The Financial Value of Services Provided by a Rural Community Health Fair

Dulin, Mary Katherine; Olive, Kenneth E.; Florence, Joseph A.; Sliger, Carolyn

doi:10.1353/hpu.2006.0121

Cited by 12 publications

(6 citation statements)

References 16 publications

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“…Screening has been used successfully in a variety of settings including schools, workplaces, libraries, places of worship, community organizations, senior centers, and other locations [ 31 – 35 ]. These events help community members who underutilize health care to learn about health risks and available services [ 36 ], expose them to health care workers and common medical tests [ 37 ], and provide health-related networking opportunities [ 38 ]. Previous research has demonstrated that participation in health screening positively affects health beliefs, including feelings of control over one’s health, as well as an increased sense of health responsibility and health self-efficacy [ 38 – 39 ].…”

Section: Introductionmentioning

confidence: 99%

Health Risks and Changes in Self-Efficacy Following Community Health Screening of Adults with Serious Mental Illnesses

et al. 2015

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Physical health screenings were conducted by researchers and peer wellness specialists for adults attending publicly-funded community mental health programs. A total of 457 adults with serious mental illnesses attended health fairs in 4 U.S. states and were screened for 8 common medical co-morbidities and health risk factors. Also assessed were self-reported health competencies, medical conditions, and health service utilization. Compared to non-institutionalized U.S. adults, markedly higher proportions screened positive for obesity (60%), hypertension (32%), diabetes (14%), smoking (44%), nicotine dependence (62%), alcohol abuse (17%), drug abuse (11%), and coronary heart disease (10%). A lower proportion screened positive for hyperlipidemia (7%). Multivariable random regression analysis found significant pre- to post-screening increases in participants’ self-rated abilities for health practices, competence for health maintenance, and health locus of control. Screening identified 82 instances of undiagnosed diabetes, hypertension or hyperlipidemia, and 76 instances where these disorders were treated but uncontrolled. These results are discussed in the context of how this global public health approach holds promise for furthering the goal of integrating health and mental health care.

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Section: Introductionmentioning

confidence: 99%

Health Risks and Changes in Self-Efficacy Following Community Health Screening of Adults with Serious Mental Illnesses

et al. 2015

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“…Interestingly, a study published in 1991 found that among 303 adult health fair participants, 47 % reported that obtaining screening tests was the sole reason for attending the event [ 10 ]. Another study published in 2006 found that screenings may offer financial value for people with little or no insurance [ 11 ]. Nevertheless, most recently, community health fairs that offer screenings have been found to be a culturally appropriate way to reach underserved Hispanics [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding the impact of colorectal cancer education: a randomized trial of health fairs

et al. 2015

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BackgroundRegular screening for colorectal cancer (CRC) reduces morbidity and mortality from this disease. A number of factors play a role in the underutilization of CRC screening; populations with the lowest CRC screening rates are least likely to be aware of the need for screening or have knowledge about screening options. The overall purpose of this project was to assess two methods for increasing knowledge about CRC in a health fair context: one, by using a health educator to provide CRC information at a table, or two, to provide a tour through a giant inflatable, walk-through colon model with physical depictions of healthy tissue, polyps, and CRC.MethodsWe participated in six community health fair events, three were randomized to incorporate the use of the inflatable colon, and three used a standard display table method. We used a pre/post-design to look for changes in knowledge about CRC before and after participating in a health fair. We examined descriptive statistics of participants using frequencies and proportions. McNemar’s test for paired binary data was used to test whether there were significant differences in the distribution of correct answer percentage from pre to post and from pre to follow up. Linear regression (GEE) was used to investigate whether there was a significant difference in the change from pre- to post-intervention in the percentage of correct answers on knowledge of tests available to detect CRC and awareness of risk factors for CRC between participants at sites with the inflatable colon compared to participants at sites without the inflatable colon.ResultsParticipants (n = 273) were recruited at the six health fairs. Participants in health fairs with the inflatable colon had higher knowledge at post-test than participants in health fairs with tabling activities, that is, without the inflatable colon; however, the difference was not significant. One month follow-up after each health fair showed virtually no recollection of information learned at the health fairs.ConclusionsThe use of an inflatable colon may be an innovative way to help people learn about CRC and CRC screening; however, it is not significantly more effective than conventional table display methods. Further research is needed to associate intention to obtain screening after touring the inflatable colon with actual screening. Future research could explore ways to better retain knowledge at long-term follow-up.

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“…31,32 Many underserved communities and communities with a large number of uninsured community residents have come to depend on volunteer-provided health services to monitor their blood pressure, conduct mammograms, or provide a number of other services due to affordability issues. 30 The area where most of the student organization health fairs occurred (SPA 3) had a population that was more than 37% foreign-born and more than 57% foreign-language speaking; 34 and a third of the Latino population in SPA 5 (the second most served area) met federal poverty guidelines. 35 …”

Section: Discussionmentioning

confidence: 99%

Engaging Student Health Organizations in Reducing Health Disparities in Underserved Communities through Volunteerism: Developing a Student Health Corps

Mays¹,

Ly²,

Allen³

et al. 2009

hpu

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One underutilized method for reducing health disparities and training culturally competent health care workers is the engagement of undergraduate student health organizations in conducting health screenings, promotion, and health education outreach activities in in underserved racial/ethnic communities. We conducted a needs assessment of 14 predominantly racial/ethnic minority undergraduate student-run health organizations. The 14 organizations annually served approximately 12,425 people (67% Hispanic, 25% African American, 6.33% Asian Pacific Islander), predominantly at health fairs within Los Angeles County (averaging 138 attendees). Student organizations provided screenings on general health conditions and diseases, with less emphasis on behavioral risk factors (e.g., drinking, smoking). Organizations indicated a need for increased and affordable trainings in preventive health screenings and help in understanding target populations’ needs. Universities are in an excellent position to train, supervise, and organize volunteer health corps in order to engage students in reducing health disparities and to train culturally competent health care providers.

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The Financial Value of Services Provided by a Rural Community Health Fair

Cited by 12 publications

References 16 publications

Health Risks and Changes in Self-Efficacy Following Community Health Screening of Adults with Serious Mental Illnesses

Health Risks and Changes in Self-Efficacy Following Community Health Screening of Adults with Serious Mental Illnesses

Understanding the impact of colorectal cancer education: a randomized trial of health fairs

Engaging Student Health Organizations in Reducing Health Disparities in Underserved Communities through Volunteerism: Developing a Student Health Corps

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