Main Article Content
Abstract
ABSTRACT
Introduction. Cardiovascular diseases emerged as the leading cause of mortality among women. About one patient out of two do not receive any healthy lifestyle recommendations during medical appointment. We aimed to investigate lifestyle knowledge patterns among women, with a specific focus on cardiovascular risk factors. Methodology. This was a cross-sectional survey conducted in Douala, Cameroon in March 2022 during a one-day parade. We included all consenting adult females who had seen a health care personnel in the previous 5 years. Data collected include participants characteristics and whether selected lifestyle recommendations were offered to them during their last healthcare visit. Results. Overall, 101 women were included with a mean age of 48.71±11.1 years. Among the participants, 16,83% (17/101) were known hypertensive, with half of them self-reported compliance with their treatment. About 40.59% of participants reported never receiving any of the 7 recommendations of interest from a healthcare personnel. The most common lifestyle recommendation offered to our participants was to eat at least five servings of fruits and/or vegetables (n=51) while the least common advice was to stop or don’t start using tobacco (n = 9). Conclusion. Healthcare personnel advice on cardiovascular factors is insufficient, with four out of ten women reporting never receiving any recommendations. Healthcare personnel should incorporate lifestyle education of women in their current practice as this would promote control of cardiovascular diseases in this population.
RÉSUMÉ
Introduction. Les maladies cardiovasculaires sont devenues la première cause de mortalité chez les femmes. Environ une patiente sur deux ne reçoit aucune recommandation de mode de vie sain lors des rendez-vous médicaux. Notre objectif était d'étudier les modèles de connaissances sur le mode de vie chez les femmes, en mettant l'accent sur les facteurs de risque cardiovasculaires. Méthodologie. Il s'agissait d'une étude transversale descriptive menée à Douala, Cameroun, en mars 2022 lors d’une journée de fête. Nous avons inclus toutes les femmes adultes consentantes ayant consulté un personnel de santé au cours des 5 dernières années. Les données recueillies comprenaient les caractéristiques des participantes et si des recommandations de mode de vie sélectionnées leur avaient été proposées lors de leur dernière visite de soins de santé ou non. Résultats. Au total, 101 femmes ont été incluses avec un âge moyen de 48,71 ± 11,1 ans. Parmi les participantes, 16,83 % (17/101) étaient des hypertendues connues, avec la moitié d'entre elles se déclarant observantes à leur traitement. Environ 40,59 % des participantes ont déclaré n’avoir jamais reçu aucune des 7 recommandations d'intérêt de la part d'un personnel de santé. La recommandation de mode de vie la plus couramment offerte à nos participantes était de consommer au moins cinq portions de fruits et/ou légumes (n = 51) tandis que le conseil le moins courant était d'arrêter ou de ne pas commencer à utiliser du tabac (n = 9). Conclusion. Les conseils du personnel de santé sur les facteurs cardiovasculaires sont insuffisants, avec quatre femmes sur dix déclarant n’avoir jamais reçu de recommandations. Le personnel de santé devrait intégrer l'éducation au mode de vie des femmes dans leur pratique actuelle, car cela favoriserait le contrôle des maladies cardiovasculaires dans cette population.
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References
- Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. Circulation 2017;135:e146–603.
- Blauwet LA, Redberg RF. The Role of Sex-Specific Results Reporting in Cardiovascular Disease. Cardiol. Rev. 2007;15:275–8.
- Nkoke C, Jingi AM, Makoge C, Teuwafeu D, Nkouonlack C, Dzudie A. Epidemiology of cardiovascular diseases related admissions in a referral hospital in the South West region of Cameroon: A cross-sectional study in sub-Saharan Africa. PLOS ONE 2019;14:e0226644.
- Saeed A, Kampangkaew J, Nambi V. Prevention of Cardiovascular Disease in Women. Methodist DeBakey Cardiovasc. J. 2017;13:185.
- Albright CL, Cohen S, Gibbons L, Miller S, Marcus B, Sallis J, et al. Incorporating physical activity advice into primary care: Physician-delivered advice within the activity counseling trial. Am. J. Prev. Med. 2000;18:225–34.
- Kumar N, Mohammadnezhad M. “Patients would probably be more compliant to therapy if encouraged by those around them”: a qualitative study exploring primary care physicians’ perceptions on barriers to CVD risk management. BMC Prim. Care 2022;23:61.
- Searight HR. Counseling Patients in Primary Care:Evidence-Based Strategies. 2018;98.
- Connabeer K. Lifestyle advice in UK Primary Care consultations: Doctors’ use of conditional forms of advice. Patient Educ. Couns. 2021;104:2706–15.
- Kamdem F, Djomou FA, Hamadou B, Nsala SN, Jingi AM, Biholong C, et al. Connaissance des Facteurs de Risque Cardiovasculaires et Attitudes de Prévention par la Population du District de Santé de Deido-Cameroun. Health Sci. Dis. 2018;19.
