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Perceptions of Heart-Healthy Behaviors among African American Adults: A Mixed Methods Study

African Americans have a disproportionately higher risk of chronic conditions such as cardiovascular disease (CVD), type 2 diabetes, and hypertension than other ethnic or racial groups. Data regarding CVD-related perceptions and beliefs among African Americans are limited, particularly in the Southw...

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Autores principales: Der Ananian, Cheryl, Winham, Donna M., Thompson, Sharon V., Tisue, Megan E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6265893/
https://www.ncbi.nlm.nih.gov/pubmed/30388803
http://dx.doi.org/10.3390/ijerph15112433
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author Der Ananian, Cheryl
Winham, Donna M.
Thompson, Sharon V.
Tisue, Megan E.
author_facet Der Ananian, Cheryl
Winham, Donna M.
Thompson, Sharon V.
Tisue, Megan E.
author_sort Der Ananian, Cheryl
collection PubMed
description African Americans have a disproportionately higher risk of chronic conditions such as cardiovascular disease (CVD), type 2 diabetes, and hypertension than other ethnic or racial groups. Data regarding CVD-related perceptions and beliefs among African Americans are limited, particularly in the Southwest US. Assessment of current views regarding health and health behaviors is needed to tailor interventions to meet the unique needs of specific populations. We sought to examine knowledge, attitudes, and perceptions of African Americans living in Arizona toward CVD and etiological factors associated with health behaviors and chronic disease development to inform state health agency program development. Transcripts from 14 focus groups (n = 103) were analyzed using Grounded Theory for perceived disease risk, knowledge of CVD risk factors, nutrition, preventative behaviors, and barriers and motivators to behavior change. Participants identified CVD, stroke, and diabetes as leading health concerns among African-Americans but were less certain about the physiological consequences of these diseases. Diet, stress, low physical activity, family history, hypertension, and stroke were described as key CVD risk factors, but overweight and obesity were mentioned rarely. Participants described low socio-economic status and limited access to healthy foods as contributors to disease risk. Focus group members were open to modifying health behaviors if changes incorporated their input and were culturally acceptable. Respondents were 41% male and 59% female with a mean age of 46 years. This study provides insight into CVD and associated disease-related perceptions, knowledge, and attitudes among African Americans in the Southwest and recommendations for interventions to reduce CVD risk.
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spelling pubmed-62658932018-12-15 Perceptions of Heart-Healthy Behaviors among African American Adults: A Mixed Methods Study Der Ananian, Cheryl Winham, Donna M. Thompson, Sharon V. Tisue, Megan E. Int J Environ Res Public Health Article African Americans have a disproportionately higher risk of chronic conditions such as cardiovascular disease (CVD), type 2 diabetes, and hypertension than other ethnic or racial groups. Data regarding CVD-related perceptions and beliefs among African Americans are limited, particularly in the Southwest US. Assessment of current views regarding health and health behaviors is needed to tailor interventions to meet the unique needs of specific populations. We sought to examine knowledge, attitudes, and perceptions of African Americans living in Arizona toward CVD and etiological factors associated with health behaviors and chronic disease development to inform state health agency program development. Transcripts from 14 focus groups (n = 103) were analyzed using Grounded Theory for perceived disease risk, knowledge of CVD risk factors, nutrition, preventative behaviors, and barriers and motivators to behavior change. Participants identified CVD, stroke, and diabetes as leading health concerns among African-Americans but were less certain about the physiological consequences of these diseases. Diet, stress, low physical activity, family history, hypertension, and stroke were described as key CVD risk factors, but overweight and obesity were mentioned rarely. Participants described low socio-economic status and limited access to healthy foods as contributors to disease risk. Focus group members were open to modifying health behaviors if changes incorporated their input and were culturally acceptable. Respondents were 41% male and 59% female with a mean age of 46 years. This study provides insight into CVD and associated disease-related perceptions, knowledge, and attitudes among African Americans in the Southwest and recommendations for interventions to reduce CVD risk. MDPI 2018-11-01 2018-11 /pmc/articles/PMC6265893/ /pubmed/30388803 http://dx.doi.org/10.3390/ijerph15112433 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Der Ananian, Cheryl
Winham, Donna M.
Thompson, Sharon V.
Tisue, Megan E.
Perceptions of Heart-Healthy Behaviors among African American Adults: A Mixed Methods Study
title Perceptions of Heart-Healthy Behaviors among African American Adults: A Mixed Methods Study
title_full Perceptions of Heart-Healthy Behaviors among African American Adults: A Mixed Methods Study
title_fullStr Perceptions of Heart-Healthy Behaviors among African American Adults: A Mixed Methods Study
title_full_unstemmed Perceptions of Heart-Healthy Behaviors among African American Adults: A Mixed Methods Study
title_short Perceptions of Heart-Healthy Behaviors among African American Adults: A Mixed Methods Study
title_sort perceptions of heart-healthy behaviors among african american adults: a mixed methods study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6265893/
https://www.ncbi.nlm.nih.gov/pubmed/30388803
http://dx.doi.org/10.3390/ijerph15112433
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