Sunday, August 16, 2015

Blacks, Hispanics less aware of when to call 911 for Heart Attack signs

Newswise, August 16, 2015 — Every year, an estimated 700,000 Americans have a first heart attack, with another 500,000 suffering a recurrent attack.
About 40 percent of these people die as a result. However, many of these individuals might live if heart attack victims and bystanders recognize symptoms and call 911, said lead author Henraya McGruder, Ph.D., an epidemiologist at the Centers for Disease Control and Prevention (CDC). 

In a survey of 33,059 adults, most ages 25 to 64, McGruder and co-authors found that while knowledge of heart attack symptoms is poor within the general population, it is especially poor among African-Americans and Hispanics yet heart attacks are more prevalent among these populations than among whites. 
“Our research highlights the importance of targeting these groups with education, so they understand the signs of heart attack and know what to do,” she said.
 “The key to survival is knowledge and awareness of symptoms, because lifesaving treatments must be given within a certain time window.” 

The study appears in the spring issue of the journal Ethnicity and Disease, the journal of the International Society on Hypertension in Blacks. 
McGruder and CDC colleagues looked at data from the 2001 National Health Interview Survey, in which participants indicated their awareness of heart attack symptoms and the need to call 911 to get help fast.  
Respondents indicated their ability to recognize the following five signs of cardiac distress: (1) chest pain or discomfort; (2) pain or discomfort in the jaw, neck or back; (3) pain or discomfort in arms and shoulders; (4) feeling weak, lightheaded, or faint; and (5) shortness of breath. 

  
“Knowing the signs and symptoms — and knowing to call 911 — will decrease death and disability associated with heart attack,” McGruder said, noting also the importance of traveling to the hospital by ambulance.  
“Research suggests that patients arriving by ambulance received quicker care and a shorter time to treatment, compared to those who arrived via personal transportation,” she said. 
“This paper certainly adds ammunition to the argument that we need to build more culturally appropriate public information health campaigns,” said Brian Smedley, Ph.D., research director and co-founder of The Opportunity Agenda.  
“This paper does an important service in pointing to the need for patient education,” Smedley said.
“If we want to reduce the disproportionate burden of heart attack in communities of people of color, however, there are fundamental, structural issues we need to address.
"We also need sound public policies that can help to ensure that everyone has appropriate access to health care resources.” 
One problem, Smedley said, is that many hospitals have closed in minority neighborhoods.
Even with increased awareness of the symptoms of heart attack and knowing to call 911, minorities could still face longer travel times to get to an emergency room. 
Ethnicity & Disease is a quarterly medical journal studying the ethnic patterns of disease. For more information, contact ethndis@ishib.org or visithttp://www.ishib.org/ED_index.asp 
McGruder HF, et al. Racial and ethnic disparities associated with knowledge of symptoms of heart attack and use of 911: National Health Interview Survey, 2001. Ethn Dis 18(2), 2008. 




HHS launches initiative to improve the health Of Hispanic Elder

August 16, 2015--The HHS initiative "Improving Hispanic Elders' Health: Community Partnerships for Evidence-Based Solutions" is designed to encourage Hispanic elders and their families to take advantage of new Medicare benefits, including prescription drug coverage, flu shots, diabetes screening and self-management, cardiovascular screening, cancer screening services and smoking cessation programs.
"This unprecedented partnership will make it easier for communities to help Hispanic elders, especially those with chronic health conditions and limited resources, to overcome barriers that impede their access to healthcare and social supports that can improve their health," Secretary Leavitt said.

Findings from the 2006 National Healthcare Disparities Report prepared by the Agency for Healthcare Research and Quality (AHRQ) show that persistent and growing health disparities exist among Hispanic elders compared to the non-Hispanic white elderly population. To address this issue, AHRQ, the Administration on Aging, the Centers for Disease Control and Prevention, the Centers for Medicare & Medicare Services and the Health Resources and Services Administration are teaming up to assist local communities in developing more coordinated strategies for improving the health and well-being of Hispanic elders.

