Journal of Cardiovascular Nursing
Volume 30, Issue 5, 2015, Pages 447-455

Awareness of cardiovascular disease and preventive behaviors among overweight immigrant latinas (Article)

Koniak-Griffin D.* , Brecht M.-L.
  • a School of Nursing, University of California, Los Angeles, 700 Tiverton Ave, Los Angeles, CA 90095-6919, United States
  • b School of Nursing, University of California, Los Angeles, 700 Tiverton Ave, Los Angeles, CA 90095-6919, United States

Abstract

Background and Objectives: Low-income Latina women face increased risk for cardiovascular disease (CVD) due to high rates of obesity, diabetes, and other comorbidities. Language barriers, lack of health insurance, and lack of access to preventive health messages may further increase their risk. The purpose of this study was to evaluate knowledge about CVD of overweight, immigrant Latinas who spoke little or no English and participated in an educational intervention. Methods: Ninety participants completed a CVD knowledge questionnaire before and after 8 educational sessions based upon Su Corazón, Su Vida. The curriculum focused on understanding risk factors of CVD and prevention through heart-healthy diets, physical activity, and weight control. The questionnaire evaluated general CVD knowledge (eg, heart disease is the leading cause of death in women) and prevention measures (eg, physical activity can lower a woman's risk for getting heart disease). Data were analyzed using generalized estimating equations and correlational statistics. Results: Participants were middle-aged, overweight Latinas, predominantly of Mexican descent, with low education and acculturation. Baseline knowledge that heart disease is the leading cause of death in women was low. A comparison of preintervention and postintervention scores on the questionnaire showed a significant change (P < 0.001), with means of 7.9 and 9.4, respectively. Scores for individual items correctly answered significantly improved for 9 of the 11 items, including questions about portion control to lose weight, physical activity, overweight, and risk for heart disease. Most participants did not recognize that men and women may experience different symptoms of a heart attack. Knowledge was not significantly related to background characteristics, body mass index, or lifestyle behaviors. Conclusions: Despite campaigns to increase CVD awareness, many Spanish-speaking, immigrant Latinas remain unaware that heart disease is the leading cause of death. Educational interventions may significantly improve their CVD knowledge; nonetheless, continued cardiovascular health promotion efforts are needed for this population. © 2015 Wolters Kluwer Health, Inc.

Author Keywords

Cardiovascular diseases immigrants Latinas overweight Healthcare disparities

Index Keywords

education lifestyle Life Style complication Cardiovascular Diseases human Health Behavior middle aged Overweight controlled study randomized controlled trial ethnology Hispanic Americans Humans migrant psychology Hispanic Emigrants and Immigrants female Socioeconomic Factors risk factor Risk Factors socioeconomics Health Knowledge, Attitudes, Practice adult health education attitude to health

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940461522&doi=10.1097%2fJCN.0000000000000181&partnerID=40&md5=f0332eeafd74c73e5a486a92e55be835

DOI: 10.1097/JCN.0000000000000181
ISSN: 08894655
Cited by: 7
Original Language: English