Off-campus South Dakota State University users: To download campus access theses, please use the following link to log into our proxy server with your South Dakota State University ID and password.

Non-South Dakota State University users: Please talk to your librarian about requesting this thesis through interlibrary loan.

Document Type

Thesis - University Access Only

Award Date


Degree Name

Master of Science (MS)


Graduate Nursing

First Advisor

Barbara Heater


aspirin, myocardial infarction prevention, rural elderly health risk assessment


The purpose of this study was to describe the patterns of aspirin (ASA) use for primary and secondary prevention of acute myocardial infarction (AMI). Cardiac risk factors, perception of risk, discussion of ASA use and recommendations from healthcare providers (HCPs) are also described. The sample of 93 rural-dwelling elderly who attended midwestem Senior Citizen Centers were queried about cardiac risks, risk perception, and ASA use. Results suggest underuse of ASA for both primary and secondary prevention of AMI, Predictors of ASA use were a history of coronary heart disease (CHD) and hypertension. A significant difference in perceived cardiac risk existed between those who discussed ASA with a HCP and those who did not, and between those who had a HCP recommendation for ASA and those who did not. HCPs must actively assess cardiac riskand recommend ASAfor patients at high risk.

Library of Congress Subject Headings

Myocardial infarction -- Prevention
Rural elderly -- Health risk assessment



Number of Pages



South Dakota State University


Copyright © 1998 Charyl Barglof. All rights reserved