healthy people 2020 - Society for Public Health Education

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thursday – saturday | november 4-6 ✯ Poster Abstracts ✯ characteristics of a professional preparation program to prepare entrylevel health educators to address health disparities. Phase two involved development of a survey, the Lyles Health Disparities Assessment Tool, based on information from the Delphi technique. The tool was piloted among 187 Health Education Programs. Results: Pilot testing of the survey revealed the Cronbach’s alpha coefficient for internal consistency reliability was .752. conclusions: Forty-three percent (n=19) of program coordinators felt students get an optimal experience in learning to work with populations that experience health disparities. Seventy percent (n=31) of the Health Education Programs do not offer courses entirely devoted to health disparities. Only 20% of the program coordinators report students complete an internship in diverse communities. Many program coordinators felt faculty had a professional commitment to teaching students to address health disparities. Sixty-three percent (n=28) agreed or strongly agreed faculty were committed to practical experience, research, and participation in conferences focused on health disparities and health policy. implications for practice: Health education programs should incorporate an internship with communities that may experience health disparities. Inclusion of an internship will allow students to use theories/ models based in culture and apply these models in real situations. Faculty should be encouraged to pursue research agendas in health disparities. Support should be available for faculty to attend conferences related to the discipline. Providing training and supporting scholarly growth will allow faculty to increase knowledge and exhibit a professional responsibility to the field. 30. Advocacy 2.0: Using Web 2.0 to Advocate for the Profession Don Chaney, PhD, CHES, College of Health and Human Performance, University of Florida, Gainesville; Beth Chaney, PhD, CHES, University of Florida, Gainesville; Michael Setllefson, PhD, University of Florida, Gainesville; Monica Webb, MPH, University of Florida, Gainesville Advocacy is an integral component of public health education. The future of our profession will be determined by how the profession advocates for health education programs and practices that work to change behavior and prevent disease to audiences outside the heath education field. Web 2.0 provides such a platform for dissemination. Yet, many health educators lack training in how to effectively utilize Web 2.0 technologies in advocacy efforts. The purpose of this presentation is threefold: 1) to provide a general overview of Web 2.0 technologies; 2) to provide examples of how Web 2.0 is utilized in advocacy initiatives; and 3) discuss how Web 2.0 can be utilized to enable health educators to mobilize communities and policymakers in order to achieve specific advocacy goals. Although the use of technology and the need for advocacy is continually cited in the literature as an essential and crucial factor in the future direction of the profession, the gap between literature and practice exist. This presentation will enhance the practical understanding and application of Web 2.0 technologies, while presenting strategies to revolutionize the way we currently conduct professional advocacy initiatives. 31. Female Iraq and Afghanistan War Veterans: Coming Home in Their Words Lisa Hedden, BA, Health Science Department, San Jose State University; Anne Demers, EdD, MPH, BA, Health Science Department, San Jose State University In the past two decades, the number of women in the military has increased significantly and their roles as soldiers have greatly expanded. Despite this increase, there is a lack of research on the effect that maledominated military culture has on female soldiers and their specific needs as they transition from military to civilian life. The literature demonstrates that social support is a strong predictor of mental health outcomes. Yet few studies, none of which are qualitative, have examined the role of social support during a female veteran’s transitional process and the subsequent effects on mental health. This study explored female Iraq and Afghanistan war veterans’ experiences with social support and their ability to transition back into civilian society. Within the framework of the social support literature, data from two focus groups and three one-to-one in-depth conversations were analyzed. Several themes emerged from the data around social support including a lack of support within the military, feeling disconnected from civilians and loved ones, and the need for genderspecific support services to assist with reintegration into communities. While focus group data revealed a desire to connect with other veterans, the majority of the participants specifically wanted to connect with female veterans. Their own military units were primarily comprised of men who had provided little support for their female counterparts. The