scholarly journals Reaching for Health Equity and Social Justice in Baltimore: The Evolution of an Academic-Community Partnership and Conceptual Framework to Address Hypertension Disparities

2016 ◽  
Vol 26 (3) ◽  
pp. 369 ◽  
Author(s):  
Lisa A. Cooper ◽  
Tanjala S. Purnell ◽  
Chidinma A. Ibe ◽  
Jennifer P. Halbert ◽  
Lee R. Bone ◽  
...  

<p>Cardiovascular health disparities persist despite decades of recognition and the availability of evidence-based clinical and public health interventions. Racial and ethnic minorities and adults in urban and low-income communities are highrisk groups for uncontrolled hypertension (HTN), a major contributor to cardiovascular health disparities, in part due to inequitable social structures and economic systems that negatively impact daily environments and risk behaviors. This commentary presents the Johns Hopkins Center to Eliminate Cardiovascular Health Disparities as a case study for highlighting the evolution of an academic-community partnership to overcome HTN disparities. Key elements of the iterative development process of a Community Advisory Board (CAB) are summarized, and major CAB activities and engagement with the Baltimore community are highlighted. Using a conceptual framework adapted from O’Mara-Eves and colleagues, the authors discuss how different population groups and needs, motivations, types and intensity of community participation, contextual factors, and actions have shaped the Center’s approach to stakeholder engagement in research and community outreach efforts to achieve health equity. <em>Ethn Dis. </em>2016;26(3):369-378; doi:10.18865/ ed.26.3.369 </p>

Medical Care ◽  
2015 ◽  
Vol 53 (12) ◽  
pp. 1050-1057 ◽  
Author(s):  
Katsiaryna Bykov ◽  
Jessica M. Franklin ◽  
Michele Toscano ◽  
Wayne Rawlins ◽  
Claire M. Spettell ◽  
...  

2017 ◽  
Vol 27 (Suppl 1) ◽  
pp. 277 ◽  
Author(s):  
Mona N. Fouad ◽  
Theresa A. Wynn ◽  
Richard Scribner ◽  
Yu-Mei M. Schoenberger ◽  
Donna Antoine-Lavigne ◽  
...  

<p class="Pa7">O<strong>bjective: </strong>The purpose of this article is to describe the background and experience of the Academic-Community Engagement (ACE) Core of the Mid-South Transdisci­plinary Collaborative Center for Health Disparities Research (Mid-South TCC) in impacting the social determinants of health through the establishment and implemen­tation of a regional academic-community partnership.</p><p class="Pa7"><strong>Conceptual Framework: </strong>The Mid-South TCC is informed by three strands of re­search: the social determinants of health, the socioecological model, and commu­nity-based participatory research (CBPR). Combined, these elements represent a science of engagement that has allowed us to use CBPR principles at a regional level to address the social determinants of health disparities.</p><p class="Pa7"><strong>Results: </strong>The ACE Core established state coalitions in each of our founding states— Alabama, Louisiana, and Mississippi—and an Expansion Coalition in Arkansas, Tennes­see, and Kentucky. The ACE Core funded and supported a diversity of 15 community engaged projects at each level of the socio­ecological model in our six partner states through our community coalitions.</p><p><strong>Conclusion: </strong>Through our cross-discipline, cross-regional infrastructure developed strategically over time, and led by the ACE Core, the Mid-South TCC has established an extensive infrastructure for accomplishing our overarching goal of investigating the so­cial, economic, cultural, and environmental factors driving and sustaining health dispari­ties in obesity and chronic illnesses, and developing and implementing interventions to ameliorate such disparities. <em></em></p><p><em>Ethn Dis. </em>2017;27(Suppl 1):277-286; doi:10.18865/ed.27.S1.277.</p>


Author(s):  
Alessandro Rigolon ◽  
Matthew H. E. M. Browning ◽  
Olivia McAnirlin ◽  
Hyunseo (Violet) Yoon

Disadvantaged groups worldwide, such as low-income and racially/ethnically minoritized people, experience worse health outcomes than more privileged groups, including wealthier and white people. Such health disparities are a major public health issue in several countries around the world. In this systematic review, we examine whether green space shows stronger associations with physical health for disadvantaged groups than for privileged groups. We hypothesize that disadvantaged groups have stronger protective effects from green space because of their greater dependency on proximate green space, as they tend to lack access to other health-promoting resources. We use the preferred reporting items for systematic reviews and meta-analyses (PRISMA) method and search five databases (CINAHL, Cochrane, PubMed, Scopus, and Web of Science) to look for articles that examine whether socioeconomic status (SES) or race/ethnicity modify the green space-health associations. Based on this search, we identify 90 articles meeting our inclusion criteria. We find lower-SES people show more beneficial effects than affluent people, particularly when concerning public green spaces/parks rather than green land covers/greenness. Studies in Europe show stronger protective effects for lower-SES people versus higher-SES people than do studies in North America. We find no notable differences in the protective effects of green space between racial/ethnic groups. Collectively, these results suggest green space might be a tool to advance health equity and provide ways forward for urban planners, parks managers, and public health professionals to address health disparities.


2013 ◽  
Vol 103 (11) ◽  
pp. e26-e38 ◽  
Author(s):  
Lisa A. Cooper ◽  
L. Ebony Boulware ◽  
Edgar R. Miller ◽  
Sherita Hill Golden ◽  
Kathryn A. Carson ◽  
...  

2015 ◽  
Vol 28 (2) ◽  
pp. 99-105 ◽  
Author(s):  
Irma B. Ancheta ◽  
Joan M. Carlson ◽  
Cynthia A. Battie ◽  
Nancy Borja-Hart ◽  
Sarah Cobb ◽  
...  

2021 ◽  
pp. 152483992110190
Author(s):  
Nancy L. Asdigian ◽  
Brandy Kramer ◽  
Manisha Shrestha ◽  
Rohit K. Dhungel ◽  
Hari Rizal ◽  
...  

This practice note reports on the work of the Namaste Community Health Partnership, an academic-community partnership established to address health disparities in a metro-area Bhutanese–Nepali refugee community in the western United States. Partners worked together to develop, implement, and evaluate a culturally-tailored health promotion program where Bhutanese–Nepali individuals led weekly walking groups and shared health promotion information and behavior change tools with community participants. The program was implemented with approximately 70 community members across two metro-area neighborhoods and two adult day care centers serving elders. Evaluation strategies included documenting walk attendance, tracking engagement with health promotion goals, and focus group discussions with program participants. Once enrolled, most participants consistently attended walks and achieved weekly goals—some even increased walking frequency beyond program requirements. Participants provided positive feedback about having a community leader and reported learning new information and enjoying participating with other community members. Challenges and lessons learned included difficulties engaging younger adults from the community, concerns about signing research consent forms, cultural norms discouraging the distribution of individual research participation incentives, variability across groups in preferences for program activities, and barriers to administering survey-based evaluation instruments. This academic–community partnership built capacity in the local Bhutanese–Nepali community, produced culturally relevant health programming, and trained and employed community members as health educators and physical activity leaders. The program resulting from this work has the potential to improve health knowledge and chronic disease prevention practices and ultimately reduce health disparities in an underserved refugee community.


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