Knowledge gaps and misconceptions about coronary heart disease among U.S. South Asians.
Knowledge gaps and misconceptions about coronary heart disease among U.S. South Asians.
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美国南亚人对冠心病的知识差距和误解。
DOI：
10.1016/j.amepre.2009.12.034
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发表时间：
2010
影响因子：
5.5
通讯作者：
Baker,DavidW
中科院分区：
文献类型：
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作者：
Kandula,NamrathaR;Tirodkar,ManasiA;Lauderdale,DianeS;Khurana,NeerjaR;Makoul,Gregory;Baker,DavidW
虽然南亚人比大多数其他美国种族/族裔群体有更高的冠心病（CHD）风险，但很少有研究解决这种差异。作为为这个快速增长的社区制定有文化针对性的CHD预防信息的第一步，这项研究检查了南亚人对CHD的知识和信念。基于2008年1月至7月在伊利诺伊州对270名南亚成年人进行的横断面研究人群中收集的数据。访谈用英语、印地语或乌尔都语进行，使用标准化问卷。多元回归模型被用来研究社会人口统计学和冠心病知识和态度之间的关系。81%的受访者有一个或多个冠心病危险因素。大多数参与者（89%）表示他们对CHD知之甚少或一无所知。压力是最常见的风险因素（44%）。很少有人提到控制血压（11%）;胆固醇（10%）;和糖尿病（5%）预防。53%的人说心脏病发作是不可预防的。低教育水平，正在接受采访，在乌尔都语或印地语，文化适应水平低与知识少，相信冠心病是不可预防的。CONCLUSIONSA大多数南亚人在这项研究中认为，冠心病是不可预防的，并有低认识的可改变的危险因素。作为第一步，CHD教育应针对可能影响危险因素控制和行为改变的知识差距。教育信息可能需要对子组有所不同（例如，通过教育和语言），以最大限度地发挥作用。
BACKGROUNDAlthough South Asians are at higher risk for coronary heart disease (CHD) than most other U.S. racial/ethnic groups, very little research has addressed this disparity.PURPOSEAs a first step in developing culturally targeted CHD prevention messages for this rapidly growing community, this study examined South Asians' knowledge and beliefs about CHD.METHODSAnalyses, conducted in 2009, were based on data collected from January to July 2008 in a cross-sectional study population of 270 South Asian adults in Illinois. Interviews were conducted in English, Hindi, or Urdu using a standardized questionnaire. Multivariate regression models were used to examine the associations between sociodemographics and CHD knowledge and attitudes about preventability.RESULTSEighty-one percent of respondents had one or more CHD risk factors. Most participants (89%) said they knew little or nothing about CHD. Stress was the most frequently mentioned risk factor (44%). Few mentioned controlling blood pressure (11%); cholesterol (10%); and diabetes (5%) for prevention. Fifty-three percent said that heart attacks are not preventable. Low education level, being interviewed in Urdu or Hindi, and low level of acculturation were associated with less knowledge and believing that CHD is not preventable.CONCLUSIONSA majority of South Asians in this study believed that CHD is not preventable and had low awareness of modifiable risk factors. As a first step, CHD education should target the knowledge gaps that may affect risk factor control and behavior change. Educational messages may need to be somewhat different for subgroups (e.g., by education and language) to be maximally effective.