- Rippe JM. Lifestyle Strategies for Risk Factor Reduction, Prevention, and Treatment of Cardiovascular Disease. Am. J. Lifestyle Med. 2018;13:204–12.
- Kasiulevicius V, Sapoka V, Filipaviciuté R. Sample size calculation in epidemiological studies. Gerontologija 2006;7:225–31.
- World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA 2013;310:2191.
- Population by age, sex and urban/rural residence: latest available year, 2011 - 2020. UN-Demographic Yearbook 2020 [Internet]. [cited 2023 Dec 28];Available from: https://unstats.un.org/unsd/demographic-social/products/dyb/documents/DYB2020/table07.pdf
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- Kouladoum JC. Inclusive Education and Health Performance in Sub Saharan Africa. Soc. Indic. Res. 2023;165:879–900.
- Inskip H, Baird J, Barker M, Briley AL, D’Angelo S, Grote V, et al. Influences on adherence to diet and physical activity recommendations in women and children; insights from six European studies. Ann. Nutr. Metab. 2014;64:332–9.
- UNESCO, Institute for Statistics (UIS) Database. Adult literacy rate, population 15+ years, both sexes (percentage) [Internet]. 2020 [cited 2023 Dec 28];Available from: https://idea.usaid.gov/cd/cameroon/education
- Andualem A, Gelaye H, Damtie Y. Adherence to Lifestyle Modifications and Associated Factors Among Adult Hypertensive Patients Attending Chronic Follow-Up Units of Dessie Referral Hospital, North East Ethiopia, 2020. Integr. Blood Press. Control 2020;13:145–56.
- Simo LP, Agbor VN, Temgoua FZ, Fozeu LCF, Bonghaseh DT, Mbonda AGN, et al. Prevalence and factors associated with overweight and obesity in selected health areas in a rural health district in Cameroon: a cross-sectional analysis. BMC Public Health 2021;21:475.
- de Bont J, Márquez S, Fernández-Barrés S, Warembourg C, Koch S, Persavento C, et al. Urban environment and obesity and weight-related behaviours in primary school children. Environ. Int. 2021;155:106700.
- Mapa-Tassou C, Bonono CR, Assah F, Wisdom J, Juma PA, Katte JC, et al. Two decades of tobacco use prevention and control policies in Cameroon: results from the analysis of non-communicable disease prevention policies in Africa. BMC Public Health 2018;18:958.
- NHIS - National Health Interview Survey [Internet]. 2023 [cited 2023 Dec 28];Available from: https://www.cdc.gov/nchs/nhis/index.htm
- Ngo Bibaa LAO. Primary health care beyond COVID-19: dealing with the pandemic in Cameroon. BJGP Open 4:bjgpopen20X101113.
- Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann‐Boyce J, Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst. Rev. 2013;2013:CD000165.
- Bouldin ED, Taylor LL, Littman AJ, Karavan M, Rice K, Reiber GE. Chronic lower limb wound outcomes among rural and urban veterans. J. Rural Health 2015;31:410–20.
- Rogers HL, Fernández SN, Pablo Hernando S, Sanchez A, Martos C, Moreno M, et al. “My Patients Asked Me If I Owned a Fruit Stand in Town or Something.” Barriers and Facilitators of Personalized Dietary Advice Implemented in a Primary Care Setting. J. Pers. Med. 2021;11:747.
- Valderrama AL, Tong X, Ayala C, Keenan NL. Prevalence of Self-Reported Hypertension, Advice Received From Health Care Professionals, and Actions Taken to Reduce Blood Pressure Among US Adults—HealthStyles, 2008. J. Clin. Hypertens. 2010;12:784–92.
- Grillo A, Salvi L, Coruzzi P, Salvi P, Parati G. Sodium Intake and Hypertension. Nutrients
References
Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. Circulation 2017;135:e146–603.
Blauwet LA, Redberg RF. The Role of Sex-Specific Results Reporting in Cardiovascular Disease. Cardiol. Rev. 2007;15:275–8.
Nkoke C, Jingi AM, Makoge C, Teuwafeu D, Nkouonlack C, Dzudie A. Epidemiology of cardiovascular diseases related admissions in a referral hospital in the South West region of Cameroon: A cross-sectional study in sub-Saharan Africa. PLOS ONE 2019;14:e0226644.
Saeed A, Kampangkaew J, Nambi V. Prevention of Cardiovascular Disease in Women. Methodist DeBakey Cardiovasc. J. 2017;13:185.
Albright CL, Cohen S, Gibbons L, Miller S, Marcus B, Sallis J, et al. Incorporating physical activity advice into primary care: Physician-delivered advice within the activity counseling trial. Am. J. Prev. Med. 2000;18:225–34.
