Lessons Learned from Rapid Community Needs Assessment in the African American Community During the COVID-19 Pandemic.

BACKGROUND: With the accelerated spread of COVID-19 and current shelter-in-place orders from many local governments, African American (AA) communities see to be more vulnerable as emerging data show disproportionate rates of infection and mortality among AAs across the nation. OBJECTIVES: In a sample of AA church members, to conduct a rapid community assessment during the early phase of the coronavirus disease 2019 pandemic. METHODS: Our community-based participatory research team, partnering with the local AA church community and including trained lay health workers, conducted the assessment via telephone and online. RESULTS: Although most participants reported high confidence regarding recommendations for physical distancing, more than 60% reported elevated anxiety and stress, and 10% indicated that they needed more information about staying healthy and safe during the pandemic. CONCLUSIONS: Community-based participatory research with lay health workers is an effective method to implement a community needs assessment, problem-solve with community members, and build community health infrastructure during a public health crisis.

Factors influencing dietary fat intake among black emerging adults.

OBJECTIVE: To determine what factors influenced dietary fat intake (DFI) among black emerging adults. PARTICIPANTS: Sample included 251 black emerging adults, ages 18-25 years, living in the US. METHODS: This was a nonexperimental cross-sectional study based on self-report data. RESULTS: The sample had high DFI. Factors related to DFI were gender (rpb = -.22, p < .001), perceived barriers for healthy eating (r = .32, p < .001), and perceived self-efficacy (r = -.33, p < .001). These variables were also significant predictors for DFI. Gender was significantly related to DFI (b = -5.894, p = .000). Religious commitment moderated the effect of stress on DFI. CONCLUSIONS: Gender, perceived barriers for healthy eating, and perceived self-efficacy were significant predictors for DFI. Religious commitment influenced the relationship of perceived stress and DFI. These findings may lead to interventions designed to reduce DFI and cardiovascular risks among black emerging adults.

"If Only We Could Have Them Walk a Mile in Their Shoes": A Community-Based Poverty Simulation Exercise for Baccalaureate Nursing Students.

BACKGROUND: Poverty is linked to poorer health outcomes across the life span. Nurses must understand how poverty impacts health and the ability to achieve social mobility. This article describes a poverty simulation exercise, In Their Shoes. METHOD: Scenarios of clients in need of community resources were developed. Using public transportation, students travelled to agencies to collect information about accessing resources. Students were introduced to content about poverty, income inequality, social mobility, and critical social theory prior to the simulation exercise. After the simulation, students returned to the classroom and reflected on the experience. RESULTS: In Their Shoes received positive feedback. Students expressed surprise at the number of community resources, frustration by the challenges encountered, and dedication to being aware and compassionate advocates for underserved clients. CONCLUSION: Nursing programs should develop and evaluate similar activities to expose students to the challenges of living in poverty, and how this affects health and nursing practice.

Religion and health-promoting behaviors among emerging adults.

Studies suggest we capitalize upon religion's health benefits to prevent obesity. The purpose of this qualitative descriptive study was to determine how emerging adults used religion to manage their health. Two focus groups were conducted among White and African American participants. Content analysis of the data revealed categories about their attitudes regarding parental and religious influences, religion's influence on behavior, negative health effects of religion, barriers, obesity prevention, and health promotion programs. Society sends out "easy" solutions for unhealthy behaviors, but we should focus on healthy behavior benefits, remove barriers, and consider religion's part in health promotion (obesity prevention).

Health ministry partnerships: creating a habit for health.

More than one third of the U.S. population is obese whereas 17% of youth ages 2 to 19 are obese. This paper describes the partnership between a predominantly African American church in central Texas with a state university nursing school to reduce obesity through a health-promotion program. Based upon the success of the partnership and impact of the program, this partnership could serve as an exemplar for other churches and universities in developing health programs.