Healthy diet in Canadians of low socioeconomic status with coronary heart disease: Not just a matter of knowledge and choice

Abstract People of low socioeconomic status (SES) are prone to premature coronary heart disease (CHD) and tend to have more risk factors and worse health and mortality. Yet, little is understood about the specific challenges faced by people of low SES with CHD in changing behavior around the consump...

Full description

Saved in:
Bibliographic Details
Published in:Heart & lung 2011-03, Vol.40 (2), p.156-163
Main Authors: Clark, Alexander M., PhD, Duncan, Amanda S., MA, Trevoy, June E., RN, MN, Heath, Stephanie, BSc, BN, Chan, Michael, MD
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Canada - epidemiology
Cardiovascular
Cardiovascular disease
Coronary Artery Disease - economics
Coronary Artery Disease - epidemiology
Coronary Artery Disease - mortality
Coronary heart disease
Critical Care
Decision Making
Dementia - economics
Dementia - epidemiology
Dementia - mortality
Diet
Diet - economics
Diet - psychology
Diet - statistics & numerical data
Female
Health Knowledge, Attitudes, Practice
Health Policy
Health Status
Humans
Low socioeconomic status
Male
Middle Aged
Mortality
Nutritional Status
Poverty
Pulmonary/Respiratory
Qualitative Research
Risk factor change
Risk Factors
Social Class
Socioeconomic factors
Surveys and Questionnaires
Time Factors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract People of low socioeconomic status (SES) are prone to premature coronary heart disease (CHD) and tend to have more risk factors and worse health and mortality. Yet, little is understood about the specific challenges faced by people of low SES with CHD in changing behavior around the consumption of dietary risk factors, such as salt, fat, and cholesterol, and adding heart-healthy foods, such as fruit, vegetables, lean meat, and fish. The aim of this study was to understand factors promoting and reducing willingness and capacity to consume a healthy diet in people of low SES with CHD. Qualitative research via semistructured interviewing and a critical realist theoretic framework was used, along with a questionnaire to provide context for the interviews. Food consumption and diet were not principally related to knowledge but were constrained by an ever-present scarcity of resources and the need to prioritize other daily living expenses perceived as being more important than diet. Having use of a vehicle also promoted access to dietary support from physicians and cardiac rehabilitation.
ISSN:0147-9563
1527-3288
DOI:10.1016/j.hrtlng.2010.01.007