Hazlo Bien! A Participatory Needs Assessment and Recommendations for Health Promotion in Growing Latino Communities

Purpose. To investigate the health needs of a rapidly growing Latino community and understand priorities for developing culturally sensitive health promotion strategies. Approach. A participatory research approach was selected to understand health challenges and opportunities for health engagement i...

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Bibliographic Details
Published in:	American journal of health promotion Vol. 27; no. 5; pp. 339 - 346
Main Authors:	Valenzuela, Jessica M., McDowell, Tiffany, Cencula, Lindsey, Hoyt, Lupe, Mitchell, Monica J.
Format:	Journal Article
Language:	English
Published:	Los Angeles, CA SAGE Publications 01-05-2013
Subjects:	Adolescent Adult Aged Community-Based Participatory Research - organization & administration Female Focus Groups Health Behavior - ethnology Health Promotion - organization & administration Health Services Accessibility - organization & administration Health Status Health Surveys Health technology assessment Hispanic Americans Humans Male Mental Health Middle Aged Needs Assessment - organization & administration Ohio Oral Health Overweight Primary Prevention - organization & administration Residence Characteristics Socioeconomic Factors Young Adult Ohio Outcome measure: behavioral, morbidity Manuscript format: research Health focus: fitness/physical activity, nutrition, medical self care, social health Target population circumstances: education/income level, geographic location, race/ethnicity Community-Based Participatory Research (CBPR) Strategy: education, culture change Prevention Research Target population age: adults Health Promotion Study design: nonexperimental, qualitative Latino Research purpose: descriptive Community Health Setting: local community
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Summary:	Purpose. To investigate the health needs of a rapidly growing Latino community and understand priorities for developing culturally sensitive health promotion strategies. Approach. A participatory research approach was selected to understand health challenges and opportunities for health engagement in the community. Setting. Norwood, Ohio, a small community in southwest Ohio. Participants. Latino adults living, working, or accessing services in Norwood. Method. Trained community researchers collected survey data from 198 participants at multiple community “points of contact” and door-to-door in more isolated neighborhoods. Survey data were aggregated using descriptive statistics. Two focus groups were conducted with 25 community members, transcribed, and analyzed using principles of thematic analysis. Participants' health concerns, health behaviors, and access to/experiences with health care were assessed. Results. Findings indicated significant health concerns, including overweight (43.2%) and obesity (28.6%), mental health challenges (anxiety 15.7%; depression 15.0%), and oral health concerns (23.0%). In addition, community members described barriers to accessing health care and strategies for preventing health problems and promoting positive health. Participants also discussed perceived discrimination and the need to address isolation within their community. Conclusion. Methods and findings from the ¡Hazlo Bien! participatory needs assessment are likely to be useful to those designing health promotion programs in quickly growing Latino communities where there are limited health services and few existing social support networks.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0890-1171 2168-6602
DOI:	10.4278/ajhp.101110-QUAL-366