19th National Conference on Chronic Disease Prevention and Control Program Book CITY OF ATLANTA SHIRLEY FRANKLIN MAYOR 55 TRINITY AVENUE, S.W ATLANTA, GEORGIA 30335-0300 TEL 14041 330-6100 March1,2005 Greeting: As mayor of Atlanta, it is my pleasure to welcome you to the 19th National Conference on Chronic Disease Prevention and Control. The Centers for Disease Control and Prevention's National Center for Chronic Disease Prevention and Health Promotion, in partnership with the Association of State and Territorial Chronic Disease Program Directors and the Prevention Research Centers Program, is a vanguard in researching methods that can prove beneficial in locating and eliminating some of the health disparities present in our communities. This opportunity to accelerate the rate of progress in improving lives must be taken with full force. Saving lives and healing communities adversely affected by social or economic conditions is of paramount importance. Thank you for boldly addressing this Issue. On behalf of the people of Atlanta, I extend best wishes to you for a rewarding, successful conference. Agenda At A Glance Tuesday, March 1, 2005 7:00 a.m. - 5:30 p.m. Registration 7:30 a.m. - 8:30 a.m. Exhibit Break and Continental Breakfast International Ballroom 8:30 a.m. - 9:30 a.m. Welcome and Opening Remarks Marriott Ballroom 9:30 a.m. - 11:00 a.m. Evidence-Based Research Pleanary Presentation Marriott Ballroom 11:00 a.m. - 11:30 a.m. Exhibit Break and Refreshments International Ballroom 11:30 a.m. - 1:30 p.m. Fries Prize for Improving Health Awards Luncheon Marriott Ballroom 1:30 p.m. - 2:30 p.m. Concurrent Sessions ! A01 Addressing Inequities in the American Indian/Alaskan Native Community: Progress and Ongoing Challenges International A ! A02 Economic Assessment of Health Care and Health Promotion Programs Bonn ! A03 Promising Evaluation Approaches to Assessing the Impact of Community-Based Programs Sydney ! A04 Diabetes and End-Stage Renal Disease International B ! A05 Using Data to Guide Community Partnership Efforts Champagne ! A06 Physical Fitness for Persons with Disabilities International C ! A07 Health Disparities: Challenges, Opportunities, and What You Can Do About It Magnolia ! A08 The Alabama REACH 2010 Project: A Community Action Plan for Breast and Cervical Cancer Health Disparities Picard/Chablis ! A09 Evidence-Based Programs for Improving Cancer Outcomes in Michigan's African American Populations Rhine/Savoy ! A10 Evidence-Based Approaches to Chronic Disease Prevention: Lessons Learned From Europe and Latin America Stockholm ! A11 What Does It Take to Build a Partnership to Eliminate the Disparities and Inequities That Cause Unequal Burdens of Illness, Disease, and Death? International 10 ! A12 Learning By Doing: Incorporating Social Determinants of Health Inequity Into Chronic Disease Prevention Programming International 9 ! A13 Reporting Racial and Ethnic Disparities in Morbidity and Mortality: A Life Course Approach Consulate ! A14 Removing Disparities From Rural Health Care Systems: Current Community Research Initiatives International 8 2:30 p.m. - 3:00 p.m. Exhibit Break and Refreshments Poster Session with the Authors International Ballroom 3:00 p.m. - 4:00 p.m. Concurrent Sessions ! B01 Progress in Stopping Health Disparity and Inequity: Partners That Have Made Progress in Addressing the Issues in Different Environments Bonn ! B02 Keeping It Simple: Promoting Health Literacy - A Strategy for Eliminating Health Disparities Champagne ! B03 Community Experiences in Implementing Healthy Aging Evidence-Based Programs Consulate ! B04 Improving School Health Using National and Local Tools Picard/Chablis ! B05 Arthritis and Multiple Sclerosis Data Sources Rhine/Savoy ! B06 Assessing Physical Activity in Populations Magnolia ! B07 The Art and Science of Developing Partnerships Stockholm ! B08 Partnerships for Promoting Physical Activity Sydney ! B09 Partnerships to Promote Child Health International A ! B10 Implementing Plans of Care for Chronic Conditions in the School Setting International C ! B11 Influencing Social Determinants at the State and National Level International 8 ! B12 Communicating Clearly With People Hurt Most by Chronic Disease International 9 ! B13 Social Determinants and Global Program on Health Promotion Effectiveness: How the North American Effectiveness Project Is Expanding the Evidence Base for Community Efforts to Create Conditions That Promote Health for All International B ! B14 Faith-Based Organizations: Answering a Call to Health Amsterdam ! B15 The Importance of Standardized Data in Reporting Racial and Ethnic Disparities International 10 4:00 p.m. - 4:15 p.m. Break 4:15 p.m. - 5:15 p.m. Concurrent Sessions ! C01 Utilizing Social Marketing to Address Health Disparities Bonn ! C02 Adopting Healthy Aging Programs in Diverse Settings Champagne ! C03 Progress in Chronic Care