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6. *Harnessing Integration, Collaboration, Coordination, and Cooperation for Chronic Disease Prevention and Control Jeanne Alongi, MPH, NACDD/UNC-Chapel Hill Background: More and more, state health departments and other public health sector public health agencies are faced with increased financial pressures, staffing reductions, changing funder expectations, and frustration with competing partner requests. Many are exploring program integration as a way to maximize impact per effort and expenditure. Theoretical Basis: Program integration expects to improve overall effectiveness without jeopardizing the impact of individual programs. (Salinsky & Garsky) Methods: The NACDD Chronic Disease Program Integration Logic provides a systematic framework for exploring elements such as partnership, interventions, and data. Challenges and strategies collected from state heath department experiences highlight opportunities for tailoring effort in specific jurisdictions. Interventions: Strategies may be as straightforward as periodic information sharing and as complex as matrix management for comprehensive planning and implementation. Partnerships: Internal partnership has been challenged by the realities of categorically focused expectations. External partnerships have not been leveraged as effectively as possible. Implications for Improved Practice: Program integration is a process that can enable improved effectiveness and efficiency in state health departments and can be done without diluting the impact and focus of categorical programs. The application of innovative leadership and management strategies may facilitate efficiencies and improved effectiveness of partnerships, planning, and intervention delivery. 7. Sex differences among System Lupus Erythematous Patients: Are males more likely to have serious comorbidities Katie Crosslin, PHD, CHES, Texas Woman’s University, Kristin Wiginton, PhD, Texas Woman’s University Background: Systemic Lupus Erythematosus (SLE) is a prototypical autoimmune disease that disproportionately affects females. However, some studies have indicated that males experience greater comorbidities than females though more research is needed to explain this phenomenon. Theoretical framework: The Ecosocial theory of disease, which addresses social and biological influences, was used to guide an epidemiological study examining comorbidities among males and females. Hypothesis: Sex will not significantly predict comorbidities in SLE patients. Methods: The sample consisted of 14,829 unique SLE patients hospitalized from 1999-2005. Comorbidities were measured by the SLE Comorbidity Index, which consists of 14 common comorbidities believed to predict severity of SLE. ANOVAs were conducted to test for differences between males and females for comorbidities, age, length of stay in the hospital, total hospital charges, and number of autoimmune diseases. Results: Male patients had significantly greater comorbidities compared to female patients. Additionally, female patients had more autoimmune diagnoses than male patients. Male SLE patients were more likely to have cardiovascular and renal comorbidities when compared with female patients. Female SLE patients had significantly greater odds of diagnoses for UTI, hypothyroidism, depression, esophageal reflux, asthma, and fibromyalgia. Conclusions/Implications: While the prevalence of SLE among males is rare, they have the potential for greater disease severity and are more likely to suffer from cardiovascular and renal disease. Sex differences in SLE comorbidities should be further evaluated, but with the added recommendation to develop an index with conditions more indicative of active SLE. Implications and future interventions will be discussed for health educators and researchers. 8. *Beyond Reading Levels: Assessment of Linguistically and Culturally Appropriate Diabetes Brochures Gabe Gose, BS, NMSU Dept. of Health Science; Bianca Zamora, BA, NMSU Dept. of Health Science; Cindy Kratzke, PhD, CHES, NMSU Dept. of Health Science Background: It is estimated that 24 million U.S. adults ages 20 and older have diabetes including 6.6% of non-Hispanic whites, 7.5% of Asian Americans, 10.4% of Hispanics, and 11.8% of non-Hispanic blacks. Changing demographic trends indicate minority populations will represent 48 percent of the U.S. population by 2050. The demand for more diabetes programs targeting diverse populations will increase. Culturally sensitive diabetes programs may be perceived to be more relevant when cultural values are meaningful to community members. However, little is known about the assessment of appropriate diabetes brochures or materials for diverse populations. Objective: The purpose of this study was to assess the suitability of linguistically and culturally appropriate online diabetes brochures from the Centers for Disease Control and Prevention and National Diabetes Education Program. Methods: The 22-item Suitability Assessment of Materials (SAM) instrument was used to assess the suitability of eleven brochures written for English, Hispanic, African American, and American Indian/ Alaska Native groups. The six categories are content (purpose, scope, and summary), literacy demand (active voice, readability, vocabulary, sentence construction, and advance organizers), graphics (illustrations and graphics), layout (typography and chunking), learning stimulation (interaction, motivation, and cultural appropriateness (cultural match and images). Specific scoring criteria for evaluating the materials included 0 = not applicable, 1 = adequate, and 2 = superior. Results: The scores ranged from was 39 to 43 (M=40.9 and SD=1.44). The majority of brochures provided cultural appropriateness, reading levels between 6th to 8th grade levels, graphics, motivation, and content about 44 SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting
