267723 Addressing social determinants and reducing HIV-related health disparities through a community mobilization model

Monday, October 29, 2012

Kiesha McCurtis, MPH , Department of Family Medicine, Center for HIV Identification, Prevention, and Treatment Services, UCLA, Los Angeles, CA
Julia Dudek, MPH , Center for Strengthening Youth Prevention Paradigms, Children's Hospital Los Angeles, Los Angeles, CA
Mia Humphreys, MSW , Center for Strengthening Youth Prevention Paradigms, Children's Hospital Los Angeles, Los Angeles, CA
Miguel Martinez, MSW, MPH , Center for Strengthening Youth Prevention Paradigms, Children's Hospital Los Angeles, Los Angeles, CA
Issue Reducing HIV/AIDS disparities, primarily those based on social and structural factors, has long been a public health priority in the United States. One of the primary goals of the National HIV/AIDS Strategy for the United States (NHAS) is reducing HIV-related health disparities, particularly among underserved communities. Recent developments led by the World Health Organization (WHO) and the CDC National Center for HIV/AIDS, Viral Hepatitis, STDs, and TB Prevention (NCHHSTP) have advanced the discourse about social determinants and the ‘causes of the causes' of health inequities, however underserved communities lack a framework to best address these inequities. Description In July 2010 in line with the NHAS, the authors began implementing a community mobilization model and framework to facilitate communities 1) in articulating the underlying social determinants influencing HIV risk within their population and 2) in identifying action steps to address these specific determinants and creating sustainable structural change through community coalitions. Lessons Learned Community coalitions are well positioned to address social determinants through sustainable structural change. Decisions should be community-driven; however, outside technical assistance is critical. Coalitions also require translation of key concepts around social determinants, in order to establish a shared language about how to affect HIV/AIDS disparities in the community context. Recommendations Comprehensive prevention platforms that address social determinants and harness the power of community are critical to advancing efforts around HIV-related health equity.

Learning Areas:
Administer health education strategies, interventions and programs
Diversity and culture
Implementation of health education strategies, interventions and programs
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1) Define the concepts of social determinants and structural change. 2) Describe how a community mobilization model can be implemented to address HIV-related disparities among underserved communities.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a federally funded capacity building and technical assistance provider working with community based organizations, community coalitions, and health departments. Among my scientific interests has been the development of strategies for harnessing the power of community for reducing HIV/AIDS-related health inequities.
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.