Cardiovascular Disease Literacy and Risk Factor Awareness in a Metropolitan South Asian Population: Findings from a Cross-Sectional Study in Karachi

Authors

  • Aimen Rafiq College of Physiotherapy, Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan
  • Poonam Mahraj College of Physiotherapy, Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan
  • Amna Syed Kamran College of Physiotherapy, Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan
  • Deena Bai Zubaida Medical Center, Karachi, Pakistan
  • Zartasha Liaquat National Hospital, Karachi, Pakistan
  • Fatima College of Physiotherapy, Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan
  • Ria Makhija College of Physiotherapy, Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan
  • Surksha Khemani College of Physiotherapy, Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan

DOI:

https://doi.org/10.61919/jhrr.v5i2.1839

Keywords:

Cardiovascular disease, awareness, risk factors, literacy, symptoms, prevention, Karachi, Pakistan

Abstract

Background: Cardiovascular diseases (CVDs) are the leading cause of morbidity and mortality worldwide, disproportionately affecting low- and middle-income countries. In Pakistan, rapid urbanization and lifestyle transitions have contributed to rising CVD prevalence, yet public awareness of risk factors and symptoms remains poorly characterized. Objective: This study aimed to assess levels of CVD literacy, identify gaps in risk factor and symptom awareness, and examine sociodemographic predictors of knowledge among adults in Karachi, Pakistan. Methods: A cross-sectional survey was conducted between August and November 2024 among 377 Karachi residents aged 20–80 years, excluding healthcare professionals. A structured, pilot-tested questionnaire captured demographic variables, lifestyle factors, and CVD knowledge domains. Data were analyzed using descriptive statistics, Chi-square tests, and binary logistic regression. Odds ratios (ORs) with 95% confidence intervals (CIs) were reported, with significance set at p < 0.05. Results: Smoking (73.5%) and stress (72.7%) were the most frequently recognized risk factors, whereas awareness of physical inactivity (42.7%), diabetes (39.8%), and family history (43.0%) was limited. Chest pain was the best-known symptom (78.8%), but stroke warning signs were identified by only 39.0%. Higher knowledge was significantly associated with female gender (OR 1.58, CI 1.07–2.31), younger age groups, upper socioeconomic class (OR 1.88, CI 1.12–3.16), healthy diet (OR 1.99, CI 1.38–2.88), and family history of CVD (OR 1.54, CI 1.11–2.12). Conclusion: CVD knowledge in Karachi is moderate, with marked gaps in awareness of metabolic risk factors and stroke symptoms. Targeted community-based interventions addressing demographic and socioeconomic disparities are urgently needed to strengthen preventive behaviors.

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References

Mujamammi AH, Alluhaymid YM, Alshibani MG, Alotaibi FY, Alzahrani KM, Alotaibi AB, et al. Awareness of cardiovascular disease associated risk factors among Saudis in Riyadh City. J Family Med Prim Care. 2020;9(6):3100-5.

Amadi CE, Lawal FO, Mbakwem AC, Ajuluchukwu JN, Oke DA. Knowledge of cardiovascular disease risk factors and practice of primary prevention of cardiovascular disease by community pharmacists in Nigeria: a cross-sectional study. Int J Clin Pharm. 2018;40(6):1587-95.

Shafiq S. Public knowledge of cardiovascular diseases and its risk factors in Srinagar. Int J Med Health Res. 2017;3(12):69-76.

Mukattash TL, Shara M, Jarab AS, Al-Azzam SI, Almaaytah A, Al Hamarneh YN. Public knowledge and awareness of cardiovascular disease and its risk factors: a cross-sectional study of 1000 Jordanians. Int J Pharm Pract. 2012;20(6):367-76.

Waśniowska A, Kopeć G, Szafraniec K, Kozela M, Sarnecka A, Knap K, et al. Knowledge of cardiovascular disease (CVD) risk factors in population of Małopolska voivodeship in two independent cross-sectional studies. Przegl Epidemiol. 2018;72(1):75-85.

Aminde LN, Takah N, Ngwasiri C, Noubiap JJ, Tindong M, Dzudie A, et al. Population awareness of cardiovascular disease and its risk factors in Buea, Cameroon. BMC Public Health. 2017;17(1):545.

Boateng D, Wekesah F, Browne JL, Agyemang C, Agyei-Baffour P, Aikins AD, et al. Knowledge and awareness of and perception towards cardiovascular disease risk in sub-Saharan Africa: a systematic review. PLoS One. 2017;12(12):e0189264.

Steyn K, Levitt N, Surka S, Gaziano TA, Everett-Murphy K. Knowledge and perceptions of risk for cardiovascular disease: findings of a qualitative investigation from a low-income peri-urban community in the Western Cape, South Africa. Afr J Prim Health Care Fam Med. 2015;7(1):1-8.

