In an attempt to decrease the rate of mortality from cardiovascular diseases, first cardiovascular risk factors should be controlled. This study was carried out to reveal the level of knowledge about cardiovascular disease risk factors in women who presented to a primary healthcare center in Erzurum, Turkey, and the prevalence of such risk factors. Our study is a descriptive one and its data were collected between February and April 2013. The study included 168 women who presented to Filiz Dolunay Family Healthcare Center and who met the criteria and agreed to participate in the study. It was found that 22.6% of the women did not exercise at all above normal range, 53.6% of them had weights above normal, 23.8% smoked, and 22% had hypertension, type 2 diabetes, cholesterol, or excess fat around their waist. It was concluded that, although women were knowledgeable, they did not put this into practice in their lives.
Cardiovascular diseases (CVD) play an increasingly important role as the major cause of mortality and morbidity and are one of the leading health issues across the world [
In our country, deaths associated with cardiovascular diseases (CVD) are at the top of the list. In an attempt to decrease the rate of mortality from cardiovascular diseases, cardiovascular risk factors should be brought under control. Economic transformation, urbanization, industrialization, and globalization inducing life style changes such as tobacco use, physical inactivity, and unhealthy diet are strictly correlated with the progression of heart diseases. Life expectancy rises rapidly in developed and developing countries and people are exposed to these risk factors for a longer time [
Increased rates of obesity, metabolic syndrome, and smoking in women today lead to a significant rise in morbidity and mortality associated with cardiovascular diseases. Turkish women in particular demonstrate much more negative characteristics than men in terms of some risk factors [
Among the cardiovascular risk factors, age, gender, and genetic/ethnical factors are in the “unchangeable factors” group. Cigarettes and other tobacco products, unhealthy eating habits, sedentary living, being overweight, dyslipidemia, hypertension, and diabetes are in the main “modifiable” cardiovascular risk factors group [
Individuals can lower their cardiovascular disease risk by engaging in regular physical activity, avoiding tobacco use and passive smoking, choosing a fruit and vegetable rich diet, avoiding food rich in fats, salt, and sugar, and maintaining a healthy body weight [
This study was carried out to reveal the level of knowledge about cardiovascular disease risk factors in women who presented to a primary healthcare center in Erzurum, Turkey, and the prevalence of such risk factors.
Our study is a descriptive one and its data were collected between February and April 2013. The study included 168 women who presented to Filiz Dolunay Family Healthcare Center and who met the criteria and agreed to participate in the study. The questionnaires were completed by the investigator in 20 minutes by way of face-to-face interviews.
Criteria are as follows: nonhearing problems, nonpsychological discomfort, 18 women over the age.
The Cardiovascular Disease Risk Factors Knowledge Level (CARRF-KL) Scale, which was prepared by Wagner et al., was tested for validity and reliability in Turkey by Arikan et al. [
The revised questionnaire was pretested in a pilot study held within the author’s workplace and a number of minor adjustments were made to the original version.
The questionnaires were completed by the investigator in 20 minutes by way of face-to-face interviews. The women who came to Filiz Dolunay Family Healthcare Center for primary healthcare and who met the criteria were provided with information about the study and those who agreed to take part in the study were included in the study. Data were entered into the Statistical Package for Social Sciences 15.0 for Windows (SPSS Inc., Chicago, IL, USA) and checked for accuracy. Questions relating to the Heart Belief Fact Questionnaire-2 were tallied by correct response and totaled. The scores were recorded on a Microsoft Office Excel spread sheet.
Only patients who voluntarily consented to participate were included in the study. Assurance was given that confidential personal information would not be disclosed. Permission to conduct the study was obtained from the Health Sciences Institute Ethics Committee.
The ages of the women who took part in the study ranged between 30 and 75. The percentages of the true responses given by women to the questions are shown in Table
Responses to Heart Disease Fact Questionnaire.
