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To establish a baseline, we conducted censuses of 90, households, completed 20, household interviews, and surveyed health facilities in the poorest areas of Mesoamerica. Pairing health facility and household surveys allows us to link barriers to care and health outcomes with health system infrastructure components and quality of health services. Indicators varied significantly within and between countries.

Anemia was most prevalent in Panama and least prevalent in Honduras. Availability of contraceptives also varied. IUDs were observed in only These data provide a baseline of much-needed information for evidence-based action on health throughout Mesoamerica. Our baseline. Latino adults ages years who were active patients within Mountain Park Health Center's internal medicine practice in Phoenix, Ariz.

During the first 2 years of recruitment into the SPS Biobank, 2, patients were approached and 1, Collaborative efforts such as the SPS Biobank are critical for ensuring that underrepresented minority populations are included in precision medicine initiatives and biomedical. Amor y Salud Love and Health : a preconception health campaign for second-generation Latinas in Oregon. To develop, and implement, a social marketing campaign to increase preconception health knowledge among second-generation Latinas in Oregon.

Social marketing demonstration project. Latino communities in five Oregon counties. Target populations included young Latinas years old born in the United States of immigrant parents in five Oregon counties, and their family members. Social media, Web sites, and culturally relevant print materials promoted the radio campaign. Process data, social media metrics, Google analytics, online and intercept surveys were collected. Basic frequencies and descriptive statistics were used.


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Twelve episodes were produced in English and Spanish and played on nine radio stations a total of times. The Facebook page was viewed 11, times, and radionovela episodes were played a total of times. Amor y Salud used mixed media--radio, social media, print materials--to encourage Latinas to consider their preconception health.

Anecdotally, we heard positive comments from community members and local media regarding the radionovela; however, evaluation challenges prevent us from saying conclusively that knowledge on this topic increased. The collaboration has been crucial to validate the impact of using art as a tool to facilitate sexual negotiation skills and safer sexual practices among adult women have sex with men participating in HIV prevention education.

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This article describes the vision, valley, victory phases endured to establish a community-academia partnership based on the CPPR framework as an effective mean to implement a randomized controlled trial intervention RCT. We also discuss the barriers, outcomes, and lessons learned from this partnership.

Some of the identified solutions include: setting goals to secure funding, regular meetings, and the inclusion of undergraduate level students to assist in the implementation of the intervention. These solutions helped to build trust among the community and academic partners. As a result of this collaboration, a total of 86 participants were enrolled and 5 competitive research grants have been submitted.


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The community-academic collaboration was essential in order to build a solid research infrastructure that addresses the complexities of HIV prevention education among groups of Puerto Rican women. Authors draw from an analysis of transcript data from in-depth interviews conducted with CHWs to present a description of the strategies employed by the CHWs to build leadership skills and knowledge among community members. CHWs also discuss their own personal and professional development.

Based on CHWs' descriptions of their work, this type of involvement appears to build the CHWs' leadership skills and sense of efficacy to create change in their communities. By serving as community organizers and participating as producers of research, rather than acting merely as a deliverer of the intervention activities, the CHWs were able to build skills that make them more successful as CHWs.

We surveyed users of the Hospital Comunitario de Salud Familiar El Carmen and their companions to analyze knowledge and practices regarding cystic echinococcosis and trichinellosis. Most people recognized risky practices.

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Previous attendance at talks and working in agricultural-livestock enhanced the knowledge. Age, sex and formal education were not associated with the knowledge. Knowledge was not associated with practices. Latino families, specifically fruit and vegetable intake. The novel intervention design merged a community health worker "promotora" model with an entertainment-education…. Findings of this community outreach initiative include data from promotora pledges and self-skill behaviors, cardiovascular disease risk factors of Latino families, family heart-health education delivery, and program costs associated with promotora time.

Using several evaluation tools, the results showed that the promotora approach worked based on evidence obtained from the following indicators: changes in promotora's pre-post knowledge and performance skills, progress toward their pledge goals following training, recruiting and teaching families, providing follow-up, and organizing or participating in community events. Strengths and limitations of the promotora model approach are also discussed.

Using intervention mapping to develop a breast and cervical cancer screening program for Hispanic farmworkers: Cultivando La Salud. This article describes the development of the Cultivando La Salud program, an intervention to increase breast and cervical cancer screening for Hispanic farmworker women. Processes and findings of intervention mapping IM , a planning process for development of theory and evidence-informed program are discussed. The six IM steps are presented: needs assessment, preparation of planning matrices, election of theoretic methods and practical strategies, program design, implementation planning, and evaluation.

