title: Coronary heart disease prevention and lifestyle interventions: cultural influences.
abstract: Unless action is directed to address the multiple influences on coronary heart disease (CHD) risk reduction behaviors, across all population groups, the aims of Healthy People 2010 with regard to CHD will not be realized. Health-promotion and disease-prevention models, including a framework for primordial, primary, and secondary prevention provided by an American Heart Association task force, and a model for interventions to eliminate health disparities are reviewed. The role of culture, ethnicity, race, and socioeconomic status and how these concepts have been studied in recent lifestyle interventions aimed at CHD risk reduction is explored. Finally, these findings are synthesized to provide suggestions for nursing care delivery in primary and tertiary care settings.
mesh_terms: D001294:Attitude to Health / Q000208:ethnology*; D003327:Coronary Disease / Q000208:ethnology* / Q000517:prevention & control*; D003466:Cultural Characteristics; D015438:Health Behavior / Q000208:ethnology; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008019:Life Style; D024802:Nurse's Role; D009730:Nursing Assessment; D010347:Patient Care Planning; D017410:Practice Guidelines as Topic; D011322:Primary Prevention / Q000379:methods*; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012959:Socioeconomic Factors; D016746:Transcultural Nursing / Q000379:methods; D014481:United States / Q000453:epidemiology