S. Mein et Ma. Winkleby, CONCERNS AND MISCONCEPTIONS ABOUT CARDIOVASCULAR-DISEASE RISK-FACTORS- A FOCUS GROUP EVALUATION WITH LOW-INCOME HISPANIC WOMEN, Hispanic journal of behavioral sciences, 20(2), 1998, pp. 192-211
Five focus groups were conducted with Hispanic women (primarily of Mex
ican American heritage) from few-income neighborhoods in San Jose, Cal
ifornia, to learn about their knowledge of cardiovascular disease (CVD
) risk factors, the relative importance of risk factors and ideas abou
t effective CVD risk-reduction programs. Despite language barriers and
economic disadvantages, women were highly aware of heart disease and
described it as a health priority. However, they articulated many misc
onceptions about CVD and experienced multiple barriers to healthy life
styles. The mast frequently mentioned risk factor was poor nutrition,
especially high dietary fat (mentioned 543 times). The next most frequ
ently mentioned risk factors were physical inactivity (127 times), obe
sity (86 times), and smoking (78 times). Few women viewed CVD as a pro
gressive, chronic process;few associated obesity with heart disease; a
nd few emphasized the importance of hypertension and diabetes as prima
ry CVD risk factors.