Bangladesh

Abu-Sayeef Mirza; Sadaf Aslam; Kay Perrin; Terrill Curtis; Jennifer Stenback; Jessica Gipson; Sally Alrabaa

doi:10.18203/2394-6040.ijcmph20163355

Authors

Abu-Sayeef Mirza Department of Medicine, Morsani College of Medicine, Tampa, FL, USA
Sadaf Aslam Department of Medicine, Morsani College of Medicine, Tampa, FL, USA
Kay Perrin College of Public Health, University of South Florida, Tampa, FL USA
Terrill Curtis College of Public Health, University of South Florida, Tampa, FL USA
Jennifer Stenback College of Public Health, University of South Florida, Tampa, FL USA
Jessica Gipson College of Public Health, University of South Florida, Tampa, FL USA
Sally Alrabaa Department of Division of Infectious Disease & International Medicine, Tampa General Hospital, Tampa, FL, USA

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20163355

Keywords:

Cardiovascular, Public health, Education, Socioeconomics, Global health

Abstract

Background: Bangladesh ranks highest among other Southeast Asian countries regarding risk factors for the number one cause of death worldwide: heart disease. Low income citizens tend to have less awareness and understanding about coronary artery disease (CAD) due to a number of socioeconomic barriers. There is a need to assess knowledge and perception about CAD in order to develop baseline data for preventative programs.

Methods: This cross sectional survey assessed knowledge, attitudes, and health-seeking practices (KAP) toward CAD among 222 Bangladeshi patients. The 40-point KAP surveys were completed based on systematic random sampling from a government cardiovascular hospital representing a lower income population in Dhaka, Bangladesh.

Results: The mean KAP score was 21.45±5.83 with a total possible score being 40. Only 5.86% of the sample was able to demonstrate a high level of proficiency. Men had more knowledge (t (1.962) = 1.334, P = 0.051), but women demonstrated more health-seeking behaviors with stronger statistical significance (t (-2.135) = -0.407, P = 0.034). Several significant chi-square relationships were found between socioeconomic status (SES) and KAP scores.

Conclusions: This study demonstrated selective lapses in CAD knowledge, attitude, and practice among Bangladeshi patients with low SES. Future preventative educational interventions would benefit by targeting the deficiencies in KAP revealed in this study.

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