Perceptions, Insights, and Attitudes of Selected Filipino Female Physicians on Cardiovascular Risks and Diseases
Abstract
OBJECTIVE: The aim of this study was to determine the knowledge, perceptions, insights and attitudes on cardiovascular disease (CVD) prevention, personal health-related lifestyle practices, and lifestyle counseling practices of selected female physicians who are practicing or training in the PH.
METHODS: This was a descriptive ambispective cross-sectional study where the survey questionnaire was adapted and modified with the authors’ permission, conducted online, and answered by 484 consenting female physicians.
RESULTS: The majority had accurate responses to the CVD prevention knowledge items; 36.98% had hypertension, 32% were obese, 28.5% had dyslipidemia, and 17.2% had diabetes mellitus; 60.33% practice sleep of 6 to 8 hours, 53.51% eat vegetables and fruits daily, 55.79% prefer fish and seafood, 89.05% do not smoke, 61.2% take coffee or black tea daily, 84.51% have no regular exercise, and 30.79% of those who do exercise for only 10 to 20 minutes; 67.98% add salt or soy or fish sauce to their meals, and 72.73% do not drink enough water daily; 44.42% do not undergo annual general check-up, and 58.06% do not have a personal physician. Limitations due to COVID-19 pandemic, lack of education, and expensive screening tests are perceived to be major barriers to CVD screening. More than 90% practice health teachings on diabetes mellitus prevention, hypertension screening, cholesterol screening and management, nutrition, and weight management. Counseling on regular exercise, smoking, and alcohol abuse is practiced by 88.02%, 85.74%, and 83.88% of our respondents, respectively.
CONCLUSION: Enhancement in physicians’ knowledge and behavior toward CVD risk management and prevention is an integral part in the improvement of CVD prevention.
KEYWORDS: cardiovascular risks and diseases, Filipino female physicians, prevention
- Libby P, Zipes DP, Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. Bonow RO, Mann DL, Tomaselli GF, eds. Single Volume. 11th ed. Elsevier; 2018.
- Philippine Statistics Authority. Causes of death in the Philippines (preliminary): January to December 2020. 2021. https://psa.gov.ph/sites/default/files/attachments/ crd/pressrelease/Press%20Release_Cause%20of%20 Death%20Statistics%20January%202019%20to%20 Dec%202020_signed.pdf.
- Ameh PO, Yakubu K, Miima M, Popoola O, Mohamoud G, von Pressentin K. B. Lifestyle, cardiovascular risk knowledge and patient counseling among selected sub Saharan African family physicians and trainees. Afr J Prim Health Care Fam Med 2019;11(1):a1701. https://doi. org/10.4102/phcfm.v11i1.1701.
- Bairey Merz CN, Andersen H, Sprague E, et al. Knowledge, attitudes, and beliefs regarding cardiovascular disease in women. J Am Coll Cardiol; 2017;70 (2):123–132. https:// doi.org/10.1016/j.jacc.2017.05.024.
- Lau ES, Hayes SN, Volgman AS, Lindley K, Pepine CJ, Wood MJ; American College of Cardiology Cardiovascular Disease in Women Section. Does patient-physician gender concordance influence patient perceptions or outcomes? J Am Coll Cardiol 2021;77(8):1135-1138.
- Grant AM. Cardiovascular disease: physician attitudes toward prevention and treatment. Can Fam Phys 1998;44:780–787.
- Jingi AM, Noubiap JJN. Cardiovascular risk factors awareness and prevalence among primary care physicians: an insight from the West Region Awareness Initiative Survey to Fight Cardiovascular Disease (WAIT-CVD) in Cameroon. BMC Res Notes 2015;8(1):762. https://doi. org/10.1186/s13104-015-1747-y.
- Mosca L, Linfante AH, Benjamin EJ, et al. National study of physician awareness and adherence to cardiovascular disease prevention guideline. Circulation 2005;111(4):499– 510. https://doi.org/10.1161/01.cir.0000154568.43333.82.
- Myanganbayar M, Baatarsuren U, Chen G, et al. Hypertension knowledge, attitudes, and practices of nurses and physicians in primary care in Ulaanbaatar Mongolia. J Clin Hypertens 2019;21(8):1202–1209. https://doi. org/10.1111/jch.13592.
- Reiner E, Sonicki Z, Tedeschi-Reiner E. Physicians’ perception, knowledge and awareness of cardiovascular risk factors and adherence to prevention guidelines: the PERCRO-DOC survey. Atherosclerosis 2010;213(2):598– 603. doi: 10.1016/j.atherosclerosis.2010.09.014.
- Salahshoori A, Nasirzadeh M, Haruni J, Pourhaji F, Salahshoori S, Nozarpoor J. The knowledge, attitude, and practice (KAP) of women health services staff about risk factors of cardiovascular disease (CVDs) in city of Fereydan and Chadegan. Jundishapur J Chron Dis Care 2015;4(1):e26599. https://doi.org/10.5812/jjcdc.26599
- Peacock JL, Peacock PJ. Research design. In: Oxford Handbook of Medical Statistics. New York: Oxford University Press; 2011:60-61.
Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, which permits use, share — copy and redistribute the material in any medium or format, adapt — remix, transform, and build upon the material, as long as you give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original. You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-sa/4.0/.