233632 Block by Block: Neighborhood Cohesion, Activism and the Fight Against Diabetes

Wednesday, November 10, 2010

Joseph F. West, MSc, ScD , Sinai Health System, Sinai Urban Health Institute, Chicago, IL
The growing prevalence of Type 2 diabetes in the US has been well documented. It is estimated that the direct medical care costs per person per year with diabetes is 2.3 times higher than for the person without diabetes. Local survey data showed that North Lawndale, a poor African-American community and Humboldt Park, a poor Hispanic community had the highest diabetes rates in Chicago. The Sinai Urban Health Institute, in partnership with Rush University Medical Center and neighborhood leaders in the two Westside Chicago communities, has received $3 million in NIH funding to address individual and community issues related to inequalities in diabetes. Employing well-trained community health workers the interventions aim to improve diabetes self-management in selected areas of each community one block at a time. HbA1C has come to be used as a measure of diabetes management, self-care and risk for development of diabetes complications. It has been estimated that at least a one percent change in A1C levels can lead to significant healthcare cost savings. A primary outcome for both studies is a mean reduction A1C levels of 0.5. This presentation offers attendees insight into the distinctive social, economic and public health inequities leading to diabetes in the two Westside Chicago communities. It describes the processes for neighborhood coalition building and community-based participatory research as it relates to these unique populations separated merely by train tracks. Lastly it will highlight the scope of the interventions, their current stages and data from community surveys and outreach to nearly 23,000 community residents.

Learning Areas:
Chronic disease management and prevention
Diversity and culture
Planning of health education strategies, interventions, and programs
Program planning
Social and behavioral sciences

Learning Objectives:
Learning Objectives: 1. Assess and explain the value of local health data in driving community based interventions; 2. Demonstrate how community-based initiatives can address specific disparities in health; and 3. Discuss the implications of local data on eliminating disparities in other urban settings. 4. Explain the importance of neighborhood cohesion and coalition building in eliminating health inequalities and its key indicators 5. Demonstrate the evolving and important role of community health workers in eliminating health inequalities 6. Discuss key sustainable factors for improving neighborhoood health and behavioral change through collective efficacy and coalition building

Keywords: Community-Based Health Care, Community Preventive Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the PI on the research study being presented.
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.