Yingru Li, Ting Du, Lin Huff-Corzine, Kenisha Johnson, Boniface Noyongoyo
Where is the fruit? Multidimensional inequalities in food retail environments around public elementary schools
Child: care, health and development
explore perceptions attitudes african immigrants ghanaians nigerians liberians sierra leoneans baltimorewashington dc metropolitan area toward cardiovascular health qualitative study among african immigrants recruited religious communitybased organizations baltimorewashington metro area purposive sample 66 african immigrants originally ghana nigeria liberia sierra leone completed sociodemographic survey participated focus group discussions focus group data analysed using qualitative description develop emergent themes total 66 african immigrants mean standard deviation age 51 118 years participated focus group discussions fifty percent women 91 least bachelors degree 84 employed 80 health insurance 75 marriedcohabitating majority participants 74 lived us 10 years 44 hypertension 12 diabetes findings focus group discussions revealed gender differences descriptions cardiovascular health healthiness emotional response associated cardiovascular disease evoking fear anxiety associated family secrecy positive negative lifestyle changes migration cardiovascular screening behaviours facilitators barriers cardiovascular disease prevention practices hearthealthy lifestyle participants understood health holistic state wellbeing secrecy disclosing cardiovascular disease diagnoses informed historical sociocultural belief systems perceived racial discrimination healthcare providers communication health literacy barriers economic barriers holding multiple jobs exorbitant cost hearthealthy foods identified barriers achieving optimal cardiovascular health immigrant population study expanded body knowledge african immigrants perceptions attitudes toward cardiovascular health addressing knowledge gap provide important intervention opportunities targeted improving cardiovascular health outcomes population patient public contribution