Jini Puma, Reginaldo Garcia, Mark Swart, Julie Marshall ... · The San Luis Valley General Information 6 counties covering 8,205 sq. miles (size of Connecticut) Elevation range: 7,423

Jini Puma, Reginaldo Garcia, Mark Swart, Julie Marshall,

Sarah Gathright, Sharon Scarbro, Elaine Belansky Rocky Mountain Prevention Research Center

and Colorado Clinical and Translational Sciences Institute

Presentation Topics Overview of Rocky Mountain Prevention Research

Center

San Luis Valley Community Health Survey

Background

Purpose of the Survey

Methods

Community Input

Survey Design

Data Collection

Participants

Produced by the Rocky Mountain Prevention Research Center

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Prevention Research Centers

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37 CDC funded centers in the PRC network Rocky Mountain Prevention Research Center

Translating Research into Practice since 1998

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Promoting Healthy Lifestyles in Rural Communities

Mission: to advance healthy lifestyles and prevent chronic disease among residents and communities in the Rocky Mountain region by conducting, disseminating, and serving as a resource for community based prevention research

and policy.

Rocky

Mountain

Prevention

Research Center

Evolution of SLV Health Studies

1984 1986 1988 1990 1992 1994 1996 1998 2000 and on…

Ag

e

In 1998 RMPRC was funded with SLV as its partner community

to develop and test community-based approaches to disease prevention

SLVDS

AGING

DPP

0

20

40

60

80+

GENETICS

DPP

Rocky

Mountain

Prevention

Research

Center

(RMPRC)

IRAS

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Our Framework

Physical Activity

Healthy Eating

Healthy Weight Less Disease Better quality of life

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What factors affect a person’s eating and activity behaviors?

family

sleep

school

local gov’t

restaurants markets

built & natural environment

workplace

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weather climate

socio-economic status

• Families

– Parents, Advisors and Children Together (PACT)

– Healthy Families Project (HFP)

• Schools

– Integrated Nutrition Education Program (INEP/INPAP)

– School Environment Project (SEP)

– Healthy Eaters, Lifelong Movers (HELM)

– Working Together Project (WTP)

– Coordinated Health Assessment & Management Program (CHAMP)

RMPRC Activities

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• Community Partnerships

– Community Advisory Board (CAB)

– SLV Prevention Coalition - Health Trends and Data

Committee (HTDC)

– Project Specific Steering Committees

– Community project evaluations (e.g. LiveWell Alamosa)

– SLV Community Health Survey

RMPRC Activities

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San Luis Valley Community Health Survey The San Luis Valley Community Health Survey (SLVCHS) began

in December 2009 and ended in September 2011.

It was made possible by generous support received from the Colorado Clinical & Translational Sciences Institute (National Institutes of Health supplemental funding 3UL1RR025780-02S1) and the Rocky Mountain Prevention Research Center (Centers for Disease Control and Prevention Cooperative Agreement U48 DP001938).

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Background Across Colorado, especially in rural and ethnic

minority communities, there is a need for local health data to identify community-level health priorities.

While state and national data collection efforts exist to characterize the health status and related risk factors of Coloradans, numbers sampled in rural areas are low and participation is limited to those residents with land-line telephones.

As a result, certain segments of the community tend to be underrepresented and small numbers limit community-level estimates in rural areas or in population subgroups.

11 Produced by the Rocky Mountain Prevention Research Center

Purpose of the Survey

• Describe health status of SLV community members.

• Reach populations typically under-represented in landline phone surveys.

• Produce comprehensive and accurate data to be used in practice, planning, resource allocation and to determine future research.


San Luis Valley


The San Luis Valley General Information 6 counties covering 8,205 sq. miles (size of

Connecticut)

Elevation range: 7,423 – 14,224 feet

Total 2010 population: 46,027

20.4% below poverty level (for all age groups)

(Colorado average is 12.6% in 2009)

Source: Dr. Pete Magee, San Luis Valley GIS/GPS

Authority


Methods Community Input 7 Community Input Group (CIG) meetings (at least 1 in every county) were convened during the planning phase to inform the study team about:

health concerns and needs of SLV residents,

how to increase awareness of the survey and participant response, and

how data would be used in the various communities.

Contact was maintained with CIG members via e-mail throughout the project.


Methods Community Input • A project steering committee comprised largely of

representatives from the primary health related agencies in the community was created to provide oversight. They review and advise on key decisions about the survey. This committee meets monthly.