Monitoring Consulate ! . ! C04 Disease Management and Collaboratives: Innovative Methods and Effective Tools Magnolia ! C05 Chronic Disease in American Indians Rhine/Savoy ! C06 Hair Today, Health Tomorrow: Eliminating Health Disparities Through Partnerships with Beauty Salons International B ! C07 An Interactive Workshop on How to Build Partnerships for Community-Based Participatory Research Stockholm . ! C08 Utilizing Innovative Methods to Develop Interventions to Address Social Determinants of Health Disparities Sydney ! C09 The Basics of Plain Language: Learn How to Lift the Fog and Communicate Clearly International A ! C10 Obesity Prevention and Control: Evidence- Based Research for Taking Off the Pounds International 8 ! C11 Chronic Disease Indicators: Interactive Introduction to the New CDI Web Site and Application to State Programs Picard/Chablis ! C12 More Evidence, More Action: Using Findings From the “Guide to Community Preventive Services” to Support Public Health Program and Policy International 9 ! C13 Community and Business Strategies to Address Health Care Disparities International 10 6:00 p.m. - 8:00 p.m. Town Hall Meeting Marriott Ballroom D Wednesday, March 2, 2005 7:00 a.m. - 5:30 p.m. Registration 8:30 a.m. - 8:45 a.m. Welcome Remarks Marriott Ballroom 8:45 a.m. - 9:45 a.m. Access and Other Challenges Plenery Presentation Marriott Ballroom 9:45 a.m. - 10:15 a.m. Exhibit Break and Refreshments Poster Session with the Authors International Ballroom 10:15 a.m. - 10:30 a.m. CDD Awards Plenary Marriott Ballroom 10:30 a.m. - 12:00 noon Plenary Panel Presentation: CHALLENGES Marriott Ballroom 12:00 noon - 1:30 p.m. Lunch (on your own) 1:30 p.m. - 2:30 p.m. Concurrent Sessions ! D01 Focusing on New Partners: Moving Toward Fairness and Equity Bonn ! D02 Communication and Community Champagne ! D03 Using Surveillance and Technology to Confront Public Health Challenges Along the U.S.-Mexico Border Picard/Chablis ! D04 Minority Women’s Participation in Cancer Screening Rhine/Savoy ! D05 National Strategies to Identify and Disseminate Evidenced-Based Programs Consulate ! D06 Naming and Measuring Racism to Address Health Disparities Sydney ! D07 Access and Quality: Chronic Disease Management and America's Health Centers Stockholm ! D08 Public Health's Role in Implementing Health Care Systems Change to Improve Quality of Care International 8 ! D09 Reaching Out to Diverse Populations to Promote Wellness in the Workplace Magnolia ! D10 Florida's Public Health Response in the Face of Five Natural Disasters: Challenges for our Disparate Populations International C ! D11 Defining Race and Ethnicity: Legal and Practical Implications International 9 ! D12 Does Equal Access Solve the Problem? International 10 ! D13 Strengthening the Relationship Between Academia and the Community International B ! D14 The African American Collaborative Obesity Research Network: A Potential Strategy for Reaching the Deep Structure Underlying the Obesity Problem in African American Communities International A 2:30 p.m. - 3:00 p.m. Exhibit Break and Refreshments Poster Session with the Authors International Ballroom 3:00 p.m. - 4:00 p.m. Concurrent Sessions ! E01 Challenges to Fairness and Equity, and What We Can Do About Them: Partners for Equitable Access to Health Care for Populations With Special Needs Champagne ! E02 Inequities in Health for Rural Populations: Can Policy Make a Difference? Picard/Chablis ! E03 Are Social Marketing Approaches Positively Changing Knowledge and Behavior? Consulate ! E04 Increasing Cancer Screening Rates Among Diverse Populations Magnolia ! E05 The Benefits of Culturally Competent Care – Three Diverse Examples Stockholm ! E06 Improving Health and Reducing Costs: Modeling Changes in Health Systems International A ! E07 Minority Health Surveys and Minority Participation in Health Surveys Sydney ! E08 Smoking Cessation Programs and State Smoking Reductions International B ! E09 Training Community Members as Health Workers to Reach the Underserved International 8 ! E10 Culture Influences on Health International 9 ! E11 Ways of Bringing About Change in Social Determinants of Health Inequities (Part One) Bonn ! E12 Civil Rights and Health Care International C ! E13 Strategies to Address Health Disparities in the WISEWOMAN Program Rhine/Savoy ! E14 Bridging the Gap of Health Disparities: Successful Examples Using Community Health Workers and Community-Based Partnerships International 10 4:00 p.m. - 4:15 p.m. Break 4:15 p.m. - 5:15 p.m. Concurrent Sessions ! F01 Using Social Marketing Assessments to Drive Communication Campaigns Differently Champagne ! F02 Environmental Approaches to Assessing and Addressing Community Health Promotion Magnolia ! F03 Guidelines and Compliance: Patient, Provider, or Just Poor Documentation? Consulate ! F04 Measuring Health Disparities Stockholm ! F05 Unique Partnerships for Early