KNOWLEDGE, ATTITUDE AND PRACTICE FOR RISK FACTORS FOR CARDIOVASCULARDISEASES AMONG BOTH GOVT AND PRIVATE PRIMARY SCHOOL TEACHERS IN BELAGAVI CITY -A CROSS SECTIONAL STUDYINTRODUCTION Global scenario.Cardiovasculardiseases (CVD) is the disorders of heartand blood vessels and include coronary artery disease, cerebrovascular disease,rheumatic heart disease, and other condition .(WHO introduction ofcardiovascular diseases.
www.int/cardiovascular_diseases/en/) Cardiovasculardisease (CVD) is the number one cause of death globally. Annually more people died from CVDs then fromany other causes.
Over ¾ of CVD deaths take place in middle and low incomecountries. In the developed countries CVD is the 1st or 2ndleading cause of death in men and women2 (k.park). Ischaemic heart disease and stroke arethe world’s leading causes of death. 3( World Health Organization. The Top Ten Causesof Death Fact Sheet. Availableat:http://www.
who.int/mediacentre/factsheets/fs310/en/index.html.)An estimated 17.7 million peopledied from CVD in 2015, Representing 31% of all global death. So in that 7.4million were due to CVD and 6.
7 million were due to the stroke .(WHO-2017data). On the other hand, the highest rate of heart disease in the worldfluctuates a bit from year to year, but every year the leading countries seemto rotate around Eastern European populations Ukraine 384.
18 per one lakhpopulation, Bulgaria 188.45per one lakh population, Russia 320.40 and Latvia215.40per one lakh population. Those Ukrainians, with heart attacks per100,000 populations, are hard to beat on dietary risk factors alone. According to the United Nations, in their report called UN Chronicle: The Atlasof Heart Disease & Stroke, Japan 30.36, France 29.97,South Korea 26.
39 has one of the lowest rates of coronary heart disease in the world(Heart sisterhttps://myheartsisters.org/2010/07/17/heart-disease-countries/assessed on 06 jan 2018). SouthAsians have higher prevalence of CVD as compared to other ethnic groups. The studyof global burden of diseases estimates that 52% of CVD deaths below the age of17 years are in India as compared to 23% in countries with established marketeconomics37.yusuf.sreddy). It is estimated that 23.
3 million peoplewill die by 2030, because of cardiovascular disease. High blood pressure, highcholesterol level, high Blood glucose level, smoking, obesity and physicalinactivity which are the major conventional risk factors.4 (article)Indian scenario.CVDhave assumed epidemic proportion in India as well according to the world healthreport 2002. CVD will be the largest cause of death and disability in India by2020. Death due to chronic heart disease (CHD) in India has increased from 1.
17million in 1991 to 1.5 million in 2002 and 2.03 million in 2010.21(article)According to recent data CVD cases may increase from about 2.
9 crore in 2000 toas many as 6.4 crore in 2015 the number is likely to be doubled. So, Indianpopulation is facing a “double burden of disease”.(article 23) InKarnataka 82% of teachers are aware about risk factors of CVD and 18% unawareabout it.5(6 no article in laptop) School Teachers face high amountof stress during teaching and handling young students. Teachers face intensive verbalcommunication, prolonged standing, high volume of workload studies have shownhigh incidence of cancer, vehicular accidents and heart disease.
(artecle30)The school teachers profession is teaching to the student by standing orsitting on the chair. So there is lack of physical activity leading tosedentary life style the teachers may get obesity, hypertension (HTN), diabetesmellitus (DM), coronary artery disease (CAD), etc… Some teachers have habitof smoking consumption of alcohol and tobacco due to stress.
InAndhra Pradesh 28% teachers were found to have undergone Coronary artery bypassgraft(CABG) in recent years as on-going retrospective study of 6000 CABGpatient in Apollo hospital.7(in laptop article no 7) Knowledge ofthe predisposing risk factors is an important step in the modification of lifestyle behaviour among primary school teachers conducive to optimalcardiovascular health. However data on the knowledge attitude and practice ofCVD among Indian primary school teachers is limited. Needs of the studyTeachingprofession comes under the category of sedentary work.
Sedentary life style is riskfactors of CVD in primary school teachers. Most of them also have habit ofsmoking, tobacco consumption, consumption of alcohol. Due to these risk factorsthe teachers have increased risk of development of HTN, DM, obesity and strokethus due to these risk factors. Teachershave good knowledge of CVD and develop good healthy practices and life style.Apartfrom teaching profession the teachers are involved in many governments workerlike immunization schedule, election, census work and many other works. OBJECTIVES.
Assessthe knowledge attitude and practice of risk factors for the cardiovasculardiseases among both government and private primary school teachers, inBelagavi.