Public Awareness of Coronary Artery Disease (CAD) Risk Factors among Adult Population Living in Arar City, Northern Saudi Arabia
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Abstract
Abstract
Background: Coronary Artery Disease (CAD) is a serious cardiovascular disorder affecting middle-aged individuals. It is a major cause of death among adults over the age of 35 years. In Saudi Arabia, CAD is associated with a higher mortality rate, and Saudi patients are reported to have a significantly higher prevalence of risk factors for CAD than the Western population.
Objectives: This study aimed to investigate the public awareness of CAD risk factors among the adult population residing in Arar City, Northern Saudi Arabia. Methods: Leveraging a previously validated online questionnaire, the research design incorporates closed-ended questions to assess participants’ socio-demographic characteristics, knowledge and awareness of CAD risk factors, and the prevalence of these risk factors within the population. Descriptive and inferential statistics were used to unveil patterns and associations within the dataset. A p – value ≤ 0.05 was considered statistically significant.
Results: The study recruited 584 participants. Most participants believed that smoking, lack of exercise, consumption of fast food, intake of soft drinks, age, family history of cardiovascular disease, high cholesterol, diabetes, obesity, anxiety, stress, and high blood pressure are all linked to an increased risk of cardiovascular disease. There was a slightly higher percentage of participants believing males to be more susceptible. Awareness about CAD risk factors has a significant relation to gender (p = 0.012), age (p = 0.0001), marital status (p = 0.001), and occupation (p = 0.029).
Conclusion: The study highlighted a strong foundation of knowledge and awareness among the Saudi population regarding CAD risk factors, indicating a positive starting point for preventive initiatives. However, targeted programs addressing regional variations and enhancing knowledge are recommended to improve early detection and treatment of coronary artery disease risk factors.
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Ralapanawa U, Sivakanesan R. Epidemiology and the magnitude of coronary artery disease and acute coronary syndrome: a narrative review. J Epidemiol Global Health. 2021;11(2):169-177. Available from: https://doi.org/10.2991/jegh.k.201217.001
Jia S, Liu Y, Yuan J. Evidence in guidelines for treatment of coronary artery disease. In: Advances in Experimental Medicine and Biology. 2020;1177:37-73. Available from: https://doi.org/10.1007/978-981-15-2517-9_2.
Coyle M, Flaherty G, Jennings C. A critical review of chronic kidney disease as a risk factor for coronary artery disease. IJC Heart Vasc. 2021;35:100822. Available from: https://doi.org/10.1016/j.ijcha.2021.100822.
Duggan JP, Peters AS, Trachiotis GD, Antevil JL. Epidemiology of coronary artery disease. Surg Clin. 2022 Jun 1;102(3):499-516. Available from: https://doi.org/10.1016/j.suc.2022.01.007.
Aday AW, Matsushita K. Epidemiology of peripheral artery disease and polyvascular disease. Circ Res. 2021 Jun 11;128(12):1818-1832. Available from: https://doi.org/10.1161/circresaha.121.318535.
Sundaram V, Bloom C, Zakeri R, Halcox J, Cohen A, Bowrin K, et al. Temporal trends in the incidence, treatment patterns, and outcomes of coronary artery disease and peripheral artery disease in the UK, 2006–2015. Eur Heart J. 2020;41(17):1636-1649. Available from: https://academic.oup.com/eurheartj/article-abstract/41/17/1636/5688936.
