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Funding Source: -
CDC
- 1st Cycle: $595,108 (Direct); 1995-99
- 2nd Cycle: $1,017,163 (Direct); 1999-2003
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Goals & Objectives: -
To test a conceptual model of the stress process for understanding social determinants of health affecting women living in an urban community, using a community-based lay health advisor intervention. - Communities
Involved: -
Eastside Detroit residents, primarily African American women and children. Approximately 6,000 households.
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Partners: -
- Detroit Health Department
- Eastside Parish Nurse Network
- Friends of Parkside
- Henry Ford Health System
- Islandview Department Corporation
- Village Health Workers
- Warren/Conner Development Coalition
- University of Michigan School of Public Health
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Intervention: -
Approximately 70 community members trained as volunteer VHWs provide education/advocacy for community residents with a focus on 5 priority areas: community-police relationships, child caregiver support, economic development, access to quality health care, and diabetes/CVD. -
Outcome Indicators: -
- Individual level: raised knowledge re: community resources
- Organizational level: raised agency coordination
- Community level: lowered stressors (e.g., physical safety)
- Policy level: raised knowledge about policy change and enforcement
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Methods & Analyses: -
- Pre-post community survey of east side Detroit women (base-line '96 n=700; f/u '02, n=366)
- In-depth interviews
- Annual process questionnaires
- Participant feedback
- Field notes
- Evaluation to assess partnership effectiveness
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Results: -
Baseline survey had 80% response rate. Findings (e.g., 36% of respondents concerned about police response time) used to identify priority areas for VHW intervention. F/U survey data analysis ongoing. Numerous basic research articles published from data.