title: Knowledge, Self-efficacy, and Self-perceived Risk for Cardiovascular Disease among Asians Living With HIV: The Influence of HIV Stigma and Acculturation.
abstract: Cardiovascular disease (CVD) and acute coronary syndrome (ACS) have become major health concerns for people living with HIV (PLWH) as life expectancy has increased with antiretroviral therapy. Studies suggest that motivation to seek health care is associated with knowledge, self-efficacy to engage in the health care system, and self-perceived risks for CVD and ACS. Using cross-sectional data collected from 67 un-/under-insured Asian PLWH in California, we explored the levels of knowledge about CVD, self-efficacy for recognizing ACS symptoms and seeking health care, and self-perceived risk for CVD and ACS, and how HIV stigmatization and acculturation predict these three constructs. Our sample had limited knowledge and low self-perceived risk but had high self-efficacy. Stigmatization was negatively correlated with self-efficacy (p = .004) and acculturation was a positive predictor of knowledge (p = .013). Economically vulnerable Asian PLWH need culturally appropriate interventions to improve their knowledge and self-perceived risks for CVD and ACS.
authors.forename: Emiko
authors.initials: E
authors.lastname: Kamitani
authors.forename: Yoshimi
authors.initials: Y
authors.lastname: Fukuoka
authors.forename: Carol
authors.initials: C
authors.lastname: Dawson-Rose
mesh_terms: D000069:Acculturation; D054058:Acute Coronary Syndrome / Q000208:ethnology / Q000209:etiology / Q000523:psychology; D000328:Adult; D044466:Asian People / Q000523:psychology*; D002140:California / Q000453:epidemiology; D002318:Cardiovascular Diseases / Q000208:ethnology* / Q000209:etiology / Q000523:psychology; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000150:complications / Q000208:ethnology / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology; D012307:Risk Factors; D012649:Self Concept; D020377:Self Efficacy; D057545:Social Stigma; D012959:Socioeconomic Factors; D013240:Stereotyping; D035862:Vulnerable Populations / Q000523:psychology
keywords: Asians; HIV; acute coronary syndrome; cardiovascular disease; health care inequality; stigma