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and stroke is greater in African American men, there is a paucity of
information that focuses on systems-level interventions addressing
high blood pressure control in this population. The Division for Heart
Disease and Stroke Prevention at the Centers for Disease Control
and Prevention developed a resource tool that highlights the hypertension
burden, promising systems-level interventions, and men’s
health resources to assist public health agencies desiring to address
this vulnerable population. Methods: The resource tool was developed
through a review of the literature using the Internet, scientific
journals, and other sources to document the burden of high blood
pressure, delineate psychosocial factors surrounding disparate morbidity
and mortality rates, identify promising systems-level interventions
and men’s health resources. The social-ecological model was used to
frame the content categorization of systems-level interventions. Key
informant interviews were conducted on a subset of nine interventions
that were selected for further study. In addition, an expert panel
was engaged through conference calls and e-mails to give input and
guidance. Results: Scientific literature pertaining to African American
men and blood pressure control was scarce. Of the nine systems-level
interventions studied, only two had been formally evaluated and had
published information. The other interventions reported making
significant changes in the lives of the participants, but did not have the
infrastructure or staff to document or evaluate their efforts. Although
African American men were not the sole focus of some interventions,
key informants shared lessons learned regarding culturally responsive
programming for this group. A noteworthy methodological challenge
was finding a knowledgeable key informant to report detailed
information about the intervention. Partnerships: Experts in the areas
of African American men and hypertension from academia, private,
and public institutions participated in the development and implementation
of this resource. Implications for Improved Research, Policy,
or Practice: The development, implementation, and evaluation of
systems-level interventions addressing high blood pressure control in
African American men may be facilitated by state programs and other
public health agencies using this resource.
20. *Using health communication to increase exposure to NCI
colorectal cancer information and recommendations in
Southwest New Mexico
David Tomkins, BS, New Mexico Department of Health
The NM Tobacco Use Prevention and Control Program (TUPAC) has
partnered with the NM Diabetes Prevention and Control Program
(DPCP) because research points to a detrimental link between
secondhand smoke and diabetes. Efforts focus on Native Americans
living in New Mexico, as 14% of Native Americans in New Mexico
are living with diabetes and the state’s clean indoor air law does not
apply to reservations. TUPAC and DPCP can’t directly lobby for any
specific law, but can provide education that can support changes in
public policy and norms. The programs believe they can be most successful
in this effort by raising awareness with a community-by-community
approach. Each tribe/pueblo is at a different place in terms of
understanding and caring about the dangers of secondhand smoke. By
coupling secondhand smoke with diabetes, a subject they understand
to a greater degree, we believe we can increase support for clean indoor
air protections in tribal communities. The objective of the project is
to raise awareness and community concern about the critical link
between secondhand smoke and diabetes in a way that is culturally
relevant and can be tailored to individual Native American communities.
The “Have a Heart” campaign was developed by TUPAC and
DPCP as an integration project to maximize resources. Collaborating
partners include the Southwest Tribal Tobacco Coalition, Black Hills
Center for American Indian Health, New Mexico Diabetes Advisory
Council, Navajo Nation Special Diabetes Project, and the Southwest
Navajo Tobacco Education Prevention Project. “Have a Heart” pin
cards are being distributed throughout the Navajo Nation to educate
people about the importance of clean indoor air for people living with
diabetes. Attached to the card, which features artwork by a Navajo
artist, is a heart-shaped pin. The message on the card encourages
people to wear the pin to “show support and respect for people living
with diabetes while reminding others to do their part to keep the
air clear of secondhand cigarette smoke.” The “Have a Heart” campaign
is directed at friends and families of Navajo people living with
diabetes. The campaign is currently tailored to the Navajo Nation. The
campaign will later be expanded into other Native communities and
will be tailored to each individual group’s unique culture. Anecdotal
feedback regarding the developmental process and audience reception
will be shared in the presentation. Current observations indicate
that public awareness of the heightened vulnerability of people with
diabetes to commercial tobacco smoke has increased.
21. Women’s Health issues in Kurdish Villages of Armenia:
Developing a Tapestry for Change
Eva Doyle, Phd, MSEd, CHES, Baylor University; Anne Griffith,
MA, The Enlighten Foundation; Shannon Thiel, BSEd, RN, Baylor
University; Narine Khachatryan, BS, The Enlighten Foundation
Approximately 30,000 Kurdish Armenians reside in poverty-stricken
villages surrounding Armenia’s capital city of Yerevan. Inadequate
health care and promotion contribute to multiple health problems in
these villages. Preliminary discussions with key informants revealed
that general reproductive health issues and a condition commonly
referred to by village women as “erosion of the womb” were primary
concerns. Yet, no research or community-based efforts had
been implemented to clarify and address these issues. The principles
of community-based participatory research, and qualitative and
*Denotes Poster Promenade
SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting 49