UMMS Affiliation

Department of Quantitative Health Sciences

Publication Date


Document Type



Cardiology | Cardiovascular Diseases | International Public Health | Public Health Education and Promotion


BACKGROUND AND OBJECTIVES: India is the second most populous country in the world and two-thirds of its population is less than 35 years old. This survey was conducted to assess the level of health awareness of cardiovascular disease in adolescent school-aged children 14-16 years old, with the goal of establishing school-based health education and development of heart-healthy lifestyle practices.

METHODS: A school-based survey was conducted in the rural district of West Midnapore, India between June and July of 2014. This involved a pre-evaluation of cardiovascular disease (CVD) health awareness, a short presentation on CVD, and a post-evaluation of CVD health awareness.

RESULTS: A total of 2995 students (48% response rate) from 20 schools participated in the survey. The mean age of the students in the study sample was 14.7 years, 46% were male, 53% were in the 9th grade, and the rest were in the 10th grade. After assessing students' awareness in six domains with 20 multiple-choice questions with a maximum score of 100, the mean pre-test score was 41.1 (SD+/-10.5) and the mean post-test score was 48.1 (SD+/-16.9) (p < 0.001).

CONCLUSIONS: Awareness of CVD and its risk factors was far from optimal among the adolescent school-aged children in this study. A school-based educational program may help improve awareness of CVD and reduce the future disease burden in the community. The results of this study may be useful in formulating a nationwide school health program to deal with the emerging epidemic of CVD in countries such as India.


Cardiovascular disease prevention, Health awareness, Risk factors, School health program, Survey

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Open Access funded by Cardiological Society of India under a Creative Commons license.

DOI of Published Version



Indian Heart J. 2016 Jan-Feb;68(1):43-7. doi: 10.1016/j.ihj.2015.10.302. Epub 2016 Jan 11. Link to article on publisher's site

Journal/Book/Conference Title

Indian heart journal

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Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.