228502 Addressing Health Disparities in Hispanic Elders through Community Oriented Coalitions at a National Level

Monday, November 8, 2010

Patrik Johansson, MD, MPH , College of Public Health, University of Nebraska Medical Center, Omaha, NE
Jenny Tsai, MPH , Academy Health, Washington, DC
Melissa Klein, MD MPH , ReEntry Health Center, Unity Health Care, Inc., Washington, DC
Jaime Gofin, MD, MPH , Department of Promotion, Social and Behavioral Health, College of Public Health, Omaha, NE
Statement of Problem: Hispanic elders represent the fastest growing segment of the U.S. elder population. They experience various health disparities in comparison to non-Hispanic Whites, including a disproportionate burden of type 2 diabetes. Causes for disparities are complex and partially rooted in social injustices.

Objectives Describe a national initiative that addresses health disparities in Hispanic elders

Methods: The US Department of Health and Human Services (HHS) convened community coalitions in eight Hispanic communities across the US, tasked with reviewing research findings and promising practices to create and implement their own local plans to address one or more health disparities facing Hispanic elders. HHS and consultants provided technical assistance in the form of data sharing of relevant national and local indicators of Hispanic elders, conference calls, site visits, and seminars on principles of community oriented primary care.

Results: All eight coalitions created intervention plans that prioritized diabetes as one of the highest ranking health problems facing the community. Six coalitions based interventions on the Stanford Chronic Disease Self-Management Program (CDSMP) or Diabetes Self-Management Program. One coalition selected the Diabetes Education and Empowerment Program. One coalition developed community-wide strategies to address health disparities in Hispanic elders based on an environmental scan of local evidence based programs addressing health disparities in this population.

Conclusion: In addressing diabetes, the coalitions favored a community-oriented approach primarily in the form of the CDSMP. Ongoing technical assistance guided the coalitions' creation of intervention plans addressing one or more health disparities among Hispanic elders.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe a national initiative that addresses health disparities in Hispanic elders

Keywords: Health Disparities, Hispanic

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been responsible for the scientific integrity of the study.
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.