{"id":134,"date":"2018-10-07T12:48:35","date_gmt":"2018-10-07T16:48:35","guid":{"rendered":"https:\/\/blogs.bsu.edu\/research\/?p=134"},"modified":"2019-11-19T13:43:27","modified_gmt":"2019-11-19T18:43:27","slug":"fighting-health-disparities-in-indiana","status":"publish","type":"post","link":"https:\/\/blogs.bsu.edu\/research\/2018\/10\/07\/fighting-health-disparities-in-indiana\/","title":{"rendered":"Fighting Health Disparities in Indiana"},"content":{"rendered":"
\"\"

Dr. Juanita E. rand is working to help various minority populations make informed decisions regarding vaccination for HPV.<\/p><\/div>\n

Time and time again research has proven the detrimental and, at times, fatal health disparities within minority communities compared to their white\u00a0 \u00a0counterparts, whether it be infant mortality, obesity, or access to health care, among others. \u201cFor some reason racial and ethnic minorities have a huge\u00a0 \u00a0disadvantage,\u201d said Dr. Jagdish Khubchandani<\/a>, associate professor of health science at Ball State. \u201cUnless you address them through good implementation of evidence-based projects, you cannot solve these problems.\u201d<\/p>\n

Three Ball State professors, all women, are on the frontlines fighting health disparities in Indiana with their research. Two are working on ways to reframe the message so patients are making informed health decisions about the HPV vaccination and prenatal and maternal health. The third is investigating the impact of exercising alone or with a buddy or group. All have received continuous funding from the Indiana Minority Health Coalition (IMHC)<\/a>. One of their colleagues sees their work in this field as important because it\u2019s not about the repetitive research results of known health disparity facts but taking action to improve the\u00a0 \u00a0statistics.<\/p>\n

\u201cYou don\u2019t need some rocket scientist to reduce health disparities. There are some simple measures that can help minority communities, but it takes a different type of approach,\u201d said Khubchandani.<\/p>\n

Improving the Message<\/h4>\n
\"\"

Dr. Jean Marie Place used her research to craft messages to encourage better prenatal and maternal choices in the Hispanic\/ Latinx population.<\/p><\/div>\n

A nurse practitioner, Dr. Juanita Ebert Brand, an associate professor of nursing, is on her third consecutive grant from the IMHC. In the past she\u2019s investigated access to care and vaccination practices among Indiana\u2019s Native American population numbered at more than 55,000. Her latest research used a $35,000 grant to work in three minority communities, African-American, Hispanic\/Latinx, in addition to Native American, regarding HPV vaccines. \u201cHuman papillomavirus infection is a stigmatizing infection, and there are some who link this stigmatization with the vaccine,\u201d said Brand.<\/p>\n

Brand traveled all over the state to interview 90 participants, 30 from each minority group. She talked to them about what they knew about HPV, fact and\/or myth. She discovered three key themes among all three groups. While there\u2019s a trust in providers, there\u2019s a mistrust in information, especially if it\u2019s information that is not supported by their family and friends or there was a cultural consideration regarding message delivery. The theme related to vaccine and vaccination\u00a0 beliefs was found to be inconsistent throughout the participant population\u2014with hesitancy to vaccinate, misconceptions regarding vaccine safety and\u00a0 complications, and discomfort in discussion of HPV transmission.<\/p>\n

Additionally, Brand found those interviewed had barriers related to accessing care related to vaccination, as well as lack of knowledge and understanding of vaccination initiation and scheduling for vaccination series. Her goal is to provide real-time knowledge and understanding that IMHC will be able to use as it crafts messaging for various minority groups regarding HPV vaccine. This will provide clear, culturally coherent information\u2014in order to allow various populations to make informed decisions regarding vaccination for HPV. \u201cNo matter what population you are working with, it is critical to make sure you have provided correct and relevant information that is culturally congruent and appropriate. This allows persons to make informed decisions regarding vaccination using correct information that is delivered in a way that addresses social and life experiences and as well as the science behind it.\u201d<\/p>\n

While Brand isn\u2019t directly involved with crafting a health care message with her research, assistant professor of health science Dr. Jean Marie Place is. Place used strategic frame analysis developed and promoted through the Frameworks Institute (FI) to encourage better prenatal and maternal care practices in the\u00a0 Hispanic\/Latinx population. The FI is a body of researchers interested in reframing social issues, using different messages than have been used in the past.<\/p>\n

