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Findings from a Community-based Participatory Prevention Research Intervention Designed to Increase Social Capital in Latino and African American Communities

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Abstract

A community-based participatory research intervention, Poder es Salud/Power for Health, employed Community Health Workers who used popular education to identify and address health disparities in Latino and African American communities in a metropolitan area in the United States. We assessed participants’ social capital, self-rated health, and depressive symptoms at baseline and the end of the intervention. Social support and self-rated health improved while depressive symptoms decreased. Public health interventions involving diverse communities that are designed to build upon assets, such as existing levels of social capital, may improve health in those communities.

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References

  1. Institute of Medicine: Unequal Treatment: confounding Racial and Ethnic Disparities in Health Care. Washington DC: National Academy Press; 2002.

  2. House J, Williams DR. Understanding and reducing socioeconomic and racial/ethnic disparities in health. In: Hofrichter R, editor. Health and social justice. San Francisco: Jossey-Bass; 2003. p. 89–131.

    Google Scholar 

  3. Healthy People 2010: Understanding and Improving Health. Washington DC: US Department of Health and Human Services; 2001.

  4. Farquhar SA, Michael YL, Wiggins N. Building on history and social capital to create change in two urban communities. Am J Public Health 2005;95:596–601.

    Article  PubMed  Google Scholar 

  5. Farquhar SA, Michael YL. Poder es Salud/Power for Health: an application of the community health worker model in Portland, Oregon. J Interprof Care 2004;18:445–7.

    Article  PubMed  Google Scholar 

  6. Lochner K, Kawachi I, Kennedy BP. Social capital: a guide to its measurement. Health Place 1999;5(4):259–70.

    Article  PubMed  CAS  Google Scholar 

  7. Coleman JS. Foundations of social theory. Cambridge MA: Harvard University Press; 1990.

    Google Scholar 

  8. Bourdieu P. The forms of social capital. In: Richardson JG, editor. The handbook of theory: research for the sociology of education. New York: Greenwood Press; 1986. p. 241–58.

    Google Scholar 

  9. Daniels N, Kennedy BP, Kawachi I. Why justice is good for our health: the social determinants of health inequalities. Daedalus 1999;128(4):215–51.

    PubMed  Google Scholar 

  10. Kawachi I, Kennedy BP. Income inequality and health: pathways and mechanisms. Health Serv Res 1999;34(1 Pt 2):215–27.

    PubMed  CAS  Google Scholar 

  11. Kawachi I. Social capital and community effects on population and individual health. Ann N Y Acad Sci 1999;896:120–30.

    Article  PubMed  CAS  Google Scholar 

  12. Kawachi I, Kennedy BP, Glass R. Social capital and self-rated health: a contextual analysis. Am J Public Health 1999; 89(8):1187–93.

    PubMed  CAS  Google Scholar 

  13. Kawachi I, Berkman LF. Social ties and mental health. J Urban Health 2001;78(3):458–67.

    PubMed  CAS  Google Scholar 

  14. Lochner KA, Kawachi I, Brennan RT, Buka SL. Social capital and neighborhood mortality rates in Chicago. Soc Sci Med 2003;56(8):1797–805.

    Article  PubMed  Google Scholar 

  15. Kawachi I, Kennedy BP, Lochner K, Prothrow-Stith D. Social capital, income inequality, and mortality. Am J Public Health 1997;87(9):1491–8.

    PubMed  CAS  Google Scholar 

  16. Israel BA, Farquhar SA, James SA, et al. The relationship between social support, stress and health among women on Detroit’s eastside. Health Educ Behav 2002;29:342–60.

    PubMed  Google Scholar 

  17. Garcia C. Buscando Trabajo: social networking among immigrants from Mexico to the United States. Hisp J Behav Sci 2005;27:3–22.

    Article  Google Scholar 

  18. Segura GM, Pachon H, Woods ND. Hispanics, social capital, and civic engagement. Natl Civ Rev 2001;90:85–101.

    Article  Google Scholar 

  19. Gittell R, Vidal A. Community organizing: building social capital as a development strategy. Thousand Oaks, CA: Sage Books; 1998.

    Google Scholar 

  20. Wallerstein N, Duran B. The conceptual, historical, practice roots of community based participatory research and related participatory traditions. In: Minkler M, Wallerstein N, editors. Community-based participatory research for health. San Francisco, CA: Jossey-Bass; 2002. p. 27–52.

    Google Scholar 

  21. Wallerstein N, Bernstein E. Introduction to community empowerment, participatory education, and health. Health Ed Q 1994;21(2):141–8.

