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Assessing Health Needs in African American Churches: A Mixed-Methods Study
Dejun Su1, Ashvita Garg2, Jessica Wiens3
1Department of Health Promotion, College of Public Health, 984340 Nebraska Medical Center, University of Nebraska Medical Center, Omaha, NE, 68198-4340, USA. dejun.su@unmc.edu.
African Americans face significant health needs, particularly chronic diseases like hypertension and diabetes. Churches can help, but face cost barriers and need more support for health promotion efforts.
Area of Science:
- Public Health
- Health Disparities
- Community Health
Background:
- African Americans are the most religious major racial/ethnic group in the USA.
- Faith-based organizations are crucial for health promotion within African American communities.
Purpose of the Study:
- To assess the health needs of African Americans within church settings.
- To identify barriers and facilitators for church-based health promotion.
Main Methods:
- A mixed-methods approach was utilized.
- Quantitative and qualitative data were collected from 388 participants across eight African American churches in Nebraska in 2017.
Main Results:
- The most prevalent chronic conditions were hypertension (60.8%), allergies (41.0%), arthritis (36.4%), high cholesterol (35.8%), and diabetes (28.1%).
- Factors predicting fair/poor health included male sex, unemployment, delayed healthcare due to cost, lower church attendance, and hopelessness.
- Pastors identified cost as a major barrier to delivering church-based health services.
Conclusions:
- Significant unmet health needs exist in African American faith communities, particularly for chronic disease prevention and management.
- Churches require enhanced support to effectively implement faith-based health promotion initiatives.
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