Angiogenesis, Inflammation & Therapeutics | Online ISSN  2207-872X
RESEARCH ARTICLE   (Open Access)

Awareness and Risk Factors of Heart Attack Among the General Population in the Southern Region of Peninsular Malaysia: A Cross-sectional Study

Mohammed A. Abdalqader1*, Hana Chen2*, Norhafizah Ab Manan1, Abd Rahim Mohamad1, Krishna Gopal Rampal1, Thein Win Naing1, Al-Abed Ali Ahmed1, Mohamad Zulkipli Bin Othman1, Ahmad Nizal Bin Mohd Ghazali1, Hooi Chia Tang3, Jegathambigai Rameshwar Naidu2, Hasanain Faisal Ghazi4

+ Author Affiliations

Journal of Angiotherapy 8(8) 1-6 https://doi.org/10.25163/angiotherapy.889922

Submitted: 10 June 2024  Revised: 15 August 2024  Published: 17 August 2024 

Abstract

Background: Heart attacks, or acute myocardial infarctions, continue to be a leading global health issue. In Malaysia, cardiovascular diseases have been the primary cause of death since the 1980s, with a significant increase in heart attack-related fatalities over recent years. Public awareness of heart attack risk factors is crucial for reducing mortality rates. However, there remains a critical gap in understanding the knowledge, attitude, and practices (KAP) regarding heart attack risks in certain regions of Malaysia. This study aimed to assess these factors and identify demographic characteristics associated with them in the Southern region of Peninsular Malaysia. Methods: A cross-sectional survey was conducted using a structured questionnaire to evaluate the KAP toward heart attack risk factors among 432 participants from the Southern region of Peninsular Malaysia. Convenience sampling was employed. Chi-squared tests were used to assess the relationship between sociodemographic factors and KAP. Multiple logistic regression was performed to determine predictors of KAP. Data were analysed using descriptive statistics, and p-values <0.05 were considered significant. Results: The findings revealed that 81.7% of respondents had inadequate knowledge of heart attack risk factors. While 66% exhibited a positive attitude toward heart attack prevention, 83.6% had poor preventive practices. Significant predictors of KAP included education level and ethnicity, with higher education associated with better knowledge, attitude, and practices. Gender was a significant predictor of attitude, with women showing lower awareness of their risk. Conclusion: This study highlights a significant gap in heart attack-related knowledge and preventive practices within the Southern region of Malaysia. Education and tailored public health interventions are necessary to improve awareness and promote effective prevention strategies. Addressing these gaps is vital to reducing the burden of cardiovascular diseases in Malaysia and achieving better public health outcomes.

Keywords: Heart attack awareness, Cardiovascular disease, Risk factors, Public health, Malaysia

References

Abdo Ahmed, A. A., Mohammed Al-Shami, A., Jamshed, S., Fata Nahas, A. R., & Mohamed Ibrahim, M. I. (2020). Public Awareness of and Action towards Heart Attack Symptoms: An Exploratory Study. International journal of environmental research and public health, 17(23), 8982. https://doi.org/10.3390/ijerph17238982

Ahmed, A. A. A., Al-Shami, A. M., Jamshed, S., & Fata Nahas, A. R. (2019). Development of questionnaire on awareness and action towards symptoms and risk factors of heart attack and stroke among a Malaysian population. BMC public health, 19, 1-10. https://doi.org/10.1186/s12889-019-7596-1

Ahmed, A. A. A., Al-Shami, A. M., Jamshed, S., Zawiah, M., Elnaem, M. H., & Mohamed Ibrahim, M. I. (2020). Awareness of the Risk Factors for Heart Attack Among the General Public in Pahang, Malaysia: A Cross-Sectional Study. Risk management and healthcare policy, 13, 3089–3102. https://doi.org/10.2147/RMHP.S281285

