Minority Health Archive

Cardiovascular Risk Factors in Montana American Indians With and Without Diabetes

Harwell, Todd S and Moore, Kelly and McDowall, Janet M and Helgerson, Steven D and Gohdes, Dorothy (2003) Cardiovascular Risk Factors in Montana American Indians With and Without Diabetes. American Journal of Preventive Medicine, 24 (3). pp. 265-269.

Full text not available from this repository.

Abstract

Background: Cardiovascular disease (CVD) and diabetes are prevalent and of major concern for American-Indian communities in the United States. Health professional counseling is effective in increasing patient awareness and inducing lifestyle modification. The objective of this study was to compare the prevalence of CVD, modifiable risk factors and counseling for smoking cessation, physical activity, and a healthy diet in adult American Indians with and without diabetes. Methods: A random sample of adult American Indians living on or near the seven Montana reservations was interviewed through an adapted Behavioral Risk Factor Surveillance System telephone survey in 1999 (N=1000) and 2001 (N=1006). Results: Respondents with diabetes, compared to those without, had a significantly higher prevalence of CVD (27% vs 8%); overweight (89% vs 71%); high blood pressure (57% vs 24%); and high cholesterol (44% vs 22%). There were no differences for insufficient physical activity (60% vs 51%) or smoking (34% vs 41%) after adjustment for age, gender, and survey year. Respondents with diabetes, compared to respondents without diabetes, were significantly more likely to report health professional counseling for smoking cessation (83% vs 58%); physical activity (73% vs 37%); and reduced fat consumption (57% vs 24%). Conclusions: The prevalence of modifiable CVD risk factors was alarmingly high among adult American Indians with and without diabetes. Strategies to increase health professional counseling for healthy diet and smoking cessation are needed.


Export/Citation:EndNote | BibTeX | Dublin Core | ASCII (Chicago style) | HTML Citation | OpenURL | Reference Manager
Social Networking:

Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: cardiovascular risk factors, Montana American Indians, diabetes, cardiovascular disease
Subjects: Health > Nutrition
Health > Public Health > Chronic Illness & Diseases > Cardiovascular Disease
Health > Public Health > Chronic Illness & Diseases > Diabetes
Health > Public Health > Health Risk Factors > Smoking & Tobacco Use
Research
Research > studies
Related URLs:
Depositing User: Kismet Loftin-Bell
Date Deposited: 17 Aug 2005
Last Modified: 30 Jun 2011 14:56
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/189

Actions (login required)

View Item