Session

Health Initiatives: Improving the Health Outcomes in Communities of Color

George Smith Jr., EdD, MPH, College of Health Sciences, Chicago State University, Chicago, IL and George Smith Jr., EdD, MPH, College of Health Sciences, Chicago State University, Chicago, IL

APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016)

Abstract

Health promotion engagement on social media: An ethnographic content analysis of Zeta Phi Beta Sorority chapters at HBCUs on Twitter, Facebook and Instagram

Lilanta Joy Bradley, MFT
University of Georgia, Snellville, GA

APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016)

Abstract

Faith and Public Health Leadership Collaboratively Working in Creating Healthier Communities

Apryl Brown, MD, MPH, FRSPH
Wayne County Community College District /Detroit Medical Reserve Corps, Detroit, MI

APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016)

Faith and public health leadership have unified to address issues pertaining to public health, population health science and social justice affecting the overall wellbeing of the African American faith-based community. The outcome of this partnership is to elevate the health status of the African American faith-based community through endeavors addressing matters of concern such as health promotion, early disease detection, disease prevention, health disparity, health literacy, and health inequity as well as the social determinants of health. The AME Health Commission which is governed by health care and/or public health specialists and faith leaders of the African Methodist Episcopal (AME) Church operates on the credence that an optimal quality of health and accessibility to health care is not a privilege but a basic right for everyone. The Fourth Episcopal District of the AME Church to is partnering with the Center for Faith and Community Health Transformation in Chicago, Illinois in developing a platform to educate individuals from all faith denominations how to effectively respond to violence occurring within the church reflecting on the 2015 shooting in Charleston, South Carolina.

Diversity and culture Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Public health or related education

Abstract

Zeta Phi Beta Sorority,Inc. Stork's Nest Initiative

Joanne Patterson, DNP, MSN, RN
Zeta Phi Beta Sorority,Inc., Washington, DC

APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016)

Abstract

Recruiting, engaging and retaining young black men as research participants: Lessons learned from a successful effort

Tamara Leech, PhD1, Amy Irby-Shasanmi, PhD1 and Hadya Sow2
(1)IU Fairbanks School of Public Health, Indianapolis, IN, (2)Indiana University Purdue University, Indianapolis, Indianapolis, IN

APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016)

Background: Low levels of research participation by Black populations hampers public health scholars' ability to address racial inequities in health. Traditionally, participation is especially low when the risk and time commitment associated with participation is high. We successfully conducted a study with young Black men documenting violent behavior on a biweekly basis. This presentation details recruitment, engagement and retention results and describes procedures that contributed to those results. Methodology: Data was collected for three months via cell-phone surveys, in-person interviews, and an enrollment/exit questionnaire. Participants were 28 Black men between the ages of 16-19 who lived in areas of concentrated disadvantage. This presentation summarizes univariate statistics, describes incentive and recruitment strategies, and draws upon qualitative data to shed light on the statistical results. Results: Recruitment was slightly hampered by incorrect contact information (13%) and inclusion criteria (31%). Of the eligible participants with correct contact information, three declined to participate (90% cooperation rate and 51% response rate). Engagement was high throughout the project. On average, participants completed 77% of the expected weekly surveys (individual completion rates ranged from 53% to 100%). Retention was also high (79%). Conclusions: According to qualitative data, the description of the study, monthly meetings, internal incentives and external incentives may have contributed to the positive outcomes. Fieldnotes indicate that recruiting through non-organizational contacts and engaging a youth advisory board were also helpful. Scholars and practitioners interested in engaging young Black males in research may want to replicate some of the logistical, methodological and procedural practices we followed.

Diversity and culture Public health or related research Social and behavioral sciences

Abstract

MPH Students Educate the Community about Self-care of Type 2 Diabetes Through a Community-Based Organization

Yashika Watkins, PhD, MPH1, Juned Mohammed, BDS, MPH1, Amarachi Agada2, Tierra Amos, MPH1, Alice Walker, MSW, BS1, Fornessa Randal, MCRP1, Gina Curry, MPH1, Thomas Britt, MD, MPH1, Karen Kim, MD, MS3 and Marcus Murray, BA4
(1)Chicago State University, Chicago, IL, (2)Chicago State University, chicago, IL, (3)University of Chicago, Chicago, IL, (4)Project Brotherhood, Chicago, IL

APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016)

