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Aspirin Use and Awareness for Cardiovascular Disease Prevention Among Hispanics: Prevalence and Associations with Health Behavior Beliefs

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Abstract

Cardiovascular disease (CVD) persists as the leading cause of death and disability in many Americans including Hispanics. Primary prevention for CVD may be achieved through regular aspirin use in high risk individuals. This study examined regular aspirin use and specific attitudes and social norms toward CVD and aspirin use within an urban Hispanic population in Minnesota. A sample of primary prevention Hispanics aged 45–79 years were surveyed about CVD history and risk factors, aspirin use, demographic characteristics, and health beliefs and social norms in relation to CVD and aspirin. Relative risk estimation using Poisson regression with robust error variance was used to examine associations with aspirin use. In this sample of 152 Hispanics (55% women), the mean age was 53 years, 70% had a regular healthcare provider, and 22% used aspirin. Aspirin discussions with a regular healthcare provider were strongly associated with aspirin use (adjusted risk ratio 3.02, 95% CI 1.20–7.60). There was a positive association between health beliefs and social norms that affirm preventive behaviors and aspirin use (adjusted linear risk ratio 1.23, 95% CI 1.04–1.45) while uncertainty about the role of aspirin for individual use and in the community was negatively associated with aspirin use (adjusted linear risk ratio 0.85, 95% CI 0.70–1.03). This growing population may benefit from health education about CVD risk and the role of aspirin in prevention.

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Funding

This study was funded by the National Heart, Lung, and Blood Institute, National Institutes of Health, Grant No. R01HL126041.

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Authors and Affiliations

  1. Cardiovascular Division, University of Minnesota Medical School, 420 Delaware Street SE, MMC 508, Minneapolis, MN, 55455, USA

    Jeffrey R. Misialek, Jeremy R. Van’t Hof, Niki C. Oldenburg, Russell V. Luepker & Sue Duval

  2. Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, 55455, USA

    Jeffrey R. Misialek & Russell V. Luepker

  3. Hue-Man Partnership, Minneapolis, MN, 55404, USA

    Clarence Jones

  4. Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, 55455, USA

    Milton Eder

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  1. Jeffrey R. Misialek
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  2. Jeremy R. Van’t Hof
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Correspondence to Sue Duval.

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Misialek, J.R., Van’t Hof, J.R., Oldenburg, N.C. et al. Aspirin Use and Awareness for Cardiovascular Disease Prevention Among Hispanics: Prevalence and Associations with Health Behavior Beliefs. J Community Health 45, 820–827 (2020). https://doi.org/10.1007/s10900-020-00798-9

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