Keyonna M King, D'Ann Morris, Loretta Jones, Aziza Lucas-Wright, Felica Jones, Homero E Del Pino, Courtney Porter, Roberto Vargas, Katherine Kahn, Arleen F Brown, Keith C Norris
Background: Developing effective Community-Academic Partnerships (CAPs) is challenging, and the steps to build and sustain them have not been well documented. This paper describes efforts to form and sustain the Healthy Community Neighborhood Initiative (HCNI), a CAP to improve health in a low-income community in South Los Angeles.
Methods: Moderated, semi-structured discussions with HCNI community and academic partners were used to develop a framework for CAP formation.
Results: We identified two key features, shared values and respect, as critical to the decision to form the HCNI. Five elements were identified as necessary for building and sustaining the HCNI: trust, transparency, equity and fairness, adequate resources and developing protocols to provide structure. We also identified several challenges and barriers and the strategies used in the HCNI to mitigate these challenges.
Conclusion: We developed a framework to incorporate and reinforce the key elements identified as crucial in building and sustaining a CAP in a low-income community.
背景：发展有效的社区-学术合作伙伴关系（CAPs）具有挑战性，而建立和维持这种关系的步骤并没有被很好地记录下来。本文介绍了为建立和维持健康社区邻里倡议（HCNI）所做的努力，这是一项旨在改善南洛杉矶低收入社区健康状况的 CAP：方法：通过与 HCNI 社区和学术合作伙伴进行半结构化讨论，为 CAP 的形成制定框架：结果：我们发现共同价值观和尊重这两个关键特征对于决定成立 HCNI 至关重要。我们确定了建立和维持 HCNI 所需的五个要素：信任、透明、公平和公正、充足的资源以及制定协议以提供结构。我们还确定了若干挑战和障碍，以及高级网络倡议为缓解这些挑战而采用的战略：我们制定了一个框架，纳入并加强了在低收入社区建立和维持 CAP 的关键要素。
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Pub Date : 2015-01-01DOI: 10.24966/CMPH-1978/100005
M. Asare
BACKGROUND It is well documented that black males are more likely to suffer from heart disease, type II diabetes, hypertension, and other chronic diseases than any other racial group in the United States. It is also undeniable fact that physical activity, healthy eating behavior, and accessing routine medical checkups can help prevent or control some of those chronic diseases. However, little is known about black African males' physical activity, nutritional and health screening behaviors in the US. Therefore, the main purpose of this study was to determine the first generation black African males' perceptions, beliefs and attitudes about healthy lifestyle and preventive care and culturally appropriate way to promote health promotion programs among them. METHODS Convenient sample and snowball methods were used to recruit 50 (mean age=38 years) first generation black African males to participate in an one hour long face-to-face interview. Fifteen semi-structured open ended questions were used but there were other follow-up questions. The interview data were descriptively analyzed to find trends. RESULTS The study reveals obesity and overweight problem among the participants. However, most of the participants; lead sedentary behavior, engage in poor eating habit, and do not access routine physical checkups. More than half (n=28) of the participants reported that they do not do exercise or engage in physical activities because of: lack of time, laziness, lack of discipline, and lack of understanding of the importance of physical activities. Some of the participants also indicated that having a physical activity regimen is foreign to their African culture. Most of the respondents reported that they do not eat balanced diet regularly and most of their daily food intake contains too much carbohydrate. In addition, they eat similar food almost every day, skip meals which results in eating large portion size at irregular eating time. On accessing routine health screening behaviors, most respondents stated lack of trust in the healthcare system, the fear of knowing their health status, lack of health insurance were some of the reasons that prevent them from accessing regular health screening. CONCLUSION Healthy lifestyle promotion programs which are based on the culture of first generation black African males stand a better chance of having a greater impact on this targeted population as opposed to a "one-size-fits-all" approach.
{"title":"Health Promotion Programs and Healthy Lifestyle: First Generation African Black Males' Perspectives.","authors":"M. Asare","doi":"10.24966/CMPH-1978/100005","DOIUrl":"https://doi.org/10.24966/CMPH-1978/100005","url":null,"abstract":"BACKGROUND It is well documented that black males are more likely to suffer from heart disease, type II diabetes, hypertension, and other chronic diseases than any other racial group in the United States. It is also undeniable fact that physical activity, healthy eating behavior, and accessing routine medical checkups can help prevent or control some of those chronic diseases. However, little is known about black African males' physical activity, nutritional and health screening behaviors in the US. Therefore, the main purpose of this study was to determine the first generation black African males' perceptions, beliefs and attitudes about healthy lifestyle and preventive care and culturally appropriate way to promote health promotion programs among them. METHODS Convenient sample and snowball methods were used to recruit 50 (mean age=38 years) first generation black African males to participate in an one hour long face-to-face interview. Fifteen semi-structured open ended questions were used but there were other follow-up questions. The interview data were descriptively analyzed to find trends. RESULTS The study reveals obesity and overweight problem among the participants. However, most of the participants; lead sedentary behavior, engage in poor eating habit, and do not access routine physical checkups. More than half (n=28) of the participants reported that they do not do exercise or engage in physical activities because of: lack of time, laziness, lack of discipline, and lack of understanding of the importance of physical activities. Some of the participants also indicated that having a physical activity regimen is foreign to their African culture. Most of the respondents reported that they do not eat balanced diet regularly and most of their daily food intake contains too much carbohydrate. In addition, they eat similar food almost every day, skip meals which results in eating large portion size at irregular eating time. On accessing routine health screening behaviors, most respondents stated lack of trust in the healthcare system, the fear of knowing their health status, lack of health insurance were some of the reasons that prevent them from accessing regular health screening. CONCLUSION Healthy lifestyle promotion programs which are based on the culture of first generation black African males stand a better chance of having a greater impact on this targeted population as opposed to a \"one-size-fits-all\" approach.","PeriodicalId":91267,"journal":{"name":"HSOA journal of community medicine & public health care","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80663696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-01-01DOI: 10.24966/CMPH-1978/100007
Keyonna M. King, D'Ann M Morris, Loretta Jones, Aziza Lucas-Wright, F. Jones, Homero E Del Pino, Courtney Porter, R. Vargas, K. Kahn, Arleen F. Brown, Keith C. Norris
BACKGROUND Developing effective Community-Academic Partnerships (CAPs) is challenging, and the steps to build and sustain them have not been well documented. This paper describes efforts to form and sustain the Healthy Community Neighborhood Initiative (HCNI), a CAP to improve health in a low-income community in South Los Angeles. METHODS Moderated, semi-structured discussions with HCNI community and academic partners were used to develop a framework for CAP formation. RESULTS We identified two key features, shared values and respect, as critical to the decision to form the HCNI. Five elements were identified as necessary for building and sustaining the HCNI: trust, transparency, equity and fairness, adequate resources and developing protocols to provide structure. We also identified several challenges and barriers and the strategies used in the HCNI to mitigate these challenges. CONCLUSION We developed a framework to incorporate and reinforce the key elements identified as crucial in building and sustaining a CAP in a low-income community.
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