With a $20,000 grant from IMHC, she and her research team first developed and tested metaphors to encourage healthy prenatal and maternal living. They came up with \u201cplanting a seed.\u201d \u201cIt helped to change the conversation with expectant mothers to understand the threat of infant mortality not just in utero but after the baby is born. When we brought up the seed, when we brought up gardening and planting, they said, oh yes, planting the seed is like conception. Watering the seed is like making sure you go to your doctor\u2019s visits and having a doctor sort of weed to make sure everything is correct,\u201d said Place.<\/p>\n

With an additional $20,000 for a second year, Place developed a video in Spanish highlighting the metaphor to show at two Indiana clinics that treated Hispanics\/Latinx. \u201cThen the last part was in-person interactions\u2014actually giving patients a plant, giving them a seed packet that they could water and grow at home, and to kind of reinforce this message.\u201d<\/p>\n

In follow-up interviews, those who saw the video said they liked it and that they shared the information with others. \u201cWe showed the video to any\u00a0 Hispanic\/Latinx individual because we know that they talk among themselves. The more that the public understands, including grandmas, men, and teenagers, the more that the culture around these issues change.\u201d<\/p>\n

Up next, Place will apply for more funding from IMHC to do a study and craft a message for the African-American community regarding prenatal and maternal health issues.<\/p>\n

Zumba at the Buley and Beyond<\/h4>\n

Two nights a week, you\u2019ll find 50 women of Muncie\u2019s Whitely and surrounding neighborhoods dancing to get or to stay in shape with Zumba. They\u2019re combating a statistic that their ZIP code is one of the worst for minority health disparities in the state. \u201cTheir poverty level is one of the highest,\u201d said Dr. Shannon Powers, assistant professor of kinesiology. \u201cType 2 diabetes and obesity need to be addressed. It\u2019s in the 70th percentile range. It\u2019s just this pocket.\u201d<\/p>\n

Powers has received a $20,000 IMHC grant to answer an overarching research question: Do people who exercise alone have the same fitness and nutrition results as those who exercise with a family member or friends? Powers said her research follows the Boyer Model of Scholarship\u2014 it\u2019s led by students. \u201cStudents facilitate this program, and we also try to help the community in some way. My focus is community-based exercise and nutrition disparities.\u201d<\/p>\n

The grant was split with community partners. $12,000 covered transportation in the Whitely neighborhood, and the rest covered social media to keep them\u00a0 informed about Zumba and nutrition.<\/p>\n

\n

You don\u2019t need some rocket scientist to reduce health disparities. There are some simple measures that can help minority communities, but it takes a different
\ntype of approach.\u201d \u2014Dr. Jagdish Khubchandani<\/h5>\n
\n

IMHC\u2019s Impact<\/h4>\n

All three researchers see the critical need in the coalition\u2019s funding of their projects. \u201cI\u2019ve had a positive experience with the Indiana Minority Health Coalition. I can\u2019t say enough about its assistance with my research,\u201d said Brand.<\/p>\n

\u201cThe IMHC has been wonderful to work with. We\u2019re so grateful it funded this sort of idea. It had never been done before, taking the strategic frame analysis and looking at infant mortality. So, IMHC sort of took a risk on whether it would work, but we were pleased with the results.\u201d<\/p>\n

\u201cThat\u2019s the beauty of Drs. Powers\u2019, Brand\u2019s, and Place\u2019s research,\u201d said Khubchandani. \u201cIt can\u2019t be classified as huge amounts of funding, but what I like is that they\u2019re smart thinkers. For less money, they\u2019re trying to produce so much value. And they\u2019re intelligently targeting populations that sometimes people with million-dollar grants fail to do. Their innovation, smart thinking, and really finding people who need assistance have been their greatest strength and that\u2019s why they get continuous funding.\u201d<\/p>\n

This article was written by Linda White.<\/h6>\n","protected":false},"excerpt":{"rendered":"

Time and time again research has proven the detrimental and, at times, fatal health disparities within minority communities compared to their white\u00a0 \u00a0counterparts, whether it be infant mortality, obesity, or access to health care, among others. \u201cFor some reason racial and ethnic minorities have a huge\u00a0 \u00a0disadvantage,\u201d said Dr. Jagdish Khubchandani, associate professor of health […]<\/p>\n","protected":false},"author":135,"featured_media":157,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[9],"tags":[17],"class_list":["post-134","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-researchnews","tag-2018-research-magazine"],"yoast_head":"\nFighting Health Disparities in Indiana - Ball State University Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bsu.edu\/research\/2018\/10\/07\/fighting-health-disparities-in-indiana\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fighting Health Disparities in Indiana - 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