209324 Does knowledge of family history of CVD have an effect on behavioral compliance among hypertensive persons?

Monday, November 9, 2009

Cagney Bene' Stigger, BS , Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA
Carlos Chapman, BS , Master of Public Health Program, Morehouse School of Medicine, Atlanta, GA
Tyrone Bell, BS , Master of Public Health Program, Morehouse School of Medicine, Atlanta, GA
Rakale Collins Quarells, PhD , Social Epidemiology Research Center, Morehouse School of Medicine, Atlanta, GA
Background: Cardiovascular disease (CVD) is one of the leading causes of death among both men and women. Hypertension (HTN) is a major risk factor for CVD. Furthermore, studies have shown that awareness of a family medical history does not result in behavior modification. Additionally, research suggests controlling HTN can reduce the risk of CVD related mortality. The objective was to determine if knowledge of family history of CVD has an impact on behavioral compliance among hypertensive persons. The hypothesis was that family history does not have a significant impact on behavior compliance as it related to CVD prevention.

Methods: Data from National Health and Nutrition Examination Survey (1999-2005) was utilized. The sample population was comprised of 4,635 hypertensive persons between the ages of 16-85years. Compliance was assessed by questions regarding provider suggested behavior change due to hypertension.

Results: The rate of hypertensives with knowledge of CVD among the population was 35%. The most common behavior modification amongst this population was increased physical activity. When evaluating family history and its affect on compliance 42% of the population failed to modify their behaviors in spite of their increased risk for CVD. Knowledge of family history of CVD did not significantly affect behavioral compliance.

Conclusion: Lack of influence of family history knowledge on behavioral compliance demonstrates, perhaps, a lack of comprehension on the increased risk of morbidity and mortality from CVD. These results provide an opportunity for a health education intervention in the importance of family history on risk of CVD.

Learning Objectives:
Evaluate whether there is impact of family history of cardiovascular disease (CVD) on behavioral compliance among individuals that have been diagnosed with hypertension.

Keywords: Heart Disease, Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have received a Bachelors of Science in Health Science from Columbus State University. I am currently completing the Masters of Public Health Program at Morehouse School of Medicine with a concentration in Health Education and Health Promotion. I am a facilitator and research assistant for the F.I.G.H.T. Against Metabolic Syndrome Study being conducted here at Morehouse School of Medicine as well.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.