Cardiovascular Knowledge, Beliefs and Healthcare Practices of the Amish in Northern Indiana
Review TypeNone: Degree-based Submission
Repository Posting Date2019-12-05T16:21:52Z
Author(s)Gillum, Deborah R.
Author DetailsDeborah R. Gillum, PhD, MSN, RN, CNE
Level of EvidenceEthnography
Research ApproachQualitative Research
CINAHL HeadingsAmish--Indiana; Cardiovascular Diseases; Health Beliefs; Health Knowledge; Preventive Health Care; Amish
Background. The Amish are a conservative ethno-religious Christian subculture who are doubling in number every 14 years. There are now more than 249,000 located in 28 states and Ontario, Canada. To our knowledge, no previous study has examined cardiovascular disease (CVD) knowledge and preventive healthcare practices among this socially and technologically isolated population. Purpose. Cardiovascular knowledge, beliefs, and healthcare practices among northern Indiana Amish were explored using Leininger's Culture Care Diversity and Universality as a guiding theoretical framework. Sample. Data was obtained from an Amish settlement located in northern Indiana. Methods. A qualitative ethnographic exploratory approach was used. Data analysis included exploring the three primary categories (cardiovascular knowledge, beliefs, healthcare practices) and identifying common themes under each. Results. Data from 7 females and 8 males (mean 61 years ± 18.35) found that cardiac knowledge was limited, and receiving additional educational information from outside the Amish culture was often viewed suspiciously because maintaining cultural traditions was a top priority. Maintaining cultural traditions was a top priority and often conflicted with recommended healthy lifestyle changes. The use of alternative healthcare providers, and complementary and alternative practices were the first option and modern healthcare was sought only after alternative treatments failed. The Amish have distinct beliefs about diet, alkalinity, and exercise that are significantly different from mainstream culture. Conclusion. These data support the supposition that there is a lack of knowledge regarding cardiovascular function and CVD prevention in the Amish community. Additionally, the Amish have distinct cardiovascular beliefs and healthcare practices that affect their diet, activity, choice of healthcare practitioners, and use of complementary and alternative medicine. Further work is needed to develop culturally appropriate educational interventions for the Amish that will be acceptable and used to make healthy lifestyle changes.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3437700; ProQuest document ID: 820921641. The author still retains copyright.
Advisor(s)Staffileno, Beth A.
Degree GrantorRush University
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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