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Record W4412493466 · doi:10.1093/eurjpc/zwaf428

Association of health knowledge with adoption of heart healthy behaviours: a cross-sectional analysis using data from the PURE study

2025· article· en· W4412493466 on OpenAlexafffund
Shiva Raj Mishra, Richard I. Lindley, Angela C Webster, Patricio López‐Jaramillo, Rosnah Ismail, Jayachitra Krishnaswamy Gajendran, Indu Mohan, Rekha M. Ravindran, Manmeet Kaur, C. Lundberg, Karen Yeates, Khalid F. AlHabib, Roya Kelishadi, Katarzyna Zatońska, Homer U Co, Scott A. Lear, Karen Suarez, Iolanthé M. Kruger, Pamela Serón, Marı́a Luz Dı́az, Zhiguang Liu, Yingxuan Zhu, Álvaro Avezum, Afzalhussein Yusufali, Rita Yusuf, Jephat Chifamba, Ahmet Temizhan, Romaina Iqbal, Sumathy Rangarajan, Martin McKee, Salim Yusuf, Clara K Chow

Bibliographic record

VenueEuropean Journal of Preventive Cardiology · 2025
Typearticle
Languageen
FieldMedicine
TopicHealth Promotion and Cardiovascular Prevention
Canadian institutionsPopulation Health Research InstituteUniversity of OttawaSimon Fraser UniversityQueen's University
FundersFaculty of Community and Health Sciences, University of the Western CapeIndian Council of Medical ResearchKing Saud UniversityMedical Research CouncilUniwersytet Medyczny im. Piastów Slaskich we WroclawiuNorth-West UniversityPhilippine Council for Health Research and DevelopmentNational Health and Medical Research CouncilMinistério da Ciência, Tecnologia e InovaçãoCanadian Institutes of Health ResearchAFA FörsäkringAstraZeneca Pharma PolandPopulation Health Research InstituteUniversiti Teknologi MARASaudi Heart AssociationVetenskapsrådetOntario Ministry of Health and Long-Term CareHeart and Stroke Foundation of CanadaInternational Development Research CentreHamilton Health SciencesSanofiNovartis PortugalUniversiti Kebangsaan MalaysiaOntario SPOR SUPPORT UnitNational Research Foundation
KeywordsMedicineConfoundingSmoking cessationStroke (engine)Logistic regressionCohortOdds ratioDiseaseCohort studyHeart diseaseCardiovascular healthEnvironmental healthInternal medicinePathology

Abstract

fetched live from OpenAlex

AIMS: This study aims to assess aspects of health knowledge: i) awareness of health effect of tobacco smoking and ii) awareness of preventive actions for heart disease and stroke, and their relationships with adoption of heart healthy behaviours (smoking cessation and utilisation of antihypertensive treatment). METHODS: In this multi-cohort study, we recruited adults aged 35 to 70 years from 21 countries. Data on health effects of tobacco smoking (10 questions) and health actions to prevent heart disease or stroke (11 questions) were collected at baseline. Logistic regression analyses were used to examine the relationship with the outcomes of smoking cessation and use of antihypertensive treatment adjusting for adjusting for possible confounders. RESULTS: Of the 12,962 included in the descriptive analysis, 50.0% were female, 42.9% had no or primary education, and 53.3 % were residing in low or lower middle-income country. Among current and former smokers, having knowledge of health effect of tobacco smoking on heart disease [Adjusted Odds Ratio (aOR): 1.70, 95% CI: 1.19, 2.43)], stroke (1.41, 1.08,1.86), and on heart disease in non-smokers exposed to others smoking (1.40, 1.06,1.86) were significantly and positively associated with smoking cessation compared to those who were not aware of health effects. Knowledge of the importance of reducing dietary salt aOR 1.62 (1.23,2.13), dietary fat aOR 1.56 (1.17,2.08) and exercising more aOR 1.48 (1.22,1.80) to prevent heart disease or stroke were positively associated with taking anti-hypertensive medication compared to those who were not aware of preventative actions. CONCLUSION: This study reinforces that better health knowledge shapes adoption of heart healthy behaviours such as smoking cessation and taking anti-hypertensive treatment even after accounting for baseline education and wealth.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.021
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.099
Threshold uncertainty score0.734

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0210.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.082
GPT teacher head0.410
Teacher spread0.328 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes2
Has abstractyes

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