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

Autor:	Kiana Bess, Katelyn M. Holliday, Nicole Robinson-Ezekwe, Stephanie M. Hoover, Leah Frerichs, Anissa Williams, Michelle J. White, Giselle Corbie-Smith
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	Adult medicine.medical_specialty Psychological intervention Social support Risk-Taking Residence Characteristics Environmental health medicine North Carolina Humans Risk factor Geography business.industry Public health Research Public Health Environmental and Occupational Health Loneliness Qualitative methods Cardiovascular disease Health equity Black or African American Social and built environment Cardiovascular Diseases Female Rural area medicine.symptom Biostatistics Health disparities Public aspects of medicine RA1-1270 business
Zdroj:	BMC Public Health, Vol 21, Iss 1, Pp 1-12 (2021) BMC Public Health
ISSN:	1471-2458
Popis:	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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1629e2595ba383808ddf78bdcd71fa89 https://doaj.org/article/8e8993e37d46490a841915167f7b3fb2 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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