(Not So) Gently Down the Stream: Choosing Targets to Ameliorate Health Disparities

Gehlert, Sarah; Mininger, Charles; Sohmer, Dana; Berg, Kristin

doi:10.1093/hsw/33.3.163

Cited by 15 publications

(13 citation statements)

References 15 publications

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“…The importance of social work involvement in efforts to eliminate cancer and other health disparities is emphasized in “(Not So Gently) Down the Stream: Choosing Targets to Ameliorate Health Disparities”, an editorial written by Gehlert and colleagues (2008). In this call to action, social welfare researchers and social work practitioners are encouraged to collaborate with community stakeholders in the design and testing of interventions that address upstream targets or systemic factors in order to achieve downstream benefits at the individual and community levels.…”

Section: Resultsmentioning

confidence: 99%

Testing the Feasibility of a Culturally Tailored Breast Cancer Screening Intervention with Native Hawaiian Women in Rural Churches

Ka’opua

Park²,

Ward³

et al. 2011

Health & Social Work

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Native Hawaiian women are burdened by disproportionately high mortality from breast cancer, which is attributed to low participation in routine mammography. Mammography is proven to be an effective means for detecting disease at its earliest stages when treatments are most likely to be successful. Culturally-tailored screening programs may increase participation and Hawaiian initiatives call for screening innovations that integrate Hawaiian cultural strengths, including those related to spirituality and the extended family system. Before full-scale testing of tailored interventions, it is important to conduct feasibility studies that gauge community receptiveness to the proposed intervention and research methods. We report on the feasibility of delivering a church-based, breast cancer screening intervention tailored on the cultural strengths of rural-dwelling Hawaiians. Results establish the attractiveness and potential effectiveness of the intervention. Recruitment exceeded targets and retention rates were comparable to those of other randomized behavioral trials, confirming the value of reaching rural Hawaiian women through churches. Women appreciated the integrative approach of Hawaiian and faith-based values and positive outcomes are suggested. This article may be relevant to social workers interested in culturally-responsive, community-based interventions, as well to researchers conducting pilot studies and controlled trials of interventions adapted from evidence-based programs.

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Section: Resultsmentioning

confidence: 99%

Testing the Feasibility of a Culturally Tailored Breast Cancer Screening Intervention with Native Hawaiian Women in Rural Churches

Ka’opua

Park²,

Ward³

et al. 2011

Health & Social Work

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“…The animal model findings of the role of social interactions, isolation, and genetic transformation (18) in the intermediate outcomes leading to breast cancer risk have driven the human studies trying to measure and quantify these risks in humans using the same intermediate markers. These biomarkers include both stress and inflammatory markers, but also obesogenic markers, to understand the interplay between stress, obesity, reproduction, and cancer risk in Black women (17,19). This is also a good example of how translational research not need to move along the standard continuum in an ordinal fashion, but can lead to research questions from an “earlier” stage as well as progress forward.…”

Section: Overview Of Trec Research At Wustlmentioning

confidence: 99%

Toward a Modern Science of Obesity at Washington University: How We Do It and What is the Payoff?

Colditz

Gehlert

Bowen

et al. 2016

Cancer Prevention Research

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In our Cancer Prevention Program at Washington University in Saint Louis (WUSTL) we have made extraordinary efforts to create the kind of cancer prevention and control program that is both translational (TS) and transdisciplinary (TD) in nature, to accelerate the march from basic discoveries to population change. Here we present an overview of our obesity related research currently ongoing in our Center, paying particular attention to both the translational transdisciplinary process and to community-based participatory research. We end with our future directions for improving obesity related cancer outcomes research.

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“…The Center for Interdisciplinary Health Disparities Research (CIHDR) was funded by the National Institutes of Health in 2003 with an overarching mission to better understand the determinants of health disparities and devise appropriate multilevel interventions to ameliorate disparities (Gehlert, Sohmer, et al, 2008). In their first six years of operation, CIHDR’s team of social, behavioral, and biological investigators focused on African American and white differences in breast cancer mortality.…”

Section: Using Cbpr To Inform Health Disparities Research: An Examplementioning

confidence: 99%

“…The CIHDR team gathered evidence for its model of how social environmental factors affect African American and white breast cancer disparities (Gehlert, Sohmer, et al, 2008). The team began to develop an intervention to address those disparities, which will be tested on the South Side of Chicago in the future.…”

Section: Using Cbpr To Inform Health Disparities Research: An Examplementioning

confidence: 99%

“…The team began to develop an intervention to address those disparities, which will be tested on the South Side of Chicago in the future. The intervention aims at neighborhood-level factors that affect psychological functioning and influence clinical and biological outcomes (Gehlert, Mininger, Sohmer, & Berg, 2008). The intervention aims to provide social support and assistance with negotiating complex systems, such as those that provide housing and mental health services.…”

Section: Using Cbpr To Inform Health Disparities Research: An Examplementioning

confidence: 99%

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Using Community-Based Participatory Research to Ameliorate Cancer Disparities

Gehlert¹,

Coleman²

2010

Health & Social Work

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Although much attention has been paid to health disparities in the past decades, interventions to ameliorate disparities have been largely unsuccessful. One reason is that the interventions have not been culturally tailored to the disparity populations whose problems they are meant to address. Community-engaged research has been successful in improving the outcomes of racial and ethnic minority groups and thus has great potential for decreasing between-group health disparities. In this article, the authors argue that a type of community-engaged research, community-based participatory research (CBPR), is particularly useful for social workers doing health disparities research because of its flexibility and degree of community engagement. After providing an overview of community research, the authors define the parameters of CBPR, using their own work in African American and white disparities in breast cancer mortality as an example of its application. Next, they outline the inherent challenges of CBPR to academic and community partnerships. The authors end with suggestions for developing and maintaining successful community and academic partnerships.

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(Not So) Gently Down the Stream: Choosing Targets to Ameliorate Health Disparities

Abstract: Other suggested file to download related to not so gently down the stream choosing targets to ameliorate health disparities editorial :

Cited by 15 publications

References 15 publications

Testing the Feasibility of a Culturally Tailored Breast Cancer Screening Intervention with Native Hawaiian Women in Rural Churches

Testing the Feasibility of a Culturally Tailored Breast Cancer Screening Intervention with Native Hawaiian Women in Rural Churches

Toward a Modern Science of Obesity at Washington University: How We Do It and What is the Payoff?

Using Community-Based Participatory Research to Ameliorate Cancer Disparities

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