Trends and Disparities in Heart Disease Mortality Among American Indians/Alaska Natives, 1990–2009

Veazie, Mark A.; Ayala, Carma; Schieb, Linda; Dai, Shifan; Henderson, Jeffrey A.; Cho, Pyone

doi:10.2105/ajph.2013.301715

Cited by 71 publications

(51 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…23 With the increasing incidence of heart disease among AI/AN people, improvements in diet and exercise habits might be achieved through more education, testing, and community-based interventions. 24 Although there were some regional differences for the alcohol-related questions-heavy drinking, binge drinking, and drinking too much before driving-the overall prevalence in AI/AN persons was similar to that for Whites for all 3 measures. The questions related to binge drinking were changed in 2006, and we included only responses from 2006 onward, which resulted in wide CIs around the prevalence estimates, although we knew that AI/AN communities continued to have a disproportionately high prevalence of alcohol-related mortality.…”

Section: Discussionmentioning

confidence: 82%

Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000–2010

Cobb

Espey²,

King³

2014

Am J Public Health

158

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 82%

Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000–2010

Cobb

Espey²,

King³

2014

Am J Public Health

158

View full text Add to dashboard Cite

show abstract

“…16 Direct correlations exist between race/ ethnicity and morbidity/mortality due to heart disease. 8,17 African American women have the highest age-adjusted heart disease death rate among any female race/ethnicity group in the United States. In 2013, the heart disease death rate was 245 per 100,000 for African American women compared with 183 per 100,000 for white women.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of a Clinic-Based Educational Intervention for Cardiovascular Disease Prevention by Race, Ethnicity, and Urban/Rural Status

Villablanca

Lianov

Tancredi

2016

Journal of Women's Health

View full text Add to dashboard Cite

Background and Purpose: Heart disease is the leading killer of women and remains poorly recognized in highrisk groups. We assessed baseline knowledge gaps and efficacy of a survey-based educational intervention. Methods: Four hundred seventy-two women in clinical settings completed pre-/post-surveys for knowledge of: heart disease as the leading killer, risk factors (general and personal levels), heart attack/stroke symptoms, and taking appropriate emergency action. They received a clinic-based educational intervention delivered by healthcare professionals in the course of their clinical care. Change score analyses tested pre-/post-differences in knowledge after the educational intervention, comparing proportions by race, ethnicity, and urban/nonurban status. Results: Knowledge and awareness was low in all groups, especially for American Indian women ( p < 0.05). Awareness was overall highest for heart disease as the leading killer, but it was the lowest for taking appropriate action (13% of Hispanic, 13% of American Indian, 29% of African American, and 18% of nonurban women; p < 0.05). For all women, knowledge of the major risk factors was low (58%) as was knowledge of their personal levels for risk factors (73% awareness for hypertension, 54% for cholesterol, and 50% for diabetes). The intervention was effective (% knowledge gain) in all groups of women, particularly for raising awareness of: (1) heart disease as the leading killer in American Indian (25%), Hispanic (18%), and nonurban (15%) women; (2) taking appropriate action for American Indian (80%), African American (64%), non-Hispanic (55%), and urban (56%) women; (3) heart disease risk factors for Hispanic (56%) and American Indian (47%) women; and (4) heart disease and stroke symptoms in American Indian women (54% and 25%, respectively). Conclusions: Significant knowledge gaps persist for heart disease in high-risk women, suggesting that these gaps and groups should be targeted by educational programs. We specify areas of need, and we demonstrate efficacy of a clinic-based educational intervention that can be of utility to busy healthcare professionals.

show abstract

“…2 AIs have seen a dramatic rise in morbidity and mortality from weight-related diseases including cardiovascular disease 3,4 and diabetes. 5–7 Although preventive efforts may lower diabetes incidence among AIs, 8 diabetes and cardiovascular disease mortality rates continue to present health disparities.…”

Section: Introductionmentioning

confidence: 99%

Accuracy of Weight Perception Among American Indian Tribal College Students

Gibbs

Pacheco

Daley

et al. 2016

American Journal of Preventive Medicine

View full text Add to dashboard Cite

Introduction National data indicate a higher prevalence of obesity among American Indian (AI) populations and greater disparity of morbidity and mortality among younger age groups compared with other ethnicities. Diet and physical activity are important obesity preventive behaviors, but no published data exist that describe these behaviors in relation to obesity in AI young adults at tribal colleges. Study purposes were to: (1) identify fruit and vegetable and physical activity practices of AI young adults from three U.S. tribal colleges according to BMI categories; (2) identify the accuracy of body weight perceptions; and (3) identify predictor variables for weight misperception. Methods In this observational study during 2011–2014, a total of 1,256 participants were recruited from three participating U.S. tribal colleges to complete an online survey addressing issues related to diet, physical activity, and weight perception. Reported height and weight were used to calculate BMI categories, and differences between BMI categories were examined. Gender differences related to accuracy of weight perception by BMI categories were also examined. Analyses were conducted in 2016. Results Based on self-reported height and weight, 68% of the sample was overweight or obese (BMI ≥25) and the mean BMI was 28.9 (SD=6.9). Most did not meet recommendations for fruit intake (78.7%), vegetable intake (96.6%), or physical activity (65.6%). More than half (53.7%%) who were overweight/obese underestimated their weight category. Men more often underestimated their weight category (54.2%) than women (35.1%). Conclusions Interventions are needed to improve weight-related lifestyle behaviors of AI tribal college students.

show abstract

Trends and Disparities in Heart Disease Mortality Among American Indians/Alaska Natives, 1990–2009

Abstract: Analysis with improved race identification indicated that AI/AN populations experienced higher heart disease death rates than Whites. Better prevention and more effective care of heart disease is needed for AI/AN populations.

Cited by 71 publications

References 21 publications

Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000–2010

Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000–2010

Outcomes of a Clinic-Based Educational Intervention for Cardiovascular Disease Prevention by Race, Ethnicity, and Urban/Rural Status

Accuracy of Weight Perception Among American Indian Tribal College Students

Contact Info

Product

Resources

About