Background: An estimated 25.8 million people in the U.S. are affected by non-insulin dependent diabetes mellitus (NIDDM). Despite vast information about NIDDM's health risks, people do not associate how physical activity, nutrition, sexual dysfunction, and oral health impact it. The aim of this paper is to examine use of health education to improve knowledge, perception, beliefs about NIDDM risk factors and to promote behavior change. Methods: “Diabetes program”, a collaboration between Chicago State University's MPH students and Project Brotherhood (PB), a community based organization, aimed at improving NIDDM self-care. In the first phase of the program, participants were interviewed about their knowledge on physical activity, nutrition, oral health, sexual dysfunction and its relevance with diabetes. Phase two, participants met primary care providers at PB to discuss their health status and to seek more knowledge about diabetes and its impact on overall health. Phase three, participants were interviewed after three weeks to see if there was an increase in knowledge and change in health behavior. Participant's responses from the interviews were video recorded with their consent. Result: Following evaluation of responses from the first and second interview, participants reported that their knowledge had increased along with change in health behavior. Perceptions and beliefs about NIDDM risk factors had also changed. Conclusion: This program was effective in promoting behavioral change towards self-care of diabetes. The interview video is now used as a health education tool to increase knowledge among the community members attending this community based organization.

Administer health education strategies, interventions and programs Assessment of individual and community needs for health education Chronic disease management and prevention Implementation of health education strategies, interventions and programs Public health or related education Social and behavioral sciences

Abstract

Lifestyle Change as a Wellness Framework

Valerie Rochester, MPA
Black Women's Health Imperative, Washington, DC

APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016)

Enormous health disparities continue to face the nation's 21 million Black women and girls. Given the burden of chronic disease and health risks many Black women face related to access to care, sexual health and reproductive justice, intimate partner violence, or surviving cancer, diabetes and heart disease, the experiences and voices of Black women must be at the center of any intervention to improve health outcomes for Black women. Central to achieving this is embracing the significance and application of lifestyle change in supporting Black women to take charge of their health and to perceive it differently. As a result, the Imperative is promoting a new model of positive health behavior. The aim of this presentation is to explore proveb lifestyle change initiatives can improve health outcomes for Black women and families through three key program platforms addressing chronic disease prevention, HIV prevention and improving sexual health. We will discuss the importance of Black women perceiving themselves as emotionally and financially well in order to focus on physical wellness, and will describe how lifestyle change must frame our approaches to improving the health of Black women, physically, emotionally and financially. Recommendation Black women must create a new model of a healthy Black woman to identify with

Administer health education strategies, interventions and programs Chronic disease management and prevention Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Program planning Social and behavioral sciences

Abstract

Diabetes Self-Care Behaviors and Social Support In African Americans in San Francisco

Liseli Mulala, Rph MPH
Walden University, Minneapolis, MN

APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016)

Although diabetes is a significant public health issue that affects people of all races, it disproportionately affects African Americans with higher diagnosis rates and higher morbidity and mortality than Caucasians. Diabetes self-care behaviors and social support have been shown to be factors in successful diabetes management, which in turn leads to reduced morbidity and mortality. Previous studies have looked at whether or not social support can improve specific diabetes related self-care items and a strong relationship has been found with composite social support and physical activity and diet in African Americans. The research has not found a consistent or concrete relationships between composite measures of social support and more complex medical behaviors. Such behaviors as checking blood sugar, medication adherence, medical appointment adherence, checking feet, risk reduction and healthy psychological coping showed inconsistent relationships with composite measures of social support. This study in African Americans with diabetes in San Francisco will attempt to assess whether or not there is a relationship between emotional support, tangible support, affectionate support and informational support and diabetes self-care behaviors. A cross-sectional survey study will be conducted using the Summary of Diabetes Self Care Activities (SDSCA) and the Social Support Survey Instrument (SSSI). Multiple Linear Regression will be used to assess whether the specific types of social support have a differential relationship with the specific self-care behaviors. If such a relationship can be found, culturally appropriate targeted interventions could be created to reduce morbidity and mortality in African Americans with diabetes in San Francisco.

