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Canadian Journal of Public Health

, Volume 99, Issue 3, pp 232–235 | Cite as

Knowledge and Behaviour Regarding Heart Disease Prevention in Chinese Canadian Immigrants

  • T. Gregory HislopEmail author
  • Shin-Ping Tu
  • Chong Teh
  • Lin Li
  • Angeline Low
  • Vicky M. Taylor
  • Yutaka Yasui
Article
  • 2 Downloads

Abstract

Objective

Although Chinese are one of the fastest growing minorities in Canada, there is little information about heart disease prevention behaviour in Chinese immigrants. Our objective was to examine the knowledge and practices of Chinese immigrants regarding heart disease prevention.

Methods

504 randomly selected Chinese adult immigrants participated in a community-based, in-person survey in Vancouver during 2005. The survey included questions on heart disease prevention knowledge and practices.

Results

Although respondents were quite knowledgeable about heart disease risk factors, their behaviours to reduce heart disease risk were generally low. Thirteen percent of respondents consumed five or more servings of fruit/vegetables per day; 37% engaged in regular physical activity; 54% never used tobacco; 81% had received a blood pressure check in the past 2 years; and 54% had received a cholesterol test in the past 5 years. Differences were found in these behaviours by gender, age, English fluency, birth country and duration of residence in North America. The associations are presented between these demographic variables and heart disease prevention behaviours.

Conclusion

Heart disease prevention programs are needed in Chinese immigrant populations, especially aimed at increasing fruit/vegetable consumption and regular physical activity. Efforts are also needed to decrease tobacco use and to increase cholesterol testing.

Key words

Heart diseases health knowledge attitudes practice Asian Continental Ancestry Group emigration and immigration 

Résumé

Objectif

Bien que les Chinois constituent l’une des minorités dont la croissance est la plus rapide au Canada, on manque d’information sur les habitudes de prévention des maladies coronariennes des immigrants chinois. Nous avons cherché à examiner les connaissances et les pratiques de ces immigrants en matière de prévention des maladies coronariennes.

Méthode

504 immigrants chinois adultes sélectionnés au hasard ont pris part à une enquête locale effectuée en personne à Vancouver en 2005. L’enquête comportait des questions sur les connaissances et les pratiques liées à la prévention des maladies coronariennes.

Résultats

Les répondants étaient très bien renseignés sur les facteurs de risque des maladies coronariennes, mais ils avaient dans l’ensemble peu de comportements visant à réduire ces risques. Treize p. cent consommaient cinq portions ou plus de fruits et légumes par jour; 37% pratiquaient régulièrement une activité physique; 54% ne consommaient jamais de produits du tabac; 81% avaient fait vérifier leur pression artérielle au cours des deux années précédentes; et 54% avaient subi un test de cholestérolémie au cours des cinq années précédentes. Des écarts ont été observés dans ces comportements selon le sexe, l’âge, la maîtrise de l’anglais, le pays de naissance et la durée de résidence en Amérique du Nord. Nous présentons les liens entre ces variables démographiques et les habitudes de prévention des maladies coronariennes.

Conclusion

Des programmes de prévention des maladies coronariennes sont nécessaires dans les populations immigrantes d’origine chinoise, surtout pour ce qui est d’accroître la consommation de fruits et légumes et l’activité physique pratiquée régulièrement. Il faudrait aussi prendre des mesures pour réduire le tabagisme et promouvoir les tests de cholestérolémie.

Mots clés

connaissances attitudes et pratiques liées à la santé Groupe d’ascendance asiatique émigration et immigration 

