Repository of Research and Investigative Information

Repository of Research and Investigative Information

Baqiyatallah University of Medical Sciences

Environmental Determinants of Cardiovascular Diseases Risk Factors: A Qualitative Directed Content Analysis

(2014) Environmental Determinants of Cardiovascular Diseases Risk Factors: A Qualitative Directed Content Analysis. Iranian Red Crescent Medical Journal. p. 11. ISSN 2074-1804

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Background: Cardiovascular diseases (CVDs) are the number one cause of death in the world. In most analyses of health problems, environment plays a significant and modifiable role in causing the problem either directly or indirectly through behavior. Objectives: This study aims to understand the patients and healthcare providers' experiences about the environmental determinants of CVD risk factors based on the Precede Model. Patients and Methods: This qualitative study conducted over six months in 2012 at Diabetes Units of Health Centers associated with Alborz University of Medical Sciences and Health Services which is located in Karaj, Iran. The data were collected based on individual semi-structured interviews with 50 patients and 12 healthcare providers. Data analysis was performed simultaneous with data collection using the content analysis directed method. Results: Lack of behaviors like stress control, healthy eating and physical activity were the roots of the risk factors for CVD. The environmental factor is one of the barriers for conducting these behaviors. The environmental barriers included of structural environment including "availability and accessibility of health resources", "new skills", and "law and policies" which are located in enabling category and social environment including "social support", "motivation to comply" and "consequences of behavior" which are located in reinforcing category. The most barriers to performing health behaviors were often structural. Conclusions: The environmental factors were barriers for doing healthy behaviors. These factors need to be considered to design health promotion interventions. Policymakers should not only focus on patients' education but also should provide specific facilities to enhance economic, social and cultural status.

Item Type: Article
Keywords: Environment Risk Factors Cardiovascular Qualitative Research Precede Model coronary-heart-disease physical-activity self-efficacy life-style countries barriers program food General & Internal Medicine
Page Range: p. 11
Journal or Publication Title: Iranian Red Crescent Medical Journal
Journal Index: ISI
Volume: 16
Number: 5
Identification Number:
ISSN: 2074-1804
Depositing User: مهندس مهدی شریفی

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