Department of Community Health Sciences, University of Manitoba and Division of Research and Learning, Research and Evaluation Unit, Winnipeg Regional Health Authority, Winnipeg, MB, Canada.
J Immigr Minor Health. 2010 Oct;12(5):761-8. doi: 10.1007/s10903-009-9250-y. Epub 2009 Apr 14.
There is evidence that Hispanic men are a high risk group for treatment delay for both heart attack and stroke. More targeted research is needed to elucidate this specific population's knowledge of warning signs for these acute events. This study sought to describe within-group disparities in Hispanic men's knowledge of heart attack and stroke symptomology. Multivariate techniques were used to analyze a multi-year Behavioral Risk Factor Surveillance Heart and Stroke module database. The data were cross-sectional and focused on health risk factors and behaviors. The research participants were U.S. male Hispanic adults aged 18-99. The main outcome measure for the study was heart attack and stroke symptom knowledge score. Multivariate logistic regression analysis yielded that Hispanic men aged >or=18 years who earned low scores on the composite heart attack and stroke knowledge questions (range 0-8 points) were more likely to: have less than a high school education, have deferred medical care because of cost, not have an identified health care provider, and be uninsured. There were significant within-group differences. Targeting educational efforts toward older (>or=55 years) Hispanic men with less than high school education, those who do not have an identified health care provider or health insurance, and who defer health care because of cost could be ways to improve the outcome of acute vascular events among the U.S. Hispanic adult male population.
有证据表明,西班牙裔男性在心脏病发作和中风的治疗延迟方面是高风险群体。需要进行更有针对性的研究,以阐明这一特定人群对这些急性事件的预警信号的了解。本研究旨在描述西班牙裔男性对心脏病和中风症状学的知识在群体内的差异。使用多变量技术分析了多年的行为风险因素监测心脏和中风模块数据库。这些数据是横断面的,重点关注健康风险因素和行为。研究参与者是年龄在 18-99 岁的美国男性西班牙裔成年人。该研究的主要结果衡量标准是心脏病和中风症状知识得分。多变量逻辑回归分析表明,年龄≥18 岁的西班牙裔男性,如果在综合心脏病和中风知识问题上得分较低(范围为 0-8 分),则更有可能:受教育程度低于高中,因费用而推迟医疗,没有指定的医疗服务提供者,并且没有保险。存在显著的群体内差异。针对受教育程度较低(低于高中)、没有指定的医疗服务提供者或医疗保险、因费用而推迟医疗的年龄较大(≥55 岁)的西班牙裔男性开展教育工作,以及因费用而推迟医疗的男性,可能是改善美国西班牙裔成年男性群体中急性血管事件结局的方法。