Mannoh I, Turkson‐Ocran RA, Mensah J, et al. - Myocardial infarction (MI) and stroke symptom awareness and response differ among immigrants in the United States. Attenuation in these differences in awareness can be achieved through culturally tailored public health education and health literacy initiatives.

• Cross‐sectional data were studied from the 2014 and 2017 National Health Interview Surveys on US‐ and foreign‐born adults from 9 regions of birth (Europe, South America, Mexico/Central America/Caribbean, Russia, Africa, Middle East, Indian subcontinent, Asia, and Southeast Asia).

• Participants were 63,059 individuals with a mean age of 49.4 years; 54.1% were females, and 38.5% had a high school education or less.

• US‐born people were found to have the highest recommended MI and stroke knowledge.

• In both 2014 and 2017, people born in Asia exhibited the lowest MI knowledge (23.9%±2.5% and 32.1%±3.3%, respectively) and stroke knowledge was lowest among people from the Indian subcontinent (44.4%±2.4% and 46.0%±3.2%, respectively).

• In foreign‐born adults, prevalence of recommended MI knowledge was highest in individuals from Russia and Europe in 2014 (37.4%±5.4%) and 2017 (43.5%±2.5%), respectively, and individuals from Europe had the highest recommended stroke knowledge (61.0%±2.6% and 67.2%±2.5%).

• Between 2014 and 2017, there was not a significant improvement in knowledge in all groups.