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References

  1. 1.
    Statistics Canada. Demographic statistics. The Daily. September 28, 2005. Available online at: https://doi.org/www.statcan.ca/Daily/English/050928/d050928a.htm (Accessed January 3, 2007).Google Scholar
  2. 2.
    Statistics Canada. Population by selected ethnic origins, by provinces and territories (2001 census). Available online at: https://doi.org/www.40.statcan.ca/l01/cst01/demo26a.htm?sdi=chinese (Accessed January 3, 2007).Google Scholar
  3. 3.
    Oxman-Martinez J. Health and Social Services for Canada’s multicultural population: Challenges for equity. Canada 2017 Serving Canada’s multicultural population for the future Policy Forum, March 22–23, 2005. Available online at: https://doi.org/www.canadianheritage.gc.ca/progs/multi/canada2017/4_e.cfm#2 (Accessed January 3, 2007).Google Scholar
  4. 4.
    Tso D, Moe G. Cardiovascular disease in Chinese Canadians: A case-mix study from an urban tertiary care cardiology clinic. Can J Cardiol 2002;18:861–69.PubMedGoogle Scholar
  5. 5.
    Sheth T, Nair C, Nargundkar M, Anand S, Yusuf S. Cardiovascular and cancer mortality among Canadians of European, South Asian and Chinese origin from 1979 to 1993: An analysis of 1.2 million deaths. CMAJ 1999;161:132–38.PubMedPubMedCentralGoogle Scholar
  6. 6.
    Grundy SM, Pasternak R, Greenland P, Smith S, Fuster V. Assessment of cardiovascular risk by use of multiple-risk-factor assessment equations. J Am Coll Cardiol 1999;34:1348–59.CrossRefGoogle Scholar
  7. 7.
    US Preventive Services Task Force. Guide to clinical preventive services. McLean: International Medical Publishing, 2002.Google Scholar
  8. 8.
    Lauderdale DS, Kestenbaum B. Asian ethnic identification by surname. Population Res Policy Rev 2000;19:283–300.CrossRefGoogle Scholar
  9. 9.
    Eremenco SL, Cella D, Arnold BJ. A comprehensive method for the translation and cross-cultural validation of health status questionnaires. Eval Health Prof 2005;28:212–32.CrossRefGoogle Scholar
  10. 10.
    Thompson B, Demark-Wahnefried W, Taylor G, McClelland JW, Stables G, Havas S, et al. Baseline fruit and vegetable intake among adults in seven 5-A-Day study centers located in diverse geographic areas. J Am Diet Assoc 1999;99:1241–48.CrossRefGoogle Scholar
  11. 11.
    Health Canada. Canada’s Food Guide to Health Eating, 2005. Available online at: Available online at: https://doi.org/www.hcsc.gc.ca/fn-an/food-guide-aliment/index_e.html (Accessed January 3, 2007).
  12. 12.
    Rosner B. Fundamentals of Biostatistics, 6th Edition. Boston: Duxbury, 2005.Google Scholar
  13. 13.
    Breslow NS, Day NE. Statistical Methods in Cancer Research. Volume 1: The Analysis of Case-control Studies. Lyon: International Agency for Research on Cancer, 1980.Google Scholar
  14. 14.
    Murray CJL, Lopez AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet 1997;349:1269–76.CrossRefGoogle Scholar
  15. 15.
    Satia-Abouta J, Patterson RE, Kristal AR, Teh C, Tu SP. Psychosocial predictors of diet and acculturation in Chinese American and Canadian women. Ethnicity Health 2002;7:21–29.CrossRefGoogle Scholar
  16. 16.
    Statistics Canada, Canadian Community Health Survey, 2003, Table 105-0200: Canadian Community Health Survey (CCHS 2.1) indicator profile, by sex, Canada, provinces, territories, health regions (June 2003 boundaries) and peer groups, every 2 years. Available online at: https://doi.org/www.cansim2.statcan.ca/cgi-win/CNSMCGI.EXE (Accessed December 28, 2006).Google Scholar
  17. 17.
    Statistics Canada. National Population Health Survey, 1996–97, special tabulations. Statistical Report on the Health of Canadians. Table 18: Blood pressure checkup, by age and sex, by education (age-standardized) and by province, age 12+, Canada, 1996–97. Available online at: 570-XIE1997001.pdf (Accessed January 3, 2007).Google Scholar
