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Stroke-related knowledge, behaviors and beliefs of Chinese Canadians and EuroCanadians : a basis for culturally-sensitive physical therapy Wang, Jiawei


Background: Stroke is a leading cause of death particularly in Chinese Canadians (CCs) who are among the fastest growing group of immigrants. The needs of CCs in relation to health education related to stroke have not been well documented. This study attempts to address this gap. Purpose: To examine the stroke-related health knowledge, behaviors and beliefs of CCs in relation to EuroCanadians (ECs), and examine the effect of acculturation of the CCs on these variables. Design: A descriptive study based on a self-administered survey questionnaire of samples of CCs and ECs. Subjects and Methods: A cross-sectional survey of 103 CCs and 101 ECs from the Lower Mainland of BC. The questionnaire consisted of four parts: stroke-related knowledge, health behaviors, health beliefs, and demographic information. Results: Compared with ECs, CCs were less awareness of stroke risk factors, and its major warning signs, and of an appropriate response to someone showing signs of stroke. Potential health information sources that were identified included mass media, family and friends. CCs are less likely to smoke and drink alcohol than ECs and less physical activity. CCs have room for improvement with respect to dietary habits similar to ECs, but these differed somewhat for the two groups. CCs reported experiencing more stress from all causes than ECs. Years in Canada appear to have little relationship to stroke-related knowledge, behaviors and beliefs reported by CCs. Discussion and Conclusions: Our findings confirmed the findings of studies that have examined diets and physical activity of Asian immigrants in other countries. Theoretical dimensions of culture helped explain differences in stroke-related knowledge, behaviors, and beliefs between the CCs and ECs. By enhancing their understanding of differences and similarities between these groups, physical therapists may enhance the cultural sensitivity and appropriateness of interventions.

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