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

被引:16
作者
Ananian, Cheryl Der [1 ]
Winham, Donna M. [2 ]
Thompson, Sharon V. [3 ]
Tisue, Megan E. [2 ]
机构
[1] Arizona State Univ, Coll Hlth Solut, Phoenix, AZ 85004 USA
[2] Iowa State Univ, Food Sci & Human Nutr, Ames, IA 50010 USA
[3] Univ Illinois, Div Nutr Sci, Urbana, IL 61801 USA
关键词
cardiovascular disease; hypertension; stroke; heart disease; diet; health communication; stress; health disparities; blacks; ethnicity; UNITED-STATES; DISEASE; AWARENESS; WOMEN; INTERVENTION; PREVENTION; KNOWLEDGE; BARRIERS; BLACKS; STROKE;
D O I
10.3390/ijerph15112433
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
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.
引用
收藏
页数:16
相关论文
共 50 条
  • [21] Isolated systolic or diastolic hypertension and mortality risk in young adults using the 2017 American College of Cardiology/American Heart Association blood pressure guideline: a longitudinal cohort study
    Bo, Yacong
    Yu, Tsung
    Guo, Cui
    Chang, Ly-yun
    Huang, Junjie
    Wong, Martin C. S.
    Tam, Tony
    Lao, Xiang Qian
    JOURNAL OF HYPERTENSION, 2023, 41 (02) : 271 - 279
  • [22] Perceptions of the food marketing environment among African American teen girls and adults
    Bibeau, Wendy S.
    Saksvig, Brit I.
    Gittelsohn, Joel
    Williams, Sonja
    Jones, Lindsey
    Young, Deborah Rohm
    APPETITE, 2012, 58 (01) : 396 - 399
  • [23] Biopsychosocial Risk Profiles Among African American and Non-Hispanic White Adults: Findings From The Health and Retirement Study
    Lincoln, Karen D.
    Nguyen, Ann W.
    JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2022, 77 (02): : E82 - E88
  • [24] Fruit and Vegetable Intake Among Older African American and Hispanic Adults With Cardiovascular Risk Factors
    Kibe, Lucy W.
    Bazargan, Mohsen
    GERONTOLOGY AND GERIATRIC MEDICINE, 2022, 8
  • [25] Assessing Health Needs in African American Churches: A Mixed-Methods Study
    Su, Dejun
    Garg, Ashvita
    Wiens, Jessica
    Meyer, Eric
    Cai, Grace
    JOURNAL OF RELIGION & HEALTH, 2021, 60 (02) : 1179 - 1197
  • [26] Risk Knowledge and Awareness of Coronary Heart Disease, and Health Promotion Behaviors Among Adults in Oman
    Ammouri, Ali Ahmad
    Abu Raddaha, Ahmad H.
    Tailakh, Ayman
    Kamanyire, Joy
    Achora, Susan
    Isac, Chandrani
    RESEARCH AND THEORY FOR NURSING PRACTICE, 2018, 32 (01) : 46 - 62
  • [27] Harambee!: A pilot mixed methods study of integrated residential HIV testing among African-born individuals in the Seattle area
    Roberts, D. Allen
    Kerani, Roxanne
    Tsegaselassie, Solomon
    Abera, Seifu
    Lynes, Ashley
    Scott, Emily
    Chung, Karen
    Yohannes, Ermias
    Basualdo, Guiomar
    Stekler, Joanne D.
    Barnabas, Ruanne
    James, Jocelyn
    Cooper-Ashford, Shelley
    Patel, Rena
    PLOS ONE, 2019, 14 (05):
  • [28] Men's Depressive Symptoms, Health Beliefs, Masculinity, and Heart-Healthy Behaviors: Examining Moderators of a Mediated Model
    Mahalik, James R.
    Harris, Michael P.
    Di Bianca, Michael
    PSYCHOLOGY OF MEN & MASCULINITIES, 2023, 24 (02): : 113 - 122
  • [29] Risk factor distribution among sociodemographically diverse African American adults
    Ken Resnicow
    Terry Wang
    William N. Dudley
    Alice Jackson
    J’asjit S. Ahluwalia
    Tom Baranowski
    Ronald L. Braithwaite
    Journal of Urban Health, 2001, 78 : 125 - 140
  • [30] Risk factor distribution among sociodemographically diverse African American adults
    Resnicow, K
    Wang, T
    Dudley, WN
    Jackson, A
    Ahluwalia, JS
    Baranowski, T
    Braithwaite, RL
    JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE, 2001, 78 (01): : 125 - 140