• As a result of community input, Community Liaisons were hired from each county to verify occupied households and recruit survey participants.


Methods Study Design

The target sample size was 1,100 completed health surveys (175-200 surveys in each of the 6 counties).

Participants were randomly selected with a stratified, multistage cluster design:

1. The survey team randomly selected small geographic areas throughout the six SLV counties*. These small areas are clusters of census blocks called Primary Sampling Units, or PSUs.

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*utilizing SLV GIS/SPS Authority aerial maps


2. The Community Liaisons randomly selected households within selected PSUs using aerial maps with a pre-determined route, determining the occupancy of households, and following a specified selection protocol.

3. Community Liaisons randomly selected one adult in each of the randomly selected households to complete the survey.

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Methods Study Design


Data were collected in two-steps: STEP 1: A Community

Liaison visited the selected home and conducted a brief enumeration survey. The adult with the nearest birthday was selected to participate in the full survey. That person’s contact information was called into the research office in Alamosa.

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Methods Data Collection


• STEP 2: A Data Collector was assigned to conduct the survey. In most cases, the survey was completed over the telephone and the interview was audio recorded for quality control. However, when requested, surveys were conducted in person at the home.

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Methods Data Collection


Study Team Data Collection Completion Celebration 2010


• 1,187 surveys were collected

• Response rates by county varied from 59-80% (overall 66%)

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Methods Participants


Demographic

Characteristic

Percentage (%) of

Survey Respondents

(Unweighted)

Percentage (%) of SLV

Residents

(2010 Census)

Gender

Male 42 50

Female 58 50

Ethnicity

Hispanic 47 47

Non-Hispanic White 51 50

Other 2 3

Age

18-24 years 7 13

25-34 years 13 15

35-44 years 12 14

45-54 years 20 19

55-64 years 23 19

65+ years 26 20 Produced by the Rocky Mountain Prevention Research Center

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Males and younger adults were underrepresented in our

sample.

As such, the data were weighted to be more representative of the Valley populations.

Produced by the Rocky Mountain Prevention Research Center 24



Demographic

Characteristic

Percentage (%) of

Respondents

(Weighted)

Percentage (%) of

SLV Residents

(2010 Census)

Gender

Male 49 50

Female 51 50

Ethnicity

Hispanic 45 47

Non-Hispanic White 51 50

Other 3 3

Age

18-24 years 12 13

25-34 years 15 15

35-44 years 14 14

45-54 years 20 19

55-64 years 18 19

65+ years 20 20 Note: Percentages may not add up to 100% because they are rounded to the nearest percent.


Demographic Characteristic Percentage (%) of

Respondents

(Weighted)

Percentage (%) of SLV

Residents

(2010 Census)

Level of Education

Less than High School Degree 17 18

High School Graduate 34 31

Some College 25 33

College Graduate 24 19

Level of Income

Less than $25,000 45 37

$25,000 to less than $50,000 32 29

$50,000 to less than $75,000 12 16

$75,000 or greater 11 17

Household Phone Use

Land line only 17

Cell phone only* 30

Both land line and cell phone 52

Neither land line nor cell phone <1

*These participants would typically be missed by the traditional land-line approach to collecting health status data.

Note: Percentages may not add up to 100% because they are rounded to the nearest percent.

• 36% of respondents had at least one child 18 years or younger living at home

• 59% of the respondents were currently married.



Acknowledgements

Produced by the Rocky Mountain Prevention

Research Center 28

This project was supported by Award Number UL1RR025780 from the National Center For Research Resources and by Cooperative Agreement Number 5U48DP001938 from the Centers for Disease Control and Prevention.

Its contents are solely the responsibility of the authors and do not necessarily represent the official views of National Center For Research Resources or the National Institutes of Health or the Centers for Disease Control and Prevention.

Thank you for viewing this presentation!

For more information, please contact:

Dr. Jini Puma

Research Associate – Rocky Mountain Prevention Research Center (Denver)

303-724-4390 [email protected]

Dr. Reginaldo Garcia

San Luis Valley Director – Rocky Mountain Prevention Research Center (Alamosa)

719-589-5801 [email protected]

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Documents

Jini Puma, Reginaldo Garcia, Mark Swart, Julie Marshall ... · The San Luis Valley General Information 6 counties covering 8,205 sq. miles (size of Connecticut) Elevation range: 7,423