The initiative will also help Hispanic elders take advantage of a Chronic Disease Self-Management Program developed by Stanford University with funding from HHS that has proven effective in reducing the risk of chronic disease and disability among Hispanic elders.

The HHS initiative will be piloted in up to seven metropolitan areas with large Hispanic elder populations. HHS will start by convening a workshop where teams from the invited areas will learn about state-of-the-art strategies and tactics they can deploy to address disparities among their Hispanic elder populations. The teams will be comprised of representatives from local public health providers, Hispanic community organizations, aging service providers and the health care sector. The teams that appear ready to launch community-wide mobilization efforts will be invited to participate in a year-long national learning network project that will utilize Web casts, conference calls and peer-to-peer meetings to facilitate cross-site learning and innovation. The communities invited to apply for this pilot project are: Chicago, Ill., El Paso, Texas; Houston, Texas; Los Angeles, Calif.; McAllen, Texas; Miami, Fla.; New York, N.Y.; San Antonio, Texas; San Diego, Calif.

These nine areas have been invited to apply for this pilot project because of their high concentrations of Hispanic elderly as well as to ensure that there is an appropriate geographic distribution of areas across the country in the initiative. Selection of up to seven communities will be based on criteria that will be posted on the Web site listed below.

Hispanics comprise the largest minority group in the United States. The number of older Hispanics is growing rapidly. By 2028, Hispanics will be the largest minority population in the 65 and over age group, reaching 7.1 million and comprising over 10 percent of the elderly population. Historically, there have been a number of financial, organizational, cultural and linguistic barriers to providing appropriate health and social services to Hispanic elders which exacerbate their growing health disparities. For example, Hispanic elders are much more likely to be hospitalized for diabetes due to poor diabetes control, and they are far less likely to receive pneumonia or flu shots or cancer screening services.

The deadline for applications is Tuesday, July 24, 2007. While any member of the proposed teams may serve as the lead, the local Area Agencies on Aging are being asked to submit the application. Area Agencies on Aging are federally designated entities responsible for area-wide planning and coordination on matters that affect the area's aging population. For more details about "Improving Hispanic Elders' Health: Community Partnerships for Evidence-Based Solutions," visithttp://www.academyhealth.org/ahrq/elders.



U.S. Census Bureau Facts for Hispanic Heritage Month 2007: Sept. 15 - Oct. 15



WASHINGTON, Sept. 6 /PRNewswire-USNewswire/ -- In September 1968, Congress authorized President Lyndon B. Johnson to proclaim National Hispanic Heritage Week, which was observed during the week including Sept. 15 and Sept. 16. The observance was expanded in 1988 to a month long
celebration (Sept. 15 - Oct. 15). America celebrates the culture and traditions of U.S. residents who trace their roots to Spain, Mexico and the Spanish-speaking nations of Central America, South America and the Caribbean. Sept. 15 was chosen as the starting point for the celebration because it is the anniversary of independence of five Latin American countries: Costa Rica, El Salvador, Guatemala, Honduras and Nicaragua. In addition, Mexico and Chile celebrate their independence days on Sept. 16 and Sept. 18, respectively.

   Population
    44.3 million
    The estimated Hispanic population of the United States as of July 1, 2006, making people of Hispanic origin the nation's largest ethnic or race minority. Hispanics constituted 15 percent of the nation's total population. (This estimate does not include the 3.9 million residents of Puerto Rico.)
About 1
    . . . of every two people added to the nation's population between July 1, 2005, and July 1, 2006, was Hispanic. There were 1.4 million Hispanics added to the population over the period.    http://www.census.gov/Press Release/www/releases/archives/population/01
0048.html

    3.4%
    Percentage increase in the Hispanic population between July 1, 2005, and July 1, 2006, making Hispanics the fastest-growing minority group.http://www.census.gov/Press-Release/www/releases/archives/population/010048
.html

    102.6 million
    The projected Hispanic population of the United States as of July 1, 2050. According to this projection, Hispanics will constitute 24 percent of the nation's total population by that date.
1720.html



    22.4 million
    The nation's Hispanic population during the 1990 census -- just slightly over half the current total.

