scholarly journals Disparities in Awareness of Myocardial Infarction and Stroke Symptoms and Response Among United States– and Foreign‐Born Adults in the National Health Interview Survey

2021 ◽  
Author(s):  
Ivy Mannoh ◽  
Ruth‐Alma Turkson‐Ocran ◽  
Jasmine Mensah ◽  
Danielle Mensah ◽  
Stella S. Yi ◽  
...  
Keyword(s):  
United States ◽  
Myocardial Infarction ◽  
National Health ◽  
Indian Subcontinent ◽  
The United States ◽  
Foreign Born ◽  
Stroke Symptom ◽  
Health Interview ◽  
Symptom Awareness ◽  
Stroke Knowledge

Background Atherosclerotic cardiovascular disease, defined as nonfatal myocardial infarction (MI), coronary heart disease death, or fatal or nonfatal stroke, is the leading cause of death in the United States. MI and stroke symptom awareness and response reduce delays in hospitalization and mortality. Methods and Results We analyzed cross‐sectional data from the 2014 and 2017 National Health Interview Surveys on US‐ and foreign‐born adults from 9 regions of birth (Europe, South America, Mexico/Central America/Caribbean, Russia, Africa, Middle East, Indian subcontinent, Asia, and Southeast Asia). The outcomes were recommended MI and stroke knowledge, defined as knowing all 5 symptoms of MI or stroke, respectively, and choosing “call 9‐1‐1” as the best response. We included 63 059 participants, with a mean age 49.4 years; 54.1% were women, and 38.5% had a high school education or less. Recommended MI and stroke knowledge were highest in US‐born people. In both 2014 and 2017, MI knowledge was lowest in individuals born in Asia (23.9%±2.5% and 32.1%±3.3%, respectively), and stroke knowledge lowest for the Indian subcontinent (44.4%±2.4% and 46.0%±3.2%, respectively). Among foreign‐born adults, people from Russia and Europe had the highest prevalence of recommended MI knowledge in 2014 (37.4%±5.4%) and 2017 (43.5%±2.5%), respectively, and recommended stroke knowledge was highest in people from Europe (61.0%±2.6% and 67.2%±2.5%). Improvement in knowledge was not significant in all groups between 2014 and 2017. Conclusions These findings suggest a disparity in MI and stroke symptom awareness and response among immigrants in the United States. Culturally tailored public health education and health literacy initiatives are needed to help reduce these disparities in awareness.

Abstract 17213: Myocardial Infarction and Stroke Awareness Among US and Foreign-Born Adults in the 2014 and 2017 National Health Interview Survey

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Ivy Mannoh ◽  
Ruth Alma N Turkson Ocran ◽  
Yvonne Commodore-mensah
Keyword(s):  
Myocardial Infarction ◽  
National Health ◽  
Indian Subcontinent ◽  
The United States ◽  
Atherosclerotic Cardiovascular Disease ◽  
Foreign Born ◽  
Cross Sectional ◽  
Stroke Symptom ◽  
Health Interview ◽  
Symptom Awareness

Background: Atherosclerotic cardiovascular disease, defined as nonfatal myocardial infarction (MI), coronary heart disease death, or fatal or nonfatal stroke, is the leading cause of death in the United States (US). MI and stroke symptom awareness reduces delays in hospitalization and mortality. We hypothesized that foreign-born persons will have lower stroke and MI symptom awareness than US-born persons. Methods: We analyzed cross-sectional data from the 2014 and 2017 National Health Interview Surveys (NHIS) on US-born and foreign-born adults from 9 regions of birth (Europe, South America, Mexico/Central America/Caribbean, Russia, Africa, Middle East, Indian subcontinent, Asia, and Southeast Asia). Our outcomes were stroke and MI symptom awareness, and the best action to take during a stroke or MI event. Awareness was defined as knowing all 5 symptoms of MI or stroke respectively, and choosing “call 911” as the best action to take in the event of an MI or stroke. Generalized linear models with Poisson distribution and a logarithmic link was used to assess disparities in awareness between foreign-born and US-born persons. We compared responses from 2014 and 2017 to assess improvement in awareness. Results: We included 63,439 participants, with mean age 38.2 years; 51% were female and 50% had less than high school education. After adjusting for age, sex, and education, we observed significant variation in MI and stroke symptom awareness and best action to take by region of birth [Table]. In comparison to US-born, foreign-born persons were less aware of MI and stroke symptoms and the best action to take. Improvement in awareness was not significant in all groups between 2014 and 2017. Conclusion: These findings suggest a disparity in MI and stroke symptom awareness among immigrants in the US. Culturally tailored public health education and health literacy initiatives are needed to help reduce these disparities in awareness.

scholarly journals Association Between Sociodemographic Determinants and Disparities in Stroke Symptom Awareness Among US Young Adults

Stroke ◽  
2020 ◽  
Vol 51 (12) ◽  
pp. 3552-3561 ◽  
Author(s):  
Reed Mszar ◽  
Shiwani Mahajan ◽  
Javier Valero-Elizondo ◽  
Tamer Yahya ◽  
Richa Sharma ◽  
...  
Keyword(s):  
United States ◽  
Young Adults ◽  
National Health ◽  
Odds Ratio ◽  
National Health Interview Survey ◽  
The United States ◽  
Health Interview Survey ◽  
Health Interview ◽  
Symptom Awareness ◽  
Interview Survey