Disease Detection Sydney ! F06 Ways of Bringing About Change in Social Determinants of Health Inequities (Part Two) Bonn ! F07 Health Disparities in Hispanics International 8 ! F08 Innovative Approaches to Prostate Cancer Awareness and Education International C ! F09 Addressing Disparities With People Who Are Deaf: Opportunities for Partnerships in Research and Health Interventions Rhine/Savoy ! F10 Taking Action Against Disparities in Heart Disease and Stroke in Diverse Communities International 9 ! F11 Mental Health, Physical Health, and Health Disparities: The Role of Public Health International B ! F12 Communications and Policy: Raising Awareness of Alaska Natives' Cancer Burden Through Stories, Data, and Graphics Picard/Chablis ! F13 Futures Update Special Session International 10 ! F14 Community Competence: A Paradigm for Addressing Development of Effective Interventions International A ! F15 Policy Challenges Impacting “Other” Disparities Amsterdam 6:00 p.m. - 8:00 p.m. Gala Networking Reception Atlanta Merchandise Mart Thursday, March 3, 2005 7:00 a.m. - 10:30 a.m. Registration 7:30 a.m. - 8:30 a.m. Exhibit Break and Continental Breakfast International Ballroom 8:30 a.m. - 9:30 a.m. Concurent Sessions ! G01 Mobilizing Citizens: Working Together to Affect Change Stockholm ! G02 The Collection and Use of Health Data Among Ethnic and Racial Groups by Federal and State Agencies and the Private Sector Champagne ! G03 The Brass Tacks of Getting the Best Bang for Your Bucks: Working With Media for Health Promotion Magnolia ! G04 Geographic Distribution of Chronic Disease International A ! G05 Women's Health International B ! G06 Promoting Nutrition in Schools – Increasing Student Achievement Through Nutrition Picard/Chablis ! G07 Health Equity: New and Bold Opportunities to Eliminate Health Disparities International 9 ! G08 Patterns of Use and Outcomes of Evidence- Based Complementary and Alternative Medical (CAM) Therapies Among U.S. Ethnic Minority Adults Rhine/Savoy ! G09 Log in to Live Longer International C ! G10 Excellence for a 21st Century Public Health Workforce International 8 ! G11 Call to Complementary Action for Fairness and Equity in Health: What Should We Do Between Now and Next Year's Conference? Bonn ! G12 Reporting Racial and Ethnic Disparities in Risk Factors for Disease: Opportunities for Prevention International 10 ! G13 Health Disparity Collaboratives in Rural Communities Consulate 9:30 a.m. - 10:00 a.m. Exhibit Break International Ballroom 10:00 a.m. - 10:15 a.m. Consequential Epidemiology Awards Marriott Ballroom 10:15 a.m. - 12:00 noon Opportunities: Communication and Policy Marriott Ballroom PLANNING COMMITTEE LIST Conference Co-Chairs Claudia Brogan, MS Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Katie Duggan, MPH, MS, RD Saint Louis University Prevention Research Center Regina Hardy, MS Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Amy Slonim, PhD Michigan Public Health Institute Jennifer Smith, MSHP Texas Department of State Health Services SPECIAL RECOGNITION Maureen Culbertson, MS Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Julie Harvill, MPA, MPH Illinois Department of Public Health Rosemarie Henson, MSSW, MPH Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Donna Stroup, PhD Centers for Disease Control and Prevention, Coordinating Center for Health Promotion Committee Members Liany Elba Arroyo, MPH National Council of La Raza Janet Baggett Florida Bureau of Chronic Disease Prevention and Health Promotion William Bailey, DDS, MPH Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Elizabeth Baker, PhD, MPH Saint Louis University School of Public Health William Baldyga, MA, DrPH Illinois Prevention Research Center Cindi Beadle, PAHM Virginia Department of Health Viki Brant, MPA Alabama Department of Public Health Frank Bright, MS Ohio Department of Health Nilka Burrows Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Annie Carr, MS, RD Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Bethann Witcher Cottrell, PhD Dekalb County Board of Health, Piedmont Hospital Mary Catherine Daniels, MSW New York State Department of Health Dee Ann DeRoin, MD, MPH Ioway Tribe of Kansas Melinda Forthofer, PhD University of South Florida College of Public Health Emma Green, MPH National Association of County and City Health Officials Jennie Hefelfinger, MS Florida Department of Health David Hoffman, MEd New York State Department of Health Steven Hooker, PhD University of South Carolina Prevention Research Center Marsha Houston Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Philip Huang, MD, MPH Texas State Department of Health Rochelle Hurst, MA Michigan Department of Community Health Mary Kane Concept Systems, Inc Martha King, MPA, MSW National Conference of State Legislatures John Korn Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Michelle