Factors influencing Healthy Eating Habits among Low-Income African Americans in Tennessee

Introduction: Poor nutrition and diet are significant contributors to the development of chronic illnesses such as cancer and diabetes, particularly among individuals of lower socioeconomic status (SES).This study examined demographic and lifestyle factors that influenced decisions to engage in healthy eating behaviors among low-income African Americans in three urban Tennessee cities. Methods: As part of the Meharry Community Networks Program (CNP) needs assessment, a 123-item community survey was administered to assess demographic characteristics and eating behaviors among low-income African Americans. The total sample size was 1116. The primary outcome of interest was the healthy eating habits score which was calculated from a 13-item questionnaire that was part of the community survey. Results: Several statistically significant differences were observed between the mean healthy eating habits scores by sociodemographic variables such as marital status, age, education, and geographic location (P \u3c 0.05). Additionally, significant differences were observed by strategies used for maintaining weight including reducing fat and carbohydrate intake and exercising (P \u3c 0.05). There were also significant differences observed by obstacles to eating low fat foods including family habits and food preparation time (P \u3c 0.05). Discussion: Educational interventions aimed at weight-loss and improving healthy eating should incorporate information about obstacles and predictors to healthy eating

Using Community-Based Participatory Research to Assess the Needs of HIV-Related Services for Infected Individuals in Rural Communities

HIV/AIDS remains a significant health concern in rural communities, which may also experience many disparate issues including reduced access to health services (Department of Health and Human Services, 2015). Community efforts should be increased to improve services to people living with HIV/ AIDS (PLWHA), especially in rural communities. In the state of Tennessee, using a community-based participatory research (CBPR) approach, a needs assessment was conducted to identify gaps, barriers, and strategies for improving HIV-related comprehensive care services for people diagnosed with HIV/ AIDS in 26 rural counties. The paper describes the CBPR partnership and the needs assessment project that was conducted and how the results may support community leaders and health care providers in planning and allocating resources for non-medical services of PLWHA in rural communities, and thus maximizing both individual and community benefit

Factors Influencing Breast Cancer Screening in Low-Income African Americans in Tennessee

This study examined demographic and lifestyle factors that influenced decisions and obstacles to being screened for breast cancer in low-income African Americans in three urban Tennessee cities. As part of the Meharry Community Networks Program (CNP) needs assessment, a 123-item community survey was administered to assess demographic characteristics, health care access and utilization, and screening practices for various cancers in low-income African Americans. For this study, only African American women 40 years and older (n = 334) were selected from the Meharry CNP community survey database. There were several predictors of breast cancer screening such as marital status and having health insurance (P \u3c .05). Additionally, there were associations between obstacles to screening and geographic region such as transportation and not having enough information about screenings (P \u3c .05). Educational interventions aimed at improving breast cancer knowledge and screening rates should incorporate information about obstacles and predictors to screening

A Community-Driven Intervention for Improving Biospecimen Donation in African American Communities

Introduction Human biospecimens are an invaluable resource for addressing cancers and other chronic diseases. The purpose of this study was to assess the impact of an educational intervention on biospecimen knowledge and attitudes. Methods The participants consisted of 112 African Americans, 18 years and older, and who had not provided biospecimens for any health-related research in the past. A total of 55 participants received the educational brochure, and 57 received the educational video. The main outcomes of the study were knowledge and attitudes for biospecimen donation. This information was collected pre- and post-intervention. Results The average knowledge scores increased (p \u3c 0.0001) and the average attitude scores for biospecimen donation improved (p \u3c 0.0001) post-intervention for both the video and brochure conditions. There was an interaction between the intervention condition and knowledge where the participants who received the educational video showed a greater increase in knowledge pre-to-post compared to those who received the educational brochure (p = 0.0061). There were no significant interactions between the two intervention conditions for attitudes toward biospecimen donation. Discussion The results of this study demonstrated the feasibility and efficacy of an academic institution collaborating with the African American community in developing educational tools for biospecimen donation