participants wanted to distance themselves from male veterans upon returning home, but still connect with someone they could relate to on a veteran’s level. This is a culturally distinct population, with its own stresses, for which social support greatly impacts their physical and mental health outcomes. These results have significant implications for health educators such as a need for program development within public health departments and community based organizations that build in social support structures; and training for women’s health service providers to address the needs of this population. As increasing numbers of female veterans return home, essential community health services and educators will need to be prepared to effectively support them. 32. Assessing Intimate Partner Violence Among Iraq and Afghanistan War Veterans and Their Significant Others Authors: Anne Demers, EdD, MPH, Health Science Department at San Jose State University; Elena Klaw, PhD, San Jose State University; Alea Gellman, MPH Candidate, San Jose State University Returning veterans from Iraq (OIF) and Afghanistan (OEF) wars are struggling with myriad physical and mental health issues. Whether they are diagnosed with a mental health disorder, or not, research has shown that combat experience itself is related to increased risk for anxiety, depression, and anger symptomology. Veteran’s anger, in particular, is related to an increased likelihood of committing intimate partner violence (IPV). The literature reveals very little about the current prevalence of IPV among this population. Using a mixed methods approach, an electronic survey was designed and launched at two-year and four-year colleges and universities throughout California. The goal of this study was to gain a better understanding of the issue of intimate partner violence among OIF/OEF veterans and significant others of veterans. Results reveal a continuum of relationship behaviors – from healthy, to unhealthy, to abusive – and data suggest that there is more at play than the traditional explanations of power and control. Many veterans have not been screened for and/or are not receiving services for Post Traumatic Stress Disorder and are self-medicating with alcohol and other substances. Veterans’ significant others are at a loss for how to negotiate safe relationships. Recommendations include incorporating military cultural competence training into more traditional curriculum, programs, and service delivery. 52 sophe conference ✯ november 4-6, 2010
✯ Poster Abstracts ✯ thursday – saturday | november 4-6 33. Internet Risk Behavior: Willingness to Engage in Unsafe Sexual Behavior Jorge Figueroa, PhD, Department of Health and Applied Human Sciences University of North Carolina Wilmington; Nolan G. Heath, University of North Carolina Wilmington Internet Risk Behavior: Willingness To Engage In Unsafe Sexual Behavior Type of presentation: Brief Individual Conference Theme: Key Words: risk behaviors, unprotected sex, MSM, internet, social networks Current research reports the prevalence of unprotected anal intercourse among men who have sex with men (MSM) as being between 33% and 49%. Similar estimates of unsafe sexual practices are presented for men who meet via internet social networks. The basis of these prevalence estimates tends to be surveys, interviews and other self-report measures. The limitations of self-reported data in accurately estimating risk behaviors has been investigated and explored extensively. However, particularly with sexual behaviors, it often is the only practical and ethical option. This study utilizes a modified Observer Participant model to assess the willingness of men interacting on a well known internet social networking site to agree to engage in unprotected anal intercourse. An ad was placed online in 16 cities nationwide, providing a description and anonymous image of a fictitious 26 year old male. Responders to the ad were sent an email indicating a willingness to meet and have sex, but with a pre-condition that sex would be “bareback” (unprotected). This study looks at the number of men agreeing to have unprotected sex, as well as variables that were potentially related. Attractiveness of the fictitious male, attractiveness of the respondents (when it could be determined from pictures provided in responses), and size of city where the ad was placed were analyzed. The results reflected a much higher willingness to engage in unprotected sex, when responding to a specific partner and situation than is reported in studies using self report measures. The implications of these findings for estimating potential prevalence of unprotected anal intercourse among MSM who meet online are discussed. Variables which appear to be related to willingness to agree to unprotected sex are also explored and the development of prevention strategies are discussed. 