title: Health status, perceptions and needs of Hispanics in rural Shelbyville, Kentucky.
abstract: This cross-sectional study was completed to characterize the health status, perceptions and needs of Hispanics in Shelbyville, KY, USA. Community Health Workers interviewed 668 Hispanic residents in Shelbyville, KY, USA. Data were collected from 2009 to 2010 and analyzed from 2011 until present. Hispanic immigrants from Mexico and other Central American countries completed the survey. The most common self-reported diseases were allergies, asthma, diabetes, lung disease and cardiovascular disease. High blood pressure and diabetes were the two most common diagnoses among insured, older females. Health education, disease prevention and nutrition were the top health concerns among participants. Deficits in health care infrastructure for this largely transient community may compromise their ability to meet health care needs and concerns. Similar issues may be faced by other disadvantaged Hispanic communities in the continental US and likely to be influenced by anticipated provisions of the Patient Protection and Affordable Care Act.
authors.affiliation: Department of Environmental and Occupational Health Sciences, School of Public Health and Information Sciences, University of Louisville, Louisville, KY, 40202, USA, inramo01@louisville.edu.
authors.forename: Irma N
authors.initials: IN
authors.lastname: Ramos
authors.forename: Savitri N
authors.initials: SN
authors.lastname: Appana
authors.forename: Guy
authors.initials: G
authors.lastname: Brock
authors.forename: Ted
authors.initials: T
authors.lastname: Kalbfleisch
authors.forename: Qiang
authors.initials: Q
authors.lastname: He
authors.forename: Kenneth S
authors.initials: KS
authors.lastname: Ramos
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003710:Demography; D005260:Female; D006301:Health Services Needs and Demand; D006304:Health Status; D006306:Health Surveys; D006630:Hispanic or Latino; D006801:Humans; D007629:Kentucky; D012307:Risk Factors; D012424:Rural Population