ehaviors. Health educators must be able to evaluate health education materials to meet the needs of diverse populations. 9. Coping with Bad Body Image Days: Strategies from First year college women TeriSue Smith-Jackson, PhD, MPH, Department of Public and Community Health, Utah Valley University; Justine Reel PhD, LPC; Utah Valley University; Rosemary Thackeray , PhD, MPH, Brigham Young University This exploratory qualitative research allowed college women to describe in their own words how they cope with body image pressures, something that has not previously been done. Semi-structured interviews with first-year female college students (N=30) revealed common strategies used for body image coping, as well as their perceived effectiveness. While exercise was most frequently cited, other coping strategies included: healthy eating, appearance changing, talking to friends or family, religion/spirituality, alone time, getting out and doing something, music and self-acceptance. One of the emerging themes was participation in a cycle of eating as a result of body image concerns or pressures, and then feeling bad about themselves for eating. Far more women used coping strategies that reflected avoidance or appearance fixing motives rather than acceptance. The way in which the women in our study talked about coping made it somewhat difficult to compare to previous quantitative work. For example, our most frequently cited method of coping, exercise, appeared to be avoidance for some participants, and appearance-fixing for others. This study also warrants more inquiry into avoidance coping, as we found some avoidance coping to be more positive, such as going out with friends, while other avoidance coping behaviors, such as eating chocolate could have a more negative impact. The coping strategies identified by individuals in this research may aid in creating lists of possible coping strategies to encourage college women to adopt more positive coping strategies when experiencing body image concerns. Previous research has found that women who eat as a coping strategy may actually have more emotional distress compared with those who do not. Motivational Interviewing and Dialectical Behavioral Therapy are two approaches that could be considered to help students deal with this emotional distress and add positive characteristics while eliminating the negative ones. The research from this study identifies the need for further investigation into the body image coping behaviors of women. This research shows the diversity and complexity associated with coping, and highlights several situations where it is difficult to discern whether the coping behavior is healthy or unhealthy. As coping is related to psychological dysfunction and further perpetuates negative body image problems, dieting-related issues, and eating disorders, it is important to further understand this complex arena. 10. (Re)building of AI/AN community health through implementing Healthy Food Programs: A Case Study of Intertribal Friendship House (IFH) Nanjie Caihua, BA, Research Associate (Seva Foundation) & Hart Fellow (Duke University); Robert Rinck, BS, MPH, SJSU; Shreya Desai, BS, SOPHE; Carol Wahpepah, BS, Intertribal Friendship House (Re)building of AI/AN community health through implementing Healthy Food Programs: A Case Study of Intertribal Friendship House (IFH) Background: AI/AN communities suffer food insecurity due to lack of access/resources resulting in diabetes, obesity, and other health issues. Objectives: In 2010, IFH, an urban AI/AN community center, implemented a healthy food program consisting of a community garden, cooking classes and other health promotion activities NC-SOPHE and Seva Foundation were partners in implementing the program; this community-based participatory research (CBPR) can serve as a model of how diverse organizations can collaborate to support AI/AN community-driven health efforts Abstract: Our poster displays IFH’s successful first year of a healthy food program. Content based on CBPR recounting processes of program implementation/ analyzing impact. Implementation process includes how IFH makes decisions impacting AI/AN populations, encourages community participation, strengthens community cooperation, and plays a critical role in community-organizing/ (re)building. Impact includes quantitative data to show the number of community members directly/indirectly benefited from the program. Qualitative data is shown how individuals describe their encounters with the program and how their perspectives changed regarding Native health knowledge, skills, interests, and abilities From a theoretical viewpoint, this presentation addresses health disparities within AI/AN populations, but also urban-rural disparities within Native health programs. Studies have shown that while AI/AN populations have migrated into urban settings, health resources/service programs remained stagnant. Poster is based on: IFH/Seva’s statistical data tracking community participation/program implementation phases Participatory research consisting of interviewing individual members/focus groups Studying/incorporating relevant and current health literature vis-à-vis the program. 11. Tobacco Tipi Project JamieLou Delavan, BA, Idaho Department of Health and Welfare; This will be a single presentation provided by Ms. Delavan who will present the idea behind the Tobacco Tipi project. The health journalism project involved interviewing Tribal members about their relationship with both sacred and commercial tobacco. The same members where also photographed and the resulting photo essays were displayed in tipis during festivals and other community events, shared *Denotes Poster Promenade SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting 45
Page 1 and 2: Change A Tapestry for Addressing Ch
Page 3 and 4: Welcome Dear Conference Attendees:
Page 5 and 6: Conference Supporters Alzheimer’s
Page 7 and 8: Leonard Jack, Jr, PhD, MSc, Xavier
Page 9 and 10: Meeting Highlights Albuquerque Fies
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Page 35 and 36: 3:15 PM- 4:45 PM Plenary 2 Weaving
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Page 61 and 62: 3:15 pm - 4:45 pm Plenary II Alvara
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