Question | Correct response | |
---|---|---|
( |
|
|
A person can always realize that he/she has a heart disease. | 110 | 65.4 |
Having heart disease in your family increases your risk of having a heart disease. | 100 | 59.5 |
The elderly have a higher risk of heart disease. | 145 | 86.3 |
Coronary heart disease can be prevented. | 92 | 54.7 |
The avoidable cause of deaths and diseases in our country is smoking. | 132 | 78.5 |
Smoking is a risk factor for heart disease. | 146 | 86.9 |
If one quits smoking, risk of developing a heart disease diminishes. | 144 | 85.7 |
Eating 2-3 fruits and 2 servings of vegetable dishes a day is beneficial. | 158 | 94 |
Consuming red meat more than 3 times a week is harmful. | 69 | 41 |
Salty food provokes hypertension. | 159 | 94.6 |
Fatty foods do not elevate the cholesterol level in blood. | 151 | 89.8 |
Fats that are solid in room temperature are good for heart health. | 98 | 58.3 |
Eating a diet low in fats and carbohydrates is beneficial for the heart. | 109 | 64.8 |
Overweight people have higher risk of heart disease. | 134 | 79.7 |
Regular exercise lowers heart disease risk. | 147 | 87.5 |
Risk is reduced only through exercise in gymnasia. | 104 | 61.9 |
Slow walk and strolling around can be considered as exercise. | 90 | 53.5 |
Stress, grief, and sadness increase risk of heart disease. | 107 | 63.9 |
Human body increases the blood pressure in stressful situations. | 143 | 85.1 |
Hypertension is a risk factor for heart disease. | 154 | 91.6 |
Keeping blood pressure under control reduces the risk of developing a heart disease. | 134 | 79.7 |
Antihypertensive drugs should be used lifelong. | 105 | 62.5 |
High cholesterol is a risk factor for heart disease. | 132 | 78.5 |
If good cholesterol (HDL) is high, there is risk of heart disease. | 65 | 38.6 |
If bad cholesterol (LDL) is high, there is risk of heart disease. | 93 | 55.3 |
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Medication is given to everybody who has high cholesterol. | 78 | 46.4 |
Diabetes is a risk factor for heart disease. | 87 | 51.7 |
If sugar is kept under control in diabetic patients, risk decreases. | 96 | 57.1 |
The heart disease risks women have are shown in Table
Heart disease risk factor.
Variable | Number | Percent |
---|---|---|
Hypertension | 37 | 22 |
Diabetes mellitus type 2 | 37 | 22 |
Overweight | 90 | 53.6 |
Dyslipidemia | 37 | 22 |
Smoking | 40 | 23.8 |
Lack of exercise | 38 | 22.6 |
Abdominal adiposity | 37 | 22 |
The women were classified with respect to heart disease and knowledge level in Table
The mean values of the risk factors of cardiovascular disease.
Total risk factors |
|
Mean | Minimum–maximum |
---|---|---|---|
0 | 24 | 19.3 |
|
1 | 32 | 21.5 |
|
2 | 44 | 15.6 |
|
3 | 40 | 19.1 |
|
4 | 28 | 17.6 |
|
|
|||
Total | 168 | 20.2 |
|
The mean scores obtained by the women from the scale were 18 ± 26 in those with “0” risk factor, 16 ± 24 in those with “1” risk factor, 12 ± 20 in those with “2” risk factors, 10 ± 18 in those with “3” risk factors, and 10 ± 16 in those with “4” risk factors, the mean total score being 10 ± 26.
Although heart diseases have a significant place among the death rates in female population in our country, very few studies have been performed in relation to this issue. We tried in this study to determine how knowledgeable women were in heart diseases and to what extent they put their knowledge into practice.
The mean score the women obtained from the Cardiovascular Disease Risk Factors Knowledge Level was found to be 10 ± 26 in the study. Although the women had moderate levels of knowledge (the total score ranged between 0 and 28), they had one or two risk factors for heart diseases. Other studies that have been conducted on the subject support this study [
It was found in the Turkish Population and Health Survey (TNSA-2008) that 34.4% of women in the 15–49 age group were overweight and 23.9% of them were obese [
Approximately 60–85% of adults are not active enough to be healthy [
In a study made by the Ministry of Health, the percentage of those who practiced regular physical activity across the country was as low as 3.5%. In other words, 96.5% of the nation fails to practice regular physical activity [
According to the results of another study conducted in our country, 22.8% of the sample, 51.1% of which consisted of women, was in the obese category, 36.8% were overweight, and 34.1% had a normal body mass index and the percentage of those who did not exercise in the whole sample was 62.8% [
Prevention in the setting of heart diseases requires a proper life style. Rosenberg et al. [
Mahanonda et al. investigated in their studies the effect of regular exercising on cardiovascular risk factors and found that the resting heart rate was quite lower in the group not exercising regularly than in the group exercising regularly [
We found in our study that each of the women had at least two risk factors for heart diseases. This result suggests that awareness is low in women and they do not put the knowledge they have into practice in their lives. The percentage of women who have a risk level of 4 (17%) is nothing to be overlooked. It can be said that these risk factors increase because people in this region eat more saturated fat and animal food and lead a sedentary life due to long and snowy winter months.
In heart diseases, an early intervention may be helpful in preventing the progression of the disease to a large extent. In a study, a program for protection from heart diseases that was administered to individuals was very beneficial in preventing the disease [
In conclusion, it was seen that women had the knowledge but did not practice it in their lives. Screening women for CVD risk and informing them accordingly as well as identifying those with higher CVD risk and monitoring them are important in terms of protection from CVD, early diagnosis, and treatment. Since individuals’ awareness of being at risk will enhance participation in screening programs, nurses should determine risk levels of women through trainings they will organize and should share the results with them. Nurses can increase awareness by providing training to individuals.
The authors declare that there is no conflict of interests regarding the publication of this paper.