Journal of Religion and Health

, Volume 57, Issue 5, pp 1771–1778 | Cite as

Sociodemographic Factors Associated with Types of Projects Implemented by Volunteer Lay Health Educators in Their Congregations

  • Panagis GaliatsatosEmail author
  • Krista A. Haapanen
  • Katie Nelson
  • Ashley Park
  • Hasmin Sherwin
  • Mariah Robertson
  • Kerry Sheets
  • W. Daniel Hale
Original Paper


This study focused on the association between type of community health interventions and lay health educator variables. Lay health educators are volunteers from local faith communities who complete a healthcare training program, taught by physicians in-training. Lay health educators are instructed to implement health-related initiatives in their respective communities after graduation. Of the 72 graduates since 2011, we surveyed 55 lay health educators to gain insight into their involvement with their congregation and the type of health projects they have implemented. We dichotomized the health projects into “raising awareness” and “teaching new health skills.” Using adjusted logistic regression models, variables associated with implementing health projects aimed at teaching health skills included length of time as a member of their congregation, current employment, and age. These results may help future programs prepare lay health community educators for the type of health interventions they intend to implement in their respective communities.


Lay health educator Community Health literacy Congregations 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Human and Animal Rights

This article does not contain any studies with human participants performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. Andrews, J. O., Newman, S. D., Heath, J., Williams, L. B., & Tingen, M. S. (2012). Community-based participatory research and smoking cessation interventions: A review of the evidence. Nursing Clinics of North America, 47, 81–96.CrossRefPubMedGoogle Scholar
  2. Center for National Health Development in Ethiopia. (2011a). Ethiopia health extension program evaluation study, 2005–2010, volume I. Household health survey. Addis Ababa: Columbia University.Google Scholar
  3. Center for National Health Development in Ethiopia. (2011b). Support and management of HEP, 2005–2010, volume IV. Addis Ababa: Columbia University.Google Scholar
  4. Farquhar, S. A., Michael, Y. L., & Wiggins, N. (2005). Building on leadership and social capital to create change in 2 urban communities. American Journal of Public Health, 95, 596–601.CrossRefPubMedPubMedCentralGoogle Scholar
  5. Galiatsatos, P., Sundar, S., Qureshi, A., Ooi, G., Teague, P., & Daniel Hale, W. (2016). Health promotion in the community: Impact of faith-based lay health educators in urban neighborhoods. Journal of Religion and Health, 55, 1089–1096.CrossRefPubMedGoogle Scholar
  6. Gary, T. L., Batts-Turner, M., Yeh, H. C., Hill-Briggs, F., Bone, L. R., Wang, N. Y., et al. (2009). The effects of a nurse case manager and a community health worker team on diabetic control, emergency department visits, and hospitalizations among urban African Americans with type 2 diabetes mellitus: A randomized controlled trial. Archives of Internal Medicine, 169, 1788–1794.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Goodman, R. A., Bunnell, R., & Posner, S. F. (2014). What is “community health”? Examining the meaning of an evolving field in public health. Preventive Medicine, 67(Suppl 1), S58–S61.CrossRefPubMedPubMedCentralGoogle Scholar
  8. Greenspan, J. A., McMahon, S. A., Chebet, J. J., Mpunga, M., Urassa, D. P., & Winch, P. J. (2013). Sources of community health worker motivation: a qualitative study in Morogoro Region, Tanzania. Human Resources for Health, 11, 52.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Ingram, M., Sabo, S., Rothers, J., Wennerstrom, A., & de Zapien, J. G. (2008). Community health workers and community advocacy: Addressing health disparities. Journal of Community Health, 33(6), 417–424.Google Scholar
