Understanding Prevention and Management of Coronary Heart Disease Among Chinese Immigrants and Their Family Carers: A Socioecological Approach

Jin, Kai; Neubeck, Lis; Koo, Fung Kuen; Ding, Ding; Gullick, Janice

doi:10.1177/1043659619859059

Cited by 19 publications

(50 citation statements)

References 39 publications

(52 reference statements)

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“…In high-income countries such as Canada and the USA, immigration status can also impact food purchases as immigrants usually incorporate unhealthy and fast foods into their traditional diet (63) . In this context, studies have shown that culture creates challenges to immigrant adherence to dietary recommendations in CR programmes (64,65) . The main reasons for this fact include limited access to familiar foods or ingredients, such as types of vegetables or spices, uncertainty or unfamiliarity with new foods and cultural preparation practices, and digestion problems related to the consumption of unfamiliar products (66)(67)(68) .…”

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators to participant adherence of dietary recommendations within comprehensive cardiac rehabilitation programmes: a systematic review

Vanzella

Rouse

Ajwani

et al. 2021

Public Health Nutr.

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Objective: To identify individual-, provider- and system/environmental-level barriers and facilitators affecting cardiac rehabilitation (CR) participants’ adherence to dietary recommendations. Design: A systematic review of the medical literature was conducted. Six databases were searched from inception through March 2021: APA PsycInfo, CINAHL, Embase, Emcare, Medline and PubMed. Only those studies referring to barriers and facilitators reported by CR participants were considered. Pilot and case report studies, non-peer-reviewed literature and studies published in a language other than English, Portuguese or Spanish were excluded. Results: Data were extracted and analysed on the basis of individual-, provider- and system/environmental-level factors. Of 2083 initial citations, sixteen studies were included, with nine being qualitative and seven observational in design. From these, ten multi-level barriers and seven multi-level facilitators were identified. Dietary recommendations included developing healthy eating habits, transitioning to vegetarian-rich diets and increasing fish oil and n-3 intake. Only one study reported on all of the nutrition education programme factors recommended by the Workgroup for Intervention Development and Evaluation Research. Conclusion: To the best of our knowledge, this review is the first to summarise specific barriers and facilitators to recommendation adherence among CR participants. Few of the studies offered any conclusions regarding programme design that could facilitate improved dietary adherence practices. Future studies should aim to explore patient perspectives on the nutritional patterns and recommendations outlined in the Mediterranean Diet, the Dietary Approaches to Stop Hypertension Diet, Vegetarian or Vegan diets and the Portfolio Diet.

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Section: Discussionmentioning

confidence: 99%

Barriers and facilitators to participant adherence of dietary recommendations within comprehensive cardiac rehabilitation programmes: a systematic review

Vanzella

Rouse

Ajwani

et al. 2021

Public Health Nutr.

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“…H. Jang, 2016; Y. Jang et al, 2020; Jin et al, 2020). Hence, the current findings acknowledge the importance for future immigrant-related research to consider the percentage of immigrants residing in the community along with using culturally tailored community resources to improve health literacy.…”

Section: Discussionmentioning

confidence: 99%

“…For example, previous studies reported that limited information on analgesic use was associated with inappropriate use of analgesics and overdose of acetaminophen (Saengcharoen et al, 2016). A recent study showed that Asian Americans reported the lowest health literacy levels among racial minorities (Bakker et al, 2017), and low health literacy has been found to contribute to health disparities among immigrants (Jin et al, 2020; H. Y. Lee, Choi, et al, 2015; Zhou et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Opioid Literacy of Korean Americans in Rural Alabama: Addressing the Role of Social Determinants of Health

et al. 2021

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Introduction: Opioid crisis has disproportionately affected Alabamians with the highest opioid prescription rate, and it is subjected to affect Korean Americans (KA) negatively based on common predictors of opioid misuse that KA possess. Method: Cross-sectional data of KA in rural Alabama ( N = 230) were analyzed. Opioid literacy was assessed by the Brief Opioid Overdose Knowledge survey. Six social determinants of health factors were considered: financial status, educational attainment, English proficiency, household food insecurity, health literacy, and social contact. Results: Participants had limited opioid literacy ( M = 3.56, SD = 3.06). After adjusting for demographics and health covariates, higher levels of overall opioid literacy were associated with higher household income ( B = .48, p < .01), higher levels of health literacy ( B = .71, p < .01), and less frequent social contact ( B = −.40, p < .01). Significant social determinants of health predictors varied across subdomains of opioid literacy. Discussion: The findings suggest that culturally competent and community-level interventions are needed to increase opioid literacy in KA in rural Alabama.

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“…This combination of inductive and deductive analysis has been used in past descriptive qualitative research to enhance theoretical rigour. 25…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life in adult CHD surgical patients in a low middle-income country: a mixed-methods study

et al. 2020

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Background and objectives: This mixed-methods study aimed to assess health-related quality of life in young adults with CHD following surgery in a low middle-income country, Pakistan. Despite the knowledge that geographic, cultural and socio-economic factors may shape the way health and illness is experienced and managed and consequently determine a person’s health-related quality of life, few health-related quality of life studies are conducted in low middle-income countries. This deficit is pronounced in CHD, so there is little guidance for patient care. Methods: The study utilised concurrent, mixed methods. Adults with CHD (n = 59) completed health-related quality of life surveys (PedsQLTM 4.0 Generic Core Scale, PedsQLTM Cognitive Functioning Scale and PedsQLTM 3.0 Cardiac Module). Semi-structured interview data were collected from a nested sub-sample of 17 participants and analysed using qualitative content analysis, guided by the revised Wilson–Cleary model of health-related quality of life. Results: The lowest health-related quality of life domain was emotional with the mean score (71.61 ± 20.6), followed by physical (78.81 ± 21.18) and heart problem (79.41 ± 18.05). There was no statistical difference in general or cardiac-specific health-related quality of life between mild, moderate or complex CHD. Qualitative findings suggested low health-related quality of life arose from a reduced capacity to contribute to family life including family income and gender. A sense of reduced marriageability and fear of dependency were important socio-cultural considerations. Conclusions: CHD surgical patients in this low-income country experience poor health-related quality of life, and contributing factors differ to those reported for high-income countries. Socio-cultural understandings should underpin assessment, management and care-partnering with young adults with CHD following surgical correction.

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Understanding Prevention and Management of Coronary Heart Disease Among Chinese Immigrants and Their Family Carers: A Socioecological Approach

Cited by 19 publications

References 39 publications

Barriers and facilitators to participant adherence of dietary recommendations within comprehensive cardiac rehabilitation programmes: a systematic review

Barriers and facilitators to participant adherence of dietary recommendations within comprehensive cardiac rehabilitation programmes: a systematic review

Opioid Literacy of Korean Americans in Rural Alabama: Addressing the Role of Social Determinants of Health

Health-related quality of life in adult CHD surgical patients in a low middle-income country: a mixed-methods study

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