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Blood Pressure Screening in the Oaxacan Community. Herlinda Daugherty (Jimenez), BS, BSN National University (NU) Alumni NU Scholar. Background: Oaxacan Immigrants. Focused on the Oaxacan community Migration began with the Bracero Program in 1940 California an agricultural state
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Blood Pressure Screening in the Oaxacan Community Herlinda Daugherty (Jimenez), BS, BSN National University (NU) Alumni NU Scholar
Background: Oaxacan Immigrants • Focused on the Oaxacan community • Migration began with the Bracero Program in 1940 • California an agricultural state • In 2007, Oaxacans in California were estimated to be at 100,000 to 150,000 at a minimum • Exact number unknown for the San Joaquin Valley
Oaxacan Population • Mexican origin • Characteristics that set them apart from non-indigenous (“mestizo”) counterparts • Speak indigenous languages • Speak little or no Spanish • Low literacy and education levels • Faced centuries of discrimination and marginalization within Mexico
Contributing Factors to Poor Health The most significant factors include: • Health disparities • Health determinants • Lack of healthcare access, health insurance, and other resources • Chronic illness risk
Contributing Factors to Poor Health - Con't • Limited access to health and social services due to fears associated with immigration status • Limited professional interpretation services • Limited access to transportation, particularly in more rural and isolated communities • Most importantly, lack of knowledge regarding healthy diet
Lack of Knowledge Growing up as a member of this community I noticed: • Cultural lack of knowledge • View obesity as healthy • Cultural perception that obesity is a positive thing • Unaware obesity leads to other comorbidities
How Could I Make a Change? Volunteer Intervention at the 2018 Guelaguetza • Measure BP • Provide education regarding BP significance • Counsel regarding prevention of health complications • Referral to Tzu Chi clinic if BP elevated
Factors Impacting Results Surprising hypertension in younger population Possibly due to: • Stress of a hot day • Activity (dancing, eating etc.) • Caffeinated bererages
Additional Research • Trend BP • Antihypertensive medications • BMI • Larger, more age-diverse population
References American Heart Association. (2017). Que es la presión arterial alta? Retrieved from https://www.heart.org/- media/files/health-topics/high-blood-pressure/hbp-rainbow-chart-speanish-pdf-ucm_499221.pdf Cohen, J. (2005). The Oaxaca-U.S. Connection and Remittances. Migration Policy Institute. Retrieved from https://www.migrationpolicy.org/article/oaxaca-us-connection-and-remittances Development Through Life. 2018. Retrieved from http://www.widener.edu/about/campus_resources/wolfgram_ library/documents/life_span_chart_final.pdf Kresge, L. (2007). Indigenous Oaxacan Communities in California: An Overview. California Institute for Rural Studies. Retrieved from http://www.safsf.org/wp-content/uploads/2015/08/2015_Aug26_IndigenousHealthWeb_Report.pdf