Cardiovascular Knowledge Among Urban American Indians and Alaska Natives: First Steps in Addressing Cardiovascular Health

Brega, Angela G.; Noe, Timothy; Loudhawk-Hedgepeth, Crystal; Jim, Dakotah M.; Morse, Bradley; Moore, Kelly; Manson, Spero M.

doi:10.1353/cpr.2011.0042

Cited by 12 publications

(19 citation statements)

References 20 publications

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“…It is also heartening to observe that our population has higher knowledge of CVD signs and symptoms compared to the general population of Pakistan [ 10 ] and Nigeria [ 18 ]. Though the knowledge level reported from the rural/non-rural Americans [ 12 ] and Singaporeans [ 11 ] was very high, the CVD awareness of our sample was more comparable to that of American Indians and Alaska natives [ 19 ]. Analogous to our observations, older respondents and females in Kuwait were found to be more knowledgeable than the other subgroups [ 13 ].…”

Section: Discussionmentioning

confidence: 80%

Knowledge of warning signs, presenting symptoms and risk factors of coronary heart disease among the population of Dubai and Northern Emirates in UAE: a cross-sectional study

Khan

Shehnaz

Gomathi

et al. 2017

Nepal J Epidemiology

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Background: To evaluate the level of knowledge regarding warning signs, presenting symptoms and risk factors associated with coronary heart disease (CHD) among population of Dubai and Northern Emirates in UAE. Materials and Methods: A cross sectional survey of 1367 residents of Dubai and Northern Emirates was conducted using a self-administered questionnaire. Results: Respondents were classified into two groups: Young Adult Population (YAP; 18-24 years of age) and General Population (GP; 25 years and older). Majority of participants were males (56.7%) and of South Asian (57.5%) or Middle-Eastern (30.8%) ethnicity. Regarding presenting symptoms of CHD, chest pain was identified by around 80% of population, whereas pain in the left shoulder was recognized by 61% of GP and 44% of YAP. Atypical symptoms were poorly identified. Regarding risk factors, only one-fourth population knew that males were at higher risk compared to premenopausal females. Few knew that the risk increases in females after menopause and that the risk is higher for females who smoke and use oral contraceptives. 62% knew that the survivors of a heart attack are at high risk of recurrences. Except for tobacco smoke, hypercholesterolemia and hypertension, knowledge of other risk factors was not satisfactory. Older adults and females had comparatively higher level of knowledge. Conclusion: Knowledge level of many of the symptoms and risk factors of CHD is unsatisfactory. There is, therefore, a need to increase the awareness in the population of UAE. The knowledge gaps identified through this study can be addressed through health campaigns to increase the awareness about warning signs, symptoms and modifiable risk factors. .

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Section: Discussionmentioning

confidence: 80%

Knowledge of warning signs, presenting symptoms and risk factors of coronary heart disease among the population of Dubai and Northern Emirates in UAE: a cross-sectional study

Khan

Shehnaz

Gomathi

et al. 2017

Nepal J Epidemiology

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“…One specific area of concern is knowledge about CVD, which has been shown to be restricted in AI/ANs. For instance, AI/AN knowledge of heart attack and stroke symptoms was more limited than that of the general population [ 91 ]. Although they understand the risk of obesity and importance of physical inactivity in CVD development, they are unable to tell what blood pressure values would be considered high [ 91 , 92 ].…”

Section: Prevention Of Dm and Cvd In The Ai/an Populationmentioning

confidence: 99%

“…For instance, AI/AN knowledge of heart attack and stroke symptoms was more limited than that of the general population [ 91 ]. Although they understand the risk of obesity and importance of physical inactivity in CVD development, they are unable to tell what blood pressure values would be considered high [ 91 , 92 ]. The National Heart, Lung, and Blood Institute (NHLBI) developed the Honoring the Gift of Heart Health (HGHH) curriculum to focus on improving the HL level of AI/AN communities.…”

Section: Prevention Of Dm and Cvd In The Ai/an Populationmentioning

confidence: 99%

Diabetes and Associated Cardiovascular Complications in American Indians/Alaskan Natives: A Review of Risks and Prevention Strategies

Poudel

Zhou

Story

et al. 2018

Journal of Diabetes Research

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Diabetes mellitus (DM) is the seventh leading cause of death in the United States and the leading cause of death in the U.S. American Indian/Alaskan Natives (AI/ANs), who comprise only 2% of the total population. The AI/AN population has a high prevalence of DM in adults aged 20 years or older and is developing DM at a younger age than the general U.S. population. DM is a major risk factor for cardiovascular disease (CVD), and mortality from CVD is higher in AI/ANs than the general population, as is the prevalence of stroke and 1-year poststroke mortality for both genders when compared to non-Hispanic whites. A genome-wide scan found a number of chromosome linkages in the AI/AN population that suggest that genetic factors may contribute to their high risk of DM and CVD. Importantly, studies also suggest that in addition to race/ethnicity, cultural norms and historic conditions play important roles in the prevalence of DM and CVD in this population. Therefore, multiple factors should be taken into consideration when establishing prevention programs to decrease the prevalence of obesity, diabetes, and CVD incidence among adults and children in the AI/AN population. Prevention programs should focus on behavioral risk factors and lifestyle changes like encouraging smoking cessation, healthy diet, and increased physical activity while taking into consideration cultural, economic, and geographic factors.

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“…Recent research has shown that Native Americans are aware of their risk for heart disease and stroke [24,25]. However, a small, recent study among Native Americans in the urban southwest, provided preliminary evidence suggesting that awareness of heart attack and stroke symptoms was lower than that of the total US population [26].…”

Section: Introductionmentioning

confidence: 99%

Knowledge of heart attack and stroke symptoms among US Native American Adults: a cross-sectional population-based study analyzing a multi-year BRFSS database

Hooser

Rouse

Meyer³

et al. 2020

BMC Public Health

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Background: Heart disease and stroke are among the leading causes of death in Native Americans. Knowledge of heart attack and stroke symptomology are essential for prompt identification of symptoms and for appropriate action in seeking care. Knowledge of heart attack and stroke symptoms among US Native American adults was this study's focus. Methods: Multivariate techniques were used to analyze national surveillance data. Native American adults comprised the study population. Low heart attack and stroke knowledge score was the dependent variable. Results: Logistic regression analysis yielded that Native American adults with low heart attack and stroke composite knowledge scores were more likely to be: older, less educated, poorer, uninsured, a rural resident, male, without a primary health care provider, and lacking a recent medical checkup. Conclusions: The identified characteristics of Native American adults with heart attack and stroke knowledge deficits or disparities should guide educational initiatives by health care providers focusing on improving such knowledge.

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Cardiovascular Knowledge Among Urban American Indians and Alaska Natives: First Steps in Addressing Cardiovascular Health

Abstract: Background-Cardiovascular disease (CVD) is common among American Indians/Alaska Natives (AI/ANs). Given limited access to health care, urban AI/ANs may be at particular risk. Lack of available data, however, limits our understanding of cardiovascular health in this population.

Cited by 12 publications

References 20 publications

Knowledge of warning signs, presenting symptoms and risk factors of coronary heart disease among the population of Dubai and Northern Emirates in UAE: a cross-sectional study

Knowledge of warning signs, presenting symptoms and risk factors of coronary heart disease among the population of Dubai and Northern Emirates in UAE: a cross-sectional study

Diabetes and Associated Cardiovascular Complications in American Indians/Alaskan Natives: A Review of Risks and Prevention Strategies

Knowledge of heart attack and stroke symptoms among US Native American Adults: a cross-sectional population-based study analyzing a multi-year BRFSS database

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