141st APHA Annual Meeting

In This section

Expanding the understanding of the social determinants of health to support community readiness for change

Monday, November 4, 2013 : 5:10 PM - 5:30 PM

Nandi A. Marshall, MPH, DrPH, CHES , The State Coordinating Center for GA Public Health PBRN Jiann-Ping Hsu College of PH, Georgia Southern University, Statesboro, GA
Lynn D. Woodhouse, M Ed, EdD, MPH , Jiann- Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA
John S. Luque, PhD, MPH , Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA
Gulzar Shah, PhD, MStat, MS , Health Policy and Management, Georgia Southern University, Jiann-Ping Hsu College of Public Health, Statesboro, GA
This two year case study aimed to increase: 1) awareness of the social determinants of health, 2) understanding of community context and 3) organizational empowerment using participatory methods with a Rural Diabetes Community Coalition in Southeast Georgia. Guided by the ecological perspective, data was collected through qualitative inquiry. The methods used included an in-depth document review; Photovoice; key informant interviews; community coalition action planning; and follow up interviews. Findings from this study show an increased awareness of the social determinants of health through the document review, the Photovoice group discussions, and the coalition members' in-depth interviews. As a result of participation in Photovoice and community action planning, the community coalition members also displayed a broadened understanding of community context. Additionally, through the coalition's participation in the planning and implementation, there was a perceived increase in the coalition's organizational empowerment. The results describe a process which expanded the understanding of context and the social determinants to support their readiness for change. This is important because of the potential impact the community coalition and its members can have on addressing the social determinants of health associated with diabetes prevention and management in their county. Additionally, this research provides examples of lessons learned, an assessment of the community coalition using the community coalition action theory and potential research directions for community based participatory research and the social determinants of health.

Learning Areas:
Assessment of individual and community needs for health education
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Public health or related education

Learning Objectives:
Discuss the use of Photovoice and the Community Readiness Model to address the social determinants of health Explain the importance of context when addressing the social determinants of health Identify the Community Readiness Model as a tool for community coalition planning

Keywords: Coalition, Community Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I will be presenting my doctoral research and have worked with the community involved for over two years.
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.