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Explanatory models of heart disease ...

Warren-Findlow, Janice.

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Explanatory models of heart disease in older black women.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Explanatory models of heart disease in older black women./
Author:	Warren-Findlow, Janice.
Description:	310 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-04, Section: B, page: 2024.
Contained By:	Dissertation Abstracts International66-04B.
Subject:	Health Sciences, Public Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3173738
ISBN:	0542111500

Explanatory models of heart disease in older black women.
Warren-Findlow, Janice.

Explanatory models of heart disease in older black women. - 310 p.

Source: Dissertation Abstracts International, Volume: 66-04, Section: B, page: 2024.

Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 2005.

This qualitative, exploratory study examined the relationship between older Black women's beliefs about their heart disease and their practice of self-care and heart-healthy behaviors. African American women age 50 or older, who had clinically diagnosed non-obstructive coronary artery disease, were recruited from a university hospital catheterization lab and an outpatient heart clinic by cardiologists and nurse practitioners.

ISBN: 0542111500Subjects--Topical Terms:

1017659
Health Sciences, Public Health.

Explanatory models of heart disease in older black women.
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100 1 $a Warren-Findlow, Janice. $3 1907012
245 1 0 $a Explanatory models of heart disease in older black women.
300 $a 310 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-04, Section: B, page: 2024.
500 $a Chair: Thomas R. Prohaska.
502 $a Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 2005.
520 $a This qualitative, exploratory study examined the relationship between older Black women's beliefs about their heart disease and their practice of self-care and heart-healthy behaviors. African American women age 50 or older, who had clinically diagnosed non-obstructive coronary artery disease, were recruited from a university hospital catheterization lab and an outpatient heart clinic by cardiologists and nurse practitioners.
520 $a Twelve women were interviewed multiple times using in-depth, semistructured questionnaires based on Kleinman's explanatory model of illness framework. The investigator interviewed women face-to-face in their homes in order to gain a contextual understanding of their environment. Women in the study had multiple chronic illnesses in addition to their heart disease, and the majority were being treated for depression. Women were between the ages of 50 to 73, and of lower education and socioeconomic status.
520 $a Findings revealed that women believed that their heart disease (or "bad heart") was caused by stress and family history of the illness. Stress was both a cause of and an ongoing contributor to their heart problem. Chronic stressors included financial problems, interactions with government safety-net institutions, traumatic events, crime, troubles raising grandchildren, eviction, and health problems. Women practiced physician-prescribed preventive behaviors (eating a low-salt and low-fat diet, exercising, not smoking, and taking medication) within their understanding of those behaviors and within the context of their daily activities. Their primary form of self-care was a cultural cognitive coping process that involved evaluating their heart health as compared to their family history of heart disease and then "not worrying" in order to alleviate the emotional affect of their illnesses and to reduce their stress, which they believe worsens their heart health. Other self-care activities also played important roles, including scheduling doctor's appointments, refilling prescriptions, obtaining transportation to medical appointments, differentiating chronic illness symptoms, responding to symptoms, determining when to seek medical care and where to go for care, shopping for heart healthy food, and avoiding friends and family members who smoke. Social support from family members and the church was considerable and had both positive and negative aspects.
590 $a School code: 0806.
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Gerontology. $3 533633
650 4 $a Black Studies. $3 1017673
690 $a 0573
690 $a 0351
690 $a 0325
710 2 0 $a University of Illinois at Chicago, Health Sciences Center. $3 1021703
773 0 $t Dissertation Abstracts International $g 66-04B.
790 1 0 $a Prohaska, Thomas R., $e advisor
790 $a 0806
791 $a Ph.D.
792 $a 2005
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3173738