Journal of Immigrant and Minority Health
Volume 20, Issue 6, 2018, Pages 1490-1499

Increasing Stroke Knowledge and Decreasing Stroke Risk in a Latino Immigrant Population (Article)

Silberberg M.* , Goldstein L.B. , Weaver S. , Blue C.
  • a Department of Community and Family Medicine, Duke University Medical School, Durham, NC, United States, Division of Community Health, Duke University Medical School, DUMC 104425, Durham, NC 277210, United States
  • b Department of Neurology, University of Kentucky, Lexington, KY, United States
  • c Department of Community and Family Medicine, Duke University Medical School, Durham, NC, United States
  • d UNC Institute for Global Health and Infectious Diseases, Chapel Hill, NC, United States

Abstract

Stroke knowledge is poor and stroke risk is growing for the U.S. Latino immigrant population. We present results of an evaluation of a tailored, community-based intervention in Durham, North Carolina. The intervention included integration of stroke knowledge into classes and workshops at a community-based organization. Knowledge surveys were administered to participants immediately before and after stroke education, and at multiple points over the following year. For both low-risk participants receiving classroom-based education and individually care managed participants with risk factors, stroke knowledge improved dramatically and remained high among those who could be reached for follow-up. Evidence of behavior change and change in clinical status was weak. These findings from an observational study conducted in a real-world context complement the results of previously reported efficacy studies, indicating potential gains from health education for Latino immigrants, even from classroom-based education for low-risk individuals. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Stroke Latino health Immigrant health Community health Health education

Index Keywords

hypercholesterolemia Stroke cerebrovascular accident human epidemiology Health Behavior North Carolina diabetes mellitus obesity hypertension Cultural Competency ethnology cultural competence Hispanic Americans Humans migrant Hispanic smoking male Emigrants and Immigrants female Socioeconomic Factors risk factor Risk Factors socioeconomics Health Knowledge, Attitudes, Practice organization and management adult health education attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040866599&doi=10.1007%2fs10903-018-0690-0&partnerID=40&md5=06f63690c774cb53c7bf98a18063a99a
DOI: 10.1007/s10903-018-0690-0
ISSN: 15571912
Original Language: English