Explanatory models of coronary heart disease among South Asian immigrants

Manasi Ashok Tirodkar; David William Baker; Neerja Khurana; Gregory Makoul; Muhammad Wasim Paracha; Namratha Reddy Kandula

doi:10.1016/j.pec.2010.10.002

Explanatory models of coronary heart disease among South Asian immigrants

Manasi Ashok Tirodkar^*, David William Baker, Neerja Khurana, Gregory Makoul, Muhammad Wasim Paracha, Namratha Reddy Kandula

^*Corresponding author for this work

Medicine, General Medicine Division

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

20 Scopus citations

Abstract

Objective: This study investigated South Asians' explanatory models (EM) of CHD and compared them to the biomedical model as part of an effort to inform the development of culturally targeted CHD prevention messages. Methods: We conducted in-depth, semi-structured interviews in English, Hindi and Urdu with 75 respondents from a federally qualified health center and at a community center for South Asian immigrants in Chicago, Illinois. Results: While EMs of CHD included risk factors from the biomedical model, they also included psychosocial and spiritual risk factors. Respondents emphasized that stress causes CHD and suggested that CHD was caused by sudden or inexplicable factors. Few respondents discussed cholesterol, blood pressure, or diabetes as part of CHD prevention. Women and those with lower education had low perceptions of being at-risk for CHD. Conclusion: South Asians' EMs of CHD encompassed the biomedical model; however, EMs also included psychosocial and spiritual factors. Practice implications: Clinicians and health educators should be aware that South Asian individual's EM of CHD may include psychosocial and spiritual factors which can affect CHD prevention behaviors.

Original language	English (US)
Pages (from-to)	230-236
Number of pages	7
Journal	Patient education and counseling
Volume	85
Issue number	2
DOIs	https://doi.org/10.1016/j.pec.2010.10.002
State	Published - Nov 2011

Funding

This study was funded by The National Heart, Lung, and Blood Institute (Career Development Award 5 K23 HL 084177, PI-Dr. Kandula). During the research and writing of this paper Dr. Tirodkar was a post-doctoral research fellow at the Institute for Healthcare Studies, Northwestern University Feinberg School of Medicine, supported by an Advanced Rehabilitation Research Training Award from the National Institute on Disability and Rehabilitation Research Grant (H133P980014). An earlier version of this paper was presented as “Concepts of Health, Disease & Heart Disease among South Asian Immigrants in Chicago” at the Society of General Internal Medicine 31st Annual Meeting, Pittsburgh, on 04/10/08. The authors thank Asian Human Services Family Health Center and Indo-American Center in Chicago, IL for their assistance with data collection.

Keywords

Coronary heart disease
Health beliefs
South Asian

ASJC Scopus subject areas

General Medicine

UN SDGs

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

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10.1016/j.pec.2010.10.002

Cite this

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title = "Explanatory models of coronary heart disease among South Asian immigrants",

abstract = "Objective: This study investigated South Asians' explanatory models (EM) of CHD and compared them to the biomedical model as part of an effort to inform the development of culturally targeted CHD prevention messages. Methods: We conducted in-depth, semi-structured interviews in English, Hindi and Urdu with 75 respondents from a federally qualified health center and at a community center for South Asian immigrants in Chicago, Illinois. Results: While EMs of CHD included risk factors from the biomedical model, they also included psychosocial and spiritual risk factors. Respondents emphasized that stress causes CHD and suggested that CHD was caused by sudden or inexplicable factors. Few respondents discussed cholesterol, blood pressure, or diabetes as part of CHD prevention. Women and those with lower education had low perceptions of being at-risk for CHD. Conclusion: South Asians' EMs of CHD encompassed the biomedical model; however, EMs also included psychosocial and spiritual factors. Practice implications: Clinicians and health educators should be aware that South Asian individual's EM of CHD may include psychosocial and spiritual factors which can affect CHD prevention behaviors.",

keywords = "Coronary heart disease, Health beliefs, South Asian",

author = "Tirodkar, {Manasi Ashok} and Baker, {David William} and Neerja Khurana and Gregory Makoul and Paracha, {Muhammad Wasim} and Kandula, {Namratha Reddy}",

