208095 Effectiveness of a multi-lingual telephone-based cardiovascular risk assessment for urban low-income, uninsured women in Los Angeles County

Monday, November 9, 2009: 4:53 PM

Susan A. Nyanzi, DrPH, CHES, ACSM , Office of Women's Health, Los Angeles County, Department of Public Health, El Monte, CA
Ximin Li, MD, MPHc , Office of Women's Health, Los Angeles County, Department of Public Health, El Monte, CA
Ariel Chen, RN, MPH , Office of Women's Health, Angeles County Department of Public Health, El Monte, CA
Rita Singhal, MD, MPH , Office of Women's Health, Los Angeles County, Department of Public Health, El Monte, CA
Ellen Eidem, MS , Office of Women's Health, Angeles County Department of Public Health, El Monte, CA
Heart disease is the leading cause of mortality and morbidity for women. For urban, low-income and uninsured women, disparities and barriers hinder increased awareness and knowledge on modifiable cardiovascular risk factors. Objective: To increase awareness of cardiovascular risk factors for urban, low-income and uninsured women in Los Angeles County. Methods: As an ongoing departmental project, a 7 language, phone-based cardiovascular risk assessment was developed and conducted. A validated pre/post test and assessment with tailored health comments on lifestyle modifications were administered. Callers with completed assessments were mailed a summary of their responses, corresponding health comments and health education material tailored to their responses. Six to ten weeks later, post-tests were administered. A two-tailed paired t-test assessed changes in awareness. With a power set at 90%, =.05 and a mean difference of 1.308, total sample size was calculated at 16. Analysis was performed on 195 cases.

Results: An overall increase in mean awareness was seen (95%CI [0.972, 1.387]; p<0.0001). Regardless of the number of risk factors, statistically significant increases in awareness were detected. Regardless of language spoken, English (95%CI [0.183, 0.865]; p<0.0045) vs. non-English (95%CI [1.032, 1.485]; p<0.0001) increases in awareness were seen and Chinese (95%CI [1.457, 2.149]; p<0.0001); Korean (95%CI [0.576, 1.322]; p<0.0001); and Hispanic Mexican women (95%CI [1.457, 2.149]; p<0.0001) showed significant mean increases. Conclusion: As we strive to minimize disparities and barriers in a public health departmental setting, initial risk assessment results show promise in increasing awareness of cardiovascular risk factors for urban, low-income and uninsured women.

Learning Objectives:
1.Identify a unique way to reach urban, low-income and unisured women 2. Demostrate a multi-lingual phone-based risk assessment can be successfully implemented in a county setting

Keywords: Epidemiology, Community-Based Public Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Doctorate in Public Health (DrPH) in prevention and Research Analyst for the Office of Women Health, Developed, implmented and evaluated the program
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.