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《健康之心:一项以社区为基础的教育计划,旨在提高高危西班牙裔女性的心血管健康知识》

Vivir Con Un Corazón Saludable: a Community-Based Educational Program Aimed at Increasing Cardiovascular Health Knowledge in High-Risk Hispanic Women.

机构信息

Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.

Standford Hospital and Clinics, Standford, CA, USA.

出版信息

J Racial Ethn Health Disparities. 2016 Mar;3(1):99-107. doi: 10.1007/s40615-015-0119-6. Epub 2015 May 28.

Abstract

BACKGROUND

Hispanic women suffer from high rates of cardiometabolic risk factors and an increasingly disproportionate burden of cardiovascular disease (CVD). Particularly, Hispanic women with limited English proficiency suffer from low levels of CVD knowledge associated with adverse CVD health outcomes.

METHODS

Thirty-two predominantly Spanish-speaking Hispanic women completed, Vivir Con un Corazón Saludable (VCUCS), a culturally tailored Spanish language-based 6-week intensive community program targeting CVD health knowledge through weekly interactive health sessions. A 30-question CVD knowledge questionnaire was used to assess mean changes in CVD knowledge at baseline and postintervention across five major knowledge domains including CVD epidemiology, dietary knowledge, medical information, risk factors, and heart attack symptoms.

RESULTS

Completion of the program was associated with a statistically significant (p < 0.001) increase in total mean CVD knowledge scores from 39 % (mean 11.7/30.0) to 66 % (mean 19.8/30.0) postintervention consistent with a 68 % increase in overall mean CVD scores. There was a statistically significant (p < 0.001) increase in mean knowledge scores across all five CVD domains.

CONCLUSION

A culturally tailored Spanish language-based health program is effective in increasing CVD awareness among high CVD risk Hispanic women with low English proficiency and low baseline CVD knowledge.

摘要

背景

西班牙裔女性患心血管代谢风险因素的比率较高,且心血管疾病(CVD)的负担日益不成比例。特别是,英语水平有限的西班牙裔女性,由于与不良 CVD 健康结果相关的 CVD 知识水平较低,面临着更大的风险。

方法

32 名主要讲西班牙语的西班牙裔女性完成了“健康之心(Vivir Con un Corazón Saludable, VCUCS)”,这是一个基于西班牙语的 6 周强化社区项目,通过每周的互动健康课程,针对 CVD 健康知识进行了文化适应性调整。使用一份包含 30 个问题的 CVD 知识问卷,评估了五个主要知识领域(包括 CVD 流行病学、饮食知识、医学信息、风险因素和心脏病发作症状)中 CVD 知识在基线和干预后的平均变化。

结果

完成该项目与 CVD 知识总平均分的显著统计学增加相关(p < 0.001),从干预前的 39%(平均 11.7/30.0)增加到干预后的 66%(平均 19.8/30.0),与 CVD 总平均分的 68%增加一致。在所有五个 CVD 领域的平均知识分数都有显著统计学增加(p < 0.001)。

结论

基于西班牙语的文化适应性健康项目可有效提高英语水平较低、基线 CVD 知识较低的高 CVD 风险西班牙裔女性对 CVD 的认识。

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