PURPOSE: This study assessed the knowledge of heart attack symptoms and risk factors in a convenience sample of Korean immigrants. METHOD: A total of 116 Korean immigrants in a Midwestern metropolitan area were recruited through Korean churches and markets. Knowledge was assessed using both open-ended questions and a structured questionnaire. Latent class cluster analysis and Chi-square tests were used to analyze the data. RESULTS: About 76% of the sample had at least one self-reported risk factor for cardiovascular disease. Using an open-ended question, the majority of subjects could only identify one symptom. In the structured questionnaire, subjects identified a mean of 5 out of 10 heart attack symptoms and a mean of 5 out of 9 heart attack risk factors. Latent class cluster analysis showed that subjects clustered into two groups for both risk factors and symptoms: a high knowledge group and a low knowledge group. Subjects who clustered into the risk factor low knowledge group (48%) were more likely than the risk factor high knowledge group to be older than 65 years, to have lower education, to not know to use 911 when a heart attack occurred, and to not have a family history of heart attack. CONCLUSION: Korean immigrants' knowledge of heart attack symptoms and risk factors was variable, ranging from high to very low. Education should be focused on those at highest risk for a heart attack, which includes the elderly and those with risk factors.
PURPOSE: This study assessed the knowledge of heart attack symptoms and risk factors in a convenience sample of Korean immigrants. METHOD: A total of 116 Korean immigrants in a Midwestern metropolitan area were recruited through Korean churches and markets. Knowledge was assessed using both open-ended questions and a structured questionnaire. Latent class cluster analysis and Chi-square tests were used to analyze the data. RESULTS: About 76% of the sample had at least one self-reported risk factor for cardiovascular disease. Using an open-ended question, the majority of subjects could only identify one symptom. In the structured questionnaire, subjects identified a mean of 5 out of 10 heart attack symptoms and a mean of 5 out of 9 heart attack risk factors. Latent class cluster analysis showed that subjects clustered into two groups for both risk factors and symptoms: a high knowledge group and a low knowledge group. Subjects who clustered into the risk factor low knowledge group (48%) were more likely than the risk factor high knowledge group to be older than 65 years, to have lower education, to not know to use 911 when a heart attack occurred, and to not have a family history of heart attack. CONCLUSION: Korean immigrants' knowledge of heart attack symptoms and risk factors was variable, ranging from high to very low. Education should be focused on those at highest risk for a heart attack, which includes the elderly and those with risk factors.
Authors: J G Canto; M G Shlipak; W J Rogers; J A Malmgren; P D Frederick; C T Lambrew; J P Ornato; H V Barron; C I Kiefe Journal: JAMA Date: 2000-06-28 Impact factor: 56.272
Authors: D C Goff; D E Sellers; P G McGovern; H Meischke; R J Goldberg; V Bittner; J R Hedges; P S Allender; M Z Nichaman Journal: Arch Intern Med Date: 1998-11-23
Authors: Kurt J Greenlund; Nora L Keenan; Wayne H Giles; Zhi Jie Zheng; Linda J Neff; Janet B Croft; George A Mensah Journal: Am Heart J Date: 2004-06 Impact factor: 4.749
Authors: Thanh G N Ton; Lesley Steinman; Mei-Po Yip; Kiet A Ly; Mo-Kyung Sin; Annette L Fitzpatrick; Shin-Ping Tu Journal: J Immigr Minor Health Date: 2011-02