TY - JOUR
T1 - Rural appalachian perspectives on heart health
T2 - Social ecological contexts
AU - Mudd-Martin, Gia
AU - Biddle, Martha J.
AU - Chung, Misook L.
AU - Lennie, Terry A.
AU - Bailey, Alison L.
AU - Casey, Baretta R.
AU - Novak, M. J.
AU - Moser, Debra K.
PY - 2014/1
Y1 - 2014/1
N2 - Objective: To explore factors associated with cardiovascular disease (CVD) risk in Central Appalachia Kentucky to guide development of a culturally appropriate risk reduction intervention. Methods: Based on community-based participatory research principles, 7 focus groups were conducted with 88 healthcare employees and residents from 6 Appalachian counties. Sessions were audio-recorded and transcribed. Thematic analysis was used to identify themes and sub-themes. Results: Participants most frequently attributed CVD risk to behaviors including unhealthy diets, physical inactivity, and smoking, and to inadequate preventive care. Intrapersonal, interpersonal, sociocultural, environmental, organizational, and policy level influences on risk were identified. Conclusion: Comprehensive intervention guided by a social ecological framework is needed to address CVD risk reduction in Appalachian Kentucky communities.
AB - Objective: To explore factors associated with cardiovascular disease (CVD) risk in Central Appalachia Kentucky to guide development of a culturally appropriate risk reduction intervention. Methods: Based on community-based participatory research principles, 7 focus groups were conducted with 88 healthcare employees and residents from 6 Appalachian counties. Sessions were audio-recorded and transcribed. Thematic analysis was used to identify themes and sub-themes. Results: Participants most frequently attributed CVD risk to behaviors including unhealthy diets, physical inactivity, and smoking, and to inadequate preventive care. Intrapersonal, interpersonal, sociocultural, environmental, organizational, and policy level influences on risk were identified. Conclusion: Comprehensive intervention guided by a social ecological framework is needed to address CVD risk reduction in Appalachian Kentucky communities.
KW - Appalachia
KW - Cardiovascular disease
KW - Focus groups
KW - Health behaviors
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U2 - 10.5993/AJHB.38.1.14
DO - 10.5993/AJHB.38.1.14
M3 - Article
C2 - 24034688
AN - SCOPUS:84888872739
SN - 1087-3244
VL - 38
SP - 134
EP - 143
JO - American Journal of Health Behavior
JF - American Journal of Health Behavior
IS - 1
ER -
