Participant perspectives on the effects of an african american faith-based health promotion educational intervention: a qualitative study

Background In the USA, African Americans (AAs) experience a greater burden of mortality and morbidity from chronic health conditions including obesity, diabetes, and heart disease. Faith-based programs are a culturally sensitive approach that potentially can address the burden of chronic health conditions in the AA community. Objective The primary objective was to assess (i) the perceptions of participants of Live Well by Faith (LWBF)—a government supported faith-based program to promote healthy living across several AA churches—on the efectiveness of the program in promoting overall wellness among AAs. A secondary objective was to explore the role of the church as an intervention unit for health promotion among AAs. Methods Guided by the socio-ecological model, data were collected through 21 in-depth interviews (71% women) with six AA church leaders, 10 LWBF lifestyle coaches, and fve LWBF program participants. Interviews were audio-recorded, transcribed verbatim, and analyzed by three of the researchers. Findings Several themes emerged suggesting there was an efect of the program at multiple levels: the intrapersonal, interpersonal, organizational, and community levels. Most participants reported increased awareness about chronic health conditions, better social supports to facilitate behavior change, and creation of health networks within the community. Conclusion Our study suggests that one approach to address multilevel factors in a culturally sensitive manner could include developing government-community partnership to co-create intervention

Keeping pace : understanding youth engagement in rural America through family structure lenses

With rapid shifts in the family economy, various family structures have continually emerged. Understanding the impact these changes have on youth engagement is foundational to developing interventions that will encourage participation in community life. Factors including rural-urban migration, the great recession, lower fertility rates, marrying at older ages and influx of women into professional employment have contributed to the emergence of new and more complex family types such as single parent and blended families. Youth growing up in these evolving settings (changing family structures) are vested with uncommon challenges. With less than 46% of children born into intact families, understanding the impact these challenges have on the ability of youth to stay engaged in family and community life is foundational to the building of appropriate interventions. Poverty, low educational attainment and lack of employment opportunities, increase the likelihood of breakdown and inadvertently disturb the emotional equilibrium of the home environment. These factors increase the likelihood of breakdown within resource-limited rural communities placing them at a disadvantage compared to families resident in urban areas

The past is so present: Understanding Covid‑19 vaccine hesitancy among African American adults using qualitative data

African Americans (AAs) are disproportionately afected by structural and social determinants of health, resulting in greater risks of exposure to and deaths from COVID-19. Structural and social determinants of health feed vaccine hesitancy and worsen health disparities.The present study aims to explore vaccine attitudes and intentions among program participants, understand the role of an African American faith-based wellness program in COVID-19 awareness and vaccine uptake, and solicit potential solutions for this deep-rooted public health problem

Unpreparedness and uncertainty: a qualitative study of African American experiences during COVID-19 pandemic

During disasters, vulnerable populations are disproportionately affected. COVID-19 disproportionately affected African American (AA) families, increasing their risk for COVID-19 morbidity and mortality. The pandemic also exacerbated existing negative milieu such as economic opportunity and access to social and healthcare services. We explored AA families’ experiences of indirect pandemic effects. Data were collected through semi-structured in-depth telephone interviews with 11 AA parent/grandparents of school-aged child (5–17 years). Line-by-line coding and thematic analysis were used to analyze and interpret the data. Three emergent themes highlighted the salient indirect effects of COVID-19 pandemic on AA families: (i) access to healthcare, (ii) access to food, and (iii) disaster unpreparedness. Participants expressed frustration with virtual healthcare services and inability to schedule in-person hospital appointments for health conditions unrelated to COVID-19. Lack of food products in stores and limited financial resources due to pandemic-related job layoffs were important food insecurity factors discussed. Unpreparedness on the part of institutions, state, and the nation, created heightened perceptions of vulnerability. Given the social vulnerability spectrum in the U.S., pandemic planning approaches that promote equity are critical if public officials are to develop effective adaptation, mitigation, response, and recovery plans that mobilize and serve diverse populations

The graying of rural America: Community engagement and health promotion challenges

