阿巴拉契亚农村地区对心脏健康的看法：社会生态背景
Rural Appalachian perspectives on heart health: social ecological contexts.
作者信息
Mudd-Martin Gia, Biddle Martha J, Chung Misook L, Lennie Terry A, Bailey Alison L, Casey Baretta R, Novak M J, Moser Debra K
机构信息
University of Kentucky College of Nursing, Lexington, KY, USA.
出版信息
Am J Health Behav. 2014 Jan;38(1):134-43. doi: 10.5993/AJHB.38.1.14.
OBJECTIVE
To explore factors associated with cardiovascular disease (CVD) risk in Central Appalachia Kentucky to guide development of a culturally appropriate risk reduction intervention.
METHODS
Based on community-based participatory research principles, 7 focus groups were conducted with 88 healthcare employees and residents from 6 Appalachian counties. Sessions were audio-recorded and transcribed. Thematic analysis was used to identify themes and sub-themes.
RESULTS
Participants most frequently attributed CVD risk to behaviors including unhealthy diets, physical inactivity, and smoking, and to inadequate preventive care. Intrapersonal, interpersonal, sociocultural, environmental, organizational, and policy level influences on risk were identified.
CONCLUSION
Comprehensive intervention guided by a social ecological framework is needed to address CVD risk reduction in Appalachian Kentucky communities.
目的
探究肯塔基州中阿巴拉契亚地区与心血管疾病（CVD）风险相关的因素，以指导制定符合当地文化的风险降低干预措施。
方法
基于社区参与性研究原则，对来自6个阿巴拉契亚县的88名医护人员和居民进行了7次焦点小组访谈。访谈进行了录音和转录。采用主题分析法确定主题和子主题。
结果
参与者最常将心血管疾病风险归因于不健康饮食、缺乏体育锻炼和吸烟等行为，以及预防保健不足。确定了个人、人际、社会文化、环境、组织和政策层面风险的影响因素。
结论
需要在社会生态框架指导下进行综合干预，以降低肯塔基州阿巴拉契亚社区的心血管疾病风险。
Zotero 插件