Reducing Health Disparities in African American Communities through Culturally Competent Church-Based Interventions to Increase Physical Activity
Reducing Health Disparities in African Americans Through Culturally Competent Church-Based Interventions to Increase Physical Activity
Suzanne Mosman
November 21, 2013
PHE 576: Physical Activity, Health, and Disease
Background & Statistics The Centers for Disease Control (CDC) states that there are 67 million Americans adults with hypertension (HTN). The highest rates are among African Americans, 42.5% of whom have HTN (CDC, 2012a). Over one-third of U.S. adults are obese, with Non-Hispanic Blacks having the highest age-adjusted rate, at 49.5% (CDC, 2012b). Strokes kill nearly 130,000 Americans every year (CDC, 2012c) and approximately 600,000 Americans die from heart disease annually, more than from any other cause (CDC, 2013a). Compared with the same age men and women, African Americans aged 45-74 had the highest death rates from heart disease and stroke in 2006 of all ethnicities (CDC 2013b). More than 25 million Americans are affected by diabetes, with Non-Hispanic Blacks again having the highest rate of all ethnicities (CDC, 2011). Age-adjusted death rates by race and Hispanic origin are also highest for Blacks (CDC, 2012a). The fact that African Americans are disproportionately affected by these conditions plays a major role in the health disparities experienced by this population (Deuster, Kim-Dorner, Remaley, & Poth, 2011). Healthy People 2020 defines a health disparity as, “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage” and which, “adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group” (Healthy People, 2010). Achievement of health equity for all Americans is an over-arching goal of Healthy People 2020 (Healthy People, 2010). Scholars, advocates, and researchers agree that this is a public health priority (Banks-Wallace, Enyart, & Johnson, 2004; DeHaven
Suzanne Mosman
November 21, 2013
PHE 576: Physical Activity, Health, and Disease
Background & Statistics The Centers for Disease Control (CDC) states that there are 67 million Americans adults with hypertension (HTN). The highest rates are among African Americans, 42.5% of whom have HTN (CDC, 2012a). Over one-third of U.S. adults are obese, with Non-Hispanic Blacks having the highest age-adjusted rate, at 49.5% (CDC, 2012b). Strokes kill nearly 130,000 Americans every year (CDC, 2012c) and approximately 600,000 Americans die from heart disease annually, more than from any other cause (CDC, 2013a). Compared with the same age men and women, African Americans aged 45-74 had the highest death rates from heart disease and stroke in 2006 of all ethnicities (CDC 2013b). More than 25 million Americans are affected by diabetes, with Non-Hispanic Blacks again having the highest rate of all ethnicities (CDC, 2011). Age-adjusted death rates by race and Hispanic origin are also highest for Blacks (CDC, 2012a). The fact that African Americans are disproportionately affected by these conditions plays a major role in the health disparities experienced by this population (Deuster, Kim-Dorner, Remaley, & Poth, 2011). Healthy People 2020 defines a health disparity as, “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage” and which, “adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group” (Healthy People, 2010). Achievement of health equity for all Americans is an over-arching goal of Healthy People 2020 (Healthy People, 2010). Scholars, advocates, and researchers agree that this is a public health priority (Banks-Wallace, Enyart, & Johnson, 2004; DeHaven
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