Abstract
Shrinking the minority health and wellness gap: A community wellness program for the perris SDA church and community
Denea Holloway, BA1, Daisy Ramirez Bell, BS, BA1, Andrea Lucio, BA1, R. Patti Herring, RN, PhD2, Nelissa Nestor-John, BSN, RN, IBCLC3 and Elizabeth Murguia, BS2
(1)Loma Linda University, School of Public Health, Loma Linda, CA, (2)LLU School of Public Health, Loma Linda, CA, (3)Loma Linda, CA
APHA 2024 Annual Meeting and Expo
Minority populations in the US are disproportionately at risk for comorbidities like diabetes, obesity, and hypertension. These health disparities often occur due to social determinants of health including economic standing, access to quality health care, and cultural obstacles. Perris, CA represents a large minority population that faces many of these public health challenges. Developing an effective health education program that considers culturally affirming interventions must include the target population from the beginning. By utilizing an established relationship with the SDA church community, MPH students guided by the social cognitive theory (SCT) conducted a needs assessment among mostly congregational members, several of whom identified as belonging to a minority group. Data was collected by literature reviews, windshield surveys, observations, six semi-structured interviews, and a confirmatory focus group. Data were transcribed, coded, and themed using grounded theory methods. Results indicated that diabetes, pre-diabetes, and hypertension were chronic health conditions of concern which were difficult to manage alone without new and innovative dietary approaches and physical activity updates. Thus, they requested a program that provided them with practical information that they could put into practice immediately with easy preparation of smaller portioned yet nutritious meals, modified physical activities for all ages, and establishing an accountability system. Furthermore, the collective efficacy that the faith-based setting provides could serve as a motivator for participants who are not as driven to change unhealthy behaviors. We then developed, implemented, and evaluated a culturally sensitive program using both process and impact evaluations for program implementation, improvement, and sustainability.
Administer health education strategies, interventions and programs Diversity and culture Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Program planning Public health or related education