Chen, H. W. J., Marzo, R. R., Sapa, N. H., Ahmad, A., Anuar, H., Baobaid, M. F., Jamaludin, N. A., Hamzah, H., Sarrafan, S., Ads, H. O., Kumar, K. A., Hadi, J., Sazali, H., & Abdalqader, M. A. (2023). Trends in Health Communication: Social Media Needs and Quality of Life among Older Adults in Malaysia. Healthcare (Basel, Switzerland), 11(10), 1455. https://doi.org/10.3390/healthcare11101455

Chen, H. W. J., Marzo, R. R., Htay, M. N. N., Abdalqader, M. A., Baobaid, M. F., Naidu, J. R., ... & Attalla, S. M. (2024a). TOWARDS SUSTAINABLE COMMUNITY: SOCIAL RESPONSIBILITY AND COMMUNITY RESILIENCE IN FLOOD DISASTER MANAGEMENT. Malaysian Journal of Public Health Medicine, 24(1), 131-141.

Chen, H. W. J., Marzo, R. R., Htay, M. N. N., Ruhi, S., Abidin, S. M. Z., Nelson, A. A., ... & Salim, A. (2024b). Positive Coping and Community Resilience in Disaster Management for Flooding in Malaysia. Journal of Angiotherapy, 8(2), 1-10, 9464.

Cushman, M., Shay, C. M., Howard, V. J., Jiménez, M. C., Lewey, J., McSweeney, J. C., Newby, L. K., Poudel, R., Reynolds, H. R., Rexrode, K. M., Sims, M., Mosca, L. J., & American Heart Association (2021). Ten-Year Differences in Women's Awareness Related to Coronary Heart Disease: Results of the 2019 American Heart Association National Survey: A Special Report From the American Heart Association. Circulation, 143(7), e239–e248. https://doi.org/10.1161/CIR.0000000000000907

Elsheikh, E., AlKhudair, A. M., Sr, AlGanem, S. N., AlDandan, H. R., AlGhareeb, A. H., AlSalman, M. A., AlKhamis, A. A., AlHajri, H. M., & Alsubaie, G. A. (2023). Perception of Heart Attack Risk Factors and Their Complications Among the Adult Population in the Eastern Region of Saudi Arabia. Cureus, 15(12), e49860. https://doi.org/10.7759/cureus.49860

Fang, J., Luncheon, C., Ayala, C., Odom, E., & Loustalot, F. (2019). Awareness of Heart Attack Symptoms and Response Among Adults - United States, 2008, 2014, and 2017. MMWR. Morbidity and mortality weekly report, 68(5), 101–106. https://doi.org/10.15585/mmwr.mm6805a2

Firus Khan, A. Y., Ramli, A. S., Abdul Razak, S., Mohd Kasim, N. A., Chua, Y. A., Ul-Saufie, A. Z., Jalaludin, M. A., Nawawi, H., & MyHEBAT Study Investigators (2022). The Malaysian HEalth and WellBeing AssessmenT (MyHEBAT) Study Protocol: An Initiation of a National Registry for Extended Cardiovascular Risk Evaluation in the Community. International journal of environmental research and public health, 19(18), 11789. https://doi.org/10.3390/ijerph191811789

Ghazi, H. F., Abdalqader, M., Baobaid, M. F., Hasan, T. N., Mohammed, M. F., Shebl, H. A., ... & Ads, H. O. (2020). Knowledge Regarding Sustainable Development Goals (SDG) among Medical Students at a Private University in Shah Alam, Malaysia. Global Journal of Public Health Medicine, 196-202.

Irasanti, S. N., Respati, T., Januarita, R., Yuniarti, Y., Chen, H. W. J., & Marzo, R. R. (2023). Domain and perception on community resilience: comparison between two countries. Frontiers in public health, 11, 1157837. https://doi.org/10.3389/fpubh.2023.1157837

Jamaludin, T. S. S., Jorani, S., & Saidi, S. (2019). Knowledge, awareness, and perception of coronary heart disease (CHD) among residents in Kuantan, Pahang, Malaysia. Enfermería Clínica, 29, 776–779. https://doi.org/10.1016/j.enfcli.2019.04.117

