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Health Promotion
Health Promotion Plan for African American Adults at Risk for Coronary Heart Disease

Community Nursing: NUR 3634

Abstract

Coronary heart disease affects a disproportionate amount of African Americans (CDC, 2010a), yet there are modifiable risk factors that can reduce the risk of this disease. These modifiable risk factors include high blood pressure and high cholesterol. This health promotion plan involves a community-based strategy that targets African Americans by offering primary and secondary prevention measures directly accessible at local community churches in Titusville, FL to decrease the prevalence and incidence of coronary heart disease in the African American community.

Health Promotion Plan for African American Adults at Risk for Coronary Heart Disease

Part I: Community Diagnosis Risk of complications, including death, of hypertension and hyperlipidemia among African American adults related to poor eating habits, poor primary prevention measures, and poor medication compliance as evidenced by data that show prevalence of cardiovascular disease among African Americans to be 44.6 percent for males and 46.9 percent for females (FDH, 2008), and Healthy People 2010 National Health Objective 12-9, which is to reduce the proportion of adults with high blood pressure (USDHHS, 2000), and National Health Objective 12-14, which is to reduce the proportion of adults with high total blood cholesterol levels (USDHHS, 2000). Part II: Review of Literature
What is Coronary Heart Disease and how does blood pressure and cholesterol affect it? According to the CDC (2010b), cardiovascular disease is the leading cause of death for both men and women (34.3 percent of all deaths), and is estimated to affect over 81 million people in the United States (AHA, 2010). Cardiovascular disease includes several conditions (AHA, 2010): high blood pressure, coronary heart disease, stroke, and heart failure. Coronary heart disease is the most



References: American Heart Association (AHA). (2010). Cardiovascular disease statistics. Retrieved from http://www.americanheart.org/presenter.jhtml?identifier=4478 Centers for Disease Control and Prevention (CDC) Control and Prevention (CDC). (2010b). Health, United States, 2009. Retrieved from http://www.cdc.gov/nchs/hus.htm Centers for Disease Control and Prevention (CDC) Cornell, C., Littleton, M., Greene, P., Pulley, L., Brownstein, J., Sanderson, B., …Raczynski, J. (2009). A Community Health Advisor Program to reduce cardiovascular risk among rural African-American women. Health Education Research, 24(4), 622-633. Florida Department of Health (FDH). (2008). Florida charts. Retrieved from http://www.floridacharts.com/charts/Domain2.aspx?Domain= '05 ' Lewis, Heitkemper, Dirkson, O’Brien, and Bucher Niska, R., & Han, B. (2009). Statins for secondary cardiovascular disease prevention for older primary care patients. Journal of the National Medical Association, 101(7), 705-710. Plescia, M., Herrick, H., & Chavis, L. (2008). Improving health behaviors in an African American community: The Charlotte racial and ethnic approaches to community health project. American Journal of Public Health, 98(9), 1678-1684. Ratanawongsa, N., Fisher, B., Couper, M., Van Hoewyk, J., & Powe, N. (2010). Race, ethnicity, and shared decision making for hyperlipidemia and hypertension treatment: The DECISIONS survey. Medical Decision Making, 30(5S), 65S-76s. Williamson, W., & Kautz, D. (2009). "Let 's get moving: Let 's get praising:" Promoting health and hope in an African American church. ABNF Journal, 20(4), 102-105. U.S. Department of Health and Human Services (USDHHS). (2000). Healthy People 2010: Access to quality health services. Retrieved from http://www.healthypeople.gov/document/html/uih/uih_bw/uih_6.htm

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