3310.0 Reducing Disparities: Chronic Disease Prevention and Management

Monday, November 5, 2007: 2:30 PM
In terms of incidence, prevalence, severity and mortality, disparities persist for individuals with chronic health conditions including cancer, cardiovascular disease, diabetes, and asthma. Low-income and racial-ethnic minority individuals, especially if uninsured, are adversely affected. This session will present some promising strategies to reduce these critical health disparities. We will begin with a discussion of a collaboration between the Centers for Disease Control and Prevention (CDC) and YMCA-USA to enhance public health impact through the development and implementation of community-based strategies. A statewide strategy in Missouri will be described, focusing on increasing physical activity as a way to prevent obesity and its associated health conditions including type 2 diabetes will be described. This will include a discussion of preliminary program evaluation results. The next presentation will focus on strategies in the state of Washington to increase physical activity through the development of community infrastructure that promotes walking, bicycling, and more accessible recreation facilities. We will next describe some of the difficulties in diabetes self-management in a public health population, and public policies to address these problems. Finally, a tool to assess cancer quality cancer screening and follow-up will be described.
Session Objectives: At the end of this session, participants will be better able to: Describe specific community-based health promotion programs that have been implemented to build community capacity and reduce the burden of chronic diseases (i.e., obesity, heart disease, and diabetes) Identify techniques to evaluate a multi-site multi-program initiative encouraging healthy and active living Describe how qualitative research methods can be used for policy evaluation across social and organizational networks Understand the barriers to self-care among public health clinic diabetic patients Identify a quality-improvement assessment tool, under development, to facilitate improvement in cancer screening and follow-up in community health centers

2:30 PM
CDC and Y-USA Partnership: Achieving Public Health Impact through Policy and Environmental Changes within Local Communities
C. Shannon Griffin-Blake, PhD, Katie C. Adamson, Tracy L. Wiedt, MPH and Leandris Liburd, PhD, MPH
3:00 PM
An Environmental Scan on Obesity and Overweight Prevention in a Low Income Urban Setting: What Can Health Policies Do?
Kyle K. K. Esdaille, MPH, Payam Sheikhattari, MD, MPH, Sian A. Goldson, MPH, Bolanle Awosemusi, Jynnifer Phillips and Yvonne L. Bronner, ScD
3:15 PM
Diabetes self-care activities in a public health population
LaTarsha Waddy, MS and Stacey Plichta, ScD
3:30 PM
Qualitative evaluation of the assessment of cancer screening and follow-up (ACIC-Ca) tool: Findings from cancer collaborative participants in the pursuit of quality improvement
Anita Ousley, MBA, PhD, Jeff A. Swarz, MS, Annette Bongiovanni, BSN, MPA, Daniel Sheahan, MIA and Stephen Taplin, MPH, MD

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Community Health Planning and Policy Development
Endorsed by: Socialist Caucus, Epidemiology

CE Credits: CME, Health Education (CHES), Nursing