FOCUS: Foreign Born Latinos Cardiovascular Screening

焦点：外国出生的拉丁裔心血管筛查

• 批准号: 10246198
• 负责人: John Heintzman
• 金额: $ 55.96万
• 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 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10246198
• 关键词: Address; Aspirin; Birth; Blood Pressure; Body mass index; Cardiovascular Diseases; Cardiovascular system; Caring; Clinical; Communities; Community Health Networks; Country; Cuban; Data; Data Linkages; Data Set; Databases; Education; Educational Status; Electronic Health Record; Fright; Geography; Glucose; Health; Health Personnel; Health Services Research; Healthcare; Immigrant; Immigration; Individual; Inequality; Insurance; Insurance Coverage; Intervention; Knowledge; Language; Latino; Link; Lipids; Literature; Measurement; Measures; Methods; Mexican; Morbidity - disease rate; Neighborhood Health Center; Not Hispanic or Latino; Outcome; Patients; Policies; Policy Maker; Population; Poverty; Prevention; Preventive service; Provider; Public Health; Reporting; Research; Research Personnel; Resources; Risk; Rural; Sampling; Screening for cancer; Services; Smoker; Subgroup; Tobacco; United States; Vulnerable Populations; authority; barrier to care; data resource; demographics; experience; health care availability; health care service utilization; health data; healthcare community; improved; innovation; longitudinal dataset; member; mortality; patient oriented; patient-level barriers; point of care; poor communities; population based; population health; preference; prevention service; racial and ethnic; risk stratification; rurality; screening; screening services; segregation; 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.

项目概要/摘要 拉丁裔移民在接受常规医疗保健方面存在许多差异。他们处于危险之中 心血管疾病导致的严重不良后果；然而，拉丁裔移民的程度 与美国出生的拉丁裔和非裔美国人相比，体验适当的癌症筛查和预防服务 西班牙裔白人，不太了解。这可能部分是因为研究拉丁裔的医疗保健 移民面临许多挑战。外国出生的身份并没有被广泛和常规地收集，而且外国 出生的患者可能无法访问客观记录他们的医疗保健相关数据集 医疗保健利用。此外，有一些科学证据表明不同的移民亚群体 可能会接受不同的服务；特定种族亚群（例如墨西哥人），讲西班牙语 对于个人而言，居住在农村的移民可能会以与对比群体不同的方式使用服务。然而， 关于这些差异的知识并不完整，因为迄今为止的研究未能包括所有必要的数据 去理解这些关系。 为了更好地了解外国出生的拉丁裔之间的心血管预防差异，美国 拉丁裔和非西班牙裔白人，我们将利用来自大型全国网络的独特数据资源 拥有共享电子健康记录数据的社区卫生中心，这些数据与社区级社会 健康数据的决定因素。这个大型纵向数据集包含超过 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哪些 特定群体面临的心血管预防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于确定优先顺序至关重要 以人群为基础的干预措施，以改善心血管结局。 这项研究将以三种方式实现行动/干预： 1. 它将实现更明智的政策 改善外国出生的拉丁美洲人的公共卫生和健康的决定。 2. 将促进战略伙伴关系 医疗保健提供者和社区机构之间准备干预人们生活中的社会因素 拉丁裔移民。 3. 它将帮助临床提供者了解患者使用护理的障碍，以及 进一步开展护理点工作，以解决影响拉丁裔移民患者利用医疗服务的这些障碍 推荐的心血管预防服务。