Heart Attack and Stroke Symptoms Knowledge of Native Hawaiians and Pacific Islanders in the United States: Findings From the National Health Interview Survey

Narcisse, Marie‐Rachelle; Rowland, Brett; Long, Christopher R.; Felix, Holly C.; McElfish, Pearl A.

doi:10.1177/1524839919845669

Cited by 6 publications

(4 citation statements)

References 34 publications

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“…African-American men who had lower levels of education and low income showed low CVD knowledge score [16]. Hawaiians in the United States reported moderate to high levels of heart attack and stroke symptom knowledge [17]. Cardiovascular risk factors and knowledge of symptoms among Vietnamese Americans showed that only 59% of Vietnamese Americans knew that chest pain was a symptom of heart attack [18].…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Poor Understanding Factors of Stroke and Heart Attack Symptoms

Han

Kim

Lee

et al. 2019

IJERPH

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Objectives: Adequate awareness of cardiovascular disease (CVD) may help in its prevention and control. Therefore, we evaluated knowledge among the general population of stroke and heart attack symptoms and determined the factors associated with poor understanding of CVD. Methods: This cross-sectional study included 228,240 adults (102,408 males, 125,832 females) who participated in the 2017 Korean Community Health Survey. Data on sociodemographic characteristics and cognizance of the warning signs of CVD events (stroke and heart attack) were examined. Logistic regression analysis was used to investigate factors associated with poor understanding of CVD. Results: The stroke and heart attack warning signs that were identified least often by respondents were “sudden poor vision in one or both eyes” (66.1%) and “pain or discomfort in the arm or shoulder” (53.8%). Of the subjects, 19.0% had low CVD knowledge scores (less than 4 out of 10) with males having lower scores than females. In the multivariate analysis, poor understanding of CVD warning signs was significantly associated with older age, male gender, lower education level, lack of regular exercise, unmarried status, unemployment, poor economic status, poor health behaviors (high salt diet, no health screening), poor psychological status (high stress, self-perceived poor health status), and the presence of hypertension or dyslipidemia. Conclusions: Specialized interventions, including those based on public education, should focus on groups with less knowledge of CVD.

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Section: Discussionmentioning

confidence: 99%

Knowledge and Poor Understanding Factors of Stroke and Heart Attack Symptoms

Han

Kim

Lee

et al. 2019

IJERPH

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“…In this study, individuals who smoke or drink showed lower awareness of stroke and MI symptoms, which was consistent with previously reported results ( 13 , 16 , 20 , 21 ). Hypertension, diabetes, and dyslipidemia also increase the risk of stroke and MI ( 1 , 4 ), and past studies have revealed that patients with the above underlying diseases had stronger awareness of CVD symptoms ( 13 , 21 , 27 ). This may be because these patients regularly visited doctors and learned about the complications, including stroke and MI ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

Engaging social activities prevent stroke and myocardial infraction by raising awareness of warning symptoms: A cross-sectional survey study

Kim

Jang²,

Kwon³

et al. 2023

Front. Public Health

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BackgroundStroke and myocardial infarction (MI) are medical emergencies, and early treatment within the golden hour is crucial for good prognosis. Adequate knowledge about the warning symptoms can shorten the onset-to-door time. Various factors affect the level of awareness, including social activity. This study aimed to determine if engaging in social activity is associated with the awareness of the warning symptoms of stroke and MI.MethodsThis cross-sectional study analyzed 451,793 participants from the 2017 and 2019 Korea Community Health Survey. Based on five questions for each of stroke and MI symptoms, participants were divided into an awareness group (replied “Yes” to all five questions) and unawareness group. Engagement in social activities (i.e., religious, friendship, leisure, and volunteer activity) was evaluated through a questionnaire. Multiple logistic regression analysis was performed to evaluate the relation between social activity and awareness of warning symptoms.ResultsOverall, 52.6% participants were aware of the warning symptoms of stroke, and 45.8% of MI. Regular engagement in at least one social activity, particularly friendship or volunteer activity, was associated with better awareness of the warning symptoms, both stroke (OR: 1.21, 95% CI: 1.20–1.23) and MI (OR: 1.22, 95% CI: 1.20–1.24). Additionally, more diverse types of social activities were associated with higher levels of awareness. Relationship between social activity and awareness showed positive association with participants older than 60 years, rural residents, or with low socioeconomic status.ConclusionEngagement in social activity was significantly associated with better knowledge about the warning symptoms of stroke and MI. For early hospital treatment after symptom onset, participation in social activities could be beneficial.

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“…The high prevalence of undiagnosed high blood pressure paired with reduced frequency of health care provider visits for those with undiagnosed high blood pressure poses a significant concern, because hypertension is a leading risk factor for heart attack and stroke [1,37], and prior literature has demonstrated that NHPI have an increased rate of stroke morbidity and mortality [14,38,39]. Furthermore, prior literature among NHPI has documented limited knowledge related to heart attack and stroke [40]. The high risk related to undiagnosed high blood pressure combined with a lack of heart attack and stroke knowledge demonstrates a need for accessible hypertension screening and culturally appropriate health education among Marshallese.…”

Section: Plos Onementioning

confidence: 99%

Examining elevated blood pressure and the effects of diabetes self-management education on blood pressure among a sample of Marshallese with type 2 diabetes in Arkansas

et al. 2021

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Introduction Hypertension is a leading risk factor for heart attack and stroke. Undiagnosed hypertension increases the risk of heart attack and stroke. The risk of hypertension is increased for those with type 2 diabetes mellitus (T2DM). Diabetes self-management education (DSME) has been shown to be effective at improving clinical outcomes, including reducing blood pressure, but few studies have evaluated the effects of DSME for Native Hawaiians and Pacific Islanders. Methods This study examined the baseline prevalence of diagnosed hypertension and undiagnosed high blood pressure and differences in health care access between those with diagnosed hypertension versus undiagnosed high blood pressure. The sample consisted of 221 Marshallese adults with T2DM participating in a DSME randomized controlled trial in northwest Arkansas. The study also examined the effects of DSME interventions on participants’ blood pressure, comparing an Adapted-Family DSME with a Standard DSME. Results Nearly two-thirds of participants had blood pressure readings indicative of hypertension, and of those, over one-third were previously undiagnosed. The frequency of doctor visits was significantly lower for those with undiagnosed high blood pressure. There were no differences in health insurance coverage or forgone medical care between those with undiagnosed high blood pressure versus diagnosed hypertension. Across all participants, a significant reduction in systolic blood pressure occurred between baseline and post intervention, and a significant reduction in diastolic blood pressure occurred between baseline and post-intervention, 6 months, and 12 months post-intervention. No differences were observed by study arm. Conclusion This study is the first to document the prevalence of diagnosed hypertension and undiagnosed high blood pressure, as well as the effects of DSME on blood pressure among a sample of Marshallese adults with T2DM.

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Heart Attack and Stroke Symptoms Knowledge of Native Hawaiians and Pacific Islanders in the United States: Findings From the National Health Interview Survey

Cited by 6 publications

References 34 publications

Knowledge and Poor Understanding Factors of Stroke and Heart Attack Symptoms

Knowledge and Poor Understanding Factors of Stroke and Heart Attack Symptoms

Engaging social activities prevent stroke and myocardial infraction by raising awareness of warning symptoms: A cross-sectional survey study

Examining elevated blood pressure and the effects of diabetes self-management education on blood pressure among a sample of Marshallese with type 2 diabetes in Arkansas

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