Muhihi AJ, Anaeli A, Mpembeni RN, Sunguya BF, Leyna G, Kakoko D, et al. Public knowledge of risk factors and warning signs for cardiovascular disease among young and middle-aged adults in rural Tanzania. BMC Public Health. 2020;20(1):1832.

Birarra MK, Baye E, Tesfa W, Kifle ZD. Knowledge of cardiovascular disease risk factors, practice, and barriers of community pharmacists on cardiovascular disease prevention in North West Ethiopia. Metab Open. 2022;16:100219.

Ghamri RA. Knowledge of cardiovascular diseases and associated risk factors in the general adult population of Jeddah, Saudi Arabia: a cross-sectional study examining gender disparities. Medicine (Baltimore). 2024;103(24):e38566.

Rahman M, Akter S, Zohora FT, Shibly AZ. Public knowledge of cardiovascular disease and its risk factors in Tangail, Bangladesh: a cross-sectional survey. Int J Community Med Public Health. 2019;6:1838-42.

Yoon SS, Heller RF, Levi C, Wiggers J, Fitzgerald PE. Knowledge of stroke risk factors, warning symptoms, and treatment among an Australian urban population. Stroke. 2001;32(8):1926-30.

Hassen HY, Bowyer M, Gibson L, Abrams S, Bastiaens H. Level of cardiovascular disease knowledge, risk perception and intention towards healthy lifestyle and socioeconomic disparities among adults in vulnerable communities of Belgium and England. BMC Public Health. 2022;22(1):197.

Khan MS, Jafary FH, Jafar TH, Faruqui AM, Rasool SI, Hatcher J, et al. Knowledge of modifiable risk factors of heart disease among patients with acute myocardial infarction in Karachi, Pakistan: a cross-sectional study. BMC Cardiovasc Disord. 2006;6(1):18.

Potvin L, Richard L, Edwards AC. Knowledge of cardiovascular disease risk factors among the Canadian population: relationships with indicators of socioeconomic status. CMAJ. 2000;162(9 Suppl):S5-11.

Jafary FH, Aslam F, Mahmud H, Waheed A, Shakir M, Afzal A, et al. Cardiovascular health knowledge and behavior in patient attendants at four tertiary care hospitals in Pakistan: a cause for concern. BMC Public Health. 2005;5(1):124.

Gill R, Chow CM. Knowledge of heart disease and stroke among cardiology inpatients and outpatients in a Canadian inner-city urban hospital. Can J Cardiol. 2010;26(10):537-41.

Mata J, Frank R, Gigerenzer G. Symptom recognition of heart attack and stroke in nine European countries: a representative survey. Health Expect. 2014;17(3):376-87.

Ejaz S, Afzal M, Hussain M, Sarwar H, Gilani SA. Knowledge, attitude and practice regarding modifiable risk factors of cardiovascular diseases among adults in rural community, Lahore. Int J Soc Sci Manag. 2018;5(3):76-82.

Jilani UA, Iqbal M, Jilani SA. Cardiovascular disease risk factors’ awareness and prevalence among college students in Karachi City. Pak J Public Health. 2021;11(2):87-94.

Choudhry MA, Ali HA, Amin B, Ahsan T, Abbas N, Khan MA. Assessment of knowledge and behavior regarding cardiovascular diseases and their risk factors among medical students of a private medical college in Lahore. J Fatima Jinnah Med Univ. 2022;16(1):3-6.

Zeb J, Zeeshan M, Zeb S, Mehmood Q, Zeb R, Ali K, et al. Knowledge about risk factors and warning symptoms in patient suffering from cardiovascular diseases. Pak Heart J. 2016;49(2):68-72.

Zuhaid M, Kazmi S, Farooq U, Khan IA, Aziz T, Aziz S, et al. Knowledge of modifiable risk factors of cardiovascular diseases among patients with acute myocardial infarction. J Ayub Med Coll Abbottabad. 2014;26(3):364-7.

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Published

2025-02-28

How to Cite

Aimen Rafiq, Poonam Mahraj, Amna Syed Kamran, Deena Bai, Zartasha, Fatima, Ria Makhija, & Surksha Khemani. (2025). Cardiovascular Disease Literacy and Risk Factor Awareness in a Metropolitan South Asian Population: Findings from a Cross-Sectional Study in Karachi. Journal of Health and Rehabilitation Research, 5(2), 1–6. https://doi.org/10.61919/jhrr.v5i2.1839

Issue

Volume 5, Issue 2 (February 2025)

Section

Articles

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Copyright (c) 2025 Aimen Rafiq, Poonam Mahraj, Amna Syed Kamran, Deena Bai, Zartasha, Fatima, Ria Makhija, Surksha Khemani

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