Kumar N, Mohammadnezhad M. “Patients would probably be more compliant to therapy if encouraged by those around them”: a qualitative study exploring primary care physicians’ perceptions on barriers to CVD risk management. BMC Prim. Care 2022;23:61.
Searight HR. Counseling Patients in Primary Care:Evidence-Based Strategies. 2018;98.
Connabeer K. Lifestyle advice in UK Primary Care consultations: Doctors’ use of conditional forms of advice. Patient Educ. Couns. 2021;104:2706–15.
Kamdem F, Djomou FA, Hamadou B, Nsala SN, Jingi AM, Biholong C, et al. Connaissance des Facteurs de Risque Cardiovasculaires et Attitudes de Prévention par la Population du District de Santé de Deido-Cameroun. Health Sci. Dis. 2018;19.
Rippe JM. Lifestyle Strategies for Risk Factor Reduction, Prevention, and Treatment of Cardiovascular Disease. Am. J. Lifestyle Med. 2018;13:204–12.
Kasiulevicius V, Sapoka V, Filipaviciuté R. Sample size calculation in epidemiological studies. Gerontologija 2006;7:225–31.
World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA 2013;310:2191.
Population by age, sex and urban/rural residence: latest available year, 2011 - 2020. UN-Demographic Yearbook 2020 [Internet]. [cited 2023 Dec 28];Available from: https://unstats.un.org/unsd/demographic-social/products/dyb/documents/DYB2020/table07.pdf
Tiffe T, Morbach C, Malsch C, Gelbrich G, Wahl V, Wagner M, et al. Physicians’ lifestyle advice on primary and secondary cardiovascular disease prevention in Germany: A comparison between the STAAB cohort study and the German subset of EUROASPIRE IV. Eur. J. Prev. Cardiol. 2021;28:1175–83.
Kouladoum JC. Inclusive Education and Health Performance in Sub Saharan Africa. Soc. Indic. Res. 2023;165:879–900.
Inskip H, Baird J, Barker M, Briley AL, D’Angelo S, Grote V, et al. Influences on adherence to diet and physical activity recommendations in women and children; insights from six European studies. Ann. Nutr. Metab. 2014;64:332–9.
UNESCO, Institute for Statistics (UIS) Database. Adult literacy rate, population 15+ years, both sexes (percentage) [Internet]. 2020 [cited 2023 Dec 28];Available from: https://idea.usaid.gov/cd/cameroon/education
Andualem A, Gelaye H, Damtie Y. Adherence to Lifestyle Modifications and Associated Factors Among Adult Hypertensive Patients Attending Chronic Follow-Up Units of Dessie Referral Hospital, North East Ethiopia, 2020. Integr. Blood Press. Control 2020;13:145–56.
Simo LP, Agbor VN, Temgoua FZ, Fozeu LCF, Bonghaseh DT, Mbonda AGN, et al. Prevalence and factors associated with overweight and obesity in selected health areas in a rural health district in Cameroon: a cross-sectional analysis. BMC Public Health 2021;21:475.
de Bont J, Márquez S, Fernández-Barrés S, Warembourg C, Koch S, Persavento C, et al. Urban environment and obesity and weight-related behaviours in primary school children. Environ. Int. 2021;155:106700.
Mapa-Tassou C, Bonono CR, Assah F, Wisdom J, Juma PA, Katte JC, et al. Two decades of tobacco use prevention and control policies in Cameroon: results from the analysis of non-communicable disease prevention policies in Africa. BMC Public Health 2018;18:958.
NHIS - National Health Interview Survey [Internet]. 2023 [cited 2023 Dec 28];Available from: https://www.cdc.gov/nchs/nhis/index.htm
Ngo Bibaa LAO. Primary health care beyond COVID-19: dealing with the pandemic in Cameroon. BJGP Open 4:bjgpopen20X101113.
Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann‐Boyce J, Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst. Rev. 2013;2013:CD000165.
Bouldin ED, Taylor LL, Littman AJ, Karavan M, Rice K, Reiber GE. Chronic lower limb wound outcomes among rural and urban veterans. J. Rural Health 2015;31:410–20.
Rogers HL, Fernández SN, Pablo Hernando S, Sanchez A, Martos C, Moreno M, et al. “My Patients Asked Me If I Owned a Fruit Stand in Town or Something.” Barriers and Facilitators of Personalized Dietary Advice Implemented in a Primary Care Setting. J. Pers. Med. 2021;11:747.
Valderrama AL, Tong X, Ayala C, Keenan NL. Prevalence of Self-Reported Hypertension, Advice Received From Health Care Professionals, and Actions Taken to Reduce Blood Pressure Among US Adults—HealthStyles, 2008. J. Clin. Hypertens. 2010;12:784–92.
Grillo A, Salvi L, Coruzzi P, Salvi P, Parati G. Sodium Intake and Hypertension. Nutrients