Assessment of Cardiovascular Disease Occupational Risk Factors of Tampa Latino Populations

Jonathan MeadowsUniversity of South FloridaApril, 15 2007NCUR 21st ConferenceSan Raul, California

Overview

Problem Purpose Target Population Visual Representation Methodology Data Collection

Problem: Introduction

US: Cardiovascular Disease (CVD): #1 cause One out of five adults: some level of CVD

Florida: Heart Disease #1 (48,129 deaths) Stroke #3

Hillsborough County 2,417 out of 48,129 death via Heart Disease

Problem: Introduction

Hispanic Population Fastest growing population segment Cultural assimilation increase CVD

incidences CVD causes ¼ of deaths Longer length of residence in US

increase CVD risk

Problem: Literature Review

CVD Statistical Targets Minor systolic blood pressure reduction Cholesterol reduction

Significantly uncontrolled in CVD affected populations High Cholesterol High Blood Pressure

Problem: Literature Review

Five Common Risk Factors: High blood pressure High cholesterol

Atherosclerosis Cigarette smoking Diabetes Familial history

Deficit in awareness in the general Latino community regarding: Impact on lifestyle on CVD Behavior on CVD Need for behavior change

Problem: Literature Review

Occupational Health Hazards High-level stress jobs

Injury and illness rate increased more than non-Latinos

Extreme high temperature Environmental tobacco smoke Labor Intensive occupations with

little reward Documented increase in

carotid atherosclerosis

Purpose

To determine the impact of occupational health hazards on the rates of CVD in Latinos

To identify significant physiological and occupational risk factors among Latinos to be used as CVD intervention targets

To increase awareness of risk factors associated with CVD in the Latino population

Target Population

Latinos: Language & cultural barriers Difference in distribution resources

Rural Hillsborough County Metro Tampa

100 participants Data selection:

Inclusionary principles: Latinos living in Tampa-Metro Area

No-cost clinical treatment & referral system for Latino population 150% under federal poverty guidelines

Methodology Outline

1. Assessment of CVD risk factors2. Assessment of Occupational health

hazards3. Dissemination of educational material4. Implement high risk individual

counseling, referrals to group health education, occupational safety training

Visual Representation

Client CVD High-RiskDiagnosed CVD

Physician Referral Self- Referral

Assessment of CVD& Occupational Haz Risk

1-on-1 Counseling

Enters Ama tu Corazón (Ama)

Physician Monitors Client

Attendance of Ama and counseling

PRN

Client contact via outreach or seek

information

Tracked for follow-up (upon request)

Asses interest in participation

Assessment of CVD& Occupational Haz Risk.

High risk is determined

Physician referral

Referral to Ama for Health education &

Prevention

Addition to database;

Followed-up for evaluation

Future program development(1)

High Risk CVD Hispanic Clientt

Y

Contact/ Visited & Tracked for follow

(upon request)

N

Y

N

Y

N

Methodology: Theoretical Framework

Ecological Perspective Assessment of CVD Risk Factors &

Occupational Hazards Transtheoretical Perspective

Promote healthy lifestyle, behavior change, & occupational safety

Social Marketing Perspective Techniques of commercial marketing to

influence behavior

Methodology: Data Collection

Collection of baseline data Tool: Job Content Questionnaire (JCQ)

Function: Asses risk to predicted job-related illness

1-4 Likert Scale Scales for Occupation Assessment:

Job decision latitude Workplace social support Work related physical exertion

Methodology: Data Collection

Additional CVD Survey Components Demographic data Health indicators Health behaviors Clinical

Blood Pressure Weight Waist circumference

Instrument administration Face-to-face (Health educator)

Methodology: Dissemination

Increase general awareness Health educators

Assigned to free clinic serving Latino population

Distribute materials & promote educational discussion

Entry into self-referral path of study Study Recruitment Occupational safety classes recruitment

Usage of various American Heath Association

Methodology: Implementation

Adherence to specialized health education classes Ama Tu Corazón classes with

occupational health hazard component Usage of ecological approach

Prevention targets: Physical environment Availability of services

Usage socio-cultural approach: Providing culturally appropriate

interventions

Methodology: Implementation

Program: Integration into NHLBI’s “Su Corazón, Su Vida” Behavioral change mobility via skill building

activities Start of class

If high risk: referral to “physician pathway” If not: continuation All clients are given record to document BP & Weight

for 2-3 months Nine-lesson program

Mobility thought stages of behavior Lessons & Session: Review, education, pledges,

culturally sensitive retention activities

Data Analysis

Data Sources JCQ survey Demographics

Independent Variables: Sex, age, physical activity, smoking, occupation

type, job stress, job strain Dependent Variable: Blood pressure Microsoft Access database

Data Analysis

Statistics SPSS Software Univariate analyses Bivariate analyses Analysis of Covariance (ANCOVA):

analysis of proposed research questions

Acknowledgements

Collaborative effort Jaime Corvin, PhD, MSPH

Primary investigator Assistant Professor, USF College of Public Health Secretary and Treasure, Fundación Familia Sana

Wayne Westhoff, PhD, MPH, MSW Assistant Professor, USF College of Public Health President, Fundación Familia Sana

Staff and Faculty of USF Office of Undergraduate Research

University of South Florida Dominican University of California NCUR

Fine

Questions & Answers

Meadows 2007