Journal of Applied Communication Research ( IF 2.462 ) Pub Date : 2021-04-18 , DOI: 10.1080/00909882.2021.1912377 Felicia N. York 1 , Lu Tang 1
ABSTRACT
African Americans have a disproportionately high risk of premature death caused by cardiovascular diseases (CVDs) and related risk factors such as hypertension, high cholesterol, diabetes, and obesity. Heeding the culture-centered approach to communication’s (CCA) call for community-based health solutions for marginalized populations, in this study African Americans living with CVDs and associated risk factors describe their experiences with the disease using a photovoice approach. Participants demonstrate tremendous agency in their efforts to adopt a healthy lifestyle and manage their heart diseases. Structural factors such as socioeconomic status, insurance, discrimination, and knowledge enable and constrain their agency. Several cultural factors, such as food culture, reluctance to see doctors, consumerism, and religiosity, mediate the relationship between structure and agency. Public health professionals and researchers can capitalize on our findings in promoting cardiovascular health among the African American communities.
中文翻译:
``让我无心脏病'':通过以文化为中心的方法了解非洲裔美国人的心血管疾病经历
摘要
非裔美国人因心血管疾病(CVD)和相关的危险因素(例如高血压,高胆固醇,糖尿病和肥胖症)而导致过早死亡的风险过高。留意以文化为中心的传播方法(CCA),为边缘化人群提供基于社区的健康解决方案,在本研究中,患有CVD的非洲裔美国人和相关的危险因素使用光声法描述了他们对该病的经历。参加者在采取健康生活方式和管理心脏病方面表现出巨大的才能。社会经济地位,保险,歧视和知识等结构性因素使他们的代理权受到制约。几种文化因素,例如饮食文化,不愿看医生,消费主义和宗教信仰,调解结构与代理之间的关系。公共卫生专业人员和研究人员可以利用我们在非裔美国人社区中促进心血管健康的发现。