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1.
Health Educ Res ; 33(1): 55-63, 2018 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-29237071

RESUMO

There is a paucity in the literature examining the African American middle-class. Most studies of African Americans and Type 2 Diabetes Mellitus (T2DM) have concentrated on lower-SES individuals, or make no distinction between African Americans of varying socio-economic positions. Middle-class African Americans are vulnerable in ways often overlooked by researchers. This study quantitatively examines specific T2DM knowledge and perceptions of risk in middle-class African Americans (N = 121). The majority of respondents, 70.2%, were unable to correctly identify all the warning signs of T2DM development. Only 3.3% of respondents correctly identified all risk factors provided as 'possible causes' of T2DM development. The difference between those participants who considered themselves to be at risk for T2DM development and their level of risk, according to the American Diabetes Associations' risk assessment, was not statistically significant (P = 0.397). However, there were statistically significant differences between participants' perceptions of their weight and clinical definitions of overweight, a major risk factor in T2DM development, based on BMI (P = 0.000). Middle-class African Americans are not inherently protected or exempt from developing T2DM. This study demonstrates gaps in knowledge and overall incongruent levels of perceived susceptibility, suggesting a need for additional research and health education in this segment of the population.


Assuntos
Negro ou Afro-Americano , Diabetes Mellitus Tipo 2/etnologia , Conhecimentos, Atitudes e Prática em Saúde , Adulto , Fatores Etários , Idoso , Índice de Massa Corporal , Peso Corporal , Dieta , Exercício Físico , Feminino , Humanos , Louisiana/epidemiologia , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Fatores Socioeconômicos , Adulto Jovem
2.
J Cancer Educ ; 26(4): 658-63, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21633920

RESUMO

The Arkansas Cancer Connection Program is a community-academic partnership between the University of Arkansas for Medical Sciences and nine community-based coalitions designed to address cancer health disparities through community-based participatory research. In 2005, a survey measuring coalition capacity was administered to 51 Cancer Council members to assess training needs and increase coalition capacity. The highest scoring components were leadership and member engagement while the lowest were development and capacity effectiveness. Effectiveness correlated with aspects of coalition capacity. The evaluation identified training needs, which were met by projects leveraging the coalition's strengths to advance community-based participatory research addressing cancer disparities.


Assuntos
Planejamento em Saúde Comunitária/organização & administração , Pesquisa Participativa Baseada na Comunidade , Relações Comunidade-Instituição , Disparidades nos Níveis de Saúde , Disparidades em Assistência à Saúde , Neoplasias/prevenção & controle , Adulto , Idoso , Arkansas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/etnologia
3.
Prim psychiatry ; 15(10): 38-44, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29033533

RESUMO

Rapidly changing demographics in the United States and diverse cultural beliefs impact hospice utilization and end-of-life care. Healthcare professionals and clinicians need a connecting framework to understand patients' and their family's perspectives regarding utilization of those services. This framework will assist healthcare workers in providing culturally sensitive and appropriate information to patients nearing the end of life, so that they and their loved ones can make informed decisions for optimal care during this passage of life. Considering the variables in this framework may also help facilitate communication between healthcare professionals and patients and reduce misunderstanding among the surviving family members.

4.
J Racial Ethn Health Disparities ; 4(3): 507-514, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-27324819

RESUMO

African American barbershops and beauty salons are settings that have been identified as a significant and culturally relevant venue to reach minority populations for health promotion activities. By being located in almost every town in the USA, this setting is a viable means to promote healthy lifestyles among African Americans. The purpose of this formative research project was to assess African American barbershop and beauty salon owners' perceptions of providing health promotion programming in their shops, as well as to obtain information on health topics of interest and strategies for implementation. Interviewees were recruited using snowballing among clientele and owner referrals, between November 2014 and August 2015. A total of 20 barbershop and salon owners, across 11 counties in eastern North Carolina, completed face-to-face interviews. Responses were stratified by barbershops and beauty salons. Across both groups, all owners stated it would be a good idea to have health programs/interventions within the shop setting. Most noted topics of interest included diet and nutrition, hypertension, and (wo)men's reproductive health. When asked further about these desired topics, both benefits and relevance to customers and the African American community were the reasons for their selections. In addition, across barbershops and salons, 90 % of owners stated interest in having a program implemented in their shop. This information will be used to guide the development of shop-based interventions, with the aid of a community advisory board composed of shop owners, individual barbers and stylists and customers.


Assuntos
Barbearia , Negro ou Afro-Americano/estatística & dados numéricos , Comportamentos Relacionados com a Saúde , Promoção da Saúde/métodos , Pesquisa , População Rural/estatística & dados numéricos , Adulto , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , North Carolina
5.
J Immigr Minor Health ; 17(2): 591-604, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23996643

RESUMO

Numerous studies have explored dietary practices among children, but there are limited studies on children of Asian background in the US. This review had three aims: (a) review literature regarding Asian-American youth's dietary behaviors, (b) critically evaluate the methodological quality of such research, and (c) provide recommendations for future nutrition-related research on Asian-American youth. The authors conducted a systematic literature review through MEDLINE (EBSCO), CINAHL Plus with Full Text (EBSCO), and Embase (Ovid); extracted descriptive data; and evaluated methodological quality. Thirteen articles were included. Major findings included: (a) frequent consumption of milk, fruit, meat, unenriched white rice, vegetables, and high-fat and high-sugar items among Asian-American children and (b) acculturation's influences on diet, resulting in Asian-American youth consuming diets characterized by both Asian and American foods. Findings from this review may inform education and promotion programs and services for Asian Americans in the US.


Assuntos
Aculturação , Asiático , Dieta/etnologia , Adolescente , Criança , Comportamento Alimentar , Frutas , Humanos , Estados Unidos , Verduras
6.
Cancer ; 97(1 Suppl): 318-23, 2003 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-12491495

RESUMO

BACKGROUND: This study evaluates the cultural context of the behaviors and beliefs of African-American women to determine the success or failure of breast cancer prevention and control interventions. Cultural and psychologic reactions, such as fear, distrust, fatalism, and other "historic rooted" factors, are major determinants to participation in these interventions by African-American women. METHODS: Psychosocial and cultural issues were delineated through a literature review in the areas of cancer prevention, breast cancer control, and African-American women. Assessments were conducted to document key successful models and activities that increased the participation of African-American women in breast cancer prevention and control interventions. Current community-based intervention strategies and activities were assessed. RESULTS: Effective breast cancer prevention and control programs must address and develop cultural competent models that promote behavioral change in this population of women. CONCLUSIONS: Studying the relationship between culture and psychosocial issues is integral to our understanding of how African-American women participate and respond to cancer prevention and control interventions. Cultural competent models that reduce and eliminate cancer disparities in this population must be developed.


Assuntos
Atitude Frente a Saúde/etnologia , Negro ou Afro-Americano , Neoplasias da Mama/etnologia , Neoplasias da Mama/prevenção & controle , Cultura , Comportamentos Relacionados com a Saúde/etnologia , Grupos Minoritários , Neoplasias da Mama/psicologia , Feminino , Educação em Saúde , Humanos , Fatores Socioeconômicos , Estados Unidos , Saúde da Mulher
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