249171 Addressing diabetes health disparities of Latinos in New York City through faith-based interventions

Monday, October 31, 2011

Jaime Gutierrez, MPH , Center for Evaluation and Applied Research, The New York Academy of Medicine, New York, NY
Kandice Jones, MPH , Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY
Carlos Devia, MA , Bronx Health REACH- NY CEED, Institute for Family Health, New York, NY
Charmaine Ruddock, MS , Bronx Health REACH, New York, NY
Maxine Golub, MPH , Planning and Development, Institute for Urban Family Health, New York, NY
Joyce Davis, MDiv (candidate) , Walker Memorial Baptist Church, Bronx, NY
Robert Foley, DMin, DD , Cosmopolitan Church of the Lord Jesus, Bronx, NY
Rosa Rosen, JD , NYC Department of Health & Mental Hygiene, New York, NY
Ellenrita Purcaro, BA , Highbridge Community Life Center, Bronx, NY
Toni Carter, RN , Agape Love Christian Center, Bronx, NY
Evalina Irish-Spencer, MS, RD , Cornell University Cooperative Extension, New York, NY
Brenda Barretto, CMA , First Pentecostal Church of Jerome, Bronx, NY
Linda Weiss, PhD , Center for Evaluation and Applied Research, The New York Academy of Medicine, New York, NY
Neil Calman, MD , Institute for Family Health, New York, NY
Background: Latino communities are disproportionately affected by diabetes in the United States. Bronx Health REACH, a coalition of over 70 community-based organizations, developed a Faith-Based Outreach Initiative (FBOI) to reduce racial and ethnic disparities in diabetes outcomes in New York City.

Methods: Baseline surveys were conducted at 16 churches (8 Latino/8 African-American/African) prior to offering the FBOI programs. The survey contained questions about health status, knowledge and attitudes, healthcare utilization, and health disparities. Surveys were administered to congregants present at church services by evaluation staff.

Results: In total, 952 participants were surveyed (330 Latinos and 622 African-Americans/Africans). Most Latino participants were 18-44 years old (49%), female (69%), and overweight or obese (71%). Twenty-two percent of Latino participants reported having diabetes, compared to 8.2% of Latinos nationally. An additional 24% were at high risk for developing diabetes. Compared to diabetic African-American/African participants, Latinos with diabetes reported fewer diabetes related doctor visits (p<.05). The data also suggest that Latinos receive fewer routine diabetes management checkups such as foot and eye exams. Despite attending church more often than African-Americans, Latino participants were less likely to attend health promotion activities within their church (p<.05). Latino participants were also less likely to report experiencing negative encounters with the health care system than their African-American counterparts (p<.05).

Conclusions: Health promotion activities for disenfranchised populations require community specific data collection, analysis, and timely adaptation of interventions. This study will help identify key elements for developing a faith-based diabetes initiative that meets the needs of Latinos in a low-income urban community.

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

Learning Objectives:
• Describe the Bronx Health REACH Coalition’s decade long effort to reduce racial and ethnic disparities in diabetes outcomes in New York City using a faith-based outreach initiative (FBOI). • Compare research findings among study population subgroups, including Latinos and African-Americans/Africans. • Discuss the strengths and limitations of using a community-based participatory approach to evaluate a faith-based diabetes initiative targeting Latinos in New York City.

Keywords: Diabetes, Latino

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I have over 12 years of public health experience in direct service, research, advocacy, and program management. I manage community-based participatory research projects that promote diabetes prevention and reduction of racial and ethnic disparities in New York City.
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.