  18. 18.
    Statistics Canada. Canadian Community Health Survey: New data on smoking and on diabetes, 2005. The Daily, Tuesday, June 13, 2006. Available online at: https://doi.org/www.statcan.ca/Daily/English/060613/d060613a.htm (Accessed January 3, 2007).Google Scholar
  19. 19.
    BC Strategic Plan 2006/07-2008/09. Available online at: https://doi.org/www.bcbudget.gov.bc.ca/2006/stplan(Accessed January 3, 2007).
  20. 20.
    Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System: Prevalence data. Centers for Disease Control and Prevention, 2006. Available online at: https://doi.org/www.cdc.gov/brfss (accessed January 3, 2007).Google Scholar
  21. 21.
    Ma GX, Shive S, Tan Y, Toubbeh J. Prevalence and predictors of tobacco use among Asian Americans in the Delaware Valley region. Am J Public Health 2002;91:1013–20.CrossRefGoogle Scholar
  22. 22.
    Shelley D, Fahs M, Schienmann R, Swain S, Qu J, Burton D. Acculturation and tobacco use among Chinese Americans. Am J Public Health 2004;94:300–7.CrossRefGoogle Scholar
  23. 23.
    Yu ES, Chen EH, Kim KK, Abduilrahim S. Smoking among Chinese Americans: Behavior, knowledge, and beliefs. Am J Public Health 2002;92:1007–12.CrossRefGoogle Scholar
  24. 24.
    Centers for Disease Control and Prevention. REACH 2010 surveillance for health status in minority communities — United States, 2001–2002. MMWR 2002;53:1–36.Google Scholar
  25. 25.
    Centers for Disease Control and Prevention. Physical activity among Asians and Native Hawaiian or other Pacific Islanders — 50 states and the District of Columbia, 2001–3. MMWR 2004;53:756–60.Google Scholar
  26. 26.
    National Heart, Lung, and Blood Institute. Addressing cardiovascular health in Asian Americans and Pacific Islanders. Washington, DC: US Department of Health and Human Services, 2000.Google Scholar
  27. 27.
    Kandula NR, Keresey M, Lurie N. Assuring the health of immigrants: What the leading health indicators tell us. Annu Rev Public Health 2004;25:357–76.CrossRefGoogle Scholar
  28. 28.
    American Cancer Society. Cancer prevention and early detection facts and figures. Atlanta: American Cancer Society, 2004.Google Scholar
  29. 29.
    Hislop TG, Teh C, Lai A, Labo T, Taylor VM. Cervical cancer screening in BC Chinese women. BC Med J 2000;42:456–60.Google Scholar
  30. 30.
    Do HH, Taylor VM, Yasui Y, Jackson JC, Tu SP. Cervical cancer screening among Chinese immigrants in Seattle, Washington. J Imm Health 2001;3:15–21.CrossRefGoogle Scholar
  31. 31.
    Neuhouser ML, Thompson B, Coronado GD, Solomon CC. Higher fat intake and lower fruit and vegetables intakes are associated with greater acculturation among Mexicans living in Washington State. J Am Diet Assoc 2004;104:51–57.CrossRefGoogle Scholar
  32. 32.
    Murphy SP, Foote JA, Wilkens LR, Basiotis P, Carlson A, White KKL, et al. Simple measures of dietary variety are associated with improved diet quality. J Am Diet Assoc 2006;106:425–29.CrossRefGoogle Scholar

Copyright information

© The Canadian Public Health Association 2008

Authors and Affiliations

  • T. Gregory Hislop
    • 1
    Email author
  • Shin-Ping Tu
    • 3
    • 4
  • Chong Teh
    • 1
  • Lin Li
    • 3
  • Angeline Low
    • 1
  • Vicky M. Taylor
    • 3
    • 5
  • Yutaka Yasui
    • 2
  1. 1.Cancer Control Research ProgramBritish Columbia CancerVancouverCanada
  2. 2.Department of Public Health SciencesUniversity of AlbertaEdmontonCanada
  3. 3.Cancer Prevention ProgramFred Hutchinson Cancer Research CenterSeattleUSA
  4. 4.Department of MedicineUniversity of WashingtonSeattleUSA
  5. 5.Department of Health ServicesUniversity of WashingtonUSA

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