Awareness of Cardiovascular Disease and Preventive Behaviors Among Overweight Immigrant Latinas.
Awareness of Cardiovascular Disease and Preventive Behaviors Among Overweight Immigrant Latinas.
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超重移民拉丁裔的心血管疾病和预防行为的认识。
DOI：
10.1097/jcn.0000000000000181
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发表时间：
2015-09
期刊：
影响因子：
--
通讯作者：
Brecht ML
中科院分区：
文献类型：
--
作者：
Koniak-Griffin D;Brecht ML
方法：90名参与者在Su Corazón， Su Vida的8个教育课程前后完成CVD知识问卷。课程的重点是了解心血管疾病的危险因素，并通过心脏健康饮食、体育活动和体重控制进行预防。问卷评估了一般的心血管疾病知识（例如，心脏病是女性死亡的主要原因）和预防措施（例如，体育活动可以降低女性患心脏病的风险）。数据分析采用广义估计方程和相关统计。结果：参与者是中年，超重的拉丁裔，主要是墨西哥裔，教育程度和文化适应程度低。人们对心脏病是妇女死亡的主要原因的基本认识很低。干预前与干预后问卷得分比较差异有统计学意义（P< 0.001），均值分别为7.9分和9.4分。在11个问题中，正确回答的单项得分有9个显著提高，包括关于减肥的分量控制、体育活动、超重和心脏病风险的问题。大多数参与者没有意识到男性和女性可能会经历不同的心脏病发作症状。知识与背景特征、体重指数或生活方式行为没有显著相关性。结论：尽管开展了提高心血管疾病意识的运动，但许多说西班牙语的拉丁裔移民仍然不知道心脏病是导致死亡的主要原因。教育干预可显著提高其心血管疾病知识水平；尽管如此，仍需要为这一人群继续开展心血管健康促进工作。
Methods:Ninety participants completed a CVD knowledge questionnaire before and after 8 educational sessions based upon Su Corazón, Su Vida. The curriculum focused on understanding risk factors of CVD and prevention through heart-healthy diets, physical activity, and weight control. The questionnaire evaluated general CVD knowledge (eg, heart disease is the leading cause of death in women) and prevention measures (eg, physical activity can lower a woman’s risk for getting heart disease). Data were analyzed using generalized estimating equations and correlational statistics.Results:Participants were middle-aged, overweight Latinas, predominantly of Mexican descent, with low education and acculturation. Baseline knowledge that heart disease is the leading cause of death in women was low. A comparison of preintervention and postintervention scores on the questionnaire showed a significant change (P< 0.001), with means of 7.9 and 9.4, respectively. Scores for individual items correctly answered significantly improved for 9 of the 11 items, including questions about portion control to lose weight, physical activity, overweight, and risk for heart disease. Most participants did not recognize that men and women may experience different symptoms of a heart attack. Knowledge was not significantly related to background characteristics, body mass index, or lifestyle behaviors.Conclusions:Despite campaigns to increase CVD awareness, many Spanish-speaking, immigrant Latinas remain unaware that heart disease is the leading cause of death. Educational interventions may significantly improve their CVD knowledge; nonetheless, continued cardiovascular health promotion efforts are needed for this population.