South Asians Engaging in Hypertension Awareness & Treatment (SAEHAT)

描述(申请人提供)：高血压是心脏病和中风的主要危险因素。健康人2010年的目标包括将正在采取行动控制高血压的成年人比例提高到95%，将成年人血压控制的比例提高到50%。南亚人的心血管(CVD)疾病的发病率是世界上最高的。血压升高是代谢综合征的一部分，使南亚人面临极高的心血管疾病风险。来自印度、巴基斯坦和孟加拉国等国的南亚移民是我们人口中增长最快的部分。美国有超过167万“亚裔印度人”。从1990年到2000年，美国的孟加拉人增加了248%，巴基斯坦人增加了89%。纽约市是吸引南亚移民的磁石。由于严重的心血管疾病发病率，确定高危人群、修正他们的危险因素和便利获得卫生保健是当务之急。从事高血压意识和治疗的南亚人(SAEHAT)解决了南亚裔美国人在高血压教育和服务联系方面的明显差距。SAEHAT的目标是：目标一：发展和提高能力建设，以支持以社区为基础的参与式教育、研究和培训，以减少心血管疾病的差距；目标二：制定以社区为基础的参与性研究计划，以减少心血管疾病的差距；目标三：通过随机对照研究设计和评估可扩展的基于视频的教育和导航器干预在改善获得a)高血压护理和b)心血管疾病危险因素诊断方面的有效性。据推测，SAEHAT将因此降低南亚裔美国人患心血管疾病的风险。具体地说，我们假设视频导航器干预将导致：1)高血压的医学评估增加；2)高血压药物治疗的可能性增加；以及3)更好的血压控制率。此外，这些增加的医学评估的结果将是对额外的心血管危险因素的诊断和治疗，无论是单独的还是联合的，如代谢综合征。

DESCRIPTION (provided by applicant): Hypertension is a major risk factor for heart disease and stroke. Healthy People 2010 objectives include increasing the proportion of adults with hypertension who are taking action to control it to 95%, and increasing the proportion of adults with controlled BP to 50%. The rate of cardiovascular (CVD) disease among South Asians is the highest in the world. Elevated blood pressure is part of a metabolic syndrome putting South Asians at extremely high CVD risk. South Asian immigrants, from countries including India, Pakistan, and Bangladesh, are among the fastest growing segment of our population. The U.S. is home to over 1.67 million 'Asian Indians'. From 1990 to 2000, the Bangladeshi population in the United States increased by 248%, and the Pakistani by 89%. New York City is a magnet for South Asian immigrants. Because of the severe cardiovascular morbidity, identification of those at risk, modification of their risk factors, and facilitating access to health care are imperative. South Asians Engaging in Hypertension Awareness and Treatment (SAEHAT) addresses the glaring gap in hypertension education and service linkage for South Asian Americans. The aims of SAEHAT are: Aim I: To develop and increase capacity building to support community-based participatory education, research, and training to reduce cardiovascular disparities; Aim II: To develop a community-based participatory research program to reduce cardiovascular disease disparities; Aim III: To design and assess through a randomized control study the efficacy of a scalable video-based education and navigator intervention in improving access to a) hypertension care, and b) to cardiovascular disease risk factor diagnosis in the South Asian American community. It is hypothesized that SAEHAT will thereby decrease the South Asian American risk for cardiovascular disease. Specifically, we hypothesize that the video navigator intervention will lead to: 1) increases in medical evaluations for hypertension; 2) increases in the likelihood of being on medication for hypertension; and 3) better rates of controlled blood pressure. Further, an outgrowth of these increased medical evaluations will be the diagnosis and treatment of additional cardiovascular risk factors, either alone or in combination as the metabolic syndrome.