Tailoring Stroke Counseling for Risk Reduction Intervention to African American Men

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 422-422
Author(s):  
J Taylor Harden ◽  
Laura Salazar ◽  
Gayenell Magwood ◽  
Patricia Clark ◽  
Dawn Aycock
Keyword(s):  
Risk Reduction ◽  
Risk Perceptions ◽  
Cardiovascular Health ◽  
Stroke Risk ◽  
African American Men ◽  
Lifestyle Behaviors ◽  
Ideal Cardiovascular Health ◽  
Stage Of Readiness ◽  
Course Achievement ◽  
Risk Reduction Intervention

Abstract Early life course achievement and maintenance of ideal cardiovascular health is associated with reduced risk of developing stroke later in life. The Stroke Counseling for Risk Reduction (SCORRE) intervention is an age-and-culturally relevant intervention originally designed to correct inaccurate stroke risk perceptions and improve lifestyle behaviors to reduce stroke risk in AAs age 20-35. In a study testing SCORRE, fewer men participated, but most were not at a stage of readiness for behavior change; many did not think they were at risk despite averaging three modifiable risk factors, and while improvements in outcomes were observed in women they were not in men. These differences led to tailoring SCORRE to young AA men. The methods for tailoring SCORRE and resulting strategies for attracting, engaging, and empowering them towards stroke risk reduction, including hypotheses concerning food supply, housing, economic and social relationships, education, and mental health care will be raised for discussion.

Sex and ethnicity modify the associations between individual and contextual socioeconomic indicators and ideal cardiovascular health: MESA study

2018 ◽  
Vol 41 (3) ◽  
pp. e237-e244
Author(s):  
Augusto César Ferreira De Moraes ◽  
Heráclito Barbosa Carvalho ◽  
Robyn L McClelland ◽  
Ana V Diez-Roux ◽  
Moyses Szklo
Keyword(s):  
African American ◽  
Los Angeles ◽  
African American Women ◽  
Cardiovascular Health ◽  
Family Income ◽  
African American Men ◽  
Socioeconomic Indicators ◽  
Baltimore County ◽  
Cvd Risk ◽  
Ideal Cardiovascular Health

AbstractBackgroundLow socioeconomic status (SES) is associated with cardiovascular disease (CVD) risk, but its association with different markers of SES may be heterogeneous by sex and race/ethnicity.MethodsWe have examined the relationships of four SES markers (education, family income, occupation and neighborhood SES) to ideal cardiovascular health (ICH), an index formed by seven variables. A total of 6792 cohort participants from six regions in the USA: Baltimore City and Baltimore County, MD; Chicago, IL; Forsyth County, NC; Los Angeles County, CA; New York, NY; and St. Paul, MN of the Multi-Ethnic Study of Atherosclerosis (MESA) (52.8% women) were recruited at baseline (2000–2) and included in the present analysis.ResultsICH was classified as poor, intermediate or ideal. Level of education was significantly and inversely associated with ICH in non-Hispanic White men and women, in Chinese-American and Hispanic American men and African-American women. Family income was inversely and significantly associated with poor ICH in African-American men only.ConclusionsWe conclude that the strength of the associations between some SES markers and ICH differ between sexes and race/ethnic groups.

scholarly journals Lifestyle Medicine—An Emerging New Discipline

2015 ◽  
Vol 11 (2) ◽  
pp. 114
Author(s):  
Robert F Kushner ◽  
Jeffrey I Mechanick ◽  
◽  
Keyword(s):  
Chronic Disease ◽  
Behavior Change ◽  
Cardiovascular Health ◽  
Essential Element ◽  
Primary Source ◽  
Health Risk Behaviors ◽  
Noncommunicable Diseases ◽  
Lifestyle Behaviors ◽  
Lifestyle Medicine ◽  
Ideal Cardiovascular Health

Unhealthful lifestyle behaviors are a primary source of the global burden of noncommunicable diseases (NCDs) and account for about 63 % of all global deaths. Recently, there has been an increased interest in evaluating the benefit of adhering to low-risk lifestyle behaviors and ideal cardiovascular health metrics. Although a healthful lifestyle has repeatedly been shown to improve mortality, the population prevalence of healthy living remains low. The new discipline of lifestyle medicine has recently emerged as a systematized approach for the management of chronic disease. The practice of lifestyle medicine requires skills and competency in addressing multiple health risk behaviors and improving self-management. This article focuses on the effects of a healthful lifestyle on chronic disease and defining lifestyle medicine as a unique discipline. It also reviews the role of effective provider–patient communication as an essential element for fostering behavior change—the main component of lifestyle medicine. The principles of communication and behavior change are skill based and are grounded in scientific theories and models. Communication and counseling must be contextualized to the patients’ economic situation, access to care, social support, culture, and health literacy.

