Relationship Between Cardiovascular Disease Knowledge and Race/Ethnicity, Education, and Weight Status
Autor: | Nicole E Dumas, Lorraine Mull, Deirdre Mattina, Laura E. Flink, Robert R. Sciacca, Tracy K. Paul, Sharon R. Akabas, Nathalie Moise, Elsa-Grace V. Giardina, Michael L Bier |
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Rok vydání: | 2012 |
Předmět: |
Adult
Gerontology Health Knowledge Attitudes Practice medicine.medical_specialty Cardiovascular system--Diseases Epidemiology Ethnic group Disease Overweight Medical sciences Article Body Mass Index Risk Factors Surveys and Questionnaires medicine Humans Body weight--Health aspects Obesity Cause of death business.industry Body Weight Health risk communication General Medicine Middle Aged medicine.disease United States Cardiovascular Diseases Educational Status Pacific islanders Female medicine.symptom Cardiology and Cardiovascular Medicine business Body mass index |
DOI: | 10.7916/d86h4hn9 |
Popis: | Background: Inadequate cardiovascular disease (CVD) knowledge has been cited to account for the imperfect decline in CVD among women over the last 2 decades. Hypothesis: Due to concerns that at-risk women might not know the leading cause of death or symptoms of a heart attack, our goal was to assess the relationship between CVD knowledge race/ethnicity, education, and body mass index (BMI). Methods: Using a structured questionnaire, CVD knowledge, socio-demographics, risk factors, and BMI were evaluated in 681 women. Results: Participants included Hispanic, 42.1% (n = 287); non-Hispanic white (NHW), 40.2% (n = 274); non-Hispanic black (NHB), 7.3% (n = 50); and Asian/Pacific Islander (A/PI), 8.7% (n = 59). Average BMI was 26.3 ± 6.1 kg/m2. Hypertension was more frequent among overweight (45%) and obese (62%) than normal weight (24%) (P < 0.0001), elevated total cholesterol was more frequent among overweight (41%) and obese (44%) than normal weight (30%) (P < 0.05 and P < 0.01, respectively), and diabetes was more frequent among obese (25%) than normal weight (5%) (P < 0.0001). Knowledge of the leading cause of death and symptoms of a heart attack varied by race/ethnicity and education (P < 0.001) but not BMI. Concerning the leading cause of death among women in the United States, 87.6% (240/274) NHW answered correctly compared to 64% (32/50) NHB (P < 0.05), 28.3% (80/283) Hispanic (P < 0.0001), and 55.9% (33/59) A/PI (P < 0.001). Among participants with ≤12 years of education, 21.2% knew the leading cause of death and 49.3% knew heart attack symptoms vs 75.7% and 75.5%, respectively, for >12 years (both P < 0.0001). Conclusions: Effective prevention strategies for at-risk populations need to escalate CVD knowledge and awareness among the undereducated and minority women. |
Databáze: | OpenAIRE |
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