Risk factor awareness in a coronary population and the association with health-related quality of life outcomes

Int J Public Health. 2014 Jun;59(3):475-83. doi: 10.1007/s00038-014-0551-0. Epub 2014 Apr 26.

Abstract

Objectives: The purpose of this study was to investigate the risk factor level awareness in coronary patients and to assess its associations with health-related quality of life (HRQoL)/psychological distress.

Methods: Data on 8,743 coronary patients from 22 European countries, interviewed and examined at least 6 months after their acute event was available.

Results: 81.7% of patients indicated to be aware of their own blood pressure level, whereas only 46.6% of patients indicated to be aware of their cholesterol level. Furthermore, 43.7% of patients were aware of their blood glucose level, whereas in diabetes patients blood glucose level awareness reached 81.8%. Risk factor level awareness was significantly associated with HRQoL/psychological distress, with patients being unaware of their risk factor levels having worse outcomes. The relationship between awareness and HRQoL/psychological distress seemed to be partly mediated by the attempt of patients to adopt a healthier behaviour.

Conclusions: Health care workers should be encouraged to inform their patients about the importance of their coronary risk factors, the actual level and their personal target.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Awareness*
  • Blood Glucose
  • Blood Pressure
  • Body Mass Index
  • Cholesterol / blood
  • Coronary Disease / epidemiology*
  • Coronary Disease / psychology*
  • Diet
  • Europe
  • Exercise
  • Female
  • Health Behavior
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Middle Aged
  • Quality of Life
  • Risk Factors
  • Stress, Psychological / epidemiology

Substances

  • Blood Glucose
  • Cholesterol