TY - JOUR
T1 - Explanatory models of coronary heart disease among South Asian immigrants
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
Y1 - 2011/11
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.
KW - Coronary heart disease
KW - Health beliefs
KW - South Asian
UR - http://www.scopus.com/inward/record.url?scp=80053993073&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80053993073&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2010.10.002
DO - 10.1016/j.pec.2010.10.002
M3 - Article
C2 - 21093195
AN - SCOPUS:80053993073
SN - 0738-3991
VL - 85
SP - 230
EP - 236
JO - Patient education and counseling
JF - Patient education and counseling
IS - 2
ER -
