4th June 2012 Nisha Kini Disparities in Heart Attack Knowledge by Gender, Race/Ethnicity, Education Level and Household Income among Maine adults

 Introduction  Method  Results  Conclusion

 Introduction  Method  Results  Conclusion

 Introduction  Method  Results  Conclusion

 Introduction  Method  Results  Conclusion

 Introduction  Method  Results  Conclusion

 Disparities are preventable differences experienced by socially disadvantaged populations defined by factors such as:  Gender  Race/ Ethnicity  Education  Income

 Individuals having a heart attack are more likely to survive if they or onlookers know the symptoms and call immediately.  We examined disparities in knowledge of heart attack symptoms and the need to call by gender, race/ethnicity, education level and household income among Maine adults.

 Introduction  Method  Results  Conclusion

Behavioral Risk Factor Surveillance System (BRFSS)  Nation-wide survey (50 states, D.C. and territories)  Non-institutionalized adults (18+ years of age)  Landline telephone

 Data Source:  Heart Attack and Stroke Module of the 2009 Maine Behavioral Risk Factor Surveillance System (BRFSS).  6 questions related to heart attack symptoms  5 are actual symptoms of heart attack  1 decoy question

 Knowledge of Heart Attack Symptom was defined as:  Correctly identifying all 6 symptoms of heart attack (5 actual symptoms of heart attack and 1 decoy question)  Respondents who said “Don’t know/ Not sure” were considered as incorrect response

 We examined differences in knowledge by  Gender  Race/Ethnicity  Education  Income  Total Respondents = 3,898

 Logistic regression to assess disparities  Gender  Race/Ethnicity  Education  Income  Outcome variable: Knowledge of Heart Attack Symptoms and calling  Independent variable: Gender, Race/ Ethnicity, Education and Income  Covariate: Age Adjusted for Age

 And  Gender  Race/Ethnicity  Outcome variable: Knowledge of Heart Attack Symptoms and calling  Independent variable: Gender, Race/ Ethnicity  Covariate: Age, Education and Income  Analyses were conducted using SAS 9.2 survey procedures. Adjusted for Age, Education and Income

 Introduction  Method  Results  Conclusion

 Univariate Analyses  Bivariate Analyses  Multivariate Analyses

Data Source: Maine Behavioral Risk Factor Surveillance System. Adults = ages 18+ years; CHD = Coronary Heart Disease

Data Source: Maine Behavioral Risk Factor Surveillance System Adults = ages 18+ years; CHD = Coronary Heart Disease

Data Source: Maine Behavioral Risk Factor Surveillance System. Adults = ages 18+ years; CHD = Coronary Heart Disease

Data Source: Maine Behavioral Risk Factor Surveillance System. Adults = ages 18+ years; CHD = Coronary Heart Disease

Data Source: 2009 Maine Behavioral Risk Factor Surveillance System (BRFSS) Odds Ratios (ORs) are age-adjusted. HS= High School. Adults= >18 years of age

Data Source: 2009 Maine Behavioral Risk Factor Surveillance System (BRFSS) Odds Ratios (ORs) are age-adjusted. HS= High School. Adults= >18 years of age

Data Source: 2009 Maine Behavioral Risk Factor Surveillance System (BRFSS) Odds Ratios (ORs) are adjusted for age, education and household income Adults= >18 years of age

Non-Hispanic White Non-White/ Hispanic

Non-Hispanic White Non-White/ Hispanic

Non-Hispanic White Non-White/ Hispanic

Non-Hispanic White Non-White/ Hispanic

 Introduction  Method  Results  Conclusion

 There are significant disparities in heart attack knowledge among Maine adults, with men, non-Whites or Hispanics, those with less than college education, and those with annual household income <$15,000 being less likely to know all heart attack symptoms and the need to call 9-1-1, even after adjusting for age.

 Disparities by gender and race/ethnicity persist after adjusting for age, education, and income.  Our findings are consistent with findings from other states using BRFSS data

 The Maine Cardiovascular Health Program is working with partners on efforts to improve heart attack knowledge.  Incorporating intentional outreach to disparate populations into these efforts will help ensure all Mainers have increased knowledge of heart attack symptoms and the need to call 911, which will lead to improved outcomes across the state.

Sara L. Huston Maine Center for Disease Control & Prevention University of Southern Maine Troy Fullmer Maine Center for Disease Control & Prevention Santosh Nazare Maine Center for Disease Control & Prevention University of Southern Maine Alison Green-Parsons Maine Center for Disease Control & Prevention University of Southern Maine

  Phone: (207)