Preprint Article Version 1 This version is not peer-reviewed

Baseline Knowledge of Peripheral Arterial Disease and Factors Influencing Learning Material Preferences in the San Francisco Chinese-Speaking Community: A Survey Analysis

Version 1 : Received: 27 October 2024 / Approved: 28 October 2024 / Online: 28 October 2024 (13:24:58 CET)

How to cite: Shih, C.-D.; Lee, T.; Hassan, S.; Chau, H.; Brooks, B. M.; Zhang, B.; Rosario, E. R. Baseline Knowledge of Peripheral Arterial Disease and Factors Influencing Learning Material Preferences in the San Francisco Chinese-Speaking Community: A Survey Analysis. Preprints 2024, 2024102125. https://doi.org/10.20944/preprints202410.2125.v1 Shih, C.-D.; Lee, T.; Hassan, S.; Chau, H.; Brooks, B. M.; Zhang, B.; Rosario, E. R. Baseline Knowledge of Peripheral Arterial Disease and Factors Influencing Learning Material Preferences in the San Francisco Chinese-Speaking Community: A Survey Analysis. Preprints 2024, 2024102125. https://doi.org/10.20944/preprints202410.2125.v1

Abstract

Background: Peripheral Artery Disease (PAD) affects tens of millions of Americans, and is characterized by the accumulation of plaque within arteries in the arms and legs. Advanced age is a risk factor for PAD, and early recognition through health literacy is imperative to mitigate limb loss. The influence of health literacy on PAD outcomes remains poorly understood, particularly in minoritized communities. The objective of this study is to examine understanding of PAD within San Francisco’s Chinese-speaking population, while discerning preferences regarding PAD educational methods. Material and Methods: An anonymous 14-question survey in Mandarin and English was designed to gauge basic knowledge of PAD and preferred methods for obtaining health information. It was distributed at San Francisco Chinatown health fairs on May 6 and October 14, 2023. Inferential analysis was concentrated on the associations between age, self-reported gender and English proficiency versus PAD baseline knowledge as well as preferred methods to obtain health information. Results: Combining the two surveyed cohorts, 32% of the survey population (29/91) reported prior knowledge about PAD. individuals aged 65-74 were the most prevalent age group. 29/91 had prior knowledge of PAD. While many survey respondents thought that diabetes was a leading cause for PAD (47/76) and arthritis was thought to be the leading symptom related to PAD (32/65). Half of respondents (44/88) expressed a preference for consulting a family doctor for foot wounds, followed by a podiatrist (27/88) and a general surgeon (19/88). The two cohorts that were surveyed had similar and suboptimal understanding of PAD and its complications which confirmed a health literacy gap among the Chinese-speaking population. The top three methods to receive health information were radio, television and newspaper. Interestingly, 65 years old and above (OR 0.124, 95% CI [0.021- 0.0728]) as well as participants who were proficient in English (OR 0.078; 95% CI [0.012-0.52]) were less preferred using radio to receive health information. Male gender was statistically significant to use newspapers to receive health information as opposed to female (p=0.003, OR 5.26; 95% CI [1.76-15.69]). Discussion: Conclusion: The two cohorts that were surveyed had similar and suboptimal understanding of PAD and its complications, which confirmed a health literacy gap among the Chinese-speaking population in San Francisco. To address this gap, factors such as age, education level, and gender need to be better understood in their relation to the impact of learning methods in this population.

Keywords

Peripheral Artery Disease

Subject

Public Health and Healthcare, Public Health and Health Services

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