The health outcomes and health behaviors of PTSC Alumnae

项目总结 非裔美国女性患高血压、中风、II型糖尿病、压力和 抑郁症状比非西班牙裔白人女性更多。黄金时段姐妹圈子®(PTSC)支持 妇女通过促进有效利用预防性保健主动管理自己的健康；提供 筛选和监测血压和体重，以及管理压力的教学策略， 增加体力活动，改善营养。12周的以社区为基础的整体生活方式 干预措施旨在改善护理，减少发病率和死亡率，并通过以下方式降低保健成本 通过文化定制预防、更早发现和改进慢性病管理 解决中年非裔美国妇女遇到的具体障碍的方案。改善健康状况 非裔美国中年妇女的习惯和健康知识对她们自己的健康起着至关重要的作用，而且 影响他们的伴侣、子女、孙辈和社区的生活。这个年龄段的女性是 被认为是榜样，并影响其家人和 社区。 拟议的为期5年的混合方法研究是约翰霍普金斯大学中心与 健康差距解决方案(HCHDS)、加斯顿和波特健康改善中心和美国 研究院(AIR)。我们建议对40至75岁的非洲裔美国女性进行调查 在2008至2014年间参加了PTSC。我们将收集关于血压、健康状况、健康的数据 行为，社会支持，社会网络，和卫生保健利用通过参与者面对面调查。 我们将比较参加PTSC的非裔美国女性(即PTSC校友)与匹配的 美国国家健康和营养检查调查中的非裔美国女性样本 (NHANES)、国家健康访谈调查(NHIS)和医疗支出小组调查(MEPS)。 此外，我们将与参与者进行焦点小组和深入的半结构化访谈，以探索他们的 在PTSC的经验，考察社会支持增加的感知和社交网络是如何创建的 通过参与PTSC，影响了对降压治疗和行为的坚持。我们将使用 这些数据旨在解决以下四个具体目标： 通过PTSC确定社会支持和社会联系是否持续遵守 参与PTSC的女性中的降压治疗方案。 确定PTSC校友的血压和健康行为是否保持改善 (即营养、体力活动、压力管理和预防性保健服务的使用)。 确定PTSC校友是否有更好的血压、体重指数和腰围和健康 与参加NHANES的类似女性的行为进行比较。 确定PTSC校友的健康行为和医疗保健利用率是否比 参加国家健康保险制度和欧洲议会议员的类似妇女。

PROJECT SUMMARY African American women suffer higher rates of hypertension, stroke, type II diabetes, stress, and depressive symptoms than do non-Hispanic white women. Prime Time Sister Circles® (PTSC) empowers women to proactively manage their health by promoting the effective use of preventive health care; providing screening and monitoring of blood pressure and weight, and teaching strategies for managing stress, increasing physical activity, and improving nutrition. The 12-week community-based, holistic lifestyle intervention aims to improve care, reduce morbidity and mortality, and reduce health care costs through prevention, earlier detection, and improved management of chronic disease through a culturally tailored program addressing specific barriers experienced by midlife African American women. Improving the health habits and health knowledge of midlife African American women play a critical role in their own health and also impact the lives of their partners, children, grandchildren, and communities. Women in this age group are considered role models and influence the health knowledge, attitudes, and behavior of their families and communities. The proposed 5-year mixed methods study is a collaboration between The Johns Hopkins Center for Health Disparities Solutions (HCHDS), Gaston and Porter Health Improvement Center and the American Institutes for Research (AIR). We propose to survey African American women 40 to 75 years of age who participated in the PTSC between 2008 and 2014. We will collect data on blood pressure, health status, health behaviors, social support, social networks, and health care utilization through participant in-person surveys. We will compare African American women who participated in the PTSC (i.e., PTSC alumnae) to matched samples of African American women drawn from the National Health and Nutrition Examination Survey (NHANES), the National Health Interview Survey (NHIS), and the Medical Expenditures Panel Survey (MEPS. Further, we will conduct focus groups and in-depth, semi-structured interviews with participants to explore their experience in PTSC, examine how perceptions of increased social support, and social networks created through participation in PTSC, influenced adherence to antihypertensive therapies and behaviors. We will use these data to address the following four specific aims:  To determine if social support and social connectedness through PTSC sustained adherence to antihypertensive regimens among women who participated in PTSC.  To determine if PTSC alumnae maintained improvements in their blood pressure and healthy behaviors (i.e, nutrition, physical activity, stress management, and the use of preventive healthcare services).  To determine if PTSC alumnae have better blood pressure, BMI, and waist circumference and health behaviors compared to similar women who participated in the NHANES.  To determine if PTSC alumnae have better health behaviors and health care utilization compared to similar women who participated in the NHIS and MEPS.