Development of a Barbershop-Based HIV/STI Risk Reduction Intervention for Young Heterosexual African American Men

2016 ◽  
Vol 18 (1) ◽  
pp. 110-118 ◽  
Author(s):  
Loretta Sweet Jemmott ◽  
John B. Jemmott ◽  
Yzette Lanier ◽  
Ciarra Thompson ◽  
Jillian Lucas Baker
Keyword(s):  
African American ◽  
High Risk ◽  
Risk Reduction ◽  
Hiv Risk ◽  
African American Men ◽  
Sexual Partners ◽  
Community Advisory Board ◽  
High Risk Population ◽  
Hiv Risk Reduction ◽  
Risk Reduction Intervention

Young, heterosexual African American men ages 18 to 24 years continue to be at high risk for HIV and other sexually transmitted infections. However, few interventions have been designed to meet the needs of this “forgotten” population. The article describes the systematic development of a theory-based, culturally-tailored, gender-specific, barbershop-based HIV risk reduction intervention for heterosexual African American men ages 18 to 24. The process included developing a community advisory board, selecting a guiding theoretical framework, incorporating community-based participatory research principles, and conducting formative research with African American males, barbers, and barbershop owners. The result was Shape Up: Barbers Building Better Brothers, a 2-day, HIV risk reduction intervention focused on increasing HIV knowledge and condom use and reducing the number of sexual partners. Intervention sessions were facilitated by barbers who used iPads to deliver the content. As a high-risk population, this intervention has great public health significance for the health of African American men and their sexual partners.

Lifestyle Medicine—An Emerging New Discipline

2015 ◽  
Vol 11 (01) ◽  
pp. 36 ◽  
Author(s):  
Robert F Kushner ◽  
Jeffrey I Mechanick ◽  
◽  
Keyword(s):  
Chronic Disease ◽  
Behavior Change ◽  
Cardiovascular Health ◽  
Essential Element ◽  
Primary Source ◽  
Health Risk Behaviors ◽  
Noncommunicable Diseases ◽  
Lifestyle Behaviors ◽  
Lifestyle Medicine ◽  
Ideal Cardiovascular Health

Unhealthful lifestyle behaviors are a primary source of the global burden of noncommunicable diseases (NCDs) and account for about 63 % of all global deaths. Recently, there has been an increased interest in evaluating the benefit of adhering to low-risk lifestyle behaviors and ideal cardiovascular health metrics. Although a healthful lifestyle has repeatedly been shown to improve mortality, the population prevalence of healthy living remains low. The new discipline of lifestyle medicine has recently emerged as a systematized approach for the management of chronic disease. The practice of lifestyle medicine requires skills and competency in addressing multiple health risk behaviors and improving self-management. This article focuses on the effects of a healthful lifestyle on chronic disease and defining lifestyle medicine as a unique discipline. It also reviews the role of effective provider–patient communication as an essential element for fostering behavior change—the main component of lifestyle medicine. The principles of communication and behavior change are skill based and are grounded in scientific theories and models. Communication and counseling must be contextualized to the patients’ economic situation, access to care, social support, culture, and health literacy.

Development of an HIV Risk Reduction Intervention for Older Seropositive African American Men

2009 ◽  
Vol 23 (8) ◽  
pp. 647-655 ◽  
Author(s):  
Christopher Lance Coleman ◽  
Loretta Jemmott ◽  
John B. Jemmott ◽  
Neville Strumpf ◽  
Sara Ratcliffe
Keyword(s):  
African American ◽  
Risk Reduction ◽  
Hiv Risk ◽  
African American Men ◽  
Hiv Risk Reduction ◽  
Risk Reduction Intervention

Abstract WP417: Ideal Cardiovascular Health Metrics on Risk of Ischemic and Intracerebral Hemorrhagic Stroke: A Result from Kailuan Study

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Qian Zhang ◽  
Shufeng Zhang ◽  
Liheng Bian ◽  
Xingquan Zhao
Keyword(s):  
Hemorrhagic Stroke ◽  
Cardiovascular Health ◽  
Stroke Risk ◽  
Fasting Blood Glucose ◽  
Strong Relationship ◽  
Ideal Cardiovascular Health ◽  
Hazard Ratios ◽  
The Relationship ◽  
The Ideal

Objectives To investigate the relationship between ideal cardiovascular health metrics (including smoking, body mass index, dietary intake, physical activity, blood pressure, total cholesterol and fasting blood glucose) and risk of stroke. Background Previous studies showed a strong relationship between the number of ideal cardiovascular health metrics and lower risk of cardiovascular diseases and stroke. However, little is known regarding its relationship with ischemic and hemorrhagic stroke risk respectively. Methods We collected information on the ideal cardiovascular health metrics among 91,698 participants (18-98 years old; 72826 men and 18872 women) free of myocardial infarction and stroke at baseline (2006-07) in the Kailuan cohort study, China. We then prospectively investigated the association between ideal cardiovascular health metrics and risk of stroke. Results During four years of follow-up, we identified 1443 incident strokes (1057 ischemic and 386 intracerebral hemorrhagic). The multivariate-adjusted hazard ratios for total stroke with adherence to 0 (reference), 1, 2, 3, 4, 5, and 6 or 7 ideal health metrics were 1, 0.91, 0.69, 0.51, 0.37, 0.28, and 0.25 (95% confidence interval: 0.11-0.55; p-trend <0.0001) respectively after adjusting for age, sex, and other covariates. Similar inverse associations were observed for both ischemic and intracerebral hemorrhagic stroke (p-trend < 0.0005 for both). Conclusions We observed a clear inverse dose-response relationship between the number of ideal cardiovascular health metrics and risk of stroke in a Chinese population, which supports the importance of ideal health behaviors and factors in the prevention of stroke.

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