Application of a gender-based approach to conducting a community health assessment for rural women in Southern Illinois

Zimmermann, Kristine; Khare, Manorama M.; Wright, Cherie; Hasler, Allison; Kerch, Sarah; Moehring, Patricia A.; Geller, Stacie E.

doi:10.1016/j.evalprogplan.2014.12.004

Cited by 6 publications

(7 citation statements)

References 30 publications

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“…In 2011, the Southern Seven Coalition for Women’s Health (SSCWH), which has a mission to promote health and wellness for women and their communities in the S7 region, conducted a comprehensive assessment of women’s health in the region ( 15 ). The assessment included 14 focus groups with community women from across the lifespan.…”

Section: Methodsmentioning

confidence: 99%

Age-Associated Perceptions of Physical Activity Facilitators and Barriers Among Women in Rural Southernmost Illinois

Zimmermann¹,

Carnahan²,

Peacock³

2016

Prev. Chronic Dis.

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IntroductionWomen living in rural areas in the United States experience disproportionately high rates of diseases such as obesity and heart disease and are less likely than women living in urban areas to meet daily physical activity (PA) recommendations. The purpose of our research was to understand age-specific perceptions of barriers and facilitators to rural women engaging in PA and to identify strategies to promote PA among these women.MethodsAs part of a community health assessment to learn about women’s health issues, 110 adult women participated in 14 focus groups. The women were divided into 4 age groups, and focus groups were held in various community settings. We used qualitative analysis methods to explore themes in the women’s narratives, including themes related to PA knowledge, PA behavior, and access to PA facilities.ResultsParticipants described multiple and often conflicting individual, social, and environmental barriers and facilitators to PA. Several barriers and facilitators were shared across age groups (eg, competing priorities and inadequate knowledge about PA’s role in disease prevention and disease management). Other barriers (eg, illness and injury) and facilitators (eg, PA as a social opportunity) differed by age group.ConclusionRural women in southernmost Illinois have often contradictory barriers and facilitators to PA, and those barriers and facilitators are different at different points in a woman’s life. Our findings suggest the need for multilevel, multisector approaches to promote PA. Additionally, this research supports the need for tailored PA promotion programs for rural women to address the barriers these women face across their lifespan.

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Section: Methodsmentioning

confidence: 99%

Age-Associated Perceptions of Physical Activity Facilitators and Barriers Among Women in Rural Southernmost Illinois

Zimmermann¹,

Carnahan²,

Peacock³

2016

Prev. Chronic Dis.

Self Cite

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“…Community’s social and cultural values and resources: Tribal and community culture [ 58 , 68 , 74 , 91 ], cultural diversity [ 81 ], spirituality and religion [ 58 , 74 ], strong family bonds and values [ 59 , 74 ], strong community connections, teamwork and willingness to volunteer [ 21 , 81 , 86 , 91 ], mutual support, social support and networks [ 45 , 58 , 81 , 85 ], unity, community cohesion and collectivity [ 21 , 59 , 74 ], community capacity [ 58 ], community-led activities [ 86 , 91 ], and community values and traditions [ 68 , 74 , 86 ], resiliency [ 58 ], unifying power of communities [ 13 ], community administration units e.g. women’s committees [ 13 ], an existing group of dedicated healthcare providers [ 39 ], a group of concerned citizens [ 39 ], community safety [ 12 ], the knowledge base of the community members themselves [ 39 ] and members’ desire to be healthy [ 58 ].…”

Section: Resultsmentioning

confidence: 99%

“…None of the papers reviewed provided a specific definition for CHNAA. In general, reviewed papers defined CHNAA as: A collaborative, community-engaged, systematic, ongoing, continuous, proactive, comprehensive, cyclical, regular, modifying method or process [ 28 , 33 , 69 , 92 , 94 – 98 ]; For the identification, collection, assembly, analysis, distribution, and dissemination of information on key health needs, social needs, concerns, problems, gaps, issues, factors, capabilities, strengths, assets, resources; About communities (or individuals) [ 21 , 23 , 28 , 31 , 33 , 37 , 41 , 45 , 54 , 79 , 89 , 94 – 97 , 99 – 102 ]; To achieve agreed priorities, create a shared vision, plan actions, garner resources, engage stakeholders, work collaboratively, establish relationships, implement culturally appropriate, multi-sectoral/multilevel intervention strategies, empower residents and enhance community capacity and participation in decision-making process [ 12 , 13 , 20 , 27 , 28 , 37 , 45 , 70 , 79 , 89 , 91 , 92 , 94 , 95 , 97 – 99 , 101 – 104 ]; Towards improving health and wellbeing, building and transforming health of the communities, increasing community benefits, reducing inequalities; Through which primary/secondary healthcare can respond to local and national priorities [ 20 , 23 , 28 , 40 , 51 , 59 , 69 , 97 , 103 , 105 , 106 ].…”

