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The significant places of African American adults and their perceived influence on cardiovascular disease risk behaviors

BACKGROUND: AA living in rural areas of the southeastern U.S. experience a disproportionate burden of cardiovascular disease (CVD) morbidity and mortality. Neighborhood environmental factors contribute to this disparity and may decrease the effectiveness of lifestyle interventions aimed at preventin...

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Autores principales: White, Michelle J., Holliday, Katelyn M., Hoover, Stephanie, Robinson-Ezekwe, Nicole, Corbie-Smith, Giselle, Williams, Anissa, Bess, Kiana, Frerichs, Leah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8570769/
https://www.ncbi.nlm.nih.gov/pubmed/34740336
http://dx.doi.org/10.1186/s12889-021-12022-x
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author White, Michelle J.
Holliday, Katelyn M.
Hoover, Stephanie
Robinson-Ezekwe, Nicole
Corbie-Smith, Giselle
Williams, Anissa
Bess, Kiana
Frerichs, Leah
author_facet White, Michelle J.
Holliday, Katelyn M.
Hoover, Stephanie
Robinson-Ezekwe, Nicole
Corbie-Smith, Giselle
Williams, Anissa
Bess, Kiana
Frerichs, Leah
author_sort White, Michelle J.
collection PubMed
description BACKGROUND: AA living in rural areas of the southeastern U.S. experience a disproportionate burden of cardiovascular disease (CVD) morbidity and mortality. Neighborhood environmental factors contribute to this disparity and may decrease the effectiveness of lifestyle interventions aimed at preventing CVD. Furthermore, the influence of neighborhood factors on AA CVD risk behaviors (i.e. physical activity) may be obscured by the use of researcher-defined neighborhoods and researcher-defined healthy and unhealthy places. The objective of this study was to elucidate the effects of neighborhood environments on AA CVD risk behaviors among AA adults who recently completed a lifestyle intervention. We specifically sought to identify AA adults’ self-perceived places of significance and their perceptions of how these places impact CVD risk behaviors including diet, physical activity and smoking. METHODS: We conducted semi-structured interviews with AA adults (N = 26) living in two rural North Carolina counties (Edgecombe and Nash, North Carolina, USA). Participants were recruited from a community-based behavioral CVD risk reduction intervention. All had at least one risk factor for CVD. Participants identified significant places including where they spent the most time, meaningful places, and healthy and unhealthy places on local maps. Using these maps as a reference, participants described the impact of each location on their CVD risk behaviors. Data were transcribed verbatim and coded using NVivo 12. RESULTS: The average age of participants was 63 (SD = 10) and 92% were female. Places participants defined as meaningful and places where they spent the most time included churches and relatives’ homes. Healthy places included gyms and parks. Unhealthy places included fast food restaurants and relatives’ homes where unhealthy food was served. Place influenced CVD risk behaviors in multiple ways including through degree of perceived control over the environment, emotional attachment and loneliness, caretaking responsibilities, social pressures and social support. CONCLUSIONS: As we seek to improve cardiovascular interventions for rural AA in the American South, it will be important to further assess the effect of significant places beyond place of residence. Strategies which leverage or modify behavioral influences within person-defined significant places may improve the reach and effectiveness of behavioral lifestyle interventions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-12022-x.
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spelling pubmed-85707692021-11-08 The significant places of African American adults and their perceived influence on cardiovascular disease risk behaviors White, Michelle J. Holliday, Katelyn M. Hoover, Stephanie Robinson-Ezekwe, Nicole Corbie-Smith, Giselle Williams, Anissa Bess, Kiana Frerichs, Leah BMC Public Health Research BACKGROUND: AA living in rural areas of the southeastern U.S. experience a disproportionate burden of cardiovascular disease (CVD) morbidity and mortality. Neighborhood environmental factors contribute to this disparity and may decrease the effectiveness of lifestyle interventions aimed at preventing CVD. Furthermore, the influence of neighborhood factors on AA CVD risk behaviors (i.e. physical activity) may be obscured by the use of researcher-defined neighborhoods and researcher-defined healthy and unhealthy places. The objective of this study was to elucidate the effects of neighborhood environments on AA CVD risk behaviors among AA adults who recently completed a lifestyle intervention. We specifically sought to identify AA adults’ self-perceived places of significance and their perceptions of how these places impact CVD risk behaviors including diet, physical activity and smoking. METHODS: We conducted semi-structured interviews with AA adults (N = 26) living in two rural North Carolina counties (Edgecombe and Nash, North Carolina, USA). Participants were recruited from a community-based behavioral CVD risk reduction intervention. All had at least one risk factor for CVD. Participants identified significant places including where they spent the most time, meaningful places, and healthy and unhealthy places on local maps. Using these maps as a reference, participants described the impact of each location on their CVD risk behaviors. Data were transcribed verbatim and coded using NVivo 12. RESULTS: The average age of participants was 63 (SD = 10) and 92% were female. Places participants defined as meaningful and places where they spent the most time included churches and relatives’ homes. Healthy places included gyms and parks. Unhealthy places included fast food restaurants and relatives’ homes where unhealthy food was served. Place influenced CVD risk behaviors in multiple ways including through degree of perceived control over the environment, emotional attachment and loneliness, caretaking responsibilities, social pressures and social support. CONCLUSIONS: As we seek to improve cardiovascular interventions for rural AA in the American South, it will be important to further assess the effect of significant places beyond place of residence. Strategies which leverage or modify behavioral influences within person-defined significant places may improve the reach and effectiveness of behavioral lifestyle interventions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-12022-x. BioMed Central 2021-11-05 /pmc/articles/PMC8570769/ /pubmed/34740336 http://dx.doi.org/10.1186/s12889-021-12022-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
White, Michelle J.
Holliday, Katelyn M.
Hoover, Stephanie
Robinson-Ezekwe, Nicole
Corbie-Smith, Giselle
Williams, Anissa
Bess, Kiana
Frerichs, Leah
The significant places of African American adults and their perceived influence on cardiovascular disease risk behaviors
title The significant places of African American adults and their perceived influence on cardiovascular disease risk behaviors
title_full The significant places of African American adults and their perceived influence on cardiovascular disease risk behaviors
title_fullStr The significant places of African American adults and their perceived influence on cardiovascular disease risk behaviors
title_full_unstemmed The significant places of African American adults and their perceived influence on cardiovascular disease risk behaviors
title_short The significant places of African American adults and their perceived influence on cardiovascular disease risk behaviors
title_sort significant places of african american adults and their perceived influence on cardiovascular disease risk behaviors
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8570769/
https://www.ncbi.nlm.nih.gov/pubmed/34740336
http://dx.doi.org/10.1186/s12889-021-12022-x
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