Community-Based Family Health History Education: The Role of State Health Agencies in Engaging Medically Underserved Populations in Understanding Genomics and Risk of Chronic Disease
Community-Based Family Health History Education: The Role of State Health Agencies in Engaging Medically Underserved Populations in Understanding Genomics and Risk of Chronic Disease
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DOI：
10.3390/healthcare3040995
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发表时间：
2015-12-01
期刊：
影响因子：
2.8
通讯作者：
Wiecek, Elyssa
中科院分区：
文献类型：
--
作者：
Senier, Laura;Shields, Michael;Wiecek, Elyssa
虽然家庭健康史（FHH）收集已被认为是评估一个人的慢性病风险的一种有影响力的方法，但研究表明，低收入，来自种族和少数民族以及受教育程度低的人不太可能收集他们的FHH或与医疗专业人员分享。提高公众对FHH重要性认识的计划通常针对初级保健诊所或普通社区的患者，但很少努力协调跨环境的教育工作。本文介绍了一个由康涅狄格州公共卫生部的基因组学办公室尽可能广泛地传播有关FHH的培训材料的项目，通过参与多个环境中的合作伙伴：当地卫生部门，社区卫生中心和两个宣传组织，为少数民族和移民人口服务。我们使用了混合方法的程序评估，以检查FHH程序的有效性，并评估将其纳入团体的定期规划的障碍。我们的研究结果强调了州卫生部门如何在服务不足的社区中促进FHH教育。
Although family health history (FHH) collection has been recognized as an influential method for assessing a person's risk of chronic disease, studies have shown that people who are low-income, from racial and ethnic minorities, and poorly educated are less likely to collect their FHH or share it with a medical professional. Programs to raise public awareness about the importance of FHH have conventionally targeted patients in primary care clinics or in the general community, but few efforts have been made to coordinate educational efforts across settings. This paper describes a project by the Connecticut Department of Public Health's Genomics Office to disseminate training materials about FHH as broadly as possible, by engaging partners in multiple settings: a local health department, a community health center, and two advocacy organizations that serve minority and immigrant populations. We used a mixed methods program evaluation to examine the efficacy of the FHH program and to assess barriers in integrating it into the groups' regular programming. Our findings highlight how a state health department can promote FHH education among underserved communities.