Lackey, MPH Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion LaDene Larsen, BSN Utah Dept of Health Yvonne Lewis Faith Access to Community Economic Development Nehanda Lindsey, CMP, MIB, MS Professional and Scientific Association Laura Lloyd, MPH, CHES Emory University, Rollins School of Public Health Maurizio Macaluso, MD, DrPH Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion John Mader Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Patricia McLean, MEd Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Victor Medrano Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Leslie Miller Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Refilwe Moeti, MA Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Quentin Moore, MPH Michigan Public Health Institute Kim Neiman, RN, MPH, CIC Washoe Tribal Health Center Lorette Neville MSA Michigan Public Health Institute Kathleen Nolan, MPH National Governor's Association Jan Norman, RD, CDE Washington State Department of Health Sherri Paxon North Dakota Department of Health Karen Petersmarck, PhD, MPH Michigan Department of Community Health Vicki Pilgrim Georgia Department of Human Resources Alan Reich National Organization on Disability Robert Reischauer, PhD Urban Institute Karen Rigler Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Robert Robinson Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Angel Roca Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Anita Rosen, MSW, PhD Council on Social Work Education Abby Rosenthal, MPH Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Mark A. Schoeberl, MPA American Heart Association Earl Schurman Maryland Department of Health and Mental Hygiene Jean Smith Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Carol Steiner, RN, MN Georgia Department of Human Resources Victor Sutton, MPPA Mississippi State Department of Health Office of Health Promotion Margaret Tate, MS, RD Arizona Department of Health Services Stacey Tompkins, MS, CHES Chronic Disease Directors Blanca Torres, MSSW Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Control Jack Trope Association on American Indian Affairs Pattie Tucker, MPH, DrPH Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Control Kelly Varcho Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Rodolfo Valdez, PhD, MSc Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Tammy Vehige, MEd, CHES Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Jayme Washam Chronic Disease Directors Stephanie Wasserman, MSPH National Conference of State Legislatures Fran Wheeler, PhD Chronic Disease Directors Stephen Wilhide, MSW, MPH National Rural Health Association Sheree Williams, PhD, MS Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention Janis Winogradsky Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Ricardo Wray, PhD Saint Louis University School of Public Health Adeline Yerkes, RN, MPH Oklahoma State Department of Health General Information Plenary Highlights Day 1: Progress Opening Plenary What progress have we made in eradicating our society of health disparities? How can we continue to fight the good fight when, despite a number of effective interventions, disparities persist in health care access and quality of care? Why do these disparities still exist? In a rousing introductory presentation, attendees will learn about the evolution of the battle against health disparities, inspiring each of us to stay committed and focused, despite the many roadblocks and setbacks there may be along the way. With a wide range of populations – such as low-income, less educated, racial/ethnic, and gay/lesbian groups – still bearing the brunt of health care inequities, remaining dedicated to the challenge can be daunting for the public health community. With a special focus on using evidence-based research to impact policy, attendees will receive a look at the steps necessary to move beyond recognition of the problem of health disparities and into developing promising solutions to address them, including key areas where improvements have been made in eliminating such disparities. Plenary Panel Session Attendees will be treated to a discussion by a panel of notable leaders, including Dr. Helen Burstin, Director of the Center for Primary Care Research of the Agency for Healthcare Research and Quality (AHRQ); Dr. Akiko Hosler, Director of Diabetes Surveillance and Evaluation at the New York State Department of Health; Dr. Elena Rios, President and CEO of the National Hispanic Medical Association; Linda Ellis, Executive Director of the Atlanta Lesbian Cancer Initiative; and Dr. Roberto Dansie, CEO Cultural Wisdom. Drawing on findings from the second annual “National Healthcare Disparities Report” developed by the AHRQ, Dr. Burstin will provide an update on the progress that has been made since the first report was published. Additionally, the panelists will discuss their successes, challenges, and