Barriers and facilitators to adhering to the american heart association’s life’s simple 7 for african american women living in public housing

India Smith; Brandi M. White

doi:10.1353/hpu.2021.0179

Barriers and facilitators to adhering to the american heart association’s life’s simple 7 for african american women living in public housing

India Smith, Brandi M. White

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

African American (AA) women living in public housing have some of the highest risk factors for cardiovascular disease (CVD). Limited information exists on this popula-tion’s perceived barriers and facilitators to achieving optimal heart health and adhering to practices known to lower risk factors for CVD. Six 1.5-hour long focus groups among 32 AA women living in public housing (mean age = 49.9±10.3) were conducted, audiotaped, and transcribed. Participants’ quotes were analyzed using the American Heart Association Life’s Simple 7 as a guideline for optimal heart health. Focus groups revealed stress and finances as primary barriers, and family/friends/social support as primary facilitators. Participants also mentioned a lack of community involvement and limited government assistance focused on making healthy foods affordable. The information gained from this study can help future programs more adequately assist this underserved group in pursuing heart healthy behaviors and lowering their disproportionately high CVD risk.

Original language	English
Pages (from-to)	2012-2029
Number of pages	18
Journal	Journal of Health Care for the Poor and Underserved
Volume	32
Issue number	4
DOIs	https://doi.org/10.1353/hpu.2021.0179
State	Published - Nov 2021

Bibliographical note

Funding Information:
We would like to thank our focus group participants, as well as Ms. Dana Mason, Ms. Tiffany Clark, and Ms. Marlene Stevenson, and the members of the Health Equity Action Team (HEAT). We would also like to thank Drs. Anita F. Fernander and Melinda E. Wilson for their feedback on the first draft of this manuscript, and Loren Brigham for her assistance transcribing the focus groups. This study was funded by the University of Kentucky’s College of Health Sciences’ pilot program.

Publisher Copyright:
© Meharry Medical College.

Keywords

African American
Cardiovascular disease
Health disparities
Heart disease
Public housing
Social conditions
Stress
Women

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1353/hpu.2021.0179

Cite this

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abstract = "African American (AA) women living in public housing have some of the highest risk factors for cardiovascular disease (CVD). Limited information exists on this popula-tion{\textquoteright}s perceived barriers and facilitators to achieving optimal heart health and adhering to practices known to lower risk factors for CVD. Six 1.5-hour long focus groups among 32 AA women living in public housing (mean age = 49.9±10.3) were conducted, audiotaped, and transcribed. Participants{\textquoteright} quotes were analyzed using the American Heart Association Life{\textquoteright}s Simple 7 as a guideline for optimal heart health. Focus groups revealed stress and finances as primary barriers, and family/friends/social support as primary facilitators. Participants also mentioned a lack of community involvement and limited government assistance focused on making healthy foods affordable. The information gained from this study can help future programs more adequately assist this underserved group in pursuing heart healthy behaviors and lowering their disproportionately high CVD risk.",

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author = "India Smith and White, {Brandi M.}",

note = "Funding Information: We would like to thank our focus group participants, as well as Ms. Dana Mason, Ms. Tiffany Clark, and Ms. Marlene Stevenson, and the members of the Health Equity Action Team (HEAT). We would also like to thank Drs. Anita F. Fernander and Melinda E. Wilson for their feedback on the first draft of this manuscript, and Loren Brigham for her assistance transcribing the focus groups. This study was funded by the University of Kentucky{\textquoteright}s College of Health Sciences{\textquoteright} pilot program. Publisher Copyright: {\textcopyright} Meharry Medical College.",

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Barriers and facilitators to adhering to the american heart association’s life’s simple 7 for african american women living in public housing

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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