A model for using community‐based participatory research to address the diabetes epidemic in east harlem

Horowitz, Carol R.; Goldfinger, Judith Z.; Muller, Sara E.; Pulichino, Romina S.; Vance, Thomas L.; Arniella, Guedy; Lancaster, Kristie J.

doi:10.1002/msj.20017

Cited by 44 publications

(49 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hispanics were more likely to be in the younger age group where diabetes mellitus is less prevalent. This may explain in part why DM was less prevalent among this racial/ethnic group compared with non-Hispanic whites and non-Hispanic blacks [42][43][44]. This study showed African American with the highest prevalence of diabetes mellitus, indicative of racial/ethnic disparities in diabetes mellitus in this sample.…”

Section: Discussionmentioning

confidence: 60%

Racial/Ethnic Variability in Diabetes Mellitus among United States Residents Is Unexplained by Lifestyle, Sociodemographics and Prognostic Factors

Hossain²,

Ward

et al. 2012

ISRN Public Health

View full text Add to dashboard Cite

Background. The mortality and prevalence of diabetes mellitus (DM) vary across racial/ethnic groups with African Americans/blacks being disproportionately affected. However, it is unclear to what extent such disparities persist after the adjustment for covariates related to race/ethnicity and/or DM in the population. We aimed to assess racial/ethnic disparities in DM and to determine which covariates account for the observed racial/ethnic variabilities. Materials and Methods. We utilized a large cross-sectional survey of the US noninstitutionalized residents (n = 30, 852) to investigate the racial/ethnic disparities in diabetes mellitus, and the degree in which the disparities are explained by the relevant covariates. Pearson's chi-square was used to examine study variables by race/ethnicity, while logistic regression was used to assess the effect of race/ethnicity and other covariates on DM prevalence. Results. There were statistically significant ethnic/racial differences with respect to income, education, marital status, smoking, alcohol, physical activities, body mass index, and age, p < 0.05, but not insurance coverage, p > 0.05. Race/ethnicity was a single independent predictor of DM, with African Americans (non-Hispanic blacks) more likely to be diagnosed for DM compared with non-Hispanic whites, prevalence odds ratio (POR) 1.45, 95% confidence interval (CI) 1.30-1.62, while Hispanics were less likely to be diagnosed, POR = 0.98, 95% CI 0.87-1.09. Similarly, after controlling for potential confounders, the racial/ethnic variability in DM between AA/blacks and non-Hispanic whites persisted, adjusted POR = 1.30, 95% CI 1.15-1.47. Conclusions. Racial/ethnic variability exists in DM prevalence and is unexplained by racial/ethnic variance in education, income, marital status, smoking, alcohol, physical activities, age, and sex.

show abstract

Section: Discussionmentioning

confidence: 60%

Racial/Ethnic Variability in Diabetes Mellitus among United States Residents Is Unexplained by Lifestyle, Sociodemographics and Prognostic Factors

Hossain²,

Ward

et al. 2012

ISRN Public Health

View full text Add to dashboard Cite

show abstract

“…56 Creating a supportive environment is necessary to make consistent, healthier choices; however, the motivation to maintain such behavior may be affected by one's attitude. 57 Attitudes about health were measured at pre and post in this study but did …”

Section: Discussionmentioning

confidence: 99%

A Tailored Nutrition Intervention to Reduce Cardiovascular Disease Risk in Low-Income African American Women

Ingram

Acheampong²,

Haldeman³

2009

Journal of Nutrition Education and Behavior

View full text Add to dashboard Cite

African Americans suffer disproportionately from higher rates of diet related chronic diseases compared with Caucasians. The purpose of this project was to design and implement a nutrition education intervention to reduce cardiovascular disease risk factors among low-income, African American caretakers of young children. Study participants were low-income, African American residents of Guilford County, NC, and primary meal preparers and caretakers of a child ≤ 12 years of age. Participants (N=14) were recruited from community agencies (Guilford County WIC; Department of Social Services) and through a church with a high African American population. Participants received nutrition education classes that addressed barriers to healthy behaviors. Pre and post tests were given to assess changes in nutrition knowledge, attitudes, and self-efficacy regarding dietary behavior. Overall, pre and post test results indicated a significant increase in nutrition knowledge, self reported confidence with dietary behaviors, and decreased BMI. Additionally, participants provided evaluative feedback concerning the intervention structure and content. The learning activities, classroom discussions, and teaching materials were highly preferred among more than half of participants; however, the time commitment was among the least preferred characteristic of the intervention.Findings from this project will provide insight for a larger scale cardiovascular disease risk intervention among the target population.

show abstract

“…For example, air quality monitors, which initially yielded few findings, were relocated in response to community input, detecting grossly elevated particulate matter. This led to the removal of the diesel powered school buses from the area, and in the process highlighted the issue of environmental disparities and dumping [15,16].…”

Section: Rationale For Increasing the Number Of Investigators From Unmentioning

confidence: 99%

Building a More Diverse Workforce in HIV/AIDS Research: The Time has Come

Stoff

Cargill

2016

AIDS Behav

View full text Add to dashboard Cite

Investigators from diverse racial and ethnic backgrounds are grossly underrepresented in the nation's biomedical research enterprise. Projections of current demographic trends suggest that population growth rates of minority populations will outpace that of the Caucasian population by 2060. Thus, this workforce will remain a poor reflection of the U.S. population. As a result of this underrepresentation of all sectors of the U.S. populace, the majority of the HIV research involving minority populations-those disproportionately impacted by HIV infection-will be conducted by investigators who do not resemble them. Although this does not necessarily preclude scientifically valid and important research, it produces research without the important cultural and contextual issues that can enhance the utility and generalizability of specific findings or interventions. The goal of this review is to not only raise awareness of the small numbers of minority investigators engaged in biomedical research, but also to identify the challenges to recruiting and retaining these investigators. In this article, while we discuss issues of diversity in general, the focus will be upon the mental health aspects of the HIV epidemic for illustrative purposes: to demonstrate the issues associated with enhancing investigator diversity as a strategy for remediating the chronic shortage of historically underrepresented investigators in scientific research. After presenting the magnitude of the problem and a rationale for enhancing diversity of the biomedical research workforce, we identify a number of potential reasons and challenges for the shortage of minority investigators. Aspects of the mentoring process, together with ten key suggestions, are discussed as the backdrop for the supplement papers that follow (dealing with mentoring principles, challenges, and mentoringrelated issues on mentee, mentor, mentee-mentor relationship, and programs). By identifying these realities we hope to: (1) promote greater discussions of these challenges in academic institutions and settings; (2) suggest meaningful strategies to address these challenges; and (3) foster a national discussion about the long-term investment necessary for permanent change, as there are no easy 'fixes' for these challenges.

show abstract

A model for using community‐based participatory research to address the diabetes epidemic in east harlem

Cited by 44 publications

References 52 publications

Racial/Ethnic Variability in Diabetes Mellitus among United States Residents Is Unexplained by Lifestyle, Sociodemographics and Prognostic Factors

Racial/Ethnic Variability in Diabetes Mellitus among United States Residents Is Unexplained by Lifestyle, Sociodemographics and Prognostic Factors

A Tailored Nutrition Intervention to Reduce Cardiovascular Disease Risk in Low-Income African American Women

Building a More Diverse Workforce in HIV/AIDS Research: The Time has Come

Contact Info

Product

Resources

About