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首页> 外文期刊>International Journal of Environmental Research and Public Health >Perceptions of Community Health Workers (CHWs/PS) in the U.S.-Mexico Border HEART CVD Study
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Perceptions of Community Health Workers (CHWs/PS) in the U.S.-Mexico Border HEART CVD Study

机译：在美国-墨西哥边境HEART CVD研究中对社区卫生工作者（CHWs / PS）的看法

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Although prior research has shown that Community Health Workers/Promotores de Salud (CHW/PS) can facilitate access to care, little is known about how CHW/PS are perceived in their community. The current study reports the findings of a randomized telephone survey conducted in a high-risk urban community environment along the U.S.-Mexico border. In preparation for a community-based CHW/PS intervention called the HEART ecological study, the survey aimed to assess perceptions of CHW/PS, availability and utilization of community resources (recreational and nutrition related) and health behaviors and intentions. A total of 7,155 calls were placed to complete 444 surveys in three zip codes in El Paso, Texas. Results showed that participants felt that healthful community resources were available, but utilization was low and variable: 35% reported going to a park, 20% reported having taken a health class, few reported using a gym (12%), recreation center (8%), or YMCA/YWCA (0.9%). Awareness and utilization of CHW/PS services were low: 20% of respondents had heard of CHW/PS, with 8% reporting previous exposure to CHW/PS services. Upon review of a definition of CHW/PS, respondents expressed positive views of CHW/PS and their value in the healthcare system. Respondents who had previous contact with a CHW/PS reported a significantly more positive perception of the usefulness of CHW/PS (p = 0.006), were more likely to see CHW/PS as an important link between providers and patients (p = 0.008), and were more likely to ask a CHW/PS for help (p = 0.009). Participants who utilized CHW/PS services also had significantly healthier intentions to reduce fast food intake. Future research is needed to evaluate if CHW/PS can facilitate utilization of available community resources such as recreational facilities among Hispanic border residents at risk for CVD.
机译：尽管先前的研究表明，社区卫生工作者/萨卢德促进者（CHW / PS）可以促进获得护理的机会，但是人们对社区中CHW / PS的看法知之甚少。本研究报告了在美墨边境高风险的城市社区环境中进行的一项随机电话调查的结果。为准备基于社区的CHW / PS干预措施（称为HEART生态研究），该调查旨在评估对CHW / PS的看法，社区资源（与娱乐和营养有关）的可用性和利用以及健康行为和意图。在德克萨斯州的埃尔帕索，总共拨打了7155个电话，以三个邮政编码完成444个调查。结果表明，参与者认为可以使用健康的社区资源，但利用率很低且易变：35％的人报告去了公园，20％的人报告了健康课，很少报道使用体育馆（12％），娱乐中心（8 ％）或YMCA / YWCA（0.9％）。 CHW / PS服务的意识和利用率很低：20％的受访者听说过CHW / PS，其中8％的人报告过以前接触过CHW / PS服务。在回顾了CHW / PS的定义后，受访者对CHW / PS及其在医疗保健系统中的价值表达了积极的看法。先前接触过CHW / PS的受访者表示，对CHW / PS有用性的看法要积极得多（p = 0.006），更有可能将CHW / PS视为提供者和患者之间的重要联系（p = 0.008）。 ，并且更有可能向CHW / PS寻求帮助（p = 0.009）。使用CHW / PS服务的参与者也有明显更健康的意图来减少快餐摄入量。需要进行进一步的研究，以评估CHW / PS是否可以促进对有CVD风险的西班牙裔边境居民中可用社区资源的利用，例如娱乐设施。

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