theories in implementing strategic plans that are grounded in evidence-based research. With an emphasis on best practices and lessons learned, the panel will describe the report’s performance measures as they relate to the fields of epidemiology, medicine, cultural competency, and behavioral science. Networking Luncheon and Fries Prize Presentation The 2005 Fries Prize Award will be presented to Faye Wattleton, president of the Center for the Advancement of Women, an independent, nonpartisan non-profit research and education institution dedicated to advocating for the advancement of women. As president of the Planned Parenthood Federation of America (PPFA) from 1978 to 1992, Ms. Wattleton championed for reproductive rights and health, shaping family planning policies and programs around the world. Under her leadership, PPFA has grown and now provides medical and educational services to four million Americans each year, through 170 affiliates, operating in 49 states and Washington, D.C. A remarkable role model, Ms. Wattleton now is leading the charge to create an institution dedicated to research-based education and advocacy for women. She will comment on the key programs she has helped implement over the years, as well as her vision for the future of women’s health issues and the steps she feels are necessary to have a positive influence. Town Hall Are you ready for an engaging debate on health disparities? Join in the conversation at our Town Hall Meeting as panelists – including Dr. H. Van Dunn, Senior Vice President and Chief Medical Officer for Medical and Professional Affairs for NY Health and Hospital Corporation; Dr. Jonathan Fielding, Director of Public Health and Health Officer for Los Angeles County; Liany Arroyo, Atlanta Program Office Director of National Council of La Raza; Dr. Adewale Troutman, Louisville, Ky., Metro Health Department Director; and Barbara Major, Executive Director of St. Thomas Health Services in New Orleans – square off. The night will kick off with an introduction from Dr. Julie Gerberding, Director of the CDC, as she sets the stage for the evening's discussion and shares CDC's perspective on the elimination of health disparities. As these leaders discuss differing viewpoints about the critical steps necessary to eliminate disparities, a lively discussion is sure to ensue. With a special consideration of the current public policy agenda and its relationship to health disparities, audience members will interact with the speakers, asking questions and offering contrary opinions. Moderated by Elizabeth Cohen, medical correspondent for CNN’s health and medical unit, the Town Hall Meeting is sure to make for a memorable evening. Day 2: Challenges Plenary Presentation As president and chief executive officer of Grady Health System in Atlanta, the largest public hospital-based health system in the Southeast, Dr. Andrew Agwunobi is familiar with the challenges of ensuring uninsured and underinsured patients receive equal treatment in a health care setting. What can health care providers do to help eliminate disparities in care? How can we better educate health care providers about health care inequities? How can we bridge the gap between individuals at risk and health care providers? Dr. Agwunobi will take attendees through a series of alternatives and more rigorous approaches to address the issues of access and quality of care, including methods for educating health care providers about health disparities. Award Plenary The Joseph W. Cullen Award for Outstanding Contributions to Chronic Disease Prevention and Control is given to an individual outside the traditional public health field who has made outstanding contributions in the field of chronic disease. Julie Harvill of the Illinois Department of Public Health will present the award, which honors the memory of Joseph W. Cullen, Ph.D. Dr. Cullen served as Deputy Director of the National Cancer Institute’s Division of Cancer Prevention and Control and is known as the architect of the National Cancer Institute’s Smoking and Tobacco Control Program. This year’s recipient is Dr. David Kessler, Dean of the University of California San Francisco School of Medicine. While serving as Commissioner of the FDA, he began looking into the regulation of nicotine as a drug and was instrumental in convincing President Clinton to enact tough federal regulation of tobacco. He had the courage to take on the tobacco industry at a time when everyone said it was impossible. In addition to spearheading the FDA regulation of tobacco, Dr. Kessler is credited for much of the groundwork for the Attorney General lawsuits against the tobacco industry that resulted in billions of dollars being awarded to states with some funds used for tobacco prevention. The Legislator of the Year Award is given to a legislative champion who has substantially assisted in