• Understanding attitudes of ethnic minorities towards uptake of cardiac rehabilitation services: A qualitative systematic review

      Kennedy, Lynne; Yung, Jenny (University of Chester, 2014-08)
      The prevalence of cardiovascular disease (CVD) and coronary heart disease (CHD) varies across different ethnicities. Epidemiological studies show that people from a South Asian background, including Indians, Bangladeshis and Pakistanis have a higher risk of CHD. It is important to understand the risk factors that explain this increased prevalence, both conventional and unconventional i.e. applicable to the general population and also specific to a certain ethnic group. Modifying these risk factors is a vital part of secondary prevention measures to reduce the possibility of developing further cardiac disease. Cardiac rehabilitation is the recommended programme for post-MI care and aims to influence positively the underlying causes of cardiovascular disease through exercise and education. It has been shown to improve both cardiac mortality and morbidity. Despite the clear benefits of this intervention, uptake to cardiac rehabilitation is particularly low in ethnic minority populations. If the reasons and influences behind this can be understood, then the way that rehabilitation services are delivered can be altered to provide culturally sensitive care and maximize uptake.