    3rd
    Ranking of the size of the U.S. Hispanic population worldwide, as of 2005. Only Mexico (106.2 million) and Colombia (43 million) had larger
Hispanic populations than did the United States (42.7 million). (Spain had
a population of 40.3 million.) http://www.census.gov/ipc/www/idbsum.html

    64%
    The percentage of Hispanic-origin people in households who are of Mexican background. Another 9 percent are of Puerto Rican background, with 3.5 percent Cuban, 3 percent Salvadoran and 2.7 percent Dominican. The remainder are of some other Central American, South American or other
Hispanic or Latino origin. (Source: 2005 American Community Survey)

    Roughly half of the nation's Dominicans live in New York City and about half of the nation's Cubans in Miami-Dade County, Fla. (Source: 2005 American Community Survey)

    27.4 years
    Median age of the Hispanic population in 2006. This compares with 36.4 years for the population as a whole.
0048.html

    107
    Number of Hispanic males in 2006 per every 100 Hispanic females. This was in sharp contrast to the overall population, which had 97 males per every 100 females.
0048.html

    States and Counties

    48%
    The percentage of the Hispanic-origin population that lives in California or Texas. California is home to 13.1 million Hispanics, and Texas is home to 8.4 million.
0048.html

    15
    The number of states with at least a half million Hispanic residents. They are Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Nevada, New Jersey, New Mexico, New York, North Carolina, Pennsylvania, Texas and Washington.
0048.html

    44%
    The percentage of New Mexico's population that is Hispanic, the highest of any state. Hispanics also make up more than a quarter of the population in California and Texas, at 36 percent each, and Arizona (29 percent).
0048.html

    4.7 million
    The Hispanic population of Los Angeles County, Calif. -- the largest of any county in the nation.     http://www.census.gov/Press-Release/www/releases/archives/population/00
7263.html

    305,000
    The increase in Texas' Hispanic population between July 1, 2005, and July 1, 2006, which led all states. California (283,000), Florida (161,000) and Arizona (102,000) also recorded large increases.
0048.html

    22
    Number of states in which Hispanics are the largest minority group. These states are: Arizona, California, Colorado, Connecticut, Florida, Idaho, Iowa, Kansas, Maine, Massachusetts, Nebraska, Nevada, New Hampshire,
New Jersey, New Mexico, Oregon, Rhode Island, Texas, Utah, Vermont,Washington and Wyoming.
.html

    Businesses

    Source for statements in this section: Hispanic-owned Firms: 2002, athttp://www.census.gov/csd/sbo/hispanic2002.htm

    1.6 million
    The number of Hispanic-owned businesses in 2002.

    Triple
    The rate of growth of Hispanic-owned businesses between 1997 and 2002
(31 percent) compared with the national average (10 percent) for all
businesses.

    $222 billion
    Revenue generated by Hispanic-owned businesses in 2002, up 19 percent from 1997.

    45%
    . . . of all Hispanic-owned firms were owned by Mexicans,
Mexican-Americans and Chicanos.

    29,168
    Number of Hispanic-owned firms with receipts of $1 million or more.

    -- 43 percent of Hispanic-owned firms operated in construction; administrative and support, and waste management and remediation services; and other services, such as personal services, and repair and maintenance. Retail and wholesale trade accounted for 36 percent of Hispanic-owned business revenue.

    -- States with the fastest rates of growth for Hispanic-owned firms between  1997 and 2002 included New York (57 percent), Georgia and Rhode Island (56 percent each), and Nevada and South Carolina (48 percent each).
    -- Counties with the highest number of Hispanic-owned firms were Los Angeles County (188,422); Miami-Dade County (163,187); and Harris County, Texas (61,934).

