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Major Article

Rural-urban differences in college students’ cardiovascular risk perceptions

, PhD, RN, , PhD, MPH & , PhD, RN, CPNP-PC
Pages 477-483 | Received 14 Aug 2018, Accepted 29 Jan 2019, Published online: 25 Mar 2019
 

Abstract

Objective: To examine rural-urban differences in college students’ cardiovascular risk perceptions. Participants: College students in rural (n = 61) and urban (n = 57) Kentucky counties were recruited from November 2012 to May 2014. Methods: This was a secondary data analysis of a cross-sectional study examining rural-urban differences in cardiovascular risk factors. Students rated their risk for developing high blood pressure, diabetes, high cholesterol, heart disease, having a stroke, and gaining excess weight. Chi-square and logistic regression were used for data analysis. Results: Rural students had lower odds of perceived high risk for developing high blood pressure compared to urban students (odds ratio (OR): 0.32, 95% CI: 0.11–0.96) after adjusting for race, sex, and body mass index. This association was not observed after adjusting for healthcare access variables. No other significant differences were observed. Conclusions: Efforts to raise perceived risk for developing hypertension among rural college students may be warranted.

Conflict of interest disclosure

The authors have no conflicts of interest to report.

Additional information

Funding

This study was supported in part by a research award from the Delta Psi Chapter of Sigma Theta Tau International.

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