title: Attitudes and beliefs regarding cardiovascular risk factors among Bangladeshi immigrants in the US.
abstract: The US has increasingly growing Bangladeshi population, a South Asian sub-ethnic group with a high prevalence of cardiovascular disease (CVD). We conducted a qualitative study using individual in-depth interviews to explore attitudes towards and difficulties with modifying CVD related behaviors among a Bangladeshi cohort. We interviewed 55 patients before reaching data saturation. Bangladeshis discussed the meaning of health and heart disease in the context of how disease can potentially impact their ability to care for their family. Behavioral and psychological factors were discussed as the causes of CVD. Internal forces and external forces were brought up to explain difficulties addressing the causes of CVD. Bangladeshi individuals in our study were aware of CVD, but felt unable to address behavioral risk factors. They cite a combination of internal and external factors as barriers to lifestyle modification. Interventions to address these barriers must simultaneously addressing self-efficacy and work-life balance.
authors.affiliation: Divison of General Internal Medicine, Department of Medicine, St. Luke's-Roosevelt Hospital Center, 1111 Amsterdam Avenue, New York, NY, 10025, USA, patelmihirk@gmail.com.
authors.forename: Mihir
authors.initials: M
authors.lastname: Patel
authors.forename: Erica
authors.initials: E
authors.lastname: Phillips-Caesar
authors.forename: Carla
authors.initials: C
authors.lastname: Boutin-Foster
mesh_terms: D000328:Adult; D001459:Bangladesh / Q000208:ethnology; D002318:Cardiovascular Diseases / Q000208:ethnology* / Q000209:etiology; D054242:Emigrants and Immigrants / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012307:Risk Factors; D040242:Risk Reduction Behavior; D014481:United States / Q000453:epidemiology