Congregational health needs by key demographic variables: Findings from a congregational health needs assessment tool

Health needs assessments identify important issues to be addressed and assist organizations in prioritizing resources. Using data from the Mid-South Congregational Health Survey, top health needs (physical, mental, social determinants of health) were identified, and differences in needs by key demographic variables (age, sex, race/ethnicity, education) were examined. Church leaders and members (N = 828) from 92 churches reported anxiety/depression (65 %), hypertension/stroke (65 %), stress (62 %), affordable healthcare (60 %), and overweight/obesity (58 %) as the top health needs in their congregations. Compared to individuals \u3c 55 years old and with a college degree, individuals ≥ 55 years old (ORrange=1.50–1.86) and with ≤ high school degree (ORrange=1.55–1.91) were more likely to report mental health needs (anxiety/depression; stress). African Americans were less likely to report physical health needs (hypertension/stroke; overweight/obesity) than individuals categorized as Another race/ethnicity (ORrange=0.38–0.60). Individuals with ≤ high school degree were more likely to report affordable healthcare as a need compared to individuals with some college or a college degree (ORrange=1.58). This research highlights the need for evaluators and planners to design programs that are comprehensive in their approach to addressing the health needs of congregations while also considering demographic variation that may impact program participation and engagement

Developing a congregational health needs assessment: Lessons learned from using a participatory research approach

Background: Health needs assessments help congregations identify issues of importance to them and the communities they serve. Few tools exist, with little known about the processes needed to develop such tools. Objective: Develop a congregational health needs assessment tool and implementation protocol with community, health-care, and academic partners. Methods: Meetings began in August 2018 to develop the Mid-South Congregational Health Needs Survey (MSCHS) and implementation protocol. Pilot testing occurred in December 2018 and feedback from 95 churches was used in modifications. Results: The MSCHS includes: demographics section, a 36-item health index, and the congregation’s top five needs. The implementation protocol includes steps for working with congregation leadership to identify members to complete the survey. Conclusions: Cross-disciplinary partnerships made the creation of the MSCHS and implementation protocol pos-sible. Successes include long-term engagement across partnership sectors, organizational “buy-in,” and development of a common language. These lessons can help others wanting to develop successful multi-sector partnerships

Sympathoneural and adrenomedullary responses to mental stress

This concept‐based review provides historical perspectives and updates about sympathetic noradrenergic and sympathetic adrenergic responses to mental stress. The topic of this review has incited perennial debate, because of disagreements over definitions, controversial inferences, and limited availability of relevant measurement tools. The discussion begins appropriately with Cannon\u27s “homeostasis” and his pioneering work in the area. This is followed by mental stress as a scientific idea and the relatively new notions of allostasis and allostatic load. Experimental models of mental stress in rodents and humans are discussed, with particular attention to ethical constraints in humans. Sections follow on sympathoneural responses to mental stress, reactivity of catecholamine systems, clinical pathophysiologic states, and the cardiovascular reactivity hypothesis. Future advancement of the field will require integrative approaches and coordinated efforts between physiologists and psychologists on this interdisciplinary topic