Kamimura Akiko, Nourian Maziar M, Chernenko Alla, Rathi Naveen, Oslund Michael-Ann, Ashby Jeanie
1 Department of Sociology, University of Utah, Salt Lake City, UT, USA.
2 School of Medicine, University of Utah, Salt Lake City, UT, USA.
Chronic Illn. 2019 Mar;15(1):41-50. doi: 10.1177/1742395317746469. Epub 2017 Dec 17.
The purpose of this study was to examine cardiovascular disease-related health beliefs and how they are influenced by knowledge and a sense of community among uninsured primary care patients.
This study was a cross-sectional study using a self-administered paper survey (January to April 2016). The study population included medically uninsured US-born English speakers, non-US-born English speakers, and Spanish speakers.
Medically uninsured adults utilizing a free clinic (N = 374) participated in the survey. Increasing knowledge about major risk factors for developing cardiovascular disease helped enhance levels of perceived severity of cardiovascular disease and benefits of healthy diet and physical activity. Spanish speakers reported higher levels of perceived severity of cardiovascular disease but lower levels of knowledge compared to US-born or non-US-born English speakers.
Spanish speakers may need different approaches to promote cardiovascular disease prevention due to their higher levels of perceived severity of cardiovascular disease but lower levels of cardiovascular disease-related knowledge compared to English speakers. Developing a healthy "community" in a clinic setting may be effective to promote cardiovascular disease-related health for underserved populations.
本研究旨在探讨与心血管疾病相关的健康观念，以及未参保的初级保健患者的知识和社区意识如何对这些观念产生影响。
本研究为横断面研究，采用自行填写的纸质调查问卷（2016年1月至4月）。研究对象包括在美国出生的讲英语的未参保者、非美国出生的讲英语者以及讲西班牙语者。
利用免费诊所的未参保成年人（N = 374）参与了调查。对心血管疾病主要危险因素的了解增加，有助于提高对心血管疾病严重程度的认知水平，以及对健康饮食和体育活动益处的认知。与在美国出生或非美国出生的讲英语者相比，讲西班牙语者报告的心血管疾病严重程度认知水平较高，但知识水平较低。
与讲英语者相比，讲西班牙语者可能因心血管疾病严重程度认知水平较高但心血管疾病相关知识水平较低，而需要不同的方法来促进心血管疾病预防。在诊所环境中营造健康的“社区”，可能对促进服务不足人群的心血管疾病相关健康有效。
