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Reading: Cardiovascular health in the developing world: Community perceptions from Carriacou, Grenada

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Cardiovascular health in the developing world: Community perceptions from Carriacou, Grenada

Authors:

Ann Dozier ,

University of Rochester, Community and Preventive Medicine, 601 Elmwood Ave Box 644, Rochester, NY 14618, US
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Robert Block,

Department of Community and Preventive Medicine, Box 644, University of Rochester, Rochester, New York 14642, US
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Deborah Levy,

HVMA Division of Medicine, Brigham & Women’s and Faulkner Hospital, 1153 Centre Street, Boston, MA 02130, US
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Timothy D. Dye,

Axios International, Department of Research and Evaluation, 7 boulevard de la Madeleine, 75001 Paris, FR
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Thomas A. Pearson

Department of Community and Preventive Medicine, Box 644, University of Rochester, Rochester, New York 14642, US
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Abstract

Background: As developing countries shift to an increasing prevalence of cardiovascular risk factors and diseases (CVD), prevention efforts, both primary and secondary, become a public health priority. Designing effective methods requires a clear understanding of local beliefs and practices regarding health risks and behaviors.

Methods: A mixed gender and age team deployed a rapid assessment protocol (participant observation and interviews) over three days. Interviews from 25 residents of Carriacou, Grenada included leaders and community members representing a range of demographic characteristics (gender, age, employment).

Results: Residents expressed general uncertainty about their actual health. While acknowledging that certain conditions e.g. diabetes, hypertension were prevalent, heredity was viewed as being more strongly associated with CVD. Not being able to work or carry out one’s daily activities often drove health care seeking behavior such as evaluation, care or initiating lifestyle changes. Health improvement activities when practiced were fragmented and did not involve an overall lifestyle change. Physical activity was implicitly valued but not universally practiced; it declined with age and increasing work and other commitments.

Conclusions: While public health programs benefit from understanding community attitudes and beliefs, research to inform program development is often not undertaken or if undertaken not effectively utilized to make needed program modifications. Key to our conclusions was their perspective on health as illness oriented and reactive, strongly associated with heredity rather than preventive and associated with behavior change. A preventive focus informed by local practices is fundamental to designing effective and sustainable primary and secondary prevention programs and particularly useful in developing countries.

How to Cite: Dozier A, Block R, Levy D, Dye TD, Pearson TA. Cardiovascular health in the developing world: Community perceptions from Carriacou, Grenada. Global Heart. 2008;3(3):123–31. DOI: http://doi.org/10.1016/j.cvdpc.2008.05.001
Published on 01 Sep 2008.

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