Regular aspirin use among a sample of American Indians/Alaskan Natives in the Upper Midwest region of the United States
Despite high prevalence of cardiovascular disease (CVD) and CVD risk factors among American Indian or Alaska Native adults (AI/AN), there is little information on aspirin use in this population. This survey-based study seeks to understand prevalence of aspirin use in a sample of AI/AN adults in the...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221133552300462X |
| _version_ | 1797374153048719360 |
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| author | Sarah M. Alabsi Sue Duval Michael Sundberg Donovan Williams Russell V. Luepker Milton Eder Jeremy R. Van't Hof |
| author_facet | Sarah M. Alabsi Sue Duval Michael Sundberg Donovan Williams Russell V. Luepker Milton Eder Jeremy R. Van't Hof |
| author_sort | Sarah M. Alabsi |
| collection | DOAJ |
| description | Despite high prevalence of cardiovascular disease (CVD) and CVD risk factors among American Indian or Alaska Native adults (AI/AN), there is little information on aspirin use in this population. This survey-based study seeks to understand prevalence of aspirin use in a sample of AI/AN adults in the Upper Midwestern United States. In-person and telephone based surveys were conducted querying self-reported CVD and CVD risk factors, aspirin use, and aspirin related discussion with clinicians. A total of 237 AI/AN participants were included: mean age (SD) was 60.8 (8.4) years; 143 (60 %) were women; 59 (25 %) reported CVD history. CVD risk factors were common particularly smoking (37 %) and diabetes (37 %). Aspirin use was much higher among those with CVD (secondary prevention, 76 %) than those without (primary prevention, 33 %). Primary prevention aspirin use was significantly associated with age and all CVD risk factors in unadjusted analyses. After adjustment for demographics and CVD risk factors, only age (aRR 1.13 per 5 years, 95 % CI 1.02, 1.25) and diabetes (aRR 2.44, 95 % CI 1.52, 3.92) remained significantly associated with aspirin. Regardless of CVD status, a higher proportion of those taking aspirin reported a conversation about aspirin with their doctor compared to those not taking aspirin. Among participants with no CVD, those who had such a conversation were 2.6 times more likely to use aspirin than those who did not have a conversation (aRR 2.64, 95 % CI 1.58, 4.44). The findings of this study emphasize the importance of the patient-provider relationship for preventive therapy. |
| first_indexed | 2024-03-08T19:01:42Z |
| format | Article |
| id | doaj.art-483e944761924c689d392581f3d868cc |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-03-08T19:01:42Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-483e944761924c689d392581f3d868cc2023-12-28T05:16:32ZengElsevierPreventive Medicine Reports2211-33552024-01-0137102571Regular aspirin use among a sample of American Indians/Alaskan Natives in the Upper Midwest region of the United StatesSarah M. Alabsi0Sue Duval1Michael Sundberg2Donovan Williams3Russell V. Luepker4Milton Eder5Jeremy R. Van't Hof6University of Minnesota Medical School, Minneapolis MN, USACardiovascular Division and Lillehei Heart Institute, Department of Medicine, University of Minnesota Medical School, Minneapolis MN, USADepartment of Medicine, University of Minnesota Medical School, Minneapolis, MN, USADivision of Geriatrics, Palliative and Primary Care, University of Minnesota Medical School, Minneapolis MN, USACardiovascular Division and Lillehei Heart Institute, Department of Medicine, University of Minnesota Medical School, Minneapolis MN, USA; University of Minnesota School of Public Health, Division of Epidemiology and Public Health, Minneapolis, MN, USADepartment of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USACardiovascular Division and Lillehei Heart Institute, Department of Medicine, University of Minnesota Medical School, Minneapolis MN, USA; Corresponding author at: 420 Delaware St SE MMC 508, Minneapolis, MN 55455, USA.Despite high prevalence of cardiovascular disease (CVD) and CVD risk factors among American Indian or Alaska Native adults (AI/AN), there is little information on aspirin use in this population. This survey-based study seeks to understand prevalence of aspirin use in a sample of AI/AN adults in the Upper Midwestern United States. In-person and telephone based surveys were conducted querying self-reported CVD and CVD risk factors, aspirin use, and aspirin related discussion with clinicians. A total of 237 AI/AN participants were included: mean age (SD) was 60.8 (8.4) years; 143 (60 %) were women; 59 (25 %) reported CVD history. CVD risk factors were common particularly smoking (37 %) and diabetes (37 %). Aspirin use was much higher among those with CVD (secondary prevention, 76 %) than those without (primary prevention, 33 %). Primary prevention aspirin use was significantly associated with age and all CVD risk factors in unadjusted analyses. After adjustment for demographics and CVD risk factors, only age (aRR 1.13 per 5 years, 95 % CI 1.02, 1.25) and diabetes (aRR 2.44, 95 % CI 1.52, 3.92) remained significantly associated with aspirin. Regardless of CVD status, a higher proportion of those taking aspirin reported a conversation about aspirin with their doctor compared to those not taking aspirin. Among participants with no CVD, those who had such a conversation were 2.6 times more likely to use aspirin than those who did not have a conversation (aRR 2.64, 95 % CI 1.58, 4.44). The findings of this study emphasize the importance of the patient-provider relationship for preventive therapy.http://www.sciencedirect.com/science/article/pii/S221133552300462XAmerican IndianAlaska NativeUnderserved populationAspirin usePreventive therapyProvider communication |
| spellingShingle | Sarah M. Alabsi Sue Duval Michael Sundberg Donovan Williams Russell V. Luepker Milton Eder Jeremy R. Van't Hof Regular aspirin use among a sample of American Indians/Alaskan Natives in the Upper Midwest region of the United States Preventive Medicine Reports American Indian Alaska Native Underserved population Aspirin use Preventive therapy Provider communication |
| title | Regular aspirin use among a sample of American Indians/Alaskan Natives in the Upper Midwest region of the United States |
| title_full | Regular aspirin use among a sample of American Indians/Alaskan Natives in the Upper Midwest region of the United States |
| title_fullStr | Regular aspirin use among a sample of American Indians/Alaskan Natives in the Upper Midwest region of the United States |
| title_full_unstemmed | Regular aspirin use among a sample of American Indians/Alaskan Natives in the Upper Midwest region of the United States |
| title_short | Regular aspirin use among a sample of American Indians/Alaskan Natives in the Upper Midwest region of the United States |
| title_sort | regular aspirin use among a sample of american indians alaskan natives in the upper midwest region of the united states |
| topic | American Indian Alaska Native Underserved population Aspirin use Preventive therapy Provider communication |
| url | http://www.sciencedirect.com/science/article/pii/S221133552300462X |
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