Background. Although social participation has been linked to positive physical and mental health outcomes, elderly people in rural areas remain highly disengaged. Also, few studies have examined community residents’ perceptions of the barriers and opportunities for the elderly to participate in community activities. Purpose. This article highlights the perceptions of rural community residents regarding their understanding of the following: (1) community leadership, (2) barriers and opportunities for the elderly to engage in leadership, and (3) potential community-based solutions for promoting more social participation. Method. Individual interviews were conducted with 16 community members. Content analysis was used to analyze the data. Researchers immersed and familiarized themselves with the data prior to developing codes. Coding was initially done manually and later using NVivo. Findings. Four major themes emerged: conceptions of community leadership, elderly resource inventory, barriers to elderly engagement, and potential solutions

A community-based participatory research project to increase the understanding of the health concerns of African immigrant communities in urban Missouri.

Background African immigrants and refugees experience unique mental and physical health care needs that may be a result of pre-migration history and the acculturation process. The purpose of this project was to collaborate with African immigrant and refugee communities to identify health needs of the communities and lay a foundation for future action. Methods Key-informant interviews with five West, East and Central African immigrant and refugee communities included community leaders (n=10) and listening sessions with larger groups of community members totaling approximately 150 participants to identify health care needs. Content analysis was employed to identify themes related to immigrant and refugee health. Results Meetings with community leaders and members were conducted at community venues often immediately following or during a planned event. Six general themes emerged: mental health/trauma; sexual health; nutrition; chronic disease prevention; insurance coverage; and youth empowerment. Discussion Chronic mental and physical health issues were of primary concern. One key lesson learned in building successful partnerships was having members of the research team who were born into partnering African immigrant and refugee communities and were passionate about working with their communities

Sink or swim: Virtual life challenges among African American families during COVID-19 lockdown

This study explores African American parents’ experiences with using technology toengage their children in meaningful activities (e.g., e-learning) during COVID-19 and its impact on family health. Eleven African American families were recruited through a local health department program from a rural Midwestern community to participate in semi-structured interviews. The majority of participants reported stresses from feelings of “sink or swim” in a digital world, without supports from schools to effectively provide for their children’s technology needs. The COVID-19 pandemic underscored the importance of family-school collaborative engagement and empowerment. Digital technology needs to become part of our school education system so that technology use among African Americans is elevated and families protected against future outbreaks. Further research with a more diverse African American sample is needed

Youth and Young Adults These Days: Perceptions of Community Resources and Factors Associated with Rural Community Engagement

Young people’s decisions to engage or disengage in community activities can be attributed to their perceptions of community resources and opportunities. This study examined South African rural young adults’ perceptions of their future communities and influences on engaging in health promoting activities and community leadership. Survey data were collected from 58 youth and 52 young adults affiliated with key community organizations. Correlational analysis examined perceptions of community resources and participation in community leadership. Perceptions about the future of their communities differed by age, educational attainment, employment status, and number of years spent in the community and were strongly correlated with how youth and young adults perceive they are valued. Local organizations such as schools and churches can motivate at-risk youth and young adults to participate in community life. This research extends our knowledge of factors important for engaging this population in resource-limited rural settings

Emerging from the Shadows: Intrinsic and Extrinsic Factors Facing Community Health Workers in Western Cape, South Africa

Community health workers (CHWs) have been identified as a key component of the health workforce in South Africa. However, the efficacy of CHW programs continues to be limited by a poor understanding of facilitators and barriers to CHW engagement. This study explores intrinsic and extrinsic factors that CHWs face. We conducted in-depth interviews with 20 CHWs in order to understand the challenges they may face as they implement their duties linked to the primary health care strategy in the Western Cape, South Africa. All interviews were audiotaped, transcribed verbatim, coded and analyzed using NVivo 12. Drawing on narratives of CHWs, we illustrate the complex issues surrounding CHW outreach in poor rural communities. The CHWs identified five key areas of challenges with respect to personal health, gender issues, poor community understanding of CHWs roles, environmental challenges and lack of patient adherence. These all hinder the ability of CHWs to meet their personal and familial needs, as well as those of the community members they support. There is a need to address the intrinsic needs of CHWs in order to ensure their emotional and physical well-being, as well as a need to create an awareness of the roles of CHWs