207332 African American Initiative for Male Health Improvement (AIMHI): Lessons learned over 10 years of serving an underserved urban population

Tuesday, November 10, 2009: 1:00 PM

Darcy Saffar, MPH , Institute on Multicultural Health, Henry Ford Health System, Detroit, MI
Denise White Perkins, MD, PhD , Institute on Multicultural Health, Henry Ford Health System, Detroit, MI
Veronica Williams, MPH , Institute on Multicultural Health, Henry Ford Health System, Detroit, MI
Alissa Kapke, MS , Biostatistics and Research Epidemiology, Henry Ford Health System, Detroit, MI
Sharon Milberger, ScD , Center for Health Promotion Disease Prevention, Henry Ford Health System, Detroit, MI
Megan L. Brady, MPH, MSW , Institute on Multicultural Health, Henry Ford Health System, Detroit, MI
Kimberlydawn Wisdom, MD, MS , Community Health Education and Wellness, Henry Ford Health System, Detroit, MI
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.

Learning Objectives:
Learning Objectives: 1. identify successful strategies for recruiting African American men into community based screening programs. 2. identify common barriers to follow-up of those with abnormal screening results 3. describe challenges and lessons learned associated with the implementation and evaluation of a community based health promotion intervention.

Keywords: Screening, African American

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I possess an MPH in Health Behavior and Health Education and am the project coordinator for the program being presented on; through both prior and current projects, I have experience coordinating and evaluating health outreach programs for African Americans.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.