note = "Funding Information: This study was funded by The National Heart, Lung, and Blood Institute (Career Development Award 5 K23 HL 084177, PI-Dr. Kandula). During the research and writing of this paper Dr. Tirodkar was a post-doctoral research fellow at the Institute for Healthcare Studies, Northwestern University Feinberg School of Medicine, supported by an Advanced Rehabilitation Research Training Award from the National Institute on Disability and Rehabilitation Research Grant (H133P980014). An earlier version of this paper was presented as “Concepts of Health, Disease & Heart Disease among South Asian Immigrants in Chicago” at the Society of General Internal Medicine 31st Annual Meeting, Pittsburgh, on 04/10/08. The authors thank Asian Human Services Family Health Center and Indo-American Center in Chicago, IL for their assistance with data collection.",

year = "2011",

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doi = "10.1016/j.pec.2010.10.002",

language = "English (US)",

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AU - Tirodkar, Manasi Ashok

AU - Baker, David William

AU - Khurana, Neerja

AU - Makoul, Gregory

AU - Paracha, Muhammad Wasim

AU - Kandula, Namratha Reddy

N1 - Funding Information: This study was funded by The National Heart, Lung, and Blood Institute (Career Development Award 5 K23 HL 084177, PI-Dr. Kandula). During the research and writing of this paper Dr. Tirodkar was a post-doctoral research fellow at the Institute for Healthcare Studies, Northwestern University Feinberg School of Medicine, supported by an Advanced Rehabilitation Research Training Award from the National Institute on Disability and Rehabilitation Research Grant (H133P980014). An earlier version of this paper was presented as “Concepts of Health, Disease & Heart Disease among South Asian Immigrants in Chicago” at the Society of General Internal Medicine 31st Annual Meeting, Pittsburgh, on 04/10/08. The authors thank Asian Human Services Family Health Center and Indo-American Center in Chicago, IL for their assistance with data collection.

PY - 2011/11

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N2 - Objective: This study investigated South Asians' explanatory models (EM) of CHD and compared them to the biomedical model as part of an effort to inform the development of culturally targeted CHD prevention messages. Methods: We conducted in-depth, semi-structured interviews in English, Hindi and Urdu with 75 respondents from a federally qualified health center and at a community center for South Asian immigrants in Chicago, Illinois. Results: While EMs of CHD included risk factors from the biomedical model, they also included psychosocial and spiritual risk factors. Respondents emphasized that stress causes CHD and suggested that CHD was caused by sudden or inexplicable factors. Few respondents discussed cholesterol, blood pressure, or diabetes as part of CHD prevention. Women and those with lower education had low perceptions of being at-risk for CHD. Conclusion: South Asians' EMs of CHD encompassed the biomedical model; however, EMs also included psychosocial and spiritual factors. Practice implications: Clinicians and health educators should be aware that South Asian individual's EM of CHD may include psychosocial and spiritual factors which can affect CHD prevention behaviors.

AB - Objective: This study investigated South Asians' explanatory models (EM) of CHD and compared them to the biomedical model as part of an effort to inform the development of culturally targeted CHD prevention messages. Methods: We conducted in-depth, semi-structured interviews in English, Hindi and Urdu with 75 respondents from a federally qualified health center and at a community center for South Asian immigrants in Chicago, Illinois. Results: While EMs of CHD included risk factors from the biomedical model, they also included psychosocial and spiritual risk factors. Respondents emphasized that stress causes CHD and suggested that CHD was caused by sudden or inexplicable factors. Few respondents discussed cholesterol, blood pressure, or diabetes as part of CHD prevention. Women and those with lower education had low perceptions of being at-risk for CHD. Conclusion: South Asians' EMs of CHD encompassed the biomedical model; however, EMs also included psychosocial and spiritual factors. Practice implications: Clinicians and health educators should be aware that South Asian individual's EM of CHD may include psychosocial and spiritual factors which can affect CHD prevention behaviors.

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Explanatory models of coronary heart disease among South Asian immigrants

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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