An Exploratory Study to Understand Factors Associated with Health-related Quality of Life Among Uninsured/Underinsured Patients as Identified by Clinic Providers and Staff.

Since the release of Healthy People 2020, there has been extensive research understanding factors associated with health-related quality of life (HRQoL) among specific populations. Despite this growing body of research, little has been conducted to understand the factors associated with HRQoL among uninsured/underinsured Americans. The purposes of the present study were to assess clinic staff to determine: (1) whether there is a need to examine HRQoL among uninsured/underinsured individuals, (2) whether there is a need for tailored HRQoL-promoting interventions among uninsured/underinsured individuals, and (3) the factors associated with HRQoL among uninsured/underinsured individuals. A survey was sent to an association of 41 clinics that provides free medical services to uninsured/underinsured individuals. The majority of participants indicated that uninsured/underinsured individuals experience unique factors associated with HRQoL and that there was a need to implement tailored HRQoL-improving interventions among uninsured/underinsured individuals. The results also present the personal/contextual factors associated with HRQoL of uninsured/underinsured individuals.

Correction to: Sexual Minority Stress, Coping, and Physical Health Indicators.

The original version of this article unfortunately contains a mistake. In page 229, first paragraph, line 5, the value 0.353 should read as 0.347. In page 230, first paragraph, line 10, the value 0.121 should read as - 0.121.

Sexual Minority Stress, Coping, and Physical Health Indicators.

Sexual minorities experience higher rates of several physical health problems compared to their heterosexual counterparts. The present study uses Meyer's Minority Stress Model (Psychological Bulletin, 129(5): 674-697, 2003) to examine physical health indicators among 250 adults who identified as sexual minorities. Study hypotheses include that sexual minority stress is predictive of two physical health indicators (i.e., engagement in a health-promoting lifestyle and number of physical health problems) and that planning (i.e., problem-focused) and social support coping will partially mediate the relationship between sexual minority stress and each physical health indicator. Results showed that as level of sexual minority stress increased, engagement in a health-promoting lifestyle decreased and the number of physical health problems increased. Planning and social support coping did not mediate these relationships; however, as levels of coping increased, engagement in a health-promoting lifestyle increased. These findings have implications for researchers and healthcare professionals in their efforts to promote the physical health of sexual minorities.

Impact of a University-Community Partnership Approach to Improving Health Behaviors and Outcomes Among Overweight/Obese Hispanic Adults.

Objective. To examine the impact of a community-informed and community-based Health-Smart Church (HSC) Program on engagement in health promoting behaviors (healthy eating and physical activity) and health outcomes (body mass index, weight, and systolic and diastolic blood pressure). Design. A total of 70 overweight/obese Hispanic adults participated in an intervention group (n = 37) or a waitlist control group (n = 33) in 2 Hispanic churches in Bronx, New York. Results. Post-intervention the intervention group significantly increased in frequency of healthy eating and physical activity compared to the waitlist control group. Although no significant changes in body mass index or systolic blood pressure were found for either group, the intervention group decreased significantly in weight from pre-intervention to post-intervention. Conclusions. The results of the present study add to the growing body of literature evidencing the successful use of community-engaged and community-based participatory health promotion interventions with racial/ethnic minority populations and highlight important practices and considerations for similar health promotion interventions with these communities.

A CBPR Study to Test the Impact of a Church-Based Health Empowerment Program on Health Behaviors and Health Outcomes of Black Adult Churchgoers.

Black adults in the United States are disproportionately affected by health disparities, such as overweight and obesity. Research suggests that Black adults engage in fewer health-promoting behaviors (e.g., physical activity and healthy eating) than their non-Hispanic White counterparts. These health-promoting behaviors are known protective factors against overweight/obesity and related health concerns. This community-based participatory research study employed a waitlist control design and a university-church partnership approach to test the impact of a church-based health-empowerment program designed to increase health-promoting behaviors (called health-smart behaviors) and improve health indicators (e.g., reduce weight) among overweight/obese Black adult churchgoers. Results indicate that the intervention group (n = 37) experienced a significant increase in levels of healthy eating and physical activity and a significant decrease in weight compared to the waitlist control group (n = 33). Results from this study have implications for the design of church-based, culturally sensitive health promotion interventions to increase health-smart behaviors and ultimately prevent and reduce obesity and related diseases in Black communities.