the advancement of the association’s goals by introducing or supporting legislation or amendments, including appropriation legislation, that reduce the chronic disease burden. Mayor Michael Bloomberg of New York City strongly supported a 100 percent smoke-free ordinance for the most populous city in the United States. Mayor Bloomberg ignored political opposition and did what was right for public health. As a result of his efforts, secondhand smoke exposure was reduced for millions of citizens. Plenary Panel Session Featuring Dr. Sheldon Greenfield, Chair of the Institute of Medicine’s Unequal Treatment Report; Dr. Kimberlydawn Wisdom, first state level Surgeon General from Michigan; Dr. Michael Montijo, Senior Vice President for Government Operations at American Healthways; and Maxine Golub, Senior Vice President of the Institute for Urban Family Health, this panel will grapple with the tough issues facing public health professionals today, including the benefits of building partnerships and coalitions to address access and quality issues that influence health care disparities. Along with moderator Dr. Mehmet Oz, of Columbia University, these dynamic leaders will focus on the development and implementation of multilevel strategies to address racial and ethnic disparities in health. With panelists from various levels of the public and private sectors, attendees will gain insight into aspects of community action and programs at all levels. Gala Networking Reception Now that you’ve learned what you need to know, now meet who you need to know. Make new contacts and reconnect with old at our Gala Networking Reception. Take a trip around the world with your fellow conference attendees in a multicultural experience. Aromas from ethnic Asian, Caribbean, Latin/Hispanic, and Native American dishes will tantalize your taste buds while music will entice you to move to the rhythm of the night. Mingle with local dignitaries, national leaders, and icons of social justice while partaking in this feast of the senses. Take a step toward bridging the gap of cultural understanding by attending the Gala Networking Reception. Festive attire is welcome, but please wear comfortable shoes, as the short walk to the Atlanta Mart is slightly uphill. Don’t miss this entertaining exploration of multicultural cuisine and music. Day 3: Opportunities Closing Plenary Session Now that the conference is coming to a close, you feel armed with knowledge and ready to take on the world. So, now what? A panel of experts – including Dr. John Ruffin, Director of the National Institutes of Health’s National Center on Minority Health and Health Disparities; Dr. Marsha Lillie-Blanton, Vice President of the Henry J. Kaiser Family Foundation; Doug Levy, Director of Communications at the University of California, San Francisco School of Medicine; and Dr. Thomas LaVeist, Director of the Morgan-Hopkins Center for Health Disparities Solutions at the Johns Hopkins Bloomberg School of Public Health – will challenge attendees to implement novel methods and programs relevant for their communities and organizations based on information gathered during the conference. Attendees will be infused with a renewed passion for embracing innovative approaches to technology and communication to advance needed change in health disparities. Touching on policy recommendations and opportunities on the horizon, the panel will leave attendees with feelings of hope, excitement, and enthusiasm for the future. Award Presentation The inaugural Consequential Chronic Disease Epidemiology Awards will be presented to one oral presentation and one poster presentation from the conference. The presentations – chosen by a committee comprised of representatives from CDC, CDD, and PRC – best exemplify the use of epidemiologic methods to enhance the evidence base for chronic disease prevention programs, policy, surveillance, or evaluation. Dr. William Foege, former Director of the Carter Center and CDC, is credited with coining the term “consequential epidemiology” to describe applied research that has the potential to improve public health policy and to prevent disease. Congratulations to this year’s winners! Registration and Personnel Early registration begins on Monday, February 28th, from 3:00 pm to 7:00 pm on the Convention Level and will continue throughout the conference. Refer to your agenda for specific times. Professional and Scientific Associates (PSA), the conference management contractor, has staff available to assist you throughout the conference, and can be identified by their name badges. In addition to the PSA staff, other program staff and volunteers will be assisting with room monitoring, on-site registration and other support tasks, and may be identified by badge ribbons. Exhibits and Poster Presentations Exhibits are being displayed in the International Ballroom. Exhibits will