142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Identifying priority health disparities and relevant health promotion strategies among an African American church-community population: Findings from a health needs assessment survey in faith-community settings

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Jannette Berkley-Patton, PhD , Department of Psychology, University of Missouri-Kansas City, Kansas City, MO
Carole Bowe Thompson, BS , Department of Psychology, University of Missouri - Kansas City, Kansas City, MO
Andrea Bradley-Ewing, MPA, MA , Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City, MO
Marcie Berman, M.A. , Department of Psychology, University of Missouri-Kansas City, Kansas City, MO
Alexandria Booker , Department of Psychology, University of Missouri-Kansas City, Kansas City, MO
Promotion of preventive behaviors, health screening, and access to care is critical to addressing African American (AA) health disparities. Black churches may be ideal settings for health promotion interventions as they have extensive influence and reach in AA communities. Yet, limited studies exist on engaging AA faith communities in identifying priority health disparity conditions and feasible, multilevel church-community intervention strategies of importance to address them. Using a community-engaged approach, a health needs assessment survey was conducted with members from the Kansas City (KC) FAITH Initiative Community Action Board and 11 KC AA churches. The survey inquired about participants’ experiences/opinions regarding health disparities (e.g., diabetes, HIV, heart disease/stroke, asthma, homicides/violence, mental health) and importance/feasibility of multilevel health promotion strategies in church-community settings to address each disparity. Participants (N=463; mean age=45) were primarily AA, female, and innercity KC residents. Findings indicated few participants engaged in regular exercise (36%) and few consumed >3 fruits/vegetables daily (37%). Most frequently reported health conditions were diabetes (19%) and high blood pressure (44%). Diabetes and heart disease/stroke were ranked as the most important health disparities to address in AA church-communities. Highly-rated important/feasible, relevant intervention strategies included: diabetes/heart disease/stroke education seminars; family training on exercising regularly and cooking healthy meals; church-based weight loss programs; health screenings during church services; and linkage to free/low-cost insurance and health services. These and other intervention strategies identified as important/feasible by AA faith-community members should be considered when developing interventions to address diabetes/heart disease/stroke prevention, screening, linkage to care services in church-community settings.

Learning Areas:

Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Describe a needs assessment survey process in African American churches Discuss health disparity issues and relevant intervention strategies of importance to African American faith-community members.

Keyword(s): African American, Community Health Assessment

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted community-based research for over 20 years and am an NIH-funded researcher conducting community-based participatory research on several health disparity grants in the African American faith community. I also teach undergraduate and graduate courses on community-based research.
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.