Abstract
Objective: To assess cardiovascular disease (CVD) and CVD risk factors and their association with sociodemographic characteristics and health beliefs among African American (AA) adults in Minnesota. Methods: A cross-sectional analysis was conducted of a community-based sample of AA adults enrolled in the Minnesota Heart Health Program Ask About Aspirin study from May 2019 to September 2019. Sociodemographic characteristics, health beliefs, and self-reported CVD and CVD risk factors were collected. Prevalence ratio (PR) estimates were calculated using Poisson regression modeling to assess the association between participants’ characteristics and age- and sex-adjusted CVD risk factors. Results: The sample included 644 individuals (64% [412] women) with a mean age of 61 years. Risk factors for CVD were common: hypertension (67% [434]), hyperlipidemia (47% [301]), diabetes (34% [219]), and current cigarette smoking (25% [163]); 19% (119) had CVD. Those with greater perceived CVD risk had a higher likelihood of prevalent hyperlipidemia (PR, 1.34; 95% CI, 1.14 to 1.57), diabetes (PR, 1.61; 95% CI, 1.30 to 1.98), and CVD (PR 1.61; 95% CI, 1.16 to 2.23) compared with those with lower perceived risk. Trust in health care provider was high (83% [535]) but was not associated with CVD or CVD risk factors. Conclusion: In this community sample of AAs in Minnesota, CVD risk factors were high, as was trust in health care providers. Those with greater CVD risk perceptions had higher CVD prevalence. Consideration of sociodemographic and psychosocial influences on CVD and CVD risk factors could inform development of effective cardiovascular health promotion interventions in the AA Minnesota community.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 46-56 |
| Number of pages | 11 |
| Journal | Mayo Clinic Proceedings |
| Volume | 97 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2022 |
Bibliographical note
Funding Information:Grant Support: This study was funded by the National Heart, Lung, and Blood Institute , National Institutes of Health ( R01HL126041 ). Dr Brewer was supported by the American Heart Association ( 19AMFDP35040005 ), National Center for Advancing Translational Sciences (Clinical and Translational Science Awards, KL2 TR002379), and National Institutes of Health / National Institute on Minority Health and Health Disparities ( R21 MD013490-01 ) and Centers for Disease Control and Prevention ( CDC-DP18-1817 ) during the implementation and analysis of this work. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Center for Advancing Translational Sciences, the National Institutes of Health, or the Centers for Disease Control and Prevention. The funding bodies had no role in study design; in the collection, analysis, and interpretation of data; in writing of the manuscript; and in the decision to submit the manuscript for publication.
Publisher Copyright:
© 2021
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
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