be available for viewing Tuesday, March 1 through Thursday, March 3. Official hours for fully staffed exhibits are: • Tuesday, March 1, from 7:30 am to 5:00 pm • Wednesday, March 2, from 7:30 am to 5:00 pm • Thursday, March 3, from 7:30 am – 10:00 am Poster presentations with the authors will be held on Wednesday, March 2, from 10:00 am-10:30 am and again from 2:30 pm – 3:00 pm. Posters will be displayed and presented in the International Ballroom until 10:00 am on March 3rd. Speaker Ready Room Speakers are encouraged to take advantage of the Speaker Ready Room (located in the Nile room) to prepare and rehearse their presentations. The room is equipped with a computer, LCD display, overhead projector, screen, 35mm carousel slide projector, carousel slide trays, and Caramates to assist in setting up your slides. Speaker Ready Room hours are from 3:00 pm – 7:00 pm on Monday, February 28th, and 7:30 am–5:30 pm on Tuesday, March 1 and Wednesday, March 2nd. If you will need access to the room after hours, this needs to be arranged in advance. Have the conference registration staff locate Nehanda Lindsey by walkie-talkie to schedule the day and time needed. Cell Phones and Pagers If you are carrying your cell phone or pager with you to sessions please turn it off or set it to silent/vibrate mode before entering. Name Badges Please wear your conference name badge at all times during the conference. If you lose or misplace your name badge the staff at the Conference Registration Desk will assist you in securing a new badge. You will need to present some form of photo identification in order to receive a replacement name badge. Evaluations Your feedback is very important to the conference organizers because it greatly influences program content for the next year. To ensure your needs and expectations are considered when we are planning the next conference, be sure to complete an evaluation form for each session and the overall conference evaluation form. Evaluation forms are located in the CE Evaluation Booklet which will be at the CE Booth. Return your evaluation forms to the CE Booth before you leave the conference. If you are requesting continuing education credits you must keep the Evaluation Forms Booklet intact and submit all evaluation and continuing education forms together. Resource Tables Most materials for the conference have been included in this Program Book. Speakers have been encouraged to provide copies of their visuals as hand-outs to distribute during their session. There will be resource tables in the International Level Lobby for extra presentation handouts and materials. Special Activities This year, the conference committee has provided attendees with a Progress Journal 2005: A Passport to the 19th National Conference on Chronic Disease and Prevention. The Passport, which can be found in the Conference bag materials, gives you extra information, instruction, and food for thought about the Conference experience. With room for notes and contact information for people you meet, the Passport is sure to be a valuable reference even after the Conference ends. Other Places of Interest Welcome to Atlanta, the capital city of the Southeast. Famous for its Southern hospitality, Coca-Cola, and entertainment scene, Atlanta boasts many attractions known the world over. We hope you enjoy the city’s parks, museums, shopping, and entertainment while you’re here. Thank you for the opportunity to introduce you to our beautiful city. The African American Panoramic Experience (APEX) Museum This museum interprets and presents history from an African American perspective through exhibits such as Atlanta’s first black-owned drug store and a Trolley Theater. 135 Auburn Avenue (404) 523-APEX (2739) www.apexmuseum.org Centennial Olympic Park A 21-acre green space established in downtown Atlanta as the world’s gathering place during the 1996 Centennial Olympic Games, the park features the popular Fountain of Rings and various events. Andrew Young International Boulevard at Centennial Olympic Park Drive (404) 222-PARK www.centennialpark.com CNN Studio Tours This interactive tour of the CNN studio offers a dramatic look at the history of the CNN News Group networks, their coverage of the events that shape the world, and the state-of-the-art studios responsible for bringing the news to more than 1 billion people around the globe. One CNN Center (404) 827-2300 www.cnn.com/studiotour Hammonds House Galleries and Resource Center of African American Art The Hammonds House is Georgia’s only independent fine-art museum dedicated to presenting art by people of African descent, including works by Romare Bearden, Haitian artists, and other well-known artists such as Hale Woodruff and Radcliffe Bailey. 