Adekunle Gregory Fakunle, Temilade Bello, Akintayo Olamide Ogunwale, Oyewale Mayowa Morakinyo, Olubunmi Ayinde, Susan Motunrayo Kebu, Oluwapelumi Peter Arinola, Marvelous Adeoye, Bosede Adebayo, Iretioluwa Mary Bamtefa, Akinkunmi Paul Okekunle, Augustine Odili, Mark R Miller, Amam C Mbakwem, Abiodun Moshood Adeoye
{"title":"尼日利亚社区知识、态度和预防行为对减少空气污染对心血管的益处：来自CARDINAL研究的证据。","authors":"Adekunle Gregory Fakunle, Temilade Bello, Akintayo Olamide Ogunwale, Oyewale Mayowa Morakinyo, Olubunmi Ayinde, Susan Motunrayo Kebu, Oluwapelumi Peter Arinola, Marvelous Adeoye, Bosede Adebayo, Iretioluwa Mary Bamtefa, Akinkunmi Paul Okekunle, Augustine Odili, Mark R Miller, Amam C Mbakwem, Abiodun Moshood Adeoye","doi":"10.5334/gh.1482","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Air pollution has emerged as a known risk factor for cardiovascular diseases (CVDs) globally. Raising public knowledge of the importance of air pollution exposure is crucial for implementing future interventions to improve cardiovascular health. This study aimed to explore the knowledge, attitude and behaviour (KAB) of vulnerable women and men towards the cardiovascular benefits of reducing air pollution exposure.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 602 vulnerable men and women in Ibadan, Nigeria, using a multi-stage sampling technique. Using the KAB framework, emphasis was placed on the link between air pollution exposure reduction and the burden of CVDs such as stroke, heart failure, heart attack, congenital heart disease, cardiac arrest and atherosclerosis. Data were collected using a digitalised validated semi-structured questionnaire that included questions on knowledge of the link between air pollution and CVD, attitude towards reducing air pollution and behaviours related to reducing air pollution exposure. The median (interquartile range [IQR]) KAB scores were calculated and dichotomised using the median score. Data were analysed using descriptive statistics, chi-square, Spearman's correlation analysis and regression models at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Respondents' mean age was 44.1 ± 14.0 years, and 54.2% were females. The participants' median (IQR) knowledge score was 7.0 (2.0-8.0), with the majority, 66.9%, having poor knowledge. The median (IQR) pollution-reduction attitude score was 10.0 (3.0-16.0), with a majority (58.5%) having a negative attitude. Respondents' median preventive behaviour score was 6.0 (1.0-11.0), and 58.6% had unsatisfactory behaviour. Awareness about air pollution was found to be associated with knowledge (aOR [adjusted odds ratio] 0.82; 95%CI: 0.57-0.97) and behaviour (aOR 0.44; 95%CI: 0.31-0.64) towards air pollution reduction.</p><p><strong>Conclusion: </strong>The poor knowledge of the link between exposure to air pollution and CVD underscores the need for targeted educational initiatives, supported by regulatory interventions, to harness the cardiovascular health benefits of reduced exposure to air pollution in Africa.</p>","PeriodicalId":56018,"journal":{"name":"Global Heart","volume":"20 1","pages":"90"},"PeriodicalIF":3.1000,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513364/pdf/","citationCount":"0","resultStr":"{\"title\":\"Community Knowledge, Attitudes and Preventive Behaviour Towards the Cardiovascular Benefits of Reduced Exposure to Air Pollution in Nigeria: Evidence from the CARDINAL Study.\",\"authors\":\"Adekunle Gregory Fakunle, Temilade Bello, Akintayo Olamide Ogunwale, Oyewale Mayowa Morakinyo, Olubunmi Ayinde, Susan Motunrayo Kebu, Oluwapelumi Peter Arinola, Marvelous Adeoye, Bosede Adebayo, Iretioluwa Mary Bamtefa, Akinkunmi Paul Okekunle, Augustine Odili, Mark R Miller, Amam C Mbakwem, Abiodun Moshood Adeoye\",\"doi\":\"10.5334/gh.1482\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Air pollution has emerged as a known risk factor for cardiovascular diseases (CVDs) globally. Raising public knowledge of the importance of air pollution exposure is crucial for implementing future interventions to improve cardiovascular health. This study aimed to explore the knowledge, attitude and behaviour (KAB) of vulnerable women and men towards the cardiovascular benefits of reducing air pollution exposure.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 602 vulnerable men and women in Ibadan, Nigeria, using a multi-stage sampling technique. Using the KAB framework, emphasis was placed on the link between air pollution exposure reduction and the burden of CVDs such as stroke, heart failure, heart attack, congenital heart disease, cardiac arrest and atherosclerosis. Data were collected using a digitalised validated semi-structured questionnaire that included questions on knowledge of the link between air pollution and CVD, attitude towards reducing air pollution and behaviours related to reducing air pollution exposure. The median (interquartile range [IQR]) KAB scores were calculated and dichotomised using the median score. Data were analysed using descriptive statistics, chi-square, Spearman's correlation analysis and regression models at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Respondents' mean age was 44.1 ± 14.0 years, and 54.2% were females. The participants' median (IQR) knowledge score was 7.0 (2.0-8.0), with the majority, 66.9%, having poor knowledge. The median (IQR) pollution-reduction attitude score was 10.0 (3.0-16.0), with a majority (58.5%) having a negative attitude. Respondents' median preventive behaviour score was 6.0 (1.0-11.0), and 58.6% had unsatisfactory behaviour. 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Community Knowledge, Attitudes and Preventive Behaviour Towards the Cardiovascular Benefits of Reduced Exposure to Air Pollution in Nigeria: Evidence from the CARDINAL Study.
