Ethn Dis. 2014 Spring;24(2):155-61.
To assess risk factors for cardiovascular disease, barriers to health care, and desired health care education topics for Hispanics in the coastal region of South Carolina known as the Lowcountry.
174 Hispanic adults were surveyed at visits at the Mexican consulate using a novel interview instrument. The prevalence of cardiovascular risk factors was compared to the Behavioral Risk Factor Surveillance System (BRFSS), an annual telephone survey, to evaluate the validity of the survey instrument.
Results are comparable to the BRFSS telephone study of the Hispanics in the same area. However, participants in our study were older (Age > 35 = 41.4% vs. 34.9%) and reported fewer years of formal education (higher level education = 12.9% vs. 44.2%). Cost of care (72.8%) and language barriers (46.8%) were the main difficulties reported in obtaining health care access. The main educational topics of interest were diabetes (61.5%), hypertension (43.7%), stress (42.5%), and cardiac disease (40.2%).
Our study supports the evidence that there is a demand and need for cardiovascular disease and diabetes education among Hispanics. Our study also shows that a large proportion of Hispanics experience barriers to health care. and that large telephone studies may underrepresent higher risk Hispanic populations.
评估南卡罗来纳州沿海低地地区（Lowcountry）的西班牙裔人群患心血管疾病的风险因素、医疗保健障碍以及他们希望接受的医疗保健教育主题。
在墨西哥领事馆的就诊期间，使用一种新颖的访谈工具对 174 名西班牙裔成年人进行了调查。通过比较心血管风险因素的患病率与行为风险因素监测系统（BRFSS），即年度电话调查，评估了调查工具的有效性。
研究结果与同一地区西班牙裔人群的 BRFSS 电话研究结果相媲美。然而，我们研究中的参与者年龄更大（年龄>35 岁=41.4% 比 34.9%），且报告的正规教育年限较少（高等教育=12.9% 比 44.2%）。获得医疗保健的主要困难是费用问题（72.8%）和语言障碍（46.8%）。最感兴趣的教育主题是糖尿病（61.5%）、高血压（43.7%）、压力（42.5%）和心脏疾病（40.2%）。
我们的研究支持了这样一种证据，即西班牙裔人群对心血管疾病和糖尿病教育存在需求。我们的研究还表明，相当一部分西班牙裔人群面临医疗保健障碍，而且大型电话研究可能会低估高风险的西班牙裔人群。
