African American Initiative for Male Health Improvement (AIMHI): Lessons learned over 10 years of serving an underserved urban population

African American men have higher prevalence and earlier onset of cardiovascular disease risk factors as compared to their white counterparts. Early detection through screening is key.

AIMHI is a community-based program implemented by a metropolitan health system to provide health screening and health education targeting African American males 18 years or older. The screenings for diabetes, high blood pressure, and stroke risk were conducted at community sites such as churches, transitional housing organizations, and libraries. Those with abnormal results receive an immediate consultation and referral information from a nurse. Follow-up calls are made to ascertain whether participants with abnormal results had a subsequent visit with a health care provider. Diabetes support groups and other educational activities are also held at two community Health Resource Centers operated by the program.

From 1999 – 2008, data were collected from 8330 participants (89% African American, 42% male, mean age 49.6). Nine percent had abnormal glucose, 51% had high blood pressure, and 7% had high risk for stroke. Follow-up data, collected from 2001 - 2008 (N=1990), show that 28% of persons with abnormal readings were successfully contacted and 16% followed-up on recommendations to see a provider. Lessons learned about recruitment, implementation, and evaluation will be presented.