Section: Resultsmentioning

confidence: 99%

A scoping review of community health needs and assets assessment: concepts, rationale, tools and uses

Ravaghi

Guisset

ElFeky

et al. 2023

BMC Health Serv Res

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Background Community health needs and assets assessment is a means of identifying and describing community health needs and resources, serving as a mechanism to gain the necessary information to make informed choices about community health. The current review of the literature was performed in order to shed more light on concepts, rationale, tools and uses of community health needs and assets assessment. Methods We conducted a scoping review of the literature published in English using PubMed, Embase, Scopus, Web of Science, PDQ evidence, NIH database, Cochrane library, CDC library, Trip, and Global Health Library databases until March 2021. Results A total of 169 articles including both empirical papers and theoretical and conceptual work were ultimately retained for analysis. Relevant concepts were examined guided by a conceptual framework. The empirical papers were dominantly conducted in the United States. Qualitative, quantitative and mixed-method approaches were used to collect data on community health needs and assets, with an increasing trend of using mixed-method approaches. Almost half of the included empirical studies used participatory approaches to incorporate community inputs into the process. Conclusion Our findings highlight the need for having holistic approaches to assess community’s health needs focusing on physical, mental and social wellbeing, along with considering the broader systems factors and structural challenges to individual and population health. Furthermore, the findings emphasize assessing community health assets as an integral component of the process, beginning foremost with community capabilities and knowledge. There has been a trend toward using mixed-methods approaches to conduct the assessment in recent years that led to the inclusion of the voices of all community members, particularly vulnerable and disadvantaged groups. A notable gap in the existing literature is the lack of long-term or longitudinal–assessment of the community health needs assessment impacts.

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“…Despite significant evidence of health disparities by gender, little research explores how the socio-spatial expectations and experiences of women and men may differentially affect access to care ( Alexander and Walker, 2015 ; Cepeda-Benito et al, 2018 ). It is still more rare to find empirical health research that prioritizes rural women's own perspectives ( Sullivan et al, 2003 ); calls for patients' views in planning health policy interventions ( Hansen et al, 2002 ; Thorne and Paterson, 2000 ); and/or specifically attends to the rural context in which health issues emerge ( Scott, 2000 ; Zimmerman et al, 2015 ). This is significant, for as Sullivan et al (2003) evidence, rural women not only report experiencing loneliness and isolation owing to limited health care services and long distances to access health care, but also that experiencing loneliness and isolation can in turn compound their ability to adapt to chronic illnesses and other health conditions.…”

Section: Discussionmentioning

confidence: 99%

Spatial barriers as moral failings: What rural distance can teach us about women's health and medical mistrust

Statz

Evers

2020

Health & Place

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Policy attention to growing rural “health care deserts” tends to identify rural distance as a primary spatial barrier to accessing care. This paper brings together geography, health policy, and ethnographic methods to instead theorize distance as an expansive and illuminating concept that highlights place-based expertise. It specifically engages rural women's interpretations of rural distance as a multifaceted dimension of accessing health care, which includes but is not limited to women's health services and maternity care. Presenting qualitative research with 51 women in a rural region of the U.S., thematic findings reveal an interpretation of barriers to rural health care as moral failings rather than as purely spatial or operational challenges, along with wide communication of negative health care experiences owing to spatially-disparate but trusted social networks. Amid or owing to the rural crisis context, medical mistrust here emerges as a meaningful but largely unrecognized barrier to rural women's ability—and willingness—to obtain health care. This underscores how a novel interpretation of distance may inform policy efforts to address rural medical deserts.

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Application of a gender-based approach to conducting a community health assessment for rural women in Southern Illinois

Cited by 6 publications

References 30 publications

Age-Associated Perceptions of Physical Activity Facilitators and Barriers Among Women in Rural Southernmost Illinois

Age-Associated Perceptions of Physical Activity Facilitators and Barriers Among Women in Rural Southernmost Illinois

A scoping review of community health needs and assets assessment: concepts, rationale, tools and uses

Spatial barriers as moral failings: What rural distance can teach us about women's health and medical mistrust

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