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312554
Using a Community Health Inclusion Index (CHII) and existing demographic datasets to ensure high impact of community-level interventions for persons with disabilities
Sunday, November 16, 2014
Yochai Eisenberg, MUPP
,
Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
The Community Health Inclusion Index (CHII) is an assessment tool for measuring inclusion of persons with disabilities in physical activity and healthy eating community settings. The CHII can be used along with demographic data to develop targeted interventions that have a high impact for persons with disabilities. Field testing of the CHII took place in 14 diverse communities in different geographic regions in the U.S. Community sites were assessed across five sectors – schools, healthcare, worksites, community institutions, and food environments. Among the first completed sites from one state (n=31), the mean overall CHII score was 62.8/100 (±6.7) for inclusion in physical activity and nutrition across domains of the built environment, equipment, programs, staff and policy. The highest CHII score was in a healthcare site (76) in a mid-income suburban community and the lowest was at a grocery store (45) in a low-income urban area. American Community Survey data on persons with disabilities can be used to estimate the Reach of an intervention. The potential number of persons with disabilities exposed (within 1 mile of field testing sites) was on average 3,168 (±144). Schools and worksites need different considerations that could use school district boundaries and number of employees respectively. Future analysis will include communities from three other states. Using the CHII with existing data sets can help strengthen the impact of a community-level intervention by focusing on areas of the community where there are more persons with disabilities as well as focusing on sites that have lower CHII scores.
Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Public health or related public policy
Public health or related research
Learning Objectives:
Describe the purpose and utility of the the Community Health Inclusion Index
Demonstrate a methodology for using the Community Health Inclusion Index with existing data sets to develop more targeted community interventions.
Keyword(s): Accessibility, Community Health Assessment
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am currently the principal investigator for a study to Develop a Community Health Inclusion Index for measuring how well communities support healthy, active living for persons with disabilities. I was a project coordinator for an NIH R01 grant (2005-2011) to create a health empowerment zone to address built and programmatic barriers to physical activity and healthy eating aimed at reducing the obesity rate for people with disabilities
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.
