TY - JOUR
T1 - Health Beliefs Regarding Cardiovascular Disease Risk and Risk Reduction in South Asian Immigrants
T2 - An Integrative Review
AU - Ramaswamy, Padmavathy
AU - Mathew Joseph, Nitha
AU - Wang, Jing
N1 - Funding Information:
The authors thank Markeda Wade, BA, ELS, for editorial assistance, and Marcus Spann, liaison librarian at the Texas Medical Center Library, for library assistance. The author(s) received no financial support for the research, authorship, and/or publication of this article.
Publisher Copyright:
© The Author(s) 2019.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Introduction: The risk for cardiovascular disease (CVD) is higher in South Asians (SAs) than in other ethnic groups. The purpose of this review is to explore SAs’ health beliefs regarding CVD risk and risk reduction behaviors including physical activity and healthy diet. Methodology: An integrative review was conducted to examine the peer-reviewed literature published before May 2017. Searches from PubMed, Scopus, and CINAHL yielded 1 mixed-method, 4 quantitative, and 14 qualitative studies. Results: Stress, lack of exercise, and high-fat diet were perceived as causes of CVD in most studies. Lack of time, sociocultural norms, and insufficient guidance from health care providers were perceived barriers to CVD risk reduction. Exercise and healthy diet were perceived to be beneficial in a few studies. Cues to action included information from community leaders and health care providers. Discussion: Understanding the unique health beliefs of SAs regarding CVD is important in planning and delivering culturally competent preventive and educational services.
AB - Introduction: The risk for cardiovascular disease (CVD) is higher in South Asians (SAs) than in other ethnic groups. The purpose of this review is to explore SAs’ health beliefs regarding CVD risk and risk reduction behaviors including physical activity and healthy diet. Methodology: An integrative review was conducted to examine the peer-reviewed literature published before May 2017. Searches from PubMed, Scopus, and CINAHL yielded 1 mixed-method, 4 quantitative, and 14 qualitative studies. Results: Stress, lack of exercise, and high-fat diet were perceived as causes of CVD in most studies. Lack of time, sociocultural norms, and insufficient guidance from health care providers were perceived barriers to CVD risk reduction. Exercise and healthy diet were perceived to be beneficial in a few studies. Cues to action included information from community leaders and health care providers. Discussion: Understanding the unique health beliefs of SAs regarding CVD is important in planning and delivering culturally competent preventive and educational services.
KW - Asian continental ancestry group
KW - attitudes
KW - cardiovascular disease risk
KW - culture
KW - health behavior
KW - health beliefs
KW - health knowledge
KW - practice
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U2 - 10.1177/1043659619839114
DO - 10.1177/1043659619839114
M3 - Review article
C2 - 30957667
AN - SCOPUS:85064206932
SN - 1043-6596
VL - 31
SP - 76
EP - 86
JO - Journal of Transcultural Nursing
JF - Journal of Transcultural Nursing
IS - 1
ER -