Cardiovascular Disease in the Peruvian Andes: Local Perceptions, Barriers, and Paths to Preventing Chronic Diseases in the Cajamarca Region

Objectives: Public health interventions can be improved by understanding peoples' explanatory models of disease. We explore awareness and perceptions of cardiovascular diseases (CVD) and options for preventative actions in young adults living in rural Andean communities.Methods: We used conveni...

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Main Authors: Giuliana Sanchez-Samaniego (Author), Stella M. Hartinger (Author), Paula S. Tallman (Author), Daniel Mäusezahl (Author)
Format: Book
Published: Frontiers Media S.A., 2021-09-01T00:00:00Z.
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LEADER 00000 am a22000003u 4500
001 doaj_8fff96dbdf404f3d8936d881cdae936a
042 |a dc 
100 1 0 |a Giuliana Sanchez-Samaniego  |e author 
700 1 0 |a Giuliana Sanchez-Samaniego  |e author 
700 1 0 |a Giuliana Sanchez-Samaniego  |e author 
700 1 0 |a Stella M. Hartinger  |e author 
700 1 0 |a Stella M. Hartinger  |e author 
700 1 0 |a Stella M. Hartinger  |e author 
700 1 0 |a Paula S. Tallman  |e author 
700 1 0 |a Paula S. Tallman  |e author 
700 1 0 |a Daniel Mäusezahl  |e author 
700 1 0 |a Daniel Mäusezahl  |e author 
245 0 0 |a Cardiovascular Disease in the Peruvian Andes: Local Perceptions, Barriers, and Paths to Preventing Chronic Diseases in the Cajamarca Region 
260 |b Frontiers Media S.A.,   |c 2021-09-01T00:00:00Z. 
500 |a 1661-8564 
500 |a 10.3389/ijph.2021.1604117 
520 |a Objectives: Public health interventions can be improved by understanding peoples' explanatory models of disease. We explore awareness and perceptions of cardiovascular diseases (CVD) and options for preventative actions in young adults living in rural Andean communities.Methods: We used convenience sampling to select 46 men and women from communities in Cajamarca (Peru). Subjects participated in eight focus groups where they discussed their understanding and perceived causes of CVD as well as barriers and pathways to healthy lifestyles.Results: Fresh foods, physical activity, unpleasant emotions, and healthcare access were cited as important determinants of healthy lifestyles. Barriers to healthy diets included lacking nutritional knowledge, fluctuating food prices, and limited access to foodstuffs. Women felt particularly vulnerable to CVD and identified gendered barriers to manage stress and engage in sports. Low health literacy, poor doctor-patient relationships, and long distances prevented participants from fully accessing healthcare.Conclusion: CVD prevention interventions should consider local knowledge of these diseases and of healthy lifestyles, and harness ongoing programmes that have successfully promoted good nutrition in children and pregnant women. In concert with public-private parterships, governments should include disease prevention interventions for the entire family. 
546 |a EN 
690 |a prevention 
690 |a cardiovascular disease 
690 |a Andes 
690 |a health system 
690 |a nutrition 
690 |a Peru 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n International Journal of Public Health, Vol 66 (2021) 
787 0 |n https://www.ssph-journal.org/articles/10.3389/ijph.2021.1604117/full 
787 0 |n https://doaj.org/toc/1661-8564 
856 4 1 |u https://doaj.org/article/8fff96dbdf404f3d8936d881cdae936a  |z Connect to this object online.