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Walk & Talk: The Results of the St. Petersburg, Florida
Outreach Women’s Health Questionnaire
Angela Horvath, Ph.D.Evaluator
St. Petersburg Federal Healthy Start ProjectPinellas County Health Department
Background St. Petersburg Healthy Start Federal Project
Goal: to reduce disparities in infant mortality and perinatal and interconceptional health experienced by African-American women living in an intervention area comprised of 4 contiguous zip codes of South St. Petersburg, Pinellas County, Florida.
Core services include Outreach and Recruitment, Case Management, Health Education, Interconceptional Care, and Depression Screening/Referral
Survey Purpose
Administer an anonymous survey to capture significant health indicators of hard to reach African-American women of child-bearing age residing in the Project Area
Survey Instrument Demographics
Zip code, age, race Access to Health Care
Have a doctor, comfort level communicating with health care professionals
Nutrition & Physical Activity Fruits & vegetable consumption, exercise, height,
weight
Survey Instrument Chronic Health
High blood pressure, diabetes, low iron, asthma, dental problems
Women’s Health Annual exam, breast exams, birth control, folic
acid, STIs Social & Emotional Health
Stress, depression, housing concerns, discrimination, domestic violence
Survey Administration Administered by: team of outreach workers
affiliated with local church When: After-hours, weekends Locations such as: housing projects, bus
stops, beauty parlors, convenience stores, motels, parks, street corners
Strategies: everyday presence, multiple contacts, build rapport
Sample size = 488, average age = 26.5 (SD=9.2)
Results – Sample of Key Findings Women’s report of currently having a doctor:
94.2%(459/487)
5.8%(28/487)
0% 20% 40% 60% 80% 100%
yes
no
Sample size = 488, average age = 26.5 (SD=9.2)
Results – Sample of Key Findings Women’s report of having a Pap test within past two years:
78.9%(385/488)
11.5%(56/488)
1.6%(8/488)
8.0%(39/488)
0% 20% 40% 60% 80% 100%
yes
no
never
not sure
Sample size = 488, average age = 26.5 (SD=9.2)
Results – Sample of Key Findings Birth control use among those not wanting to get pregnant:
68.6%(236/344)
31.4%(108/344)
0% 20% 40% 60% 80% 100%
use
don't use
Sample size = 488, average age = 26.5 (SD=9.2)
Results – Sample of Key Findings Folic acid use among those wanting to get pregnant:
97.1%(66/68)
2.9%(2/68)
0% 20% 40% 60% 80% 100%
use
don't use
Sample size = 488, average age = 26.5 (SD=9.2)
Results – Sample of Key Findings Current condom use among those with a history of STI:
29.6%(59/199)
68.3%(136/199)
2.1%(4/199)
0% 20% 40% 60% 80% 100%
always
sometimes
never
Sample size = 488, average age = 26.5 (SD=9.2)
Results – Sample of Key Findings Women reporting experience of stress or depression:
11.6%(56/484)
74.0%(358/484)
14.4%(70/484)
0% 20% 40% 60% 80% 100%
always
sometimes
never
Results – Sample of Key Findings Reports of current and past chronic health conditions
0% 20% 40% 60% 80% 100%
smoking
severe headaches
alcohol abuse
high BP
drug abuse
anemia
asthma
high cholesterol
seizures
diabetes
In the past
Currently
Walk & Talk: Lessons Learned
Consistent presence in the community Knowledge of local hang-outs and timing are key Multiple contacts are needed to build rapport Trust/credibility with a faith-based institution Access to care may not be primary need Opportunity during outreach for health education-
folic acid, STIs, birth control, and mental health
Questions