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Perceptions of risk factors of cardiovascular disease and cardiac rehabilitation: a cross-sectional study targeting the Chinese population in the Midlands, UK
  1. Tay Za1,
  2. Jeff C F Lau2,
  3. Arthur C K Wong3,
  4. Alice W S Wong2,
  5. Sally Lui4,
  6. James W D Fong5,
  7. Patrick Y C Chow4,
  8. Kate B Jolly6
  1. 1ITU and Anaesthetics Department, Peterborough City Hospital, Peterborough, Cambridgeshire, UK
  2. 2Department of Medicine, Worcester Acute Hospital, Worcester, Worcestershire, UK
  3. 3Department of Medicine, New Cross Hospital, Wolverhampton, UK
  4. 4Department of Medicine, Sandwell Hospital, West Midlands, Birmingham, UK
  5. 5Department of Surgery, Arrowe Park Hospital, Liverpool, Merseyside, UK
  6. 6Department of Public Health, Epidemiology and Biostatistics, University of Birmingham, Birmingham, West Midlands, UK
  1. Correspondence to Dr Tay Za, ITU and Anaesthetics Department, Peterborough City Hospital, Edith Cavell Campus, Bretton Gate, Peterborough, Cambridgeshire PE3 9GZ, UK; tayza.bham{at}


Objectives To find out and explore the knowledge and opinion of Chinese people on cardiovascular disease and awareness of cardiac rehabilitation.

Design A cross-sectional study using 14-item bilingual (Chinese and English) questionnaires that include information on demographics, health status, cardiovascular disease related knowledge and perception, and awareness and understanding of the cardiac rehabilitation programme.

Setting Chinese community groups in the Midlands, UK from January to April 2008.

Participants 436 questionnaires from Chinese adults over 18 were obtained.

Main outcome measures Current knowledge and attitude towards cardiovascular disease and awareness of cardiac rehabilitation.

Results Obesity was the most common risk factor identified by 80.7% of participants. Those originated from China had significantly less knowledge compared with subjects from other countries (p<0.001). People who have had exposure or experience of cardiac disease rated a higher risk of cardiac disease for Chinese living in the UK than people without experience. A majority (81.7%) used orthodox medicine and perceived it to be most effective against cardiac disease. Only 30% of participants were aware of cardiac rehabilitation.

Conclusion The coronary artery disease (CAD) risk factors of Chinese population have increased significantly in the last decade. Cardiac rehabilitation awareness was poor among the sample population of this study and language barrier is still a problem. More large studies on Chinese population assessing CAD risk should be done to provide more evidence on CAD prevention for this growing population in the Western world.

  • Intensive care
  • cardiac surgery
  • cardiac function
  • coronary artery disease
  • congenital heart disease

Statistics from


  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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