34. High School Youth Using Their Creative Voice To Improve Community Health Samuel Wood, BA, MFA, Kaiser Permanente Educational Theatre Programs; Brian Harper, BA, Kaiser Permanente Educational Theatre Programs Kaiser Permanente’s youth advocacy program, Teens Take It On, employs cutting-edge strategies to address the social and physical determinates of teens’ nutrition and physical activity choices. Additionally, the program targets specific teen populations to achieve measurable outcomes. This sixweek high school residency program empowers high school students to become advocates and peer-educators for healthy eating and active living. Students use various forms of media to identify barriers to healthy behaviors for students, to challenge the status quo and to advocate for change. This presentation will share the methods, strategies and successes of Teens Take It On, highlighting the power of the youth voice to advance and sustain CDC and IOM recommended strategies to prevent childhood obesity. During the last five years, the Teens Take It On program has successfully changed health policy in four Denver metro schools. In one school district, three school-based projects catalyzed major changes in school cafeteria offerings, which will impact 84,000 students in 148 schools. Recently, a Teens Take It On bilingual film promoting National Walk to School Day walking to was seen by over 19,000 elementary, middle and high school students in 8 school districts across the state of Colorado. Teens Take it On achieved these results by employing the principles of Positives Youth Development coupled with the creative power of young people. This session will demonstrate how Colorado youth are scaling new heights impacting the health of their peers and their community. 35. Developing Cancer Education Curricula to Reduce Cancer Disparities: Report on Process and Outcome From an Academiccommunity Partnership Brenda Adjei, EdD, Intercultural Institute on Human Development and Aging; Tatiana Lee-Amaya, BA, Long Island University U54 Comprehensive Cancer Partnerships are an NCI-funded initiative intended to create sustainable research collaborations between Minority Serving Institutions and Cancer Centers to reduce cancer disparities in minority and underserved communities. The Long Island University/ Columbia University U54 Partnership serves this purpose by supporting cancer research, training, and outreach initiatives that address cancer disparities in Brooklyn’s and Northern Manhattan’s Caribbean immigrant communities. The Partnership’s Community Outreach Program is currently collaborating with three community-based organizations to design a training program for Community Health Workers (CHW) that will prepare them to educate their clients about breast, cervical, colorectal and prostate cancer prevention and control and about participation in clinical research. This study describes the collaborative development of a training program for CHWs on colorectal and clinical trials education. Based on the Health Belief Model, data were abstracted from 22 studies on barriers faced by minority communities related to colorectal cancer screening and clinical trials participation to stimulate focus group discussion (3 focus groups, n=18 CHWs) of and ideas to enhance the feasibility and effectiveness of the curriculum. Supplemental materials will be developed to provide CHWs with the tools necessary to promote screening and education. Results from this pilot study will include the curriculum development process, formative research on barriers and related strategies, an overview of the curriculum content and materials, as well as process and outcome evaluation results (i.e. pre-post test knowledge and number of educational sessions delivered by CHWs). As well these results will be used to refine the curriculum and outreach program as well as enhance the utility of this educational program for CHWs. 36. Health Education in Practice: Applying the Ecological Model to Healthcare Workforce Issues Kari Simpson, MPH, CHES, NOVA Admittedly, a Workforce Investment Board (WIB) is not the first thought to come to mind when considering health education. It’s more likely that one’s first thought is “what is a WIB”? A WIB is a state and federally funded organization with a main goal of preparing its local workforce to meet workplace demands by conducting research on regional trends or needs and providing career development training to job seekers as well as incumbent workers. Although an oft overlooked institution, the presentation will demonstrate how WIBs are excellent partners for creating strategic workforce solutions that address commonly aligned public health and HP 2020 goals. Contemporary health promotion looks beyond individual health education; it endeavors to include change to organizational behavior change as well as physical and social environment of communities. As a health educator, when looking to address specific HP 2020 objectives, such as those that fall under Health Communication and IT, Access to Health Services, Healthcare-associated Infections, and Educational and Community-Based programs, one cannot overlook how integral the healthcare workforce, and therefore related workforce issues, sophe conference ✯ november 4-6, 2010 53
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