  10. Israel, B. A., Coombe, C. M., Cheezum, R. R., Schulz, A. J., McGranaghan, R. J., Lichtenstein, R., et al. (2010). Community-based participatory research: a capacity-building approach for policy advocacy aimed at eliminating health disparities. American Journal of Public Health, 100, 2094–2102.CrossRefPubMedPubMedCentralGoogle Scholar
  11. Jacob, V., Chattopadhyay, S. K., Proia, K. K., Hopkins, D. P., Reynolds, J., Thota, A. B., et al. (2017). Economics of self-measured blood pressure monitoring: A community guide systematic review. American Journal of Preventive Medicine, 53, e105–e113.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Kim, K. B., Han, H. R., Huh, B., Nguyen, T., Lee, H., & Kim, M. T. (2014). The effect of a community-based self-help multimodal behavioral intervention in Korean American seniors with high blood pressure. American Journal of Hypertension, 27, 1199–1208.CrossRefPubMedPubMedCentralGoogle Scholar
  13. Kim, K. B., Kim, M. T., Lee, H. B., Nguyen, T., Bone, L. R., & Levine, D. (2016). Community health workers versus nurses as counselors or case managers in a self-help diabetes management program. American Journal of Public Health, 106, 1052–1058.CrossRefPubMedPubMedCentralGoogle Scholar
  14. Kim, O., Ovbiagele, B., Valle, N., Markovic, D., & Towfighi, A. (2017). Race-ethnic disparities in cardiometabolic risk profiles among stroke survivors with undiagnosed diabetes and prediabetes in the United States. Journal of Stroke and Cerebrovascular Diseases, 26, 2727–2733.CrossRefPubMedGoogle Scholar
  15. Kindig, D., & Stoddart, G. (2003). What is population health? American Journal of Public Health, 93, 380–383.CrossRefPubMedPubMedCentralGoogle Scholar
  16. Maraccini, A. M., Galiatsatos, P., Harper, M., & Slonim, A. D. (2017). Creating clarity: Distinguishing between community and population health. American Journal of Accountable Care, 6, 32–37.Google Scholar
  17. Pallas, S. W., Minhas, D., Perez-Escamilla, R., Taylor, L., Curry, L., & Bradley, E. H. (2013). Community health workers in low- and middle-income countries: What do we know about scaling up and sustainability? American Journal of Public Health, 103, e74–e82.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Peppard, P. E., Kindig, D., Jovaag, A., Dranger, E., & Remington, P. L. (2004). An initial attempt at ranking population health outcomes and determinants. WMJ, 103, 52–56.PubMedGoogle Scholar
  19. Schroeder, S. A. (2007). Shattuck lecture. We can do better—Improving the health of the American people. New England Journal of Medicine, 357, 1221–1228.CrossRefPubMedGoogle Scholar
  20. Thorpe, K. E., & Howard, D. H. (2006). The rise in spending among Medicare beneficiaries: The role of chronic disease prevalence and changes in treatment intensity. Health Affairs (Millwood), 25, w378–w388.CrossRefGoogle Scholar
  21. Writing Group, Members, Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., et al. (2016). Heart disease and stroke statistics-2016 update: A report from the American heart association. Circulation, 133, e38–e360.CrossRefGoogle Scholar
  22. Xie, L., Kariburyo, M. F., Wang, Y., & Baser, O. (2014). Comparison of the economic burden and health care utilizations of u. S. veteran patients diagnosed with type 2 diabetes mellitus. Value Health, 17, A341.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Medicine for the Greater Good, Department of MedicineJohns Hopkins Bayview Medical CenterBaltimoreUSA
  2. 2.Division of Pulmonary and Critical Care Medicine, Department of MedicineJohns Hopkins School of MedicineBaltimoreUSA
  3. 3.Department of Human EcologyUniversity of CaliforniaDavisUSA
  4. 4.Johns Hopkins University School of NursingBaltimoreUSA
  5. 5.Department of Internal MedicineJohns Hopkins School of Medicine, Johns Hopkins Bayview Medical CenterBaltimoreUSA
  6. 6.Division of Geriatrics, Department of MedicineJohns Hopkins University School of MedicineBaltimoreUSA

Personalised recommendations