    Families and Children

    9.9 million
    The number of Hispanic family households in the United States in 2006. Of these households, 62 percent included children younger than 18.
eholds/009842.html

    67%
    The percentage of Hispanic family households consisting of a married couple.
eholds/009842.html

    44%
    The percentage of Hispanic family households consisting of a married couple with children younger than 18.
eholds/009842.html

    66%
    Percentage of Hispanic children living with two married parents.
eholds/009842.html

    23%
    Percentage of total population younger than 5 that was Hispanic as of
July 1, 2006.
0048.html

    Spanish Language

    32.2 million
    The number of U.S. household residents 5 and older who speak Spanish at home. Spanish speakers constitute nearly one in eight U.S. household residents. Among all those who speak Spanish at home, more than one-half say they speak
English very well.
    (Source: 2005 American Community Survey)

    29%
    Percentage of Texas residents who speak Spanish at home, which leads all states. This compares with the national average of 12 percent. (Source: 2005 American Community Survey)

    78%
    Percentage of Hispanics 5 and older who speak a language other than English at home. Of that number, about half speak English very well.
(Source: 2005 American Community Survey)

    Income, Poverty and Health Insurance

    $37,800
    The median income of Hispanic households in 2006, statistically unchanged from the previous year after adjusting for inflation. (Source: Income, Poverty, and Health Insurance Coverage in the United States: 2006,
.html)
    20.6%

    The poverty rate among Hispanics in 2006, down from 21.8 percent in 2005. (Source: Income, Poverty, and Health Insurance Coverage in the United
.html)

    34.1%

    The percentage of Hispanics who lacked health insurance in 2006, up from 32.3 percent in 2005.     (Source: Income, Poverty, and Health Insurance Coverage in the United
.html)

    Education

    59%
    The percentage of Hispanics 25 and older who had at least a high school education in 2006.
749.html

    12%
    The percentage of the Hispanic population 25 and older with a bachelor's degree or higher in 2006.
749.html

    3.1 million
    The number of Hispanics 18 and older who had at least a bachelor's degree in 2006, up from 1.4 million a decade earlier.    http://www.census.gov/Press-Release/www/releases/archives/education/009
749.html

    839,000
    Number of Hispanics 25 and older with advanced degrees in 2006 (e.g., master's, professional, doctorate).
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    11%
    Percentage of all college students in October 2005 who were Hispanic. Among elementary and high school students combined, the corresponding proportion was 19 percent.
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    Educational attainment levels are higher among certain Hispanic groups than among others. For example, among Cubans 25 and older, 73 percent were at least high school graduates, and 24 percent had a bachelor's degree or
higher.
y_acs/007748.html


    Jobs

    68%
    Percentage of Hispanics 16 and older who are in the civilian labor force. (Source: 2005 American Community Survey)

    17%
    The percentage of Hispanics 16 or older who work in management, professional and related occupations. Approximately 24 percent of Hispanics 16 or older work in service occupations; 22 percent in sales and office
occupations; 2 percent in farming, fishing and forestry occupations; 16 percent in construction, extraction, maintenance and repair occupations; and 19 percent in production, transportation and material moving occupations. (Source: 2005 American Community Survey)

    77,700
    Number of Hispanic chief executives. In addition, 49,200 physicians and surgeons; 53,700 postsecondary teachers; 29,000 lawyers; and 3,300 news analysts, reporters and correspondents are Hispanic. (Source: Upcoming Statistical
Abstract of the United States: 2008)

    Voting

    7.6 million
    The number of Hispanic citizens who reported voting in the 2004 presidential election. The percentage of Hispanic citizens voting -- about 47 percent -- did not change statistically from four years earlier. (Source: Voting and Registration in the Election of November 2004, athttp://www.census.gov/Press-Release/www/releases/archives/voting/004986
.html)

    Serving our Country

    1.1 million
    The number of Hispanic veterans of the U.S. armed forces. (Source: 2005 American Community Survey)