Association of health knowledge with adoption of heart healthy behaviours: a cross-sectional analysis using data from the PURE study - Summary - MDSpire

Association of health knowledge with adoption of heart healthy behaviours: a cross-sectional analysis using data from the PURE study

  • By

  • Shiva Raj Mishra

  • Richard I Lindley

  • Angela C Webster

  • Patricio Lopez-Jaramillo

  • Rosnah Ismail

  • Jayachitra Krishnaswamy Gajendran

  • Indu Mohan

  • Rekha M Ravindran

  • Manmeet Kaur

  • Christina E Lundberg

  • Karen Yeates

  • Khalid F Alhabib

  • Roya Kelishadi

  • Katarzyna Zatonska

  • Homer U Co

  • Scott A Lear

  • Karen Suarez

  • Iolanthé M Kruger

  • Pamela Serón

  • Maria Luz Diaz

  • Yilin Huang

  • Zhiguang Liu

  • Yingxuan Zhu

  • Alvaro Avezum

  • Afzalhussein Yusufali

  • Rita Yusuf

  • Jephat Chifamba

  • Ahmet Temizhan

  • Romaina Iqbal

  • Sumathy Rangarajan

  • Martin McKee

  • Salim Yusuf

  • Clara K Chow

  • July 17, 2025

  • 0 min

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Objective:

To assess the relationship between health knowledge regarding tobacco smoking and specific preventive actions for heart disease and stroke, and the adoption of heart-healthy behaviors.

Key Findings:
  • Knowledge of health effects of tobacco smoking significantly associated with smoking cessation (aOR: 1.70 for heart disease, 1.41 for stroke).
  • Awareness of dietary salt, fat reduction, and exercise linked to increased likelihood of taking anti-hypertensive medication (aOR: 1.62, 1.56, 1.48 respectively).
  • Health knowledge is a crucial determinant of heart-healthy behaviors across various educational and socio-economic backgrounds, highlighting the need for targeted health education.
Interpretation:

Enhanced health knowledge significantly increases the likelihood of adopting heart-healthy behaviors, underscoring the critical role of health education in cardiovascular disease prevention.

Limitations:
  • Study primarily focused on low and middle-income countries, which may limit generalizability.
  • Potential confounding factors not fully accounted for in the analysis, including biases in self-reported data.
Conclusion:

Improving health knowledge is essential for promoting smoking cessation and adherence to anti-hypertensive treatment, particularly in diverse socio-economic contexts, and should inform health policy initiatives.

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