1. Hispanic Population Needs Assessment Nelson Atehortua, MD. MPH. Texas A&M University Chris Nagy, PhD. Western Kentucky University

2. Background Nelson Atehortua Nelson Atehortua –PhD Student Department of Health and Kinesiology  Graduate Diversity Fellow  Doctoral Student Fellow Mexican American & US Latino Research Center (MARLC) –MD ’92 Universidad de Cartagena, Colombia –Master of Arts ’96 Universidad del Norte, Barranquilla, Colombia. –MPH ’06 Western Kentucky University –Doctoral Student Texas A&M University Christine Nagy Christine Nagy WKU Department of Public Health WKU Department of Public Health –MSc. & PhD. School and Community Health University of Oregon –Ed.S. Program Evaluation University of Alabama- Tuscaloosa –B.Ed. University of Windsor

3. Background Recent increase in migration according to 2000 National Census. Recent increase in migration according to 2000 National Census. Disparities in health and social issues : (2003 BRFSS) Disparities in health and social issues : (2003 BRFSS) –35% Hispanic/Latinos uninsured vs. 18.5% blacks and 11.8% whites. –30.2% of uninsured Hispanics self- reported poor or fair health condition vs. 20% blacks and 15.3% whites. 70% to 80% of Tobacco workers are Latinos (Ky. Sec. of Agric.) 70% to 80% of Tobacco workers are Latinos (Ky. Sec. of Agric.) Other economic activities such as farming, horse breeding, services, construction, manufacturing.. Other economic activities such as farming, horse breeding, services, construction, manufacturing..

4. Brief Description Sponsored by “Alliance Project” Sponsored by “Alliance Project”  Western Kentucky University  South Central AHEC  “Centro La Esperanza” –IRB approved National Alliance for Hispanic Health (NAHH) developed and CDC validated survey instrument. National Alliance for Hispanic Health (NAHH) developed and CDC validated survey instrument. –Survey (n=120) and 2 Focus Groups (n=16) –24 questions: 10 open ended questions and 14 multiple selection –Topics: Main Concerns, Health, Conditions, Diseases, Barriers, possible solutions, settings, and mass media. –Churches, restaurants, stores with support from local community leaders, chambers of commerce, businesses, some NGO’s.

5. Purpose To identify health and social needs of Hispanics who live in the South Central Kentucky area. To identify health and social needs of Hispanics who live in the South Central Kentucky area. Administered in Warren, Barren, and Hart Counties, Kentucky. Administered in Warren, Barren, and Hart Counties, Kentucky.

6. Concerns, Conditions, and Diseases Main Concerns: Lack of Health Insurance, Costs, Language. Main Concerns: Lack of Health Insurance, Costs, Language. Conditions: Lack of Documentation, Occupational Safety, Discrimination & Racism. Conditions: Lack of Documentation, Occupational Safety, Discrimination & Racism. Diseases: Mental Health, Oral Health, Cancer, Alcohol and Drug Abuse, STD’s & HIV, Diabetes & Obesity, Heart & CV Diseases. Diseases: Mental Health, Oral Health, Cancer, Alcohol and Drug Abuse, STD’s & HIV, Diabetes & Obesity, Heart & CV Diseases.

7. Barriers Language Language Lack of Health Insurance Lack of Health Insurance Costs Costs Lack of Legal Documentation Lack of Legal Documentation

8. Possible Solutions Transportation Transportation Bilingual Employees Bilingual Employees Communication Communication Immigration Immigration Health fairs Health fairs Peer Education Classes Peer Education Classes Community Papers Community Papers

9. Settings Churches Churches Schools Schools Community Rooms Community Rooms

10. Mass Media, ways to release info TV TV Radio Radio Community Paper Community Paper Church Bulletin Church Bulletin

11. Focus Groups Hispanic Population Health Needs Assessment

12. Validation of Collected Info Tell me in your own words what “Health Needs” mean to you? Tell me in your own words what “Health Needs” mean to you? What comes to your mind when you hear the words: Concern, Conditions and Disease? What comes to your mind when you hear the words: Concern, Conditions and Disease? What are some of the Barriers to Hispanics to access Health Services? What are some of the Barriers to Hispanics to access Health Services? What would make Hispanics feel more comfortable about going to get Health Services for themselves? What would make Hispanics feel more comfortable about going to get Health Services for themselves? Are there Hispanic people in your Community likely to participate in Health Education or Health Promotion programs? Are there Hispanic people in your Community likely to participate in Health Education or Health Promotion programs? Where should these Health Education / Health Promotion programs be held? Where should these Health Education / Health Promotion programs be held? How often should these programs be offered? What means of communication? How often should these programs be offered? What means of communication?

13. Priorities: Single adult health: STD’s, HIV, Oral Health, Mental Health. Single adult health: STD’s, HIV, Oral Health, Mental Health. Family Health: Domestic Violence, Alcohol & Drug Abuse, Nutrition Obesity, Mental Health Family Health: Domestic Violence, Alcohol & Drug Abuse, Nutrition Obesity, Mental Health Children’s Health: Immunizations, Oral Health, and Diabetes, Nutrition/Obesity Children’s Health: Immunizations, Oral Health, and Diabetes, Nutrition/Obesity –Prevention in:  STD’s,  Substance Abuse,  Mental Health.

14. Interventions Based on Assessment

15. Language Interpreting Medical Interpreter training. Medical Interpreter training. –State of Ky. deemed qualified interpreter. –Medical interpreter training. Medical interpreting Medical interpreting Social and Health agencies interpreting Social and Health agencies interpreting Immigration & legal interpreting. Immigration & legal interpreting.

16. Health Fairs Some with free MD’s and OD’s Some with free MD’s and OD’s Nursing and Allied Health Professionals Nursing and Allied Health Professionals Blood Pressure Blood Pressure Blood Glucose & Cholesterol (Total, HDL, LDL, VLDL) Blood Glucose & Cholesterol (Total, HDL, LDL, VLDL) Cancer screening Cancer screening HIV Testing & Counseling HIV Testing & Counseling Osteoporosis Osteoporosis Vision testing Vision testing Hearing tests Hearing tests Oral Health Oral Health Referrals Referrals Health & Nutrition Education Health & Nutrition Education

17. Others Transportation Transportation Area Resource Guides Area Resource Guides Inter agency coordination Inter agency coordination –Brass –Social Services –City Major –Local and District Health Department –Medical Center - Green view Hospital - Primary Care Center –Police Department –Lions Club –Ky. Cancer Volunteerism Opportunities Volunteerism Opportunities –Parental School Community Engagement Community Engagement –Fr. Stan Puryear (St. Joseph Parrish) and Diocese of Owensboro, Ky. –Catholic Charities of the Archdiocese of Louisville, Ky.

18. Thanks!!!!