Prediction of Coronary Heart Disease Preventive Behaviors in Women: A Test of the Health Belief Model

Ali, Nagia S.

doi:10.1300/j013v35n01_06

Cited by 87 publications

(61 citation statements)

References 18 publications

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“…In partial agreement with these results, an earlier report indicating that women with hypertension, but not those with hyperlipidemia or diabetes, were more attentive to practice CHD preventive behaviors [15] .…”

Section: Discussionsupporting

confidence: 82%

Associations between healthy behaviors and coronary heart disease risk factors in women

Ali

Shonk

Elsayed

2013

JNEP

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Objectives: To describe the heart-healthy behaviors in a convenience sample of 210 women from a Midwestern state in the US and examine the associations between the behaviors and having risk factors to coronary heart disease. Methods:Logistic regression was used to examine the association between the behaviors of diet, exercise, and medication adherence with the risks of hypertension, hyperlipidemia, diabetes, family history of heart disease, and cigarette smoking.Results: There were a low consumption of heart-healthy meals, inadequate exercise participation, and inadequate medications adherence. Having personal hyperlipidemia, a family history of heart disease, age and education were significantly associated with the behaviors. Conclusion:The findings point to the need for evidence-based education aimed at increasing women's awareness of heart disease risks, improving their behaviors, and emphasizing the link between risk reduction and the behaviors.

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Section: Discussionsupporting

confidence: 82%

Associations between healthy behaviors and coronary heart disease risk factors in women

Ali

Shonk

Elsayed

2013

JNEP

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“…Therefore, studies conducted in other countries were used to support the results of this study. Although several studies across developed and developing countries have examined knowledge, attitude and practice of preventive measures among individuals at increased risk of different NCDs, particularly breast cancer in females, [10,11,18,32] diabetes, [14,21] and CVDs, [12,13,16,[33][34][35][36][37][38] this is the first identifiable study that explored the relationship between age groups and risk perceptions of NCDs, based on all the constructs of the HBM.…”

Section: Discussionmentioning

confidence: 99%

Age-group differences in risk perceptions of non-communicable diseases among adults in Diepsloot township, Johannesburg, South Africa: A cross-sectional study based on the Health Belief Model

2017

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Background. Non-communicable diseases (NCDs) in South Africa (SA) occur simultaneously with an ageing HIV-positive population, resulting in premature deaths in persons <70 years of age. Poor risk perception of NCDs results in poor adoption practices of NCD preventive measures. There is a gap in age-related research regarding risk perceptions of NCDs among the SA population. Objective. To investigate age-group differences in risk perceptions of NCDs based on the Health Belief Model. Methods. This cross-sectional design used secondary data obtained from Community AIDS Response (CARe), Johannesburg, SA. Data were collected by means of a cross-sectional survey in Extension 2 (Blocks I, J, K and L) of Diepsloot township, Johannesburg, SA. The Pearson χ 2 test of independence was used to examine the relationship between age groups and risk perceptions of NCDs. A p<0.05 value was considered statistically significant. Results. A total of 2 135 participants were included in the analysis, of whom 71.5% were young adults (18 -35 years). The mean age of the study participants was 32.1 (standard deviation 9.87) years. Significant associations were found between age groups and risk perceptions of NCDs. More middle-aged adults than young adults and older-aged adults perceived family history (74.00% v. 72.74% v. 62.39%, p=0.045) and smoking (83.80% v. 77.20% v. 74.31%, p=0.004) as risk factors that would increase their risk of NCDs. A higher proportion of older-aged adults than young adults and middle-aged adults perceived effects on life and family (89.91% v. 77.39% v. 75.40%, p=0.004) as risks of NCD morbidities. More middle-aged adults than young adults and older-aged adults perceived the usefulness of not smoking (84.60% v. 81.06% v. 74.31%, p=0.028) as an effective NCD preventive measure. More young adults than middle-aged and older-aged adults considered health check-ups (59.31% v. 58.00% v. 41.28%, p=0.001) as a time-consuming process to prevent risks of NCDs. Conclusion. Young adults had poorer risk perceptions of NCDs than middle-aged and older-aged adults in Diepsloot township, resulting in poor practice of NCD preventive measures among young adults in the area. This may be due to the misunderstanding of the concept of invulnerability, possibly resulting from the limited access and exposure to NCD-related information among young adults compared with middle-aged and older-aged groups. This highlights the need to expand public health education programmes to increase outreach to the young adult population and increase accessibility to information relating to NCD risks, and encourage adoption of NCD preventive measures.

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“…According to the Health-Belief model, perceived personal susceptibility increases prevention and treatment seeking behaviors. 9,10 Thus, recognition of one's own obesity and its health risks is a prerequisite to seeking treatment. To …”

Section: Introductionmentioning

confidence: 99%

Ethnic Differences in the Self-Recognition of Obesity and Obesity-Related Comorbidities: A Cross-Sectional Analysis

et al. 2011

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BACKGROUND: Obesity and its related co-morbidities place a huge burden on the health care system. Patients who know they are obese may better control their weight or seek medical attention. Self-recognition may be affected by race/ethnicity, but little is known about racial/ethnic differences in knowledge of obesity's health risks. OBJECTIVE: To examine awareness of obesity and attendant health risks among US whites, Hispanics and African-Americans. DESIGN: Cross-sectional self-administered survey. PARTICIPANTS: Adult patients at three general medical clinics and one cardiology clinic. MAIN MEASURES: Thirty-one questions regarding demographics, height and weight, and perceptions and attitudes regarding obesity and associated health risks. Multiple logistic regression was used to quantify the association between ethnicity and obesity awareness, controlling for socio-demographic confounders. KEY RESULTS: Of 1,090 patients who were offered the survey, 1,031 completed it (response rate 95%); a final sample size of 970 was obtained after exclusion for implausible BMI, mixed or Asian ethnicity. Mean age was 47 years; 64% were female, 39% were white, 39% Hispanic and 22% African-American; 48% were obese (BMI ≥30 kg/m 2 ). Among obese subjects, whites were more likely to self-report obesity than minorities (adjusted proportions: 95% of whites vs. 84% of African-American and 86% of Hispanics, P= 0.006). Ethnic differences in obesity recognition disappeared when BMI was >35 kg/m 2 . AfricanAmericans were significantly less likely than whites or Hispanics to view obesity as a health problem (77% vs. 90% vs. 88%, p<0.001); African-Americans and Hispanics were less likely than whites to recognize the link between obesity and hypertension, diabetes and heart disease. Of self-identified obese patients, 99% wanted to lose weight, but only 60% received weight loss advice from their health care provider. CONCLUSIONS: African-Americans and Hispanics are significantly less likely to self report obesity and associated health risks. Educational efforts may be necessary, especially for patients with BMIs between 30 and 35.KEY WORD: obesity; ethnic difference; self recognition.

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Prediction of Coronary Heart Disease Preventive Behaviors in Women: A Test of the Health Belief Model

Cited by 87 publications

References 18 publications

Associations between healthy behaviors and coronary heart disease risk factors in women

Associations between healthy behaviors and coronary heart disease risk factors in women

Age-group differences in risk perceptions of non-communicable diseases among adults in Diepsloot township, Johannesburg, South Africa: A cross-sectional study based on the Health Belief Model

Ethnic Differences in the Self-Recognition of Obesity and Obesity-Related Comorbidities: A Cross-Sectional Analysis

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