Background: Air pollution has emerged as a known risk factor for cardiovascular diseases (CVDs) globally. Raising public knowledge of the importance of air pollution exposure is crucial for implementing future interventions to improve cardiovascular health. This study aimed to explore the knowledge, attitude and behaviour (KAB) of vulnerable women and men towards the cardiovascular benefits of reducing air pollution exposure.
Methods: A cross-sectional study was conducted among 602 vulnerable men and women in Ibadan, Nigeria, using a multi-stage sampling technique. Using the KAB framework, emphasis was placed on the link between air pollution exposure reduction and the burden of CVDs such as stroke, heart failure, heart attack, congenital heart disease, cardiac arrest and atherosclerosis. Data were collected using a digitalised validated semi-structured questionnaire that included questions on knowledge of the link between air pollution and CVD, attitude towards reducing air pollution and behaviours related to reducing air pollution exposure. The median (interquartile range [IQR]) KAB scores were calculated and dichotomised using the median score. Data were analysed using descriptive statistics, chi-square, Spearman's correlation analysis and regression models at p < 0.05.
Results: Respondents' mean age was 44.1 ± 14.0 years, and 54.2% were females. The participants' median (IQR) knowledge score was 7.0 (2.0-8.0), with the majority, 66.9%, having poor knowledge. The median (IQR) pollution-reduction attitude score was 10.0 (3.0-16.0), with a majority (58.5%) having a negative attitude. Respondents' median preventive behaviour score was 6.0 (1.0-11.0), and 58.6% had unsatisfactory behaviour. Awareness about air pollution was found to be associated with knowledge (aOR [adjusted odds ratio] 0.82; 95%CI: 0.57-0.97) and behaviour (aOR 0.44; 95%CI: 0.31-0.64) towards air pollution reduction.
Conclusion: The poor knowledge of the link between exposure to air pollution and CVD underscores the need for targeted educational initiatives, supported by regulatory interventions, to harness the cardiovascular health benefits of reduced exposure to air pollution in Africa.
Global HeartMedicine-Cardiology and Cardiovascular Medicine
CiteScore
5.70
自引率
5.40%
发文量
77
审稿时长
5 weeks
期刊介绍：
Global Heart offers a forum for dialogue and education on research, developments, trends, solutions and public health programs related to the prevention and control of cardiovascular diseases (CVDs) worldwide, with a special focus on low- and middle-income countries (LMICs). Manuscripts should address not only the extent or epidemiology of the problem, but also describe interventions to effectively control and prevent CVDs and the underlying factors. The emphasis should be on approaches applicable in settings with limited resources.
Economic evaluations of successful interventions are particularly welcome. We will also consider negative findings if important. While reports of hospital or clinic-based treatments are not excluded, particularly if they have broad implications for cost-effective disease control or prevention, we give priority to papers addressing community-based activities. We encourage submissions on cardiovascular surveillance and health policies, professional education, ethical issues and technological innovations related to prevention.
Global Heart is particularly interested in publishing data from updated national or regional demographic health surveys, World Health Organization or Global Burden of Disease data, large clinical disease databases or registries. Systematic reviews or meta-analyses on globally relevant topics are welcome. We will also consider clinical research that has special relevance to LMICs, e.g. using validated instruments to assess health-related quality-of-life in patients from LMICs, innovative diagnostic-therapeutic applications, real-world effectiveness clinical trials, research methods (innovative methodologic papers, with emphasis on low-cost research methods or novel application of methods in low resource settings), and papers pertaining to cardiovascular health promotion and policy (quantitative evaluation of health programs.
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