L. Sennottmiller et al., DEMOGRAPHIC AND HEALTH-STATUS INDICATORS TO GUIDE HEALTH PROMOTION FOR HISPANIC AND ANGLO RURAL ELDERLY, Patient education and counseling, 33(1), 1998, pp. 13-23
Naturally occurring differences rather than simple breakdowns by ethni
c category are being used to tailor strategies in a three year senior
community health worker-delivered health promotion intervention. A sur
vey conducted of persons 60 and over in a rural southwestern U.S. comm
unity identified New Angles (recent settlers, n = 264), Old Angles (lo
ng-time residents, n = 298) and Hispanics (n = 236) for a total of 798
persons. Significant demographic differences included less education,
poorer health status and more chronic conditions among Hispanics. Low
rates of screening were the norm but especially severe among Old Angl
es. Patterned differences in health practices, as well as group variat
ions in use of resources and sources of information, revealed New Angl
es used a larger variety of services and media. Generally, adjustments
being made are related to Hispanic culture, cosmopolitan orientation
of the New Angles, and long-term isolation from information and servic
es for Old Angles. (C) 1998 Elsevier Science Ireland Ltd.