a Division of General Internal Medicine, Department of Medicine , George Washington University , Washington , DC , USA.
b Office of Diversity Education & Research , SUNY Downstate Medical Center , Brooklyn , NY , USA.
Ethn Health. 2019 May;24(4):432-442. doi: 10.1080/13557858.2017.1346191. Epub 2017 Jul 1.
Among all South Asians, Bangladeshis have the highest prevalence of cardiovascular disease (CVD). The purpose of our study was to compare the understanding of CVD risk factors among Bangladeshi immigrants to the general Caucasian population in the U.S.
We surveyed Bangladeshi immigrants in Queens, New York using a CVD risk factor knowledge instrument used in the Coronary Artery Risk Development in Young Adults (CARDIA) study to assess awareness of risk factors. Using multivariate regression modeling, we compared scores on the knowledge instrument between Bangladeshis we surveyed and Caucasians from the CARDIA study, controlling for potential confounders. We subsequently examined the frequency of mentioning each risk factor to understand what was driving the difference in the overall score.
The proportion of Bangladeshis scoring low on the knowledge assessment was 0.53, where as the proportion of whites scoring low in the CARDIA study was 0.32 (p value < .001). Whites were 34% more likely to score high than Bangladeshis (adjusted odds ratio [aOR] 1.34, 95% confidence interval [CI] 1.19-1.52). Bangladeshis were more likely to mention diet and cholesterol as risk factors and less likely to mention lack of exercise, being overweight, and smoking as risk factors.
Understanding of cardiovascular disease risk factors was lower among Bangladeshis than whites. This was driven by Bangladeshis having less awareness regarding how exercise and being overweight contribute to CVD. Community based interventions and community health partnerships should target these behavioral risk factors in the Bangladeshi population.
在所有南亚人中，孟加拉国人的心血管疾病（CVD）患病率最高。我们的研究目的是比较孟加拉裔移民和美国白种人对 CVD 风险因素的理解。
我们使用冠状动脉风险发展在年轻人（CARDIA）研究中用于评估风险因素意识的 CVD 风险因素知识工具，对纽约皇后区的孟加拉裔移民进行了调查。使用多元回归模型，我们比较了我们调查的孟加拉人和 CARDIA 研究中的白种人在知识工具上的得分，同时控制了潜在的混杂因素。随后，我们检查了提及每种风险因素的频率，以了解是什么导致了总分的差异。
在知识评估中得分较低的孟加拉裔比例为 0.53，而在 CARDIA 研究中得分较低的白人比例为 0.32（p 值<.001）。白人比孟加拉裔高 34%的可能性得分较高（调整后的优势比[aOR]为 1.34，95%置信区间[CI]为 1.19-1.52）。孟加拉裔更有可能提到饮食和胆固醇是风险因素，而不太可能提到缺乏运动、超重和吸烟是风险因素。
孟加拉裔对心血管疾病风险因素的理解低于白人。这是由于孟加拉裔对运动和超重如何导致 CVD 的认识较低所致。基于社区的干预措施和社区卫生伙伴关系应该针对孟加拉裔人群中的这些行为风险因素。
