Journal article
Disparities in Awareness of Myocardial Infarction and Stroke Symptoms and Response Among United States- and Foreign-Born Adults in the National Health Interview Survey
JOURNAL OF THE AMERICAN HEART ASSOCIATION, v 10(23), e020396
07 Dec 2021
PMID: 34845927
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background Atherosclerotic cardiovascular disease, defined as nonfatal myocardial infarction (MI), coronary heart disease death, or fatal or nonfatal stroke, is the leading cause of death in the United States. MI and stroke symptom awareness and response reduce delays in hospitalization and mortality. Methods and Results We analyzed cross-sectional data from the 2014 and 2017 National Health Interview Surveys on US- and foreign-born adults from 9 regions of birth (Europe, South America, Mexico/Central America/Caribbean, Russia, Africa, Middle East, Indian subcontinent, Asia, and Southeast Asia). The outcomes were recommended MI and stroke knowledge, defined as knowing all 5 symptoms of MI or stroke, respectively, and choosing call 9-1-1 as the best response. We included 63 059 participants, with a mean age 49.4 years; 54.1% were women, and 38.5% had a high school education or less. Recommended MI and stroke knowledge were highest in US-born people. In both 2014 and 2017, MI knowledge was lowest in individuals born in Asia (23.9%+/- 2.5% and 32.1%+/- 3.3%, respectively), and stroke knowledge lowest for the Indian subcontinent (44.4%+/- 2.4% and 46.0%+/- 3.2%, respectively). Among foreign-born adults, people from Russia and Europe had the highest prevalence of recommended MI knowledge in 2014 (37.4%+/- 5.4%) and 2017 (43.5%+/- 2.5%), respectively, and recommended stroke knowledge was highest in people from Europe (61.0%+/- 2.6% and 67.2%+/- 2.5%). Improvement in knowledge was not significant in all groups between 2014 and 2017. Conclusions These findings suggest a disparity in MI and stroke symptom awareness and response among immigrants in the United States. Culturally tailored public health education and health literacy initiatives are needed to help reduce these disparities in awareness.
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Details
- Title
- Disparities in Awareness of Myocardial Infarction and Stroke Symptoms and Response Among United States- and Foreign-Born Adults in the National Health Interview Survey
- Publication Details
- JOURNAL OF THE AMERICAN HEART ASSOCIATION, v 10(23), e020396
- Publisher
- WILEY; HOBOKEN
- Grant note
- Dr. Yi is supported by grants U54MD000538 from the National Institutes of Health (NIH) National Institute on Minority Health and Health Disparities, and R01HL141427 from the National Heart, Lung and Blood Institute.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000727412400047
- Scopus ID
- 2-s2.0-85120961366
- Other Identifier
- 991021860661804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems