142nd APHA Annual Meeting and Exposition

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Demographics and Cardiovascular Risk Factors in a Bi-ethnic Church-based Intervention: Baseline Results of the Stroke Health and Risk Education (SHARE) Project

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Lesli Skolarus, MD, MS , Stroke Program, Department of Neurology, University of Michigan, Ann Arbor, MI
Lewis Morgenstern, MD , Stroke Program, Department of Neurology, University of Michigan, Ann Arbor, MI
Brisa N. Sanchez, PhD , Department of Biostatistics, University of Michigan, Ann Arbor, MI
Kathleen Conley, PhD , School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti, MI
Ken Resnicow, PhD , School of Public Health - Health Behavior & Health Education, University of Michigan, Ann Arbor, MI
Joan E. Cowdery, PhD , School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti, MI
Emma Sais , Stroke Program, U of Michigan, Ann Arbor, MI
Devin Brown , Stroke Program, University of Michigan, Ann Arbor, MI
Background: Hispanics have a higher incidence of cardiovascular disease (CVD) than non-Hispanic whites (NHWs) but are underrepresented in clinical trials. We describe baseline demographics and CVD behavioral risk factors among participants of a bi-ethnic, church-based, primary prevention trial.

Methods: The Stroke Health and Risk Education (SHARE) project is a cluster-randomized, multi-component, faith-based, behavioral intervention that enrolled Mexican Americans (MAs) and NHWs from Catholic churches in Corpus Christi, Texas. Recruitment strategies included church announcements, parish liaisons and recruitment in pairs. The proportion of participants whose sodium intake, fruit intake, vegetable intake, and physical activity all met guideline recommendations was calculated. Ethnic comparisons of behavioral CVD risk factors were performed using descriptive statistics and regression models.

Results:  A total of 760 baseline interviews were conducted; 84% of subjects were MAs. MAs were younger (51 vs. 59, p<0.01) and more likely to be women (66% vs. 52% p<0.01) than NHWs. Only 0.4% of participants met all recommendations for diet and physical activity. There were no ethnic differences in sodium (p=0.64), fruit intake (p=0.17) or physical activity (p=0.59). MAs ate fewer cups of vegetables per week than NHWs (1.36 vs. 1.75, p<0.01).

Conclusion: Church-based recruitment of MAs was effective in this bi-ethnic community. Less than 1% of the participants met all guideline lifestyle recommendations for CVD prevention and there were few ethnic differences in CVD risk factors suggesting a need for the intervention in both MAs and NHWs.

Learning Areas:

Planning of health education strategies, interventions, and programs

Learning Objectives:
Identify the need for CVD prevention in bi-ethnic populations. Discuss similarities and differences in CVD risk and protective factors comparing Mexican Americans and non-Hispanic whites. Discuss successful recruiting of Mexican Americans into a church-based CVD prevention intervention.

Keyword(s): Prevention, Strokes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a co-investigator on this project. My research interests are in partnering with communities to reduce stroke disparities. I currently hold an NIH career development award addressing this topic.
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.

Back to: 2073.0: Community-Based and Community-Engaged Health Promotion Programs