Eliminating disparities and enhancing the health of the entire population is desired; however, little is known about the efficacy of prevention guidelines in culturally diverse and vulnerable populations. Tobacco and substance abuse, and violence against women are some of the most concerning problems facing the nation today. Alcohol and other drug use are described as epidemics and estimates suggest that between two and four million women are attacked by their husbands or partners annually. (PAHO, 1997). The Surgeon General (1998) reported striking increases in the use of tobacco by minority teens and the increasing grip of tobacco on racial and ethnic minorities, the fastest growing segment of the American population. The purpose of these studies was to develop a second generation of culturally appropriate guidelines to prevent alcohol and other drug use, violence, and smoking cessation based on the Put Prevention Into Practice Clinician's Handbook of Preventative Services (PPIP) program (1996). A series of qualitative pilot studies was conducted. Five groups of women (Hawaiian, Hispanic, Japanese, Caucasian, and Filipino) participated in focus groups. Each session was recorded and transcribed verbatim. Based on the participants' perceptions, the PPIP guidelines were adapted. Findings include similarities and differences between groups. Barriers to disclosure were identified. Differences between groups included the involvement of family, resources, appropriateness of questionnaires, and restraining forces common in their extended families. Implications will be discussed. Further studies to evaluate these adapted guidlines are needed.
Learning Objectives: 1. Identify three modifications of the Put Prevention into Practice guidelines suggested by women to enhance the cultural appropriateness. 2. Recognize three essential elements for working effectively to promote health in vulnerable populations. 3.Fomulate 3 ways to adapt health promotion guidelies to meet the diverse needs of vulnerable populations
Keywords: Culture, Women's Quality Care
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.