title: What is killing? People's knowledge about coronary heart disease, attitude towards prevention and main risk reduction barriers in Ismailia, Egypt (descriptive cross-sectional study).
abstract: BACKGROUND
  Cardiovascular diseases are a public health concern everywhere, especially ischemic or coronary heart diseases (CHD) which are on top of causes list of mortality and morbidity in both genders globally. From which nearly 80% can be because of modifiable risks. In Egypt, there is a lack of studies on the knowledge of people about coronary heart diseases and its modifiable risks. So, this research reported here we designed to measure the dimensions of peoples knowledge about CHD and their attitude towards prevention, and to identify the main risk reduction barriers.
  
  
  METHODS
  By using comprehensive cross-sectional, descriptive research design, all adult individuals attending the family health clinic at Suez Canal University Hospital were eligible for inclusion with total number 125 participants. An interview questionnaire designed and used to collect data.
  
  
  RESULTS
  The study revealed that (10.4%) of participants had a history of CHD, and (7.2%) had a family history of CHD. 79.2% Had a satisfactory total knowledge about CHD, and (94.4%) had a positive total attitude towards prevention. Risk reduction barriers as a medical setting barriers were (24%), patient related barriers were (22.4%). Community-societal barriers were almost the same as knowledge barriers which were around (16%). At last the systemic-organizational barriers were (9.6%).
  
  
  CONCLUSIONS
  The findings settled that, total knowledge about CHD was satisfactory but lower than the level total of attitude. More effort the health system needs to improve the settings and engage patients in their plans and breaking related barriers, with development of health education programs based on needs assessment. Further studies we recommend to explore the reasons and follow up the changes.
authors: Department of public health, faculty of medicine, Lund University, Sweden.
authors: Sameh
authors: S
authors: Seef
authors: Anders
authors: A
authors: Jeppsson
authors: Martin
authors: M
authors: Stafström
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003144:Communication Barriers; D003327:Coronary Disease / Q000401:mortality* / Q000517:prevention & control* / Q000523:psychology; D003430:Cross-Sectional Studies; D003469:Culture; D004534:Egypt / Q000453:epidemiology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D019359:Knowledge; D008297:Male; D008875:Middle Aged; D040242:Risk Reduction Behavior; D055815:Young Adult
keywords: Egypt; Non-communicable; Public health; attitude; barriers; coronary heart disease; knowledge; morbidity; mortality; risk