Chronic disease management and prevention Planning of health education strategies, interventions, and programs Provision of health care to the public

Abstract

A Public Health Response to Sex and Labor Trafficking Victimization for Vulnerable Populations

Sunnetta Slaughter, Certified Law Enforcement Instructor DHS Federal Law Enforcement Training Center
Sunny Slaughter Consulting, LLC, Birmingham, AL

APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016)

National human trafficking efforts have a narrowly focused lens on coordinating services for victims of sex trafficking--mostly women and girls--leaving the door of trauma and vulnerability open for men, boys and other self-identifying populations. Victims of sex and labor trafficking continuously face barriers in accessing affordable, quality, consistent and sustainable medical and mental health services. Existing social determinants of health are further exacerbated by trauma and vulnerabilities, which are driven by fractured healthcare delivery services, that fail to recognize human trafficking as a complex condition impacting the overall health and well-being of a person. The face of human trafficking victimization has been grossly misrepresented by the media and through self-serving awareness campaigns. Professionals across multiple disciplines, including those in healthcare, are often not trained or familiar with identifying trafficked persons who are largely African American, minority, otherwise marginalized or suffering from forced labor conditions. Ensuring victims of trafficking receive proper medical and mental health services, reduces economic liability on the healthcare industry, and decreases the potential need for developing an emergency preparedness response to human trafficking as a public health crisis. This presentation will evaluate the delivery of existing medical and mental health services. It will address the importance of redesigning programs, coordinating processes and integrating policies, which change outcomes. It will assess the impact of social determinants of health, and allow for the delivery of a multi-dimensional scope of culturally appropriate services for women, men and children, who have been the victims of sex and labor trafficking.

Assessment of individual and community needs for health education Diversity and culture Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Public health or related organizational policy, standards, or other guidelines Social and behavioral sciences

Abstract

Developing Health Careers pipeline programming for young men of color

Geraldy St. Clair1, Becca Rector, MPH2 and Uchenna Ndulue, MPH3
(1)Boston Public Health Comission, Boston, MA, (2)Boston Public Health Commission, Boston, MA, (3)Boston Area Health Education Center (BAHEC), Boston, MA

APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016)

There is a lack of education and occupational supports to promote the recruitment and retention of highly skilled health professionals of color. Specifically, men of African-American and Latino descent are under-represented in many health fields. Research has shown that success in the pursuit of health occupations is partly due to exposure to health careers that encourages interest, engagement and expectations of success. Since educational and occupational aspirations are often formed prior to secondary school, such strategies must begin early in a student's academic career. (BRICS) is an after-school positive youth development program aimed at exposing young men of color to careers in the health and public health professions. BRICS targets young men of color in grades 6 though 8 prior to matriculation to high school. Through the 26-week curriculum youth learn about the benefits, barriers, and strategies to pursue careers in primary care, allied care and public health professions. Students also learn foundational public health concepts around health equity and the social determinants of health. We will present data describing the need for health career exploration programs targeted at young men of color. We will describe the design and implementation of the BRICS program to address this need. We will also present evaluation data showing how participation in this program facilitated youth's health interest in health professions and served as a linkage system to other enrichment opportunities. Lastly, we will discuss the challenges and lessons learned in delivering such programming to middle school youth.

Diversity and culture Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs

Abstract

Efficacy of Faith Based Programming from Cells to Community:Beyond the Prison Walls Rehabilitation, Re-Entry and Spirtuality

Calisa Williams, CHW, Care Coordinator, Member of Church Prison Ministry, Substance Abuse Support Group Volunteer
Living Word Christian Center, Forest Park, IL

APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016)

Bible Study programs in prisons and re-entry programs have been increasing nationally and there are some indications that inmates who participate in religious instruction and "programming" recidivate at significantly lower rates, than those who do not. Participation is voluntary, when participants choose to be a part of the program they decide to expose the reason for their incarceration. They have decided to be transparent. Their transparency, gives them a sense of confronting their issues and confessing their sins, knowing they are not being judged for their choices that resulted in their conviction of the crimes, gives them a sense of moving forward, Although they have been convicted, confession rids them of condemnation which can keep them trapped in guilt and shame, which stagnates and prevents them from moving forward. Spirituality can serve a variety of roles in prison. It provides answers to the participants questions about life, it provides rules to adhere to, which makes inmate management easier,It's experiential. In other words, something intrinsic takes place (salvation or conversion) which is evident to the inmate and later to those around him/her. Finally, religion plays a social role bringing together like-minded inmates for worship. This gives the inmate a sense of belonging, a sense of worth, it is a transformation of the mind, desiring right choices that positively impacts the prison's culture. Any improvement during bible study while being incarcerated or during post release is considered a success for transitioning back into society, which builds relationships, saves money and improves lives.

Other professions or practice related to public health