Today's chronic diseases require "treatment" by shifting control of the outcome from the provider back to the individual and the environment in which one functions. There is a strong need to consider the individual in the context of ethnicity and culture, which express themselves in the prevalence and magnitude of risk factors, the biological impact of risk factors and expression of disease, and the potential for control of unhealthy behaviors. Educational and screening programs related to the risk factors of cigarette smoking, hypertension, and cholesterol must be structured so that recommended life-style changes are compatible with the individual's cultural values and beliefs.
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References
1.
Ailinger, R. L. (1984). Hypertension screening for Hispanics. Journal of Community Health Nursing, 1, 265-270.
2.
Barrios, E., Iler, E., Mulloy, K., Goldstein, J., Chalfin, D., & Munoz, E. (1987). Hypertension in the Hispanic and Black population in New York City. Journal of the National Medical Association, 79, 749-752.
3.
Baumgartner, R. N., Roche, A. F., Chumlea, W. C., Siervogel, R. M., & Glueck, C. J. (1987). Fatness and fat patterns: Associations with plasma lipids and blood pressures in adults, 18-57 years of age. American Journal of Epidemiology, 126, 614-628.
4.
Becker, T. M., Wiggins, C., Key, C. R., & Samet, J. (1988). Ischmeic heart disease mortality in Hispanics, American Indians, and non-Hispanic Whites in New Mexico, 1958-1982. Circulation, 78, 302-309.
5.
Chrysant, S. G., Danisa, K., Kem, D. C., Dillard, B. L., Smith, W. J., & Frohlich, E. D. (1979). Racial differences in pressure, volume and rein in interrelationships in essential hypertension. Hypertension, 1(2), 136-141.
6.
Derenowski, J. (1990). Coronary artery disease in Hispanics. Journal of Cardiorascular Nursing, 4(4), 13-21.
7.
Escobedo, L. G., & Remington, P. L. (1989). Birth cohort analysis of prevalence of cigarette smoking among Hispanics in the United States. Journal of the American Medical Association, 261, 66-69.
8.
Ford, E., Cooper, R., Simmons, B., Katz, S., & Patel, R. (1988). Sex differences in high density lipoprotein cholesterol in urban Blacks. American Journal of Epidemiology, 127, 753-761.
9.
Frerichs, R. R., Chapman, J. M., & Maes, E. F. (1984). Mortality due to all causes and to cardiovascular diseases among seven race-ethnic populations in Los Angeles County, 1980. International Journal of Epidemiology, 13, 291-298.
10.
Gillum, R. E. (1982). Coronary heart disease in Black populations: Mortality and morbidity. American Heart Journal, 104, 839-851.
11.
Gillum, R. F., & Liu, K. C. (1984). Coronary heart disease mortality in United States Blacks, 1940-1978: Trends and unanswered questions. American Heart Journal, 108, 728-732.
12.
Glueck, C. J., Gartside, P., Laskarzewski, P. M., Khoury, P., & Tyroler, H. A. (1984). High density lipoprotein cholesterol in Blacks and Whites: Potential ramification for coronary heart disease. American Heart Journal, 108, 815-826.
13.
Jacobs, D., Mebane, I. L., Bangdiwala, S., Crique, M., & Tyroler, H. (1990). High density lipoprotein cholesterol as a predictor of cardiovascular disease mortality in men and women: The follow-up study of the Lipid Research Clinic's prevalence study. American Journal of Epidemiology, 131, 3247.
14.
Keller, C. (1990). Coronary artery disease in Blacks. Journal of Cardiovascular Nursing, 4(4), 1-12.
15.
Marcus, A. C., & Crane, L. A. (1987, March). Current estimates of adult cigarette smoking by race/ethnicity. Paper presented at the Interagency Committee on Smoking and Health, Washington, DC.
16.
Marsh, W., & Hentges, K. (1988). Mexican folk remedies and conventional medical care. American Family Physician, 37, 257-262.
17.
Mitchell, B. D., Stem, M. P., Haffner, S. M., Hazuda, H. P., & Patterson, J. K. (1990). Risk factors for cardiovascular mortality in Mexican-Americans and non-Hispanic Whites. The San Antonio Heart Study. American Journal of Epidemiology, 131, 423-433.
18.
Novotny, T. E., Warner, K. E., Kendrick, J. S., & Remington, P. L. (1988). Smoking by Blacks and Whites: Socioeconomic and demographic differences. American Journal of Public Health, 78, 1187-1189.
19.
Orleans, C. T., Schoenbach, V. J., Salmon, M. A., Strecher, V. J., Kalsbeek, W., Quade, D., Brooks, E. F., Konrad, T. R., Blackmon, C., & Watts, C. D. (1989). A survey of smoking and quitting patterns among Black Americans. American Journal of Public Health, 79, 176-181.
20.
Otten, M. W., Teutsch, S. M., Williamson, D. F., & Marks, J. S. (1990). The effect of known risk factors on the excess mortality of Black adults in the United States. Journal of the American Medical Association, 263, 845-850.
21.
Plawecki, H. M., & Plawecki, J. A. (1990). Cultural aspects of caring for Mexican-American clients. Journal of Holistic Nursing, 8(1), 37-45.
22.
Report of the Secretary's Task Force on Black and Minority Health (Executive summary). (1985). Washington, DC: U.S. Department of Health and Human Services.
23.
Samet, J. A., Coultas, D. B., Howard, C. A., Skipper, B. J., & Hanis, C. (1988). Diabetes, gallbladder diseases, obesity and hypertension among Hispanics in New Mexico. American Journal of Epidemiology, 128, 1302-1311.
24.
Saunders, E. (1987). Hypertension in Blacks. Medical Clinics of North America, 71(5), 1013-1029.
25.
Schoen, R., & Nelson, V. E. (1981). Mortality by cause among Spanish-surnamed Californians, 1969-71. Social Science Quarterly, 62, 259-272.
26.
Stern, M. P., Bradshaw, B. S., Eifler, C. W., Fong, D. S., Hazuda, H. P., & Rosenthal, M. (1987). Secular decline in death rates due to ischemic heart disease in Mexican Americans and non-Hispanic Whites in Texas, 1970-1980. Circulation, 76, 1245-1250.
27.
Syme, S. L. (1986). The social environment and disease prevention. Advances in Health Education and Promotion, 1, 237-265.
28.
Thomas, J., Semenya, K., Thomas, C. B., Thomas, D. J., Neser, W. B., Pearson, T. A., & Gillum, R. F. (1987). Precursors of hypertension in Black compared to White medical students. Journal of Chronic Disease, 40(7), 721-727.
29.
Tyroler, H. A., Glueck, C. J., Christensen, B., & Kwiterovich, P. O. (1980). Plasma high density lipoprotein cholesterol comparisons in Black and White populations. Circulation, 62(Suppl. 4), 99-107.
30.
U.S. Department of Health and Human Services. (1986). Tobacco use in 1986. Methods and basic tabulations from adult use of tobacco survey. Rockville, MD: Public Health Service, Centers for Disease Control, Office on Smoking and Health.
31.
Wright, J. T. (1988). Profile of systemic hypertension in Black patients. American Journal of Cardiology, 61, 41H-45H.