The article also describes how qualitative and quantitative findings informed intervention development. IM helped ensure that theory and evidence guided a the identification of behavioral and environmental factors related to a target health problem and b the selection of the most appropriate methods and strategies to address the identified determinants.

IM also guided the development of program materials and implementation by lay health workers. Also reported are findings of the pilot study and effectiveness trial. Biomedical journals are the most used and important venue to disseminate and interchange scientific information, and evaluation is an important component.

The calculated impact factor in ISI journals was 0.

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This population is generally unaware of important lifestyle or behavioral changes that can prevent CVD. NHLBI's goals were: 1 to design an intervention model appropriate to Latino populations; 2 to pilot test the model in a specific community with the objectives of increasing awareness about heart disease, raising knowledge about CVD prevention, and promoting heart-healthy lifestyles; and 3 to disseminate the model and the materials developed to other communities with similar needs. An agency-community partnership, under the leadership of the Community Alliance for Heart Health, guided all stages of the community intervention project.

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The multimedia bilingual community intervention included television telenovela format public service announcements PSAs , radio programs, brochures, recipe booklets, charlas, a promotores training manual, and motivational videos. An evaluation survey assessed the impact of the intervention. A pre-post intervention survey was conducted with more than participants, and results showed that the respondents were substantially more aware of risk factors for CVD, and had greatly increased their knowledge of ways to prevent heart disease.

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In addition, Univision, the largest Spanish-language broadcast television network, is airing the initiative's PSAs. Also, training seminars for promotores are being conducted in different regions of the United States, and several locations are planning to replicate this. Training medical students in the social determinants of health: the Health Scholars Program at Puentes de Salud.


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Given the large influence of social conditions on health, physicians may be more effective if they are trained to identify and address social factors that impact health. Despite increasing interest in teaching the social determinants of health in undergraduate medical education, few models exist. We present a 9-month pilot course on the social determinants of health for medical and other health professional students, which is based at Puentes de Salud , Philadelphia, PA, USA, a community health center serving a Latino immigrant population.

aftamlodina.tk This service-learning course, called the Health Scholars Program HSP , was developed and implemented by volunteer medical and public health faculty in partnership with the community-based clinic. The HSP curriculum combines didactic instruction with service experiences at Puentes de Salud and opportunities for critical reflection. The HSP curriculum also includes a longitudinal project where students develop, implement, and evaluate an intervention to address a community-defined need. In our quantitative evaluation, students reported high levels of agreement with the HSP meeting stated course goals, including developing an understanding of the social determinants of health and working effectively with peers to implement community-based projects.

Qualitative assessments revealed students' perception of learning more about this topic in the HSP than in their formal medical training and of developing a long-term desire to serve vulnerable communities as a result. Our experience with the HSP suggests that partnerships between academic medical centers and community-based organizations can create a feasible, effective, and sustainable platform for teaching medical students about the social determinants of health.

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Similar medical education programs in the future should seek to achieve a larger scale and to evaluate both students' educational experiences and community-defined outcomes. Reducing the smoking population is still high on the policy agenda, as smoking leads to many preventable diseases, such as lung cancer, heart disease, diabetes, and more. In Austria, data on smoking prevalence only exists at the federal state level. This provides an interesting overview about the current health situation, but for regional planning authorities these data are often insufficient as they can hide pockets of high and low smoking prevalence in certain municipalities.

This paper presents a spatial-temporal change of estimated smokers for municipalities from and A synthetic dataset of smokers is built by combining individual large-scale survey data and small area census data using a deterministic spatial microsimulation approach. Statistical analysis, including chi-square test and binary logistic regression, are applied to find the best variables for the simulation model and to validate its results. As no easy-to-use spatial microsimulation software for non-programmers is available yet, a flexible web-based spatial microsimulation application for health decision support called sim SALUD has been developed and used for these analyses.

The results of the simulation show in general a decrease of smoking prevalence within municipalities between and and differences within areas are identified. These results are especially valuable to policy decision makers for future planning strategies. This case study shows the application of smoke SALUD to model the spatial-temporal changes in the smoking population in Austria between and This is important as no data on smoking exists at this geographical scale municipality. However, spatial microsimulation models are useful tools to estimate small area health data and to overcome these problems.