Alhabib KF, Batais MA, Almigbal TH, Alshamiri MQ, Altaradi H, Rangarajan S, et al. Demographic, behavioral, and cardiovascular disease risk factors in the Saudi population: results from the Prospective Urban Rural Epidemiology study (PURE-Saudi). BMC Public Health. 2020;20(1):1-4. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-09298-w
Robert AA, Al Dawish MA. Cardiovascular disease among patients with diabetes: the current scenario in Saudi Arabia. Curr Diabetes Rev. 2021;17(2):180-185. Available from: https://doi.org/10.2174/1573399816666200527135512
Alruways AF, Alotaibi NA, Rashikh MA, Alnufeie AA, Alshammari YJ, Alharthy MR, et al. Awareness and prevalence of coronary artery disease risk factors among Saudi adults in Dawadmi, Riyadh province: a cross-sectional study. J Fam Med Prim Care. 2020;9(11):5629-5637. Available from: https://doi.org/10.4103/jfmpc.jfmpc_934_20
Traina MI, Almahmeed W, Edris A, Murat Tuzcu E. Coronary heart disease in the Middle East and North Africa: current status and future goals. Curr Atheroscler Rep. 2017;19:24. Available from: https://doi.org/10.1007/s11883-017-0659-9
Almalki MA, AlJishi MN, Khayat MA, Bokhari HF, Subki AH, Alzahrani AM, et al. Population awareness of coronary artery disease risk factors in Jeddah, Saudi Arabia: a cross-sectional study. Int J Gen Med. 2019;12:63-70. Available from: https://doi.org/10.2147/ijgm.s184732
Beauchamp A, Talevski J, Niebauer J, Gutenberg J, Kefalianos E, Mayr B, et al. Health literacy interventions for secondary prevention of coronary artery disease: a scoping review. Open Heart. 2022;9(1). Available from: https://doi.org/10.1136/openhrt-2021-001895
Bairey Merz CN, Andersen H, Sprague E, Burns A, Keida M, Walsh MN, et al. Knowledge, attitudes, and beliefs regarding cardiovascular disease in women: the Women’s Heart Alliance. J Am Coll Cardiol. 2017 Jul 11;70(2):123-32. Available from: https://doi.org/10.1016/j.jacc.2017.05.024
Khan NS, Shehnaz SI, Guruswami GK, Ibrahim SA, Mustafa SA. Knowledge of warning signs, presenting symptoms and risk factors of coronary heart disease among the population of Dubai and Northern Emirates in UAE: a cross-sectional study. Nepal J Epidemiol. 2017 Jun;7(2):670-680. Available from: https://doi.org/10.3126/nje.v7i2.17973
Daoulah A, Elkhateeb OE, Nasseri SA, Al-Murayeh M, Al-Kaabi S, Lotfi A, et al. Socioeconomic factors and severity of coronary artery disease in patients undergoing coronary angiography: a multicentre study of Arabian Gulf states. Open Cardiovasc Med J. 2017;11:47-57. Available from: https://doi.org/10.2174/1874192401711010047
Altaleb FF, Alshammari OM, Alanazi HM, Aljaber DA, Alanazi AB, El-Fetoh NM, et al. Pattern and factors associated with cardiovascular diseases among patients attending the cardiac center in Arar City, Northern Saudi Arabia. Electron Physician. 2017 Oct;9(10):5459-5464. Available from: https://doi.org/10.19082/5459
Alruwaili BA, Hussain MA, Alruwaili TA, Alruwaili TA, Alanazi OM, Alenezi AT, et al. Predictors, complications and outcome of coronary artery bypass surgery in patients attending the cardiac center of Arar City, Northern Saudi Arabia. Egypt J Hosp Med. 2018;72(8):4990-4994. Available from: https://dx.doi.org/10.21608/ejhm.2018.10275
Alanazi KN, Abdalla SA, Alqahtani NS, Alharthi AF, Madkhali AH, Alenezi AT, et al. Hyperlipidemia among adults in Arar city, Northern Saudi Arabia: a cross-sectional study. Egypt J Hosp Med. 2018 Oct 7;73(7):7077-84.
Odah MM, Alfakieh HO, Almathami AA, Almuashi IM, Awad M, Ewis AA. Public awareness of coronary artery disease and its risk factors among Al-Qunfudah governorate population. J Umm Al-Qura Univ Med Sci. 2022;8:34-38. Available from: https://uqu.edu.sa/en/mj/117300
Sanchis-Gomar F, Perez-Quilis C, Leischik R, Lucia A. Epidemiology of coronary heart disease and acute coronary syndrome. Ann Transl Med. 2016;4(13):256. Available from: https://doi.org/10.21037/atm.2016.06.33
Subcommittee AHASC, SS. Heart Disease and Stroke Statistics-2017 Update: A Report from the American Heart Association. Circulation. 2017;131(4)–322.