Background and Purpose: Despite declining stroke rates in the general population, stroke incidence and hospitalizations are rising among younger individuals. Awareness of and prompt response to stroke symptoms are crucial components of a timely diagnosis and disease management. We assessed awareness of stroke symptoms and response to a perceived stroke among young adults in the United States. Methods: Using data from the 2017 National Health Interview Survey, we assessed awareness of 5 common stroke symptoms and the knowledge of planned response (ie, calling emergency medical services) among young adults (<45 years) across diverse sociodemographic groups. Common stroke symptoms included: (1) numbness of face/arm/leg, (2) confusion/trouble speaking, (3) difficulty walking/dizziness/loss of balance, (4) trouble seeing in one/both eyes, and (5) severe headache. Results: Our study population included 24 769 adults, of which 9844 (39.7%) were young adults who were included in our primary analysis, and represented 107.2 million US young adults (mean age 31.3 [±7.5] years, 50.6% women, and 62.2% non-Hispanic White). Overall, 2718 young adults (28.9%) were not aware of all 5 stroke symptoms, whereas 242 individuals (2.7%; representing 2.9 million young adults in the United States) were not aware of a single symptom. After adjusting for confounders, Hispanic ethnicity (odds ratio, 1.96 [95% CI, 1.17–3.28]), non-US born immigration status (odds ratio, 2.02 [95% CI, 1.31–3.11]), and lower education level (odds ratio, 2.77 [95% CI, 1.76–4.35]), were significantly associated with lack of symptom awareness. Individuals with 5 high-risk characteristics (non-White, non-US born, low income, uninsured, and high school educated or lower) had nearly a 4-fold higher odds of not being aware of all symptoms (odds ratio, 3.70 [95% CI, 2.43–5.62]). Conclusions: Based on data from the National Health Interview Survey, a large proportion of young adults may not be aware of stroke symptoms. Certain sociodemographic subgroups with decreased awareness may benefit from focused public health interventions.

Ethanol in Over-the-Counter Drugs

1996 ◽  
Vol 17 (10) ◽  
pp. 342-343
Keyword(s):  
United States ◽  
National Health ◽  
Common Cold ◽  
National Health Interview Survey ◽  
The United States ◽  
Over The Counter ◽  
Health Interview Survey ◽  
Health Interview ◽  
Interview Survey ◽  
The Common

The use of over-the-counter (OTC) medications among children in the United States is extensive. More than 800 OTC medications are available for treatment of the common cold, with almost 2 billion dollars spent annually on cough and cold medications alone. In 1994, Kogan et al determined that more than 50% of 3-year-old children in the United States had been given OTC medications in the 30 days prior to the study survey. Cough and cold preparations and acetaminophen were reported to be the medications used most frequently (66.7%). The use of cough and cold medications has not decreased when compared with findings from a 1981 National Health Interview Survey, despite increasing evidence that these medications are not effective and, in some circumstances, even may be harmful to children.

Smoking Among Immigrant Groups in the United States: Prevalence, Education Gradients, and Male-to-Female Ratios

2019 ◽  
Vol 22 (4) ◽  
pp. 532-538 ◽  
Author(s):  
Fred Pampel ◽  
Myriam Khlat ◽  
Damien Bricard ◽  
Stéphane Legleye
Keyword(s):  
United States ◽  
Indian Subcontinent ◽  
The United States ◽  
Sub Saharan Africa ◽  
Foreign Born ◽  
Current Cigarette Smoking ◽  
World Region ◽  
Duration Of Residence ◽  
Low Prevalence ◽  
Male To Female

Abstract Introduction Immigrants in the United States are less likely to smoke than those born in the United States, but studies have not fully described the diversity of their smoking patterns. We investigate smoking by world region of birth and duration of residence in the United States, with a comprehensive approach covering current prevalence levels, education gradients, and male-to-female ratios. Methods The data originate from the National Health Interview Surveys, 2000–2015, and the sample of 365 404 includes both US-born and foreign-born respondents aged 25–70 years. World region of birth and duration of residence in the United States measure immigrant characteristics. Current cigarette smoking was analyzed using logistic regression. Results Immigrant groups were protected from smoking and had weaker education gradients in smoking and larger male-to-female smoking ratios than the US-born population. However, large differences emerged among the immigrant groups for region of birth but less so for duration of residence in the United States. For example, immigrants from sub-Saharan Africa and the Indian subcontinent have low prevalence, weak education gradients, and high male-to-female ratios. Immigrants from Europe have the opposite pattern, and immigrants from Latin America fall between those two extremes. Conclusion The stage of the cigarette epidemic in the region of birth helps explain the diverse group profiles. Duration of residence in the United States does less to account for the differences in smoking than region of birth. The findings illustrate the heterogeneity of immigrant populations originating from diverse regions across the world and limited convergence with the host population after immigration. Implications The study identifies immigrant groups that, because of high smoking prevalence related to levels in the host country, should be targeted for cessation efforts. It also identifies immigrant groups with low prevalence for which anti-smoking programs should encourage maintenance of healthy habits. Many immigrant groups show strong education disparities in smoking, further suggesting that smokers with lower levels of education be targeted by public health programs.

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