The health outcomes and health behaviors of PTSC Alumnae

项目摘要 非裔美国妇女患高血压、中风、II型糖尿病、压力和 比非西班牙裔白色女性更容易出现抑郁症状。黄金时段姐妹圈®（PTSC）赋予 * 妇女积极主动地管理自己的健康，促进有效利用预防性保健; 筛查和监测血压和体重，并教授管理压力的策略， 增加身体活动，改善营养。为期12周的以社区为基础的整体生活方式 干预的目的是改善护理，降低发病率和死亡率，并减少卫生保健费用， 预防、早期发现和改善慢性病的管理， 解决中年非洲裔美国妇女遇到的具体障碍的方案。改善健康 中年非洲裔美国妇女的习惯和健康知识在她们自己的健康中起着关键作用， 影响他们的伴侣、子女、孙辈和社区的生活。这一年龄组的妇女 被认为是榜样，并影响其家庭的健康知识，态度和行为， 社区. 拟议的5年混合方法研究是约翰霍普金斯中心与 健康差距解决方案（HCHDS），加斯顿和波特健康改善中心和美国 研究所（AIR）。我们建议调查40至75岁的非洲裔美国妇女， 在2008年至2014年期间参加了PTSC。我们将收集有关血压、健康状况、健康状况 行为、社会支持、社交网络和通过参与者亲自调查的医疗保健利用。 我们将比较参加PTSC的非裔美国妇女（即，PTSC铝合金）匹配 从国家健康和营养检查调查中抽取的非裔美国妇女样本 （NHANES），国家健康访谈调查（NHIS）和医疗支出小组调查（MEPS）。 此外，我们还将对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，研究如何增加社会支持的看法，和社交网络创建 通过参与PTSC，影响了对抗高血压治疗和行为的依从性。我们将使用 这些数据用于实现以下四个具体目标： 为了确定通过PTSC的社会支持和社会联系是否持续坚持 参加PTSC的妇女的抗高血压方案。 确定PTSC校友是否保持血压和健康行为的改善 (i.e、营养、体育活动、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，BMI和腰围和健康 与参加NHANES的类似女性相比， 确定PTSC校友是否有更好的健康行为和医疗保健利用率， 参加NHIS和MEPS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.