Nsour M, Mahfoud Z, Kanaan MN, Balbeissi A. Prevalence and predictors of nonfatal myocardial infarction in Jordan. East Mediterr Health J. 2014;14(4):818–830. Available from: https://iris.who.int/handle/10665/117499
Al-Nozha MM, Arafah MR, Al-Mazrou YY, Al-Maatouq MA, Khan NB, Khalil MZ, et al. Coronary artery disease in Saudi Arabia. Saudi Med J. 2004;25(9):1165-71. Available from: https://pubmed.ncbi.nlm.nih.gov/15448760/
Hajar R. Risk factors for coronary artery disease: Historical perspectives. Heart Views. 2017;18(3):109–114. Available from: https://doi.org/10.4103/heartviews.heartviews_106_17
Ahmed AM, Hersi A, Mashhoud W, Arafah MR, Abreu PC, Al Rowaily MA, et al. Cardiovascular risk factors burden in Saudi Arabia: The Africa Middle East Cardiovascular Epidemiological (ACE) study. J Saudi Heart Assoc. 2017;29(4):235–243. Available from: https://doi.org/10.1016/j.jsha.2017.03.004
Akintunde AA, Akintunde T, Opadijo OG. Knowledge of heart disease risk factors among workers in a Nigerian University: a call for concern. Niger Med J. 2015;56:91–95. Available from: https://doi.org/10.4103/0300-1652.150688
Awad A, Al-Nafisi H. Public knowledge of cardiovascular disease and its risk factors in Kuwait: a cross-sectional survey. BMC Public Health. 2014;14:1131. Available from: https://doi.org/10.1186/1471-2458-14-1131
Alshehri RA, Alshehri RA, Merghani T. Evaluation of knowledge, attitudes and practice of coronary artery disease risk factors among general population in Tabuk City, Saudi Arabia. Egypt J Hosp Med. 2018;73:7064–7068. Available from: https://ejhm.journals.ekb.eg/article_17503.html
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. Available from: https://doi.org/10.1186/s12889-017-4477-3
Schweigman K, Eichner J, Welty TK, Zhang Y. Cardiovascular disease risk factor awareness in American Indian communities: the strong heart study. Ethn Dis. 2006;16(3):647–652. Available from: https://pubmed.ncbi.nlm.nih.gov/16937600/
Wijeysundera HC, Machado M, Farahati F. Association of temporal trends in risk factors and treatment uptake with coronary heart disease mortality, 1994–2005. JAMA. 2010;303(18):1841-7. Available from: https://pubmed.ncbi.nlm.nih.gov/20460623/
Martsevich SY, Semenova YV, Kutishenko NP, Zagrebelnyy AV, Ginzburg ML, Zagrebelnyy Alexandr V, et al. Awareness of cardiovascular disease, its risk factors, and its association with attendance at outpatient clinics in acute coronary syndrome patients. Integr Med Res. 2017;6(3):240–244. Available from: https://doi.org/10.1016/j.imr.2017.06.003
Quadros KK, Coomes E, Bajaj RR, Finken LR, Sharieff W, Bagai A, et al. Awareness of cardiovascular risk factors among immigrants and non-immigrants in Canada – a survey study. Can J Cardiol. 2014;30(10). Available from: http://dx.doi.org/10.1016/j.cjca.2014.07.185
Wartak SA, Friderici J, Lotfi A, Verma A, Kleppel R, Naglieri-Prescod D, et al. Patients' knowledge of risk and protective factors for cardiovascular disease. Am J Cardiol. 2011;107(10):1480-8. Available from: https://doi.org/10.1016/j.amjcard.2011.01.023