Risk Factors Among the Minority and Underserved Presentation Transcript
Chronic/Disabling Diseases and Their Risk Factors Among Minority and Underserved Populations - Alex and Kentya
Leading Chronic/Disabling Diseases in the U.S.
Heart Disease / Stroke
Mental health(Depression/Psychological Distress)
Chronic Disease Overview *
Chronic diseases are illnesses that are prolonged in duration and are rarely cured completely.
Account for 7 out of every 10 deaths annually
50% of Americans live with at least one chronic disease
Chronic diseases are Preventable
Chronic Diseases are a result of what people do or do not do
* The Center for Disease Control, National Center for Chronic Disease Prevention and Health Promotion (June 1, 2009)
Health Behaviors among underserved Minorities that Increase Risk of Disease
Illicit Drug Use and Abuse
Obesity(lack of physical activity/poor diet)
STRESS / DISTRESS
Places of worship and health promotion
May be particularly relevant settings to reach people, particularly minorities
Pew Research center found that AAs are the most religiously committed racial/ethnic group in the country
58% attending religious services at least one as week
76% praying at least daily
Useful resources for health promotion
Advocate for positive health (e.g., avoidance of substance use)
Recent meta-analysis indicated that smoking cessation interventions may be relevant in church setting
Campbell et al., 2007; Webb, 2008
Tobacco Use Morbidity/Mortality
87% of all lung cancers
30% of all deaths from cancer
Contributes to diabetes, heart disease stroke, birth defects and other diseases
Annually, tobacco kills more people than alcohol, heroin, cocaine, suicide, auto accidents, fire and AIDS combined
Secondhand smoke kills 49,000 nonsmoking Americans from heart disease and lung cancer
Nicotine is as addictive as heroin and cocaine
Impact of Smoking on Lungs
Lung severely damaged
Definition of Stress
Psychophysiological process, usually a negative emotional state that is both the product of appraisal of situational and psychological factors and an impetus for coping.
Bereavement and divorce
increased drug use
Indirect Health Behavior Effects
de creased compliance
delay in seeking care
obscured symptom profile
Direct Physiological Effects
elevated HR and BP
increased hormonal activity
increased platelet activity
Reduce sympathetic arousal
Reduce pain and discomfort
Buffer immune suppression
Improve quality of life
Reduce health care costs
RELIGION, SPIRITUALITY AND HEALTH Alex
Spirituality, religion and health: evidence and research
A 2001 publication identified over 1200 studies that examined the relationship between religious belief and some indicator of health. Most studies found a positive association between religion and physical and mental health *
Studies of adolescent behavior have found that higher levels of religious involvement are inversely related to alcohol and drug use, smoking, sexual activity, depressive symptoms and suicide risk **
*Koenig HG, McCullough ME, Larson DB. Handbook of religion and health. New York: Oxford University Press, 2001.
** Rew L, Wong YJ. A systematic review of associations among religiosity/ spirituality and adolescent health attitudes and behaviors. J Adolesc Health 2006
Social Support and Smoking Abstinence
Particular types of counseling strategies are especially effective. Practical counseling and the provision of intra-treatment social support are accociated with significant increases in abstinence rates - Treating Tobacco Use and Dependence, Clinical Practice Guidelines, 2008
Recent Study(NEJM): thousands of smokers and nonsmokers followed for 32 years, 1971-2003, as part of a large network of relatives, co-workers, and friends - “ The Collective Dynamics of Smoking in a Large Social Network, Nicholas A. Christakis and James H. Fowler, N Engl J Med 2008”
Results: smoking cessation programs work best if they focus on groups rather than individuals. Quitting can have a ripple effect prompting an entire social network to break the habit.
Primary Aims of Our Study
Specific Aim 1: To develop and implement a health education curriculum addressing tobacco use and other health risks in collaboration with members of religiously diverse congregations
- to establish effective partnerships with underserved religiously diverse congregations in Houston area and
- to enhance our science-based health behavior programs with religious teachings and mind-body spiritual practices.
- develop a training curricula addressing these multiple health behaviors
- M. D. Anderson’s Tobacco Outreach Education Program (TOEP) for healthcare providers will provide a model for the new training program.
Primary Aims of Our Study(cont’d)
Specific Aim 2: To evaluate the feasibility of the training program and its impact on recipients of the training
- increase the ability, confidence and intention to address tobacco use and other health risks among trainees
- have a positive impact on knowledge, attitudes and beliefs regarding health risks among members of the congregation
Specific Aim 3: To establish a dialogue across faiths with regard to religion, spirituality and health
The Religious and Spiritual Dimension
The study will be designed to explore the role of religion and spirituality in health behavior change
Our behavioral theory-guided intervention will be combined with relevant religious/spiritual messages and counseling.
The training will incorporate the spiritual dimension of health including religious and spiritually based teachings and counseling practices with regard to health, the healing power of prayer, spiritual transformation through mind-body contemplative practices and social support networking within congregations.
The spiritually based teachings, prayers and the mind-body component of the intervention will be in accordance with and with the appropriate language of each religion. Relapse prevention will be specifically addressed
Sources of Funding
NCMHD Innovative Faith-Based Approaches to Health Disparities Research (R21)
City of Houston Department of Health and Human Services
U. S. Dept of Health and Human Services: New Funding Opportunities (Announced 2011)
- Community and State Prevention Programs
- Tobacco and other risk Prevention Programs
Ground Breaking (Never Been Done Before)
Advancement of Communities by promoting health care prevention/intervention
Ownership of the Spirituality/Health Intervention Model
Opportunity for Interfaith Dialogue and advancing the peace effort
What kind of a time commitment does this require from our congregation?
Can you provide a brief timeline of how this project will be executed?
Who will develop the intervention?
How many participants are required from our congregation?