141st APHA Annual Meeting

In This section

Engaging community to support healthy youth development in rural Honduras: Results from a formative assessment

Tuesday, November 5, 2013 : 2:50 PM - 3:10 PM

Martha Y. Kubik, PhD, RN , School of Nursing, University of Minnesota, Minneapolis, MN
Brett Jennings, BA , Shoulder to Shoulder Inc, Cinncinnati, OH
Natalia Olivier , School of Nursing, University of Minnesota, Minneapolis, MN
To gain understanding about the health needs of adolescents residing in rural Honduras, a low-income, resource-poor country, where youth are a large percentage of the population and poverty and economic viability are linked to youth health and well-being.

In 2010/2011, a youth-focused, formative assessment was conducted in 7 rural villages, including key informant interviews with community leaders (n=19) and focus groups with parents (n=4) and youth (n=7) for a total of 109 participants (females=53%; youth=59%). Assessments were conducted in Spanish by bilingual research staff, audio-taped, transcribed, translated and analyzed using a 3-step process for qualitative analysis.

Concerns about longstanding poverty, limited work and educational opportunities, access to potable water and poor nutrition were common. Emerging concerns included substance use, especially marijuana use among young males and shifts in the activity and food environment, with increasing sedentary behavior and consumption of sugar-sweetened beverages and salty, high-fat snacks. Sports were identified as a community strength, along with institutional support from local churches, schools, health care providers and nongovernmental organizations. Family and parent support were considered critical but often regarded as limited or absent. Interest in providing youth-focused health services, educational support and life-skills training was high. There is an urgent need to address adolescent health in developing countries, especially in rural areas where the interplay of poverty and globalization may be particularly devastating for youth. Study results confirm the importance of community engagement by nursing and other health professionals to inform future programming that is relevant and responsive to community need.

Learning Areas:
Diversity and culture
Program planning
Public health or related nursing

Learning Objectives:
Describe components of a comprehensive youth-focused community assessment. Compare and contrast community opinions by age (adult versus youth); gender (male versus female) and location (rural versus remote/rural). Formulate a plan for programming based on community perspective

Keywords: Adolescent Health, Community

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was PI of grant and developed, implemented, analyzed and interpreted study findings.
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.