Background: Despite the increasing global recognition of metabolic syndrome (MeS) as an underlying cause of cardiovascular risks, limited research has been conducted regarding the awareness of this emerging problem among pharmacy students. This study aims to determine pharmacy students' levels of knowledge and awareness concerning MeS and its associated cardiovascular risks.
Methods: A web-based survey was administered to 332 pharmacy college students from eight universities in Jordan during March 2017 and March 2018. The survey included questions related to seven conditions associated with MeS: diabetes, adiposity, hypertension (HTN), high serum cholesterol (hyperlipidemia), arteriosclerosis, stroke, and myocardial infarction (MI). Knowledge scores per question were categorized as follows: "good knowledge" if 81-100% of students answered correctly, "fair knowledge" if 51-80% answered correctly, and "poor knowledge" if 50% or fewer answered correctly. A poisson regression model was used to regress total knowledge scores on study parameters.
Results: Overall, the results indicated that pharmacy students were most familiar with knowledge about stroke, with an average percentage of correct answers of 65.8%. Conversely, students were least familiar with MI, as only 35.1% of the questions related to this condition were answered correctly. A significant gap in knowledge regarding HTN and MI was evident, as a good level of knowledge was lacking for all questions related to these two conditions. Gender (being a female), a student's cumulative grade point average (GPA), and the year in college (one to five years) were positively associated with higher knowledge levels.
Conclusions: The outcomes of this study suggest that awareness of MeS among pharmacy students is lacking in several important aspects. This study may have implications that can be effectively harnessed in pharmacy education modalities within the academic sphere.
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References
- Al Dhaheri AS, Mohamad MN, Jarrar AH, Ohuma EO, Ismail LC, Al Meqbaali FT, et al. A Cross-Sectional Study of the Prevalence of Metabolic Syndrome among Young Female Emirati Adults. PloS one. 2016;11(7):e0159378.
- Ferguson TS, Tulloch-Reid MK, Younger NO, Knight-Madden JM, Samms-Vaughan M, Ashley D, et al. Prevalence of the metabolic syndrome and its components in relation to socioeconomic status among Jamaican young adults: a cross-sectional study. BMC Public Health. 2010;10(1):307.
- Nolan PB, Carrick-Ranson G, Stinear JW, Reading SA, Dalleck LC. Prevalence of metabolic syndrome and metabolic syndrome components in young adults: A pooled analysis. Preventive medicine reports. 2017;7:211-5.
- Dalleck LC, Kjelland EM. The prevalence of metabolic syndrome and metabolic syndrome risk factors in college-aged students. American Journal of Health Promotion. 2012;27(1):37-42.
- Paul A, Molly J. Effectiveness of a guided risk management strategy on the knowledge and attitude regarding the prevention of metabolic syndrome among adolescents. International Journal Of Community Medicine And Public Health. 2017;3(6):1564-7.
- Yahia N, Brown C, Rapley M, Chung M. Assessment of college students’ awareness and knowledge about conditions relevant to metabolic syndrome. Diabetology & metabolic syndrome. 2014;6(1):111.
- Reiner Ž, Sonicki Z, Tedeschi-Reiner EJCmj. The perception and knowledge of cardiovascular risk factors among medical students. 2012;53(3):278-84.
- F de Freitas Jr RW, M de Araújo MF, P Marinho NB, A de Vasconcelos HC, S Lima AC, R Pereira DC, et al. Prevalence of the metabolic syndrome and its individual components in Brazilian college students. 2013;22(9-10):1291-8.
- Morrell JS, Lofgren IE, Burke JD, Reilly RAJJoACH. Metabolic syndrome, obesity, and related risk factors among college men and women. 2012;60(1):82-9.
- Bassi N, Karagodin I, Wang S, Vassallo P, Priyanath A, Massaro E, et al. Lifestyle modification for metabolic syndrome: a systematic review. 2014;127(12):1242. e1-. e10.
- Eckel RH, Kahn R, Robertson RM, Rizza RAJC. Preventing cardiovascular disease and diabetes: a call to action from the American Diabetes Association and the American Heart Association. 2006;113(25):2943-6.
- Grundy SMJTJoCE, Metabolism. Metabolic syndrome: a multiplex cardiovascular risk factor. 2007;92(2):399-404.
- Eades CE, Ferguson JS, O'Carroll RE. Public health in community pharmacy: a systematic review of pharmacist and consumer views. BMC public health. 2011;11(1):582.
- Becker B-M, Bromme R, Jucks R. College students' knowledge of concepts related to the metabolic syndrome. Psychology, Health and Medicine. 2008;13(3):367-79.
- Kukulu K, Korukcu O, Ozdemir Y, Bezci A, Calik CJJop, nursing mh. Self‐confidence, gender and academic achievement of undergraduate nursing students. 2013;20(4):330-5.
- Ebenuwa-Okoh EJJoP. Influence of age, financial status, and gender on academic performance among undergraduates. 2010;1(2):99-103.
