FOCUS: Foreign Born Latinos Cardiovascular Screening

项目摘要/摘要 拉美裔移民在接受常规医疗保健方面经历了许多差异。他们正处于危险之中 心血管疾病的严重不良结局；然而，拉丁裔移民在很大程度上 与美国出生的拉丁裔和非拉丁裔相比，体验适当的癌症筛查和预防服务 西班牙裔白人，还没有得到很好的理解。这在一定程度上可能是因为研究拉丁裔的医疗保健 移民面临着无数的挑战。外国出生的身份不是广泛和例行公事地收集的，外国的 出生的患者可能无法访问与医疗保健相关的数据集，这些数据集将客观地记录他们的 医疗保健利用率。此外，有一些科学证据表明，不同的移民亚群 可能会得到不同的服务；特定的种族亚群(例如，墨西哥人)，讲西班牙语 居住在农村的移民个人可能会以不同的方式使用服务，而不是相反的群体。然而， 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。 为了更好地了解在外国出生的拉美裔美国人之间的心血管预防差异- 出生于拉美裔和非西班牙裔白人，我们将利用来自大型全国性网络的独特数据资源 拥有共享电子健康记录数据的社区卫生中心，这些数据链接到社区级别的社会服务 健康数据的决定因素。这个大型的纵向数据集包含87,000名拉丁裔和 还包含前所未有的数据链接，这将使我们能够评估差异并更好地了解 特定群体在心血管预防方面利用不足的风险最大。了解这些 对心血管预防服务使用影响最大的因素对 以人群为基础的干预措施，以改善心血管结果。 这项研究将通过三种方式实现行动/干预：1.它将实现更明智的政策 决定改善在外国出生的拉丁裔的公共卫生和健康。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，准备干预生活中的社会因素 拉丁裔移民。3.它将帮助临床提供者了解他们的患者在利用医疗服务方面的障碍，以及 进一步努力解决这些障碍，这些障碍影响他们的拉美裔移民患者利用 推荐的心血管预防服务。

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.