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Determinants Influencing Cardiovascular Health Behavior Change among Adults: A Narrative Review
Nikita Chopra1, Mamta Nebhinani1, Rishi Dutt Avasthi1
1Department of Nursing, College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Annals of African Medicine
|August 10, 2026
Summary
Cardiovascular health behavior change is complex. Sustained change requires addressing cognitive, social, economic, and healthcare factors, not just knowledge, for better public health outcomes.
Area of Science:
- Public Health
- Behavioral Science
- Cardiology
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of death.
- Lifestyle modification is key for CVD prevention, but behavior adoption is poor.
- Understanding determinants of behavior change is crucial for effective interventions.
Purpose of the Study:
- To synthesize evidence on factors influencing cardiovascular health behavior change in adults.
- To identify key determinants for sustained adoption of heart-healthy behaviors.
Main Methods:
- Narrative review of studies published 2020-2024.
- Searched PubMed, MEDLINE, CINAHL, Google Scholar, Research Gate.
- Included quantitative, qualitative, and mixed-methods studies on adult behavior change determinants.
Main Results:
- Cardiovascular health behavior change is multifactorial, influenced by cognitive, behavioral, socio-economic, psychosocial, healthcare, and biological factors.
- Knowledge increases awareness, but sustained change requires risk perception, social support, healthcare access, and socioeconomic stability.
- Eighteen studies met inclusion criteria, highlighting the complexity of behavior change.
Conclusions:
- Cardiovascular health behavior change is a complex, multifaceted process.
- Multilevel interventions addressing various determinants are necessary for effective public health strategies.
- Improving cardiovascular health requires integrated approaches beyond simple awareness.
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