Keteepe-Arachi, T., & Sharma, S. (2017). Cardiovascular Disease in Women: Understanding Symptoms and Risk Factors. European Cardiology Review, 12(1), 10-13. https://doi.org/10.15420/ecr.2016:32:1

Kim, J., Kim, H. Y., Kim, L., Park, S. M., Cho, H., Kim, M., Yoon, H. J., Byun, Y. S., Park, S. M., Shin, S., Hong, S., & Kim, A. (2022). Awareness of cardiovascular disease among Korean women: Results from a nationwide survey. Preventive Medicine Reports, 26. https://doi.org/10.1016/j.pmedr.2022.101698

Koohi, F., & Khalili, D. (2020). Knowledge, Attitude, and Practice Regarding Cardiovascular Diseases in Adults Attending Health Care Centers in Tehran, Iran. International journal of endocrinology and metabolism, 18(3), e101612. https://doi.org/10.5812/ijem.101612

Machaalani, M., Fakhry, B., Zwaideh, M., Mendelek, K., Mahmoud, N., Hammoud, T., & Chahine, M. N. (2022). Knowledge, Attitude, and Practice Toward Cardiovascular Diseases in the Lebanese Population. Global heart, 17(1), 47. https://doi.org/10.5334/gh.1138

Maffei, S., Meloni, A., Deidda, M., Sciomer, S., Cugusi, L., Cadeddu, C., Gallina, S., Franchini, M., Scambia, G., Mattioli, A. V., Surico, N., & Mercuro, G. (2021). Cardiovascular Risk Perception and Knowledge among Italian Women: Lessons from IGENDA Protocol. Journal of Clinical Medicine, 11(6), 1695. https://doi.org/10.3390/jcm11061695

Marzo, R. R., Chen, H. W. J., Abid, K., Chauhan, S., Kaggwa, M. M., Essar, M. Y., Jayaram, J., Changmai, M. C., Wahab, M. K. B. A., Ariffin, I. A. B., Alwi, M. N. B. M., Head, M. G., & Lin, Y. (2022). Adapted digital health literacy and health information seeking behavior among lower income groups in Malaysia during the COVID-19 pandemic. Frontiers in public health, 10, 998272. https://doi.org/10.3389/fpubh.2022.998272

Marzo, R. R., Jun Chen, H. W., Ahmad, A., Thew, H. Z., Choy, J. S., Ng, C. H., Chew, C. L. A., Heidler, P., King, I., Shrestha, R., Rahman, F., Rana, J. A., Khoshtaria, T., Matin, A., Todua, N., Küçük Biçer, B., Faller, E., Tudy, R. A., Baldonado, A., Penamante, C. A., … Elsayed, M. E. G. (2024). The evolving role of social media in enhancing quality of life: a global perspective across 10 countries. Archives of public health, 82(1), 28. https://doi.org/10.1186/s13690-023-01222-z

Mohammad, N. B., Rahman, N. A. A., & Haque, M. (2018). Knowledge, Attitude, and Practice Regarding the Risk of Cardiovascular Diseases in Patients Attending Outpatient Clinic in Kuantan, Malaysia. Journal of pharmacy & bioallied sciences, 10(1), 7–14. https://doi.org/10.4103/jpbs.JPBS_227_17

Othman, Z., Aleem, A., Asmidar, N., Che Ramli, M. D., Sariman, S., Harun, H., ... & Baharudin, H. (2020). Knowledge, Awareness and Practices on the Risk Factors of Cardiovascular Diseases Among Community in Gombak, Kuala Lumpur. Malaysian Journal of Medicine & Health Sciences, 16, 71-81.

Salahshori, A., Nasirzadeh, M., Haruni, J. Pourhaji, F. Salahshoori, S. & Nozarpoor, J. (2015). The Knowledge, Attitude, and Practice (KAP) of Women Health Services Staff About Risk Factors of Cardiovascular Diseases (CVDs) in City of Fereydan and Chadegan, Iran. Jundishapur J Chronic Dis Care, 4(1). https://doi.org/10.5812/jjcdc.26599.

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