title: CVD prevention strategies with urban and rural African American women.
abstract: Using Pender's Health Promotion Model, this study tested a work site cardiovascular disease (CVD) risk factor reduction intervention among low-income African American (LAAW) women. Individual CVD risk profiles were identified at the work site through (1) health risk appraisal, (2) blood pressure measurement, (3) body mass index calculation, (4) individual interviews about diet and exercise behaviors, and (5) total cholesterol analysis. Two LAAW groups, one urban and one rural, exhibited higher or similar pretest CVD relative risks (RR) when statistically compared with a national sample of African American women. The LAAW study samples were younger and more educated. Pretest cholesterol and fat intake for the rural women were higher than for the urban women (<.05). Posttest changes in cholesterol and fat intake risks were more significant in rural LAAW than in urban LAAW (<.05).
authors.affiliation: School of Nursing, Georgia State University, PO Box 4019, Atlanta, GA 30302-4019, USA. nurmaw@langate.gsu.edu
authors.forename: Armenia
authors.initials: A
authors.lastname: Williams
authors.forename: Judith
authors.initials: J
authors.lastname: Wold
authors.forename: Jeri
authors.initials: J
authors.lastname: Dunkin
authors.forename: Lynda
authors.initials: L
authors.lastname: Idleman
authors.forename: Cennette
authors.initials: C
authors.lastname: Jackson
mesh_terms: D000328:Adult; D001741:Black or African American / Q000193:education / Q000523:psychology; D017677:Age Distribution; D002318:Cardiovascular Diseases / Q000208:ethnology / Q000235:genetics / Q000517:prevention & control*; D004522:Educational Status; D005260:Female; D005845:Georgia / Q000453:epidemiology; D006293:Health Promotion; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000150:complications; D008019:Life Style; D009765:Obesity / Q000150:complications; D009786:Occupational Health Services / Q000458:organization & administration*; D011203:Poverty; D015397:Program Evaluation; D018570:Risk Assessment; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012423:Rural Health / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D014504:Urban Health / Q000706:statistics & numerical data; D014930:Women / Q000193:education / Q000523:psychology