Cardiovascular disease risk factors and attitudes towards prevention among Korean-American elders
Tóm tắt
The leading cause of death among the aging population is cardiovascular disease. Cardiovascular disease prevention and modification of disease risk factors are important and worthwhile directions for study because this population is rapidly increasing. Past studies have shown the significance of modifying cardiovascular disease risk factors in Anglo populations where major risk factors of hypertension, elevated cholesterol levels, diabetes, obesity, physical inactivity and smoking have been identified. However, the prevalence of these risk factors and the attitudes towards modifying them have not been studied in the Korean-American elderly population. This preliminary study used questionnaires given to fifty older recently immigrated Korean-American participants of a Korean senior center. Results show that this population has a lower frequency of cardiovascular disease and all risk factors, except for diabetes compared to an Anglo elderly population In addition, older Korean-American elders were generally unaware of risk factors for cardiovascular disease and uninterested in changing their habits to avoid cardiovascular disease. Increased availability of educational campaigns and health care in Korean are recommended.
Tài liệu tham khảo
Aronow, W.S. 1990 Cardiac Risk Factors: Still Important in the Elderly. Geriatrics 45:71–80.
Espino, D.V., Burge, S.K. and Moreno, C.A. 1991 The Prevalence of Selected Chronic Diseases Among the Mexican-American Elderly: Data from the 1982–1984 Hispanic Health and Nutrition Examination Survey. Journal of the American Board of Family Practice 4: 217–222.
Espino, D.V., and Maldonado, D. 1990 Hypertension and Acculturation in Elderly Mexican Americans: Results from 1982–84 Hispanic HANES. Journal of Gerontology 45: M209–213.
Farquhar, J.W., Fortmann, S.P., Flora, J.A., Taylor, C.B., Haskell, W.L., Williams, P.T., Maccoby, N., and Wood, P.D. 1990 Effects of Communitywide Education on Cardiovascular Disease Risk Factors. Journal of the American Medical Association 264:359–365.
Fujimoto, W. 1989 Patterns of Diabetes Among Elders: Japanese American Elders. Presentation at Conference “Diabetes Among Elders: Ethnic Considerations,” Sponsored by Stanford Geriatric Education Center, and Department of Veterans Affairs, Menlo Park: California.
Hubert, H.B., Feinleib, M., McNamara, P.M., and Castelli, W. 1983 Obesity as an Independent Risk Factor for Cardiovascular Disease: A 26-year Follow-up of Participants in the Framingham Heart Study. Circulation 67: 968–977.
Jajich, C.L., Ostfeld, A.M., and Freeman, D.H., Jr. 1984 Smoking and Coronary Heart Disease Mortality in the Elderly. Journal of the American Medical Association 252: 2831–2834.
Kannel, W.B. 1988 Nutrition and the Occurrence and Prevention of Cardiovascular Disease in the Elderly. Nutrition Reviews 46: 68–78.
Kannel, W.B. 1986 Nutritional Contributors to Cardiovascular Disease in the Elderly. Journal of the American Geriatrics Society 34: 27–36.
Kannel, W.B. and McGee, D.L. 1979 Diabetes and Cardiovascular Disease: The Framingham Study. Journal of the American Medical Association 241: 2035–2038.
Kannel, W.B., Doyle, J.T., Shephard, R.J., Stamler, J., and Vokonas, P.S. 1987 Prevention of Cardiovascular Disease in the Elderly. Journal of the American College of Cardiology 10: 25A-28A.
Kannel, W.B. and Gordon, T. 1978 Evaluation of Cardiovascular Risk in the Elderly: The Framingham Study. Bulletin of the New York Academy of Medicine 54: 573–591.
Karvonen, M.J. 1988 Prevention of Cardiovascular Disease Among the Elderly. Bulletin of the World Health Organization 66: 7–14.
Kawata, R., Yamakido, M., and Nishimoti, Y. 1980 Migrant Studies Among the Japanese in Hiroshima and Hawaii. In Waldhausel, W.K. (ed.) Diabetes 1979, Proceedings of the 10th Congress of the International Diabetes Federation. Amsterdam: Excerpta Medica.
Kesteloot, H., Lee, C.S., Park, H.M., Kegels, C., Geboers, J., Claes, J.H., and Joossens, J.V. 1982 A Comparative Study of Serum Lipids Between Belgium and Korea. Circulation 65: 795–799.
Koh, J.Y. and Bell, W.G. 1987 Korean Elders in the United States: Intergenerational Relations and Living Arrangements. The Gerontologist 27: 66–71.
Lin-Fu, J.S. 1988 Population Characteristics and Health Care Need of Asian Pacific Americans. Public Health Reports 103: 18–22.
Lipid Research Clinics Program. 1984 The Lipid Research Clinics Coronary Primary Prevention Trial Results: I. Reduction in Incidence of Coronary Heart Disease and II. The Relationship of Reduction in Incidence of Coronary Heart Disease to Cholesterol Lowering. Journal of the American Medical Association 251: 351–374.
Lipson, L.G. and Kato-Palmer, S. 1988 Asian Americans. Diabetes: An Equal Opportunity Disease. Alexandria, Virginia: American Diabetes Association.
Maggi, S., Bush, T.L., and Hale, W.E. 1990 Diabetes Mellitus and Other Cardiovascular Risk Factors in an Elderly Population. Age and Ageing 19: 173–178.
Marmot, M.G. and Syme, S.L. 1976 Acculturation and Coronary Heart Disease in Japanese-Americans. American Journal of Epidemiology 104: 225–247.
Min, P.G. 1988 The Korean American Family. In Mindel, C.H., Habenstein, R.W. and Wright, R. Jr., eds. Ethnic Families in America. Pp. 199–229. New York: Elsevier.
Pang, K.Y. 1989 The practice of Traditional Korean Medicine in Washington, D.C. Social Science, and Medicine 8: 875–884.
Posner, J.D., Gorman, K.M., Gitlin, L.N., Sands, L.P., Kleban, M., Windsor, L. and Shaw, C. 1990 Effects of Exercise Training in the Elderly on the Occurrence and Time to Onset of Cardiovascular Diagnoses. Journal of the American Geriatrics Society 38: 205–210.
Reed, D., McGee, D., Cohen, J., Yano, K., Syme, S.L., and Feinleib, M. 1982 Acculturation and Coronary Heart Disease Among Japanese Men in Hawaii. American Journal of Epidemiology 115: 894–905.
Siegal, D., Kuller, L., and Lazarus, N.B. 1987 Predictors of Cardiovascular Events and Mortality in the Systolic Hypertension in the Elderly Program Pilot Project. American Journal of Epidemiology 126: 385–399.
The U.S. Bureau of the Census 1988.
The U.S. Senate Special Committee on Aging, the American Association of Retired Persons, the Federal Council on the Aging, and the U.S. Administration on Aging 1991 Aging America: Trends and Projections: 13.