Patel Mihir, Phillips-Caesar Erica, Boutin-Foster Carla
Divison of General Internal Medicine, Department of Medicine, St. Luke's-Roosevelt Hospital Center, 1111 Amsterdam Avenue, New York, NY, 10025, USA,
J Immigr Minor Health. 2014 Oct;16(5):994-1000. doi: 10.1007/s10903-013-9868-7.
The US has increasingly growing Bangladeshi population, a South Asian sub-ethnic group with a high prevalence of cardiovascular disease (CVD). We conducted a qualitative study using individual in-depth interviews to explore attitudes towards and difficulties with modifying CVD related behaviors among a Bangladeshi cohort. We interviewed 55 patients before reaching data saturation. Bangladeshis discussed the meaning of health and heart disease in the context of how disease can potentially impact their ability to care for their family. Behavioral and psychological factors were discussed as the causes of CVD. Internal forces and external forces were brought up to explain difficulties addressing the causes of CVD. Bangladeshi individuals in our study were aware of CVD, but felt unable to address behavioral risk factors. They cite a combination of internal and external factors as barriers to lifestyle modification. Interventions to address these barriers must simultaneously addressing self-efficacy and work-life balance.
美国的孟加拉裔人口日益增加，孟加拉裔是南亚的一个亚族群，心血管疾病（CVD）患病率很高。我们进行了一项定性研究，采用个人深度访谈的方式，探讨孟加拉裔人群对改变与心血管疾病相关行为的态度和困难。在达到数据饱和之前，我们采访了55名患者。孟加拉裔人群在疾病可能如何影响其照顾家人能力的背景下，讨论了健康和心脏病的意义。行为和心理因素被认为是心血管疾病的病因。人们提到了内部因素和外部因素，以解释在解决心血管疾病病因方面存在的困难。我们研究中的孟加拉裔个体了解心血管疾病，但觉得无法解决行为风险因素。他们指出内部和外部因素的综合作用是改变生活方式的障碍。解决这些障碍的干预措施必须同时解决自我效能感和工作与生活平衡的问题。
