Effectiveness of community health agents' actions in situations of social vulnerability

M. S. Zanchetta; S. McCrae Vander Voet; W. Galhego-Garcia; V. M. N. Smolentzov; Y. Talbot; M. Riutort; A. M. M. F. Galhego; T. J. de Souza; R. S. Caldas; E. Costa; M. M. Kamikihara; S. Smolentzov

doi:10.1093/her/cyn023

Effectiveness of community health agents' actions in situations of social vulnerability

Health Education Research ◽

10.1093/her/cyn023 ◽

2008 ◽

Vol 24 (2) ◽

pp. 330-342 ◽

Cited By ~ 9

Author(s):

M. S. Zanchetta ◽

S. McCrae Vander Voet ◽

W. Galhego-Garcia ◽

V. M. N. Smolentzov ◽

Y. Talbot ◽

...

Keyword(s):

Community Health ◽

Social Vulnerability

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Social vulnerability assessment of dog intake location data as a planning tool for community health program development: A case study in Athens-Clarke County, GA, 2014-2016

PLoS ONE ◽

10.1371/journal.pone.0225282 ◽

2019 ◽

Vol 14 (12) ◽

pp. e0225282

Author(s):

Jessie L. Dyer ◽

Lisa Milot

Keyword(s):

Community Health ◽

Program Development ◽

Vulnerability Assessment ◽

Social Vulnerability ◽

Health Program ◽

Planning Tool ◽

Location Data ◽

Community Health Program ◽

Social Vulnerability Assessment

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Addressing the Social Vulnerability of Mississippi Gulf Coast Vietnamese Community through the Development of Community Health Advisors

Sustainability ◽

10.3390/su12093892 ◽

2020 ◽

Vol 12 (9) ◽

pp. 3892

Author(s):

Susan Mayfield-Johnson ◽

Danielle Fastring ◽

Daniel Le ◽

Jane Nguyen

Keyword(s):

Adverse Events ◽

Community Health ◽

Social Vulnerability ◽

Gulf Coast ◽

War Trauma ◽

Competency Assessment ◽

Vietnamese Community ◽

Social Vulnerabilities ◽

Mississippi Gulf Coast ◽

Community Health Advisor

Background: Resiliency is the ability to prepare for, recover from, and adapt to stressors from adverse events. Social vulnerabilities (limited access to resources, political power, and representation; lack of social capital; aspects of the built environment; health inequities; and being in certain demographic categories) can impact resiliency. The Vietnamese population living along the Mississippi Gulf Coast is a community that has unique social vulnerabilities that impact their ability to be resilient to adverse events. Objectives: The purpose of this project was to address social vulnerability by implementing and evaluating a volunteer Community Health Advisor (CHA) project to enhance community resiliency in this community. Methods: A program implemented over eight three-hour sessions was adapted from the Community Health Advisor Network curriculum that focused on healthy eating, preventing chronic conditions (hyperlipidemia, diabetes, hypertension, cancer, and poor mental health). Topics also included leadership and capacity development skills. Results: Participants (n = 22) ranged from 35 to 84 years of age. Most were female (63.6%), married (45.5%), unemployed (63.6%), had annual incomes of <$10,000, and had high school diplomas (68.2%). Community concerns were crime (50.0%), volunteerism (40.0%), language barriers (35.0%), and food insecurity (30.0%). Approximately 75% had experienced war trauma and/or refugee camps, and 10% had experienced domestic violence. Scores on the Community Health Advisor Core Competency Assessment increased from pre-test to post-test (t = −5.962, df = 11, p < 0.0001), as did SF-8 scores (t = 5.759, df = 17, p < 0.0001). Conclusions: Strategies to reduce vulnerabilities in the Vietnamese community should include developing interventions that address health risks and strengths and focus on root causes of vulnerability.

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