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Cardiovascular disease (CVD) is a leading cause of mortality
worldwide and primary target for prevention. However, majority
researchers concluded that it was mainly a men's disease that
resulted in fewer women being informed about it. So this study was
conducted to determine women's knowledge, attitude and practice on
CVD in Kelantan, Malaysia. Majority of respondents were Malays with
mean age of 39.9 years. Among them, 3.1% were smokers and 41.1%
claimed having medical illness, the commonest was obesity (23.6%).
About 87% of women knew that smoking is a risk factor. However,
less than 20% knew about menopause. More than 80% knew typical
symptoms whereas less than half realised atypical symptoms. Less
than 20% of them knew the cholesterol risk target. Only 13% of
women practiced exercise as required. The good knowledge, attitude
and practice score were 55.6%, 55.1 % and 51.1% respectively. There
were significant association between knowledge and attitude
(r2=0.074), knowledge and practice (r2= 0.092) and attitude and
practice (r2= 0.161).Hence a better structured educational
programme should be reinforced as a preventive strategy to overcome
this problem.
CVD screening is an effective strategy for identifying and reducing
risk in high risk individual thus provide significant role in
preventing and controlling CVD. National Health and Morbidity
survey in 2006 showed that hypertension, diabetes, dyslipidaemia,
obesity, smoking and physical inactivity among Malaysian population
had a steady increase in prevalence. So this study was conducted to
determine the prevalence of optimal cardiovascular screening
activities and its associated factors among apparently healthy
school teachers.The prevalence of optimal cardiovascular screening
activities was 29.3% (95% CI: 24.52, 34.08). The significant
associated factors for optimal CVD screening were age (p =0.026),
knowledge on CVD screening (p =0.009), family history of CVD (p
=0.048) and availability of health facilities (p =0.003). The
prevalence of optimal screening activities was still low that needs
more attention. Therefore, the health care providers should widely
implement global health assessment rather than disease orientated
in their daily practice since half of the significant factors can
be modified.
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