Coronary heart disease prevention and lifestyle interventions: Cultural influences

Deborah A. Chyun, Allison M. Amend, Kelley Newlin, Susan Langerman, Gail D. Melkus

Research output: Contribution to journalArticlepeer-review


Unless action is directed to address the multiple influences on coronary heart disease (CHD) risk reduction behaviors, across all population groups, the aims of Healthy People 2010 with regard to CHD will not be realized. Health-promotion and disease-prevention models, including a framework for primordial, primary, and secondary prevention provided by an American Heart Association task force, and a model for interventions to eliminate health disparities are reviewed. The role of culture, ethnicity, race, and socioeconomic status and how these concepts have been studied in recent lifestyle interventions aimed at CHD risk reduction is explored. Finally, these findings are synthesized to provide suggestions for nursing care delivery in primary and tertiary care settings.

Original languageEnglish (US)
Pages (from-to)302-318
Number of pages17
JournalJournal of Cardiovascular Nursing
Issue number4
StatePublished - 2003


  • Coronary heart disease
  • Cultural competence
  • Culture
  • Diabetes mellitus
  • Health disparities
  • Health-promotion
  • Prevention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing


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