Minority Health Archive

Racial disparities in knowledge of stroke and heart attack risk factors and warning signs among Michigan adults.

Fussman, Chris and Rafferty, Ann P and Reeves, Mathew J and Zackery, Shannon and Lyon-Callo, Sarah and Anderson, Beth (2009) Racial disparities in knowledge of stroke and heart attack risk factors and warning signs among Michigan adults. Ethnicity & disease, 19 (2). pp. 128-134. ISSN 1049-510X

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Abstract

OBJECTIVE: To describe the level of knowledge regarding risk factors and warning signs for stroke and heart attack among White and African American adults in Michigan and to quantify racial disparities. METHODS: Knowledge of stroke and heart attack risk factors and warning signs was assessed by using data from the 2004 Michigan Behavioral Risk Factor Survey. Prevalence estimates of knowledge were generated, and statistical differences in knowledge between Whites and African Americans were assessed. Adequate knowledge was defined as knowing 3 correct warning signs or risk factors. Logistic regression models were used to quantify the racial disparity in knowledge while controlling for potential confounding. RESULTS: Whites had substantially higher levels of adequate knowledge of risk factors (stroke: 31.6% vs 13.8%; heart attack: 52.6% vs 24.3%) and warning signs (stroke: 30.0% vs 17.2%; heart attack: 29.3% vs 13.8%) compared with African Americans (all observed differences were significant at P < .05). The odds of adequate knowledge of risk factors (stroke: adjusted odds ratio [AOR] 2.9; heart attack: AOR 3.4) and warning signs (stroke: AOR 2.0; heart attack: AOR 2.4) were significantly higher for Whites than for African Americans. CONCLUSION: A strong racial disparity in the knowledge of stroke and heart attack risk factors and warning signs exists among Michigan adults. Communitywide public education programs in conjunction with targeted interventions for at-risk populations are necessary to produce meaningful improvements in the awareness of stroke and heart attack risk factors and warning signs among Michigan adults.


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Item Type: Article
Additional Information: After clicking link, scroll down the page to find the article.
Uncontrolled Keywords: Stroke, Heart Attack, Risk Factors, Warning Signs, Awareness, Race, Disparity
Subjects: Health > Disparities
Health > Public Health > Chronic Illness & Diseases > Cardiovascular Disease
Health > Public Health > Chronic Illness & Diseases > Hypertension
Health > Public Health > Health Risk Factors
Practice > interventions
Research
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Depositing User: Users 141 not found.
Date Deposited: 31 May 2011 12:22
Last Modified: 31 May 2011 12:22
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/2547

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