1. 4th June 2012 Nisha Kini Disparities in Heart Attack Knowledge by Gender, Race/Ethnicity, Education Level and Household Income among Maine adults

2.  Introduction  Method  Results  Conclusion

3.  Introduction  Method  Results  Conclusion

4.  Introduction  Method  Results  Conclusion

5.  Introduction  Method  Results  Conclusion

6.  Introduction  Method  Results  Conclusion

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

8.  Individuals having a heart attack are more likely to survive if they or onlookers know the symptoms and call 9-1-1 immediately.  We examined disparities in knowledge of heart attack symptoms and the need to call 9-1-1 by gender, race/ethnicity, education level and household income among Maine adults.

10.  Introduction  Method  Results  Conclusion

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

12.  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

13.  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

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

15.  Logistic regression to assess disparities  Gender  Race/Ethnicity  Education  Income  Outcome variable: Knowledge of Heart Attack Symptoms and calling 9-1-1  Independent variable: Gender, Race/ Ethnicity, Education and Income  Covariate: Age Adjusted for Age

16.  And  Gender  Race/Ethnicity  Outcome variable: Knowledge of Heart Attack Symptoms and calling 9-1-1  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

17.  Introduction  Method  Results  Conclusion

18.  Univariate Analyses  Bivariate Analyses  Multivariate Analyses

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

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

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

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

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

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

25. 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

30. Non-Hispanic White Non-White/ Hispanic

31. Non-Hispanic White Non-White/ Hispanic

32. Non-Hispanic White Non-White/ Hispanic

33. Non-Hispanic White Non-White/ Hispanic

34.  Introduction  Method  Results  Conclusion

35.  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.

36.  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

37.  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.

38. 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

39.  Email: nisha.kini@maine.gov  Phone: (207) 287-5346