PMID- 27902562
OWN - NLM
STAT- MEDLINE
DCOM- 20180416
LR  - 20181118
IS  - 1550-5022 (Electronic)
IS  - 1078-4659 (Linking)
VI  - 23
IP  - 4
DP  - 2017 Jul/Aug
TI  - Enhancing Themes and Strengths Assessment: Leveraging Academic-Led Qualitative 
      Inquiry in Community Health Assessment to Uncover Roots of Community Health 
      Inequities.
PG  - 370-379
LID - 10.1097/PHH.0000000000000478 [doi]
AB  - CONTEXT: Rigorous qualitative research can enhance local health departments' 
      efforts to gain a deeper insight into residents' perceived community health 
      inequities necessary for productive community health assessments (CHAs) and 
      community health improvement plans (CHIPs). OBJECTIVE: The Chicago Department of 
      Public Health and the Partnership for Healthy Chicago used the National 
      Association of County & City Health Officials' Mobilizing for Action through 
      Planning and Partnerships (MAPP) model to conduct its CHA/CHIP, Healthy Chicago 
      2.0 (HC 2.0). Public health graduate students conducted qualitative research for 
      part of the Community Themes and Strengths Assessment (CTSA), one of the 4 MAPP 
      assessments. DESIGN: Using a health equity lens, this qualitative component 
      included focus groups and oral histories with residents in Chicago Community 
      Areas with the highest social and economic hardship to better understand how 
      residents perceive health inequities in their respective neighborhoods. SETTINGS: 
      Community-based organizations in 6 Chicago neighborhoods with the highest 
      quartile of social and economic hardship. PARTICIPANTS: Forty-eight Chicago 
      residents from 5 community areas participated in focus groups, and 6 residents of 
      a Mexican ethnic enclave shared oral histories. MAIN OUTCOME MEASURE: Residents' 
      perceptions of community needs and assets. RESULTS: Needs identified include 
      inaccessible resources and opportunities, economic instability, and safety. 
      Assets include the efficacy and agency of resilient residents, as well as faith 
      and spirituality. Systemic and institutional discrimination was identified at the 
      roots of community health inequities. CONCLUSION: Through qualitative inquiry, 
      the more nuanced understanding of how residents perceive health inequities better 
      positioned HC 2.0 to develop upstream strategies in line with advanced health 
      equity practice. Engaging qualitative academic researchers in CTSA brings 
      academic expertise to enrich the CHA while providing real-time learning 
      experiences to prepare future public health practitioners to work on upstream 
      structural determinants of health.
FAU - Hebert-Beirne, Jennifer
AU  - Hebert-Beirne J
AD  - School of Public Health, Community Health Sciences, University of Illinois at 
      Chicago, Chicago, Illinois (Dr Hebert-Beirne and Ms Felner); University of 
      Illinois at Urbana-Champaign, Urbana, Illinois (Ms Castaneda); and Chicago 
      Department of Public Health, Chicago, Illinois (Ms Cohen).
FAU - Felner, Jennifer K
AU  - Felner JK
FAU - Castaneda, Yvette
AU  - Castaneda Y
FAU - Cohen, Sheri
AU  - Cohen S
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Public Health Manag Pract
JT  - Journal of public health management and practice : JPHMP
JID - 9505213
MH  - Chicago
MH  - Community Health Planning/*methods
MH  - Focus Groups
MH  - *Health Status Disparities
MH  - Humans
MH  - *Perception
MH  - Public Health/*methods
MH  - Qualitative Research
MH  - Socioeconomic Factors
EDAT- 2016/12/03 06:00
MHDA- 2018/04/17 06:00
CRDT- 2016/12/01 06:00
PHST- 2016/12/03 06:00 [pubmed]
PHST- 2018/04/17 06:00 [medline]
PHST- 2016/12/01 06:00 [entrez]
AID - 10.1097/PHH.0000000000000478 [doi]
PST - ppublish
SO  - J Public Health Manag Pract. 2017 Jul/Aug;23(4):370-379. doi: 
      10.1097/PHH.0000000000000478.