Perceptions of cardiovascular health in underserved communities

Lucinda L. Bryant, Nancy P. Chin, Lesley A. Cottrell, Joyce M. Duckles, I. Diana Fernandez, D. Marcela Garces, Thomas C. Keyserling, Colleen R. McMilin, Karen E. Peters, Carmen D. Samuel-Hodge, Shin-Ping Tu, Maihan B. Vu, Annette L. Fitzpatrick

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Introduction: Cardiovascular disease is the leading cause of deaths and illnesses in US adults, and the prevalence is disproportionately high in underserved populations. In this study, we assessed respondents' understanding of context-specific differences in knowledge and perceptions of disease, risk, and prevention in 6 underserved communities, with the longer-term goal of developing appropriate interventions. Methods: Thirty-nine small-group sessions and 14 interviews yielded data from 318 adults. Each site's researchers coded, analyzed, and extracted key themes from local data. Investigators from all sites synthesized results and identified common themes and differences. Results: Themes clustered in 3 areas (barriers to cardiovascular health, constraints related to multiple roles, and suggestions for effective communications and programs). Barriers spanned individual, social and cultural, and environmental levels; women in particular cited multiple roles (eg, competing demands, lack of self-care). Programmatic suggestions included the following: personal, interactive, social context; information in language that people use; activities built around cultural values and interests; and community orientation. In addition, respondents preferred health-related information from trusted groups (eg, AARP), health care providers (but with noticeable differences of opinion), family and friends, and printed materials. Conclusion: Interventions to decrease barriers to cardiovascular health are needed; these strategies should include family and community context, small groups, interactive methods, culturally sensitive materials, and trusted information sources. New-immigrant communities need culturally and linguistically tailored education before receiving more substantive interventions.

Original languageEnglish (US)
Article numberA30
JournalPreventing chronic disease
Volume7
Issue number2
StatePublished - Jan 1 2010
Externally publishedYes

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Health
Research Personnel
Vulnerable Populations
Self Care
Health Personnel
Cause of Death
Cardiovascular Diseases
Language
Communication
Interviews
Education
Surveys and Questionnaires

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Bryant, L. L., Chin, N. P., Cottrell, L. A., Duckles, J. M., Diana Fernandez, I., Marcela Garces, D., ... Fitzpatrick, A. L. (2010). Perceptions of cardiovascular health in underserved communities. Preventing chronic disease, 7(2), [A30].

Perceptions of cardiovascular health in underserved communities. / Bryant, Lucinda L.; Chin, Nancy P.; Cottrell, Lesley A.; Duckles, Joyce M.; Diana Fernandez, I.; Marcela Garces, D.; Keyserling, Thomas C.; McMilin, Colleen R.; Peters, Karen E.; Samuel-Hodge, Carmen D.; Tu, Shin-Ping; Vu, Maihan B.; Fitzpatrick, Annette L.

In: Preventing chronic disease, Vol. 7, No. 2, A30, 01.01.2010.

Research output: Contribution to journalArticle

Bryant, LL, Chin, NP, Cottrell, LA, Duckles, JM, Diana Fernandez, I, Marcela Garces, D, Keyserling, TC, McMilin, CR, Peters, KE, Samuel-Hodge, CD, Tu, S-P, Vu, MB & Fitzpatrick, AL 2010, 'Perceptions of cardiovascular health in underserved communities', Preventing chronic disease, vol. 7, no. 2, A30.
Bryant LL, Chin NP, Cottrell LA, Duckles JM, Diana Fernandez I, Marcela Garces D et al. Perceptions of cardiovascular health in underserved communities. Preventing chronic disease. 2010 Jan 1;7(2). A30.
Bryant, Lucinda L. ; Chin, Nancy P. ; Cottrell, Lesley A. ; Duckles, Joyce M. ; Diana Fernandez, I. ; Marcela Garces, D. ; Keyserling, Thomas C. ; McMilin, Colleen R. ; Peters, Karen E. ; Samuel-Hodge, Carmen D. ; Tu, Shin-Ping ; Vu, Maihan B. ; Fitzpatrick, Annette L. / Perceptions of cardiovascular health in underserved communities. In: Preventing chronic disease. 2010 ; Vol. 7, No. 2.
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