CHD knowledge and risk factors among Filipino-Americans connected to primary care services

Abstract

Purpose To examine the baseline knowledge and risk factors of coronary heart disease (CHD) among Filipino‐Americans (FAs), and to identify the predictors of CHD knowledge. Data Sources A convenience sample of 120 FAs recruited from three primary care clinics in Las Vegas, Nevada between May and July, 2010. Participants were asked about their demographic data and presence of CHD risk factors using the Demographics questionnaire. CHD knowledge was examined using the Heart Disease Fact questionnaire. Conclusions FAs connected to primary care services are knowledgeable about CHD. Predictors of CHD knowledge include: gender and education. CHD risk factors common to FAs include: hypertension, diabetes mellitus type 2, dyslipidemia, abdominal adiposity, overweight, lack of exercise, and smoking. Implications for Practice Knowledge on CHD alone may not help prevent heart disease among FAs. Behavioral and cultural factors may play a major role in the development of CHD and CHD risk factors among FAs. NPs and other health care providers serve a vital role on health promotion, disease prevention, and management of patients. The use of the Neuman's systems model can serve as a guide when caring for FAs because of its emphasis in primary and secondary prevention interventions. Nurse practitioners must provide holistic and culturally sensitive care when managing their FA patients.

Addressing the Health Needs of High-Risk Filipino Americans in the Greater Philadelphia Region

“…This study was an assessment of blood glucose levels, but may not be generalizable to the population of Filipino Americans in the Northeast United States, since it was conducted in Hawaii. Dyslipidemia has been a common health issue among Filipino Americans, with one study finding a prevalence of 36.7% [33]. …”

Knowledge of Coronary Heart Disease Risk Factors among a Community Sample in Oman: Pilot study

“…The mean score obtained 22,23 on the HDFQ scale by the participants indicated an inadequate level of CHD risk factor knowledge among adult Omanis. Studies from other parts of the world have similarly reported low levels of knowledge and awareness of CHD risk factors.…”

“…22 The modified HDFQ instrument has also shown high internal consistency, with a Cronbach's alpha of 0.84. 23 In this study, the Cronbach's alpha coefficient was 0.86. The questionnaire was administered in both Arabic and English.…”

“…22,23 The HDFQ was originally designed by Wagner et al to measure CHD knowledge among diabetic patients utilising 25 true/ false questionnaire items and has demonstrated good psychometric properties, test-retest reliability (r = 0.89), internal consistency (Kuder-Richardson r = 0.77) and excellent discriminant validity. 22 The modified HDFQ contains 21 items measuring knowledge of CHD risk factors and methods of decreasing CHD risk.…”

“…22 The modified HDFQ contains 21 items measuring knowledge of CHD risk factors and methods of decreasing CHD risk. 23 Each item on the modified HDFQ scale has three available responses: true, false or unknown. Scores were calculated by summing the correct answers (range: 0-21).…”