    CAS  Google Scholar 

  22. Patton MQ. Qualitative evaluation and research methods. 2nd ed. Newbury Park: Sage Publications; 1990.

    Google Scholar 

  23. Steckler A, McLeroy KR, Goodman RM, et al. Toward integrating qualitative and quantitative methods: an introduction. Health Educ Q 1992;19:1–8.

    PubMed  CAS  Google Scholar 

  24. Igo LB, Bruning R, McCrudden MT. Exploring differences in students’ copy-and-paste decision making and processing: a mixed-methods study. J Educ Psychol 2005;97:103–16.

    Article  Google Scholar 

  25. Jabal E. Adolescent identities and sense of school affiliation: an exploratory study of international school students. Alberta J Educ Res 2004;50:103–6.

    Google Scholar 

  26. Lindsay AC. Integrating qunatitative and qualitativ methods to assess the impact of child survival programs in developing coutries: the case of a program evaluation in Ceara, Northeast Brazil. Health Educ Behav 2002;29:570–84.

    Article  PubMed  Google Scholar 

  27. Hawe P, Shiell A. Social capital and health promotion: a review. Soc Sci Med 2000;51:871–85.

    Article  PubMed  CAS  Google Scholar 

  28. Cheatham A, Shen E. Community based participatory research with Cambodian girls in Long Beach, California: a case study. In: Minkler M, Wallerstein N, editors. Community-based participatory research for health. San Francisco: Jossey-Bass; 2003. p. 316–31.

    Google Scholar 

  29. Health Education Authority: A research strategy for the Health Education Authority for England 1996–1999. London: Health Education Authority; 1997.

  30. Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 1997;38:21–37.

    Article  PubMed  CAS  Google Scholar 

  31. Burnam M, Wells K, Leake B, Landsverk J. Development of a brief screening instrument for detecting depressive disorders. Med Care 1988;26:775–89.

    Article  PubMed  CAS  Google Scholar 

  32. Pasick RJ, D’Onofrio CN, Otero-Sabogal R. Similarities and differences across cultures: questions to inform a third generation for health promotion research. Health Educ Q 1996;23(Suppl):S142–61.

    Google Scholar 

  33. Morgan DL. Practical strategies for combining qualitative and quantitative methods: applications to health. Qual Health Res 1998;8:362–73.

    Article  PubMed  CAS  Google Scholar 

  34. SPSS for Windows, Release 11.5.0. Chicago (IL): SPSS, Inc.; 2002.

  35. Corbin J, Strauss A. Grounded theory research: procedures, canons, and evaluative criteria. Qual Sociol 1990;13:3–34.

    Article  Google Scholar 

  36. Rankin BH, Quane JM. Neighborhood poverty and the social isolation of inner-city African American families. Soc Forces 2000;79:139–70.

    Article  Google Scholar 

  37. Cohen CJ, Dawson MC. Neighborhood poverty and African American politics. Am Polit Sci Rev 1993;87:286–301.

    Article  Google Scholar 

  38. Wakefield SEL, Poland B. Family, friend, or foe? Critical reflections on the relevance and role of social capital in health promotion and community development. Soc Sci Med 2005;60:2819–32.

    Article  PubMed  Google Scholar 

  39. Green L, Glanz K, Hochbaum CM, et al. Can public health researchers and agencies reconcile the push from funding bodies and the pull from communities? Am J Public Health 2001;91(12):1926–9.

    Article  PubMed  CAS  Google Scholar 

  40. Yin R. Case study research: design, methods. 1st ed. Beverly Hills, CA: Sage Publications; 1994.

    Google Scholar 

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Acknowledgements

This research was supported by Centers for Disease Control and Prevention (Grant R06/CCR021527-01). Special appreciation to the Community Health Workers Alicia Lopez, Linda Hornbuckle, Gonzalo Gonzalez, Robert Seay, Maria Avila, and Jovita Walker, and to all members of the Poder es Salud/Power for Health Steering Committee and Research Advisory Board, including, Pastor C.T. Wells, Denise Johnson, Fred Miller, Joe Gallegos, Maria Lisa Johnson, Pam Ballentine, Richard Loudd, Star Waters, Teresa Rios, and Ruth Kemp.

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Correspondence to Yvonne L. Michael.

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Michael, Y.L., Farquhar, S.A., Wiggins, N. et al. Findings from a Community-based Participatory Prevention Research Intervention Designed to Increase Social Capital in Latino and African American Communities. J Immigrant Minority Health 10, 281–289 (2008). https://doi.org/10.1007/s10903-007-9078-2

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