FOCUS: Foreign Born Latinos Cardiovascular Screening

焦点：外国出生的拉丁裔心血管筛查

• 批准号: 10595597
• 负责人: John Heintzman
• 金额: --
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-22 至 2024-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10595597
• 关键词: Address; Aspirin; Authorization documentation; Birth; Blood Pressure; Body mass index; Cardiovascular Diseases; Cardiovascular system; Caring; Categories; Clinical; Communities; Community Health Education; Community Health Networks; Country; Cuban; Data; Data Linkages; Data Set; Databases; Demographic Factors; Disparity; Education; Educational Status; Electronic Health Record; Ethnic Origin; Ethnic Population; Fright; Geography; Glucose; Health; Health Personnel; Health Services Research; Healthcare; Immigrant; Immigration; Individual; Inequality; Insurance; Insurance Coverage; Intervention; Knowledge; Language; Latino; Latino Population; Link; Lipids; Literature; Measurement; Measures; Methods; Mexican; Morbidity - disease rate; Neighborhood Health Center; Not Hispanic or Latino; Outcome; Patients; Policies; Policy Maker; Population; Population Intervention; Poverty; Prevention; Preventive service; Provider; Public Health; Race; Recommendation; Reporting; Research; Research Personnel; Resources; Risk; Rural; Sampling; Screening for cancer; Services; Smoker; Subgroup; Tobacco; United States; Vulnerable Populations; authority; barrier to care; community-level factor; data resource; ethnic segregation; experience; health care availability; health care service utilization; health data; improved; innovation; longitudinal dataset; member; mortality; patient oriented; patient-level barriers; point of care; poor communities; poor health outcome; population based; population health; preference; prevention service; risk stratification; rurality; screening; screening services; service utilization; social factors; social health determinants; urban residence

Project Summary/Abstract Latino immigrants experience numerous disparities in the receipt of routine health care. They are at risk for significant poor outcomes from cardiovascular disease; however, the extent to which Latino immigrants experience appropriate cancer screening and prevention services, compared with US born-Latinos and non- Hispanic whites, is not well understood. This may be, in part, because studying the health care of Latino immigrants has numerous challenges. Foreign-born status is not widely and routinely collected, and foreign born patients may not have the access to healthcare related datasets that would objectively record their healthcare utilization. Additionally, there is some scientific evidence that different sub groups of immigrants may receive different services; specific ethnic subgroup (Mexican individuals, for instance), Spanish speaking individuals, rural- residing immigrants may utilize services differently than contrasting groups. However, knowledge on these differences is incomplete because studies to date have failed to include all necessary data to understand these relationships. In order to better understand cardiovascular prevention disparities between foreign-born Latinos, US- born Latinos, and non-Hispanic Whites, we will leverage a unique data resource from a large, national network of community health centers with shared electronic health record data that is linked to community-level social determinants of health data. This large, longitudinal dataset contains country of birth for >87,000 Latinos and also contains unprecedented data linkages which will let us assess disparities and better understand which specific groups are most at risk for the under-utilization of cardiovascular prevention. Understanding these factors that most heavily impact cardiovascular preventive service use is crucial to the prioritization of population-based interventions to improve cardiovascular outcomes. This research will enable action/intervention in three ways: 1. It will enable more informed policy decisions to improve public health and wellness in foreign born Latinos. 2. It will facilitate strategic partnerships between healthcare providers and community agencies poised to intervene in social factors in the lives of Latino immigrants. 3. It will help clinical providers understand their patients' barriers to care utilization, and further point-of-care efforts to address these barriers that influence their Latino immigrant patients' utilization of recommended cardiovascular prevention services.

项目总结/摘要 拉丁美洲移民在接受常规医疗保健方面经历了许多差距。他们有可能 心血管疾病的显著不良结局;然而，拉丁美洲移民的程度 与美国拉美裔和非拉美裔相比， 西班牙裔白人，不太了解。这可能部分是因为研究拉丁美洲人的医疗保健 移民面临许多挑战。外国出生的身份并没有广泛和例行收集，外国出生的身份也没有被收集。 出生的患者可能无法访问医疗保健相关的数据集，这些数据集将客观地记录他们的 保健利用。此外，有一些科学证据表明，不同的移民群体 可以接受不同的服务;特定的种族群体（例如墨西哥人），讲西班牙语 就个人而言，居住在农村的移民可能会以不同于对照群体的方式利用服务。然而，在这方面， 关于这些差异的知识是不完整的，因为迄今为止的研究未能包括所有必要的数据 来理解这些关系。 为了更好地了解外国出生的拉丁美洲人之间的心血管预防差异，美国- 出生的拉丁美洲人和非西班牙裔白人，我们将利用来自大型全国网络的独特数据资源， 社区卫生中心的共享电子健康记录数据与社区级社会 健康数据的决定因素。这个大型纵向数据集包含> 87，000名拉丁美洲人的出生国， 它还包含了前所未有的数据链接，这将使我们能够评估差距，更好地了解 特定群体最有可能对心血管疾病预防措施利用不足。了解这些 最严重影响心血管预防服务使用的因素对于优先考虑 以人群为基础的干预措施，以改善心血管结局。 这项研究将使行动/干预在三个方面：1。它将使政策更加明智 决定改善外国出生的拉丁美洲人的公共卫生和健康。2.它将促进战略伙伴关系 在医疗保健提供者和社区机构之间， 拉丁裔移民。3.它将帮助临床提供者了解他们的病人的障碍，以照顾利用， 进一步的护理点努力，以解决这些障碍，影响他们的拉丁美洲移民患者的利用， 推荐心血管疾病预防服务。