Zahuranec Darin B, Morgenstern Lewis B, Garcia Nelda M, Conley Kathleen M, Lisabeth Lynda D, Rank Grace S, Smith Melinda A, Meurer William J, Resnicow Ken, Brown Devin L
Stroke. 2008 May;39(5):1583-5. doi: 10.1161/STROKEAHA.107.503557. Epub 2008 Mar 6.
We performed a pilot project to assess the need for and feasibility of a church-based stroke risk reduction intervention in a predominantly Mexican American community.
Participants were recruited after each mass on a single weekend from 2 Catholic churches in Corpus Christi, Texas. Questionnaires about personal stroke risk factors and interest in program participation were completed, and blood pressure screening was performed.
A total of 150 individuals participated (63% Mexican American, median age 62). A substantial majority (84%) were interested in being part of a long-term church-based health education project. Blood pressure was >139/89 mm Hg in 50 of 78 (64%) of individuals with a self-reported history of hypertension, and in 17 of 69 (25%) of individuals without known hypertension, with no ethnic differences in blood pressure. Mexican Americans were younger, had a higher BMI, and were more likely to have diabetes than non-Hispanic whites.
There is substantial burden of stroke risk factors in these predominantly Mexican American church communities. Church-based health interventions may be a way to reduce stroke in this at-risk population.
我们开展了一个试点项目，以评估在一个主要为墨西哥裔美国人的社区中，基于教堂的中风风险降低干预措施的必要性和可行性。
在得克萨斯州科珀斯克里斯蒂市的两座天主教堂，于一个周末的每次弥撒后招募参与者。完成了关于个人中风风险因素及参与项目兴趣的问卷调查，并进行了血压筛查。
共有150人参与（63%为墨西哥裔美国人，年龄中位数为62岁）。绝大多数（84%）对参与一个长期的基于教堂的健康教育项目感兴趣。在78名自述有高血压病史的个体中，50名（64%）血压>139/89 mmHg，在69名无高血压病史的个体中，17名（25%）血压>139/89 mmHg，血压方面无种族差异。墨西哥裔美国人比非西班牙裔白人更年轻，体重指数更高，且更易患糖尿病。
在这些主要为墨西哥裔美国人的教堂社区中，中风风险因素负担沉重。基于教堂的健康干预措施可能是降低这一高危人群中风风险的一种方式。