503 Peeples Street (404) 752-8730 High Museum of Art The museum features collections of 19th- and 20th-century American art, European and decorative art, photography, and modern and contemporary art. 1280 Peachtree Street (404) 733-HIGH (4444) www.high.org Jimmy Carter Library and Museum The former President’s Library and Museum includes photographs and historic memorabilia from the Carter presidency (1976-1981) as well as an exact replica of the Oval Office. 441 Freedom Parkway (404) 331-3942 www.jimmycarterlibrary.org Martin Luther King Jr. National Historic Site Created in 1980 to honor the life of the famous civil rights leader, this Sweet Auburn attraction includes a visitor’s center with exhibits on King and the civil rights movement, his birth home on Auburn Ave., his tomb at The King Center, and historic Ebenezer Baptist Church where King and his father preached. Auburn Avenue, between Jackson Street and Boulevard (404) 331-5190 www.thekingcenter.org Sweet Auburn District Sweet Auburn was the center of black enterprise in Atlanta from 1890s to 1940s, the birthplace of Martin Luther King Jr., and home to the Sweet Auburn Curb Market. Underground Atlanta Atlanta sprouted up around the railroad and first rose from the Civil War ashes at this spot in the heart of the city. Today, Underground offers stores, eateries, and annual events such as Halloween Ghost Tours and the New Year’s Eve Peach Drop. Peachtree at Alabama Street (404) 523-2311 www.underground-atlanta.com William Breman Jewish Heritage Museum “ZAP! POW! BAM! The Superhero: The Golden Age of Comic Books, 1938-1950” explores the role of largely Jewish artists in creating Super Heroes. Explore the world of Superman, Batman, Wonder Woman, and Captain America through rare early artwork, memorabilia, and interactive displays that both adults and children will enjoy. The Breman Museum is a Jewish heritage museum that explores the many facets of Jewish culture through special exhibitions, permanent exhibitions on the Holocaust and the history of Jews in Atlanta, and archives that collect the material artifacts and historical records of Jewish life in Georgia. 1440 Spring Street (678) 222-3700 www.thebreman.org World of Coca-Cola This three-story attraction is devoted to the world’s No. 1 soft drink created in Atlanta more than 110 years ago, with memorabilia, videos, a 1930s soda fountain, retail store, and more. 55 Martin Luther King Jr. Drive (404) 676-5151 www.woccatlanta.com Zoo Atlanta You won’t want to miss the more than 1,000 animals in natural habitats, including two Giant Pandas, the offspring of the famous gorilla Willie B., the painting African elephant Starlet O’Hara and Sumatran tigers. 800 Cherokee Avenue (404) 624-5678 www.zooatlanta.org For more information about activities in Atlanta, please go to www.atlantaheritage.com and www.atlanta.net. Healthy Activities We all need to stay healthy and fit through exercise – even away from home! Join in any of the following activities, or branch out on your own to explore Atlanta on a bike or on foot. There’s plenty to see and do while you’re here. Stop by the Healthy Activities Registration Table to find out more. Athletic Club Peachtree Center Athletic Club, located at 227 Courtland Street on the 9th and 10th floors of the Courtland Parking Garage, will be available to conference attendees at a specially discounted rate of two days for the price of one, or $15. Participants must have a conference badge. The club offers a wide range of facilities and equipment. Additional information is available at the Healthy Activities Registration Table. Tai Chi Join instructor Miriam Holland in a Tai Chi class. Miriam holds a 5th-Level Rank in taijiquan (tai chi chuan) awarded by the China Wushu Association, USA. A formal, indoor student of 5th-Generation Yang Style Master Cui Zhongsan (Beijing), she has been teaching publicly since 1997. She has competed successfully in the United States and China. Her students range in age from 13 to 85 years old. For more information visit the Healthy Activities Registration Table. Fun Exercise Routine Linda Byams, the creator of the Teens Exercise program, will lead attendees in a fun exercise routine using hip-hop music, dance, weight training, and floor routine to provide you with a complete workout. You will learn five lifestyle changes to manage your weight and keep it off; you will move and have fun. With years of experience as a teen health educator for the Jane Fonda Center, a background in dance exercise, and support from the Grady Health System Teen Clinic and Emory University Nutrition Services, Linda teaches teens and their parents to exercise and make healthier food choices with her 6-week Teens Exercise Program. This is a good way to start your day. All fitness levels are welcomed. Offered Wednesday, March 2, 2005, 6:30-7:30 a.m. For more information visit the Healthy Activities Registration Table. Gold Medal Mile Conference attendees are cordially invited to participate in a Gold Medal Mile event on