- Prajapati B, Dunne M, Bartlett H, Cubbidge RJO, Optics P. The influence of learning styles, enrolment status and gender on academic performance of optometry undergraduates. 2011;31(1):69-78.
- Sonnert G, Fox MFJTJoHE. Women, men, and academic performance in science and engineering: The gender difference in undergraduate grade point averages. 2012;83(1):73-101.
- DiPrete TA, Buchmann CJD. Gender-specific trends in the value of education and the emerging gender gap in college completion. 2006;43(1):1-24.
- Carbonaro W, Ellison BJ, Covay EJSSR. Gender inequalities in the college pipeline. 2011;40(1):120-35.
- DiPrete TA, Buchmann CJUAitFDotNC. Gender disparities in educational attainment in the new century: Trends, causes and consequences. 2013.
- IndexMundi. Jordan demographics profile 2018 2018 [Available from: https://www.indexmundi.com/jordan/demographics_profile.html.
- Gierach M, Gierach J, Ewertowska M, Arndt A, Junik R. Correlation between body mass index and waist circumference in patients with metabolic syndrome. ISRN endocrinology. 2014;2014.
- Haist SA, Wilson JF, Elam CL, Blue AV, Fosson SE. The effect of gender and age on medical school performance: an important interaction. Advances in health sciences Education. 2000;5(3):197-205.
- Grunspan DZ, Eddy SL, Brownell SE, Wiggins BL, Crowe AJ, Goodreau SM. Males under-estimate academic performance of their female peers in undergraduate biology classrooms. PloS one. 2016;11(2):e0148405.
- Buchmann C, DiPrete TA. The growing female advantage in college completion: The role of family background and academic achievement. American sociological review. 2006;71(4):515-41.
- Quadlin NJASR. The mark of a woman’s record: Gender and academic performance in hiring. 2018;83(2):331-60.
- Ruffing S, Wach F, Spinath FM, Brünken R, Karbach JJFip. Learning strategies and general cognitive ability as predictors of gender-specific academic achievement. 2015;6:1238.
- Almasry M, Kayali Z, Alsaad R, Alhayaza G, Ahmad MS, Obeidat A, et al. Perceptions of preclinical medical students towards extracurricular activities. International journal of medical education. 2017;8:285.
- Lumley S, Ward P, Roberts L, Mann JP. Self-reported extracurricular activity, academic success, and quality of life in UK medical students. International journal of medical education. 2015;6:111.
- Philadelphia University. Course Description for of Pharmacy 2011/2012 2012 [Available from: http://www.philadelphia.edu.jo/course-description-2011-pharmacy.
- University of Petra. Pharmacology and biomedical sciences, course description 2013 [Available from: https://www.uop.edu.jo/En/Academics/PharmacyMedicalSciences/PharmacologyandBiomedicalSciences/Pages/CourseDescription.aspx.
- Applied Science Private University (ASU). Clinical pharmacy & therapeutics, courses 2017 [Available from: http://www.asu.edu.jo/en/Pharmacy/cpt/Pages/courses.aspx.
- Korda H, Itani Z. Harnessing social media for health promotion and behavior change. Health promotion practice. 2013;14(1):15-23.
- Lyson HC, Le GM, Zhang J, Rivadeneira N, Lyles C, Radcliffe K, et al. Social Media as a Tool to Promote Health Awareness: Results from an Online Cervical Cancer Prevention Study. Journal of Cancer Education. 2018:1-4.
- Proctor BE, Prevatt FF, Adams KS, Reaser A, Petscher Y. Study skills profiles of normal-achieving and academically-struggling college students. Journal of College Student Development. 2006;47(1):37-51.
- Institute for Health Metrics and Evaluation (IHME). Country profiles, Jordan 2016 [Available from: http://www.healthdata.org/jordan.
- Al Rashdan I, Al Nesef Y. Prevalence of overweight, obesity, and metabolic syndrome among adult Kuwaitis: results from community-based national survey. Angiology. 2010;61(1):42-8.
- Medscape. Metabolic syndrome, pathophysiology. 2017 [Available from: https://emedicine.medscape.com/article/165124-overview#a4.
- Obeidat AA, Ahmad MN, Haddad FH, Azzeh FS. Evaluation of several anthropometric indices of obesity as predictors of metabolic syndrome in Jordanian adults. Nutricion hospitalaria. 2015;32(2).
- Centers for Disease Control and Prevention. Defining adult overweight and obesity 2018 [Available from: https://www.cdc.gov/obesity/adult/defining.html.
- Alefan Q, Alsmadi MtM. Pharmacy education in Jordan: updates. International Journal of Pharmacy Practice. 2017;25(6):418-20.
- Rimando M, Brace AM, Namageyo-Funa A, Parr TL, Sealy D-A, Davis TL, et al. Data collection challenges and recommendations for early career researchers. The Qualitative Report. 2015;20(12):2025-36.
- Jordan. Ministry of Higher Education & Scientific Research 2017 [Available from: http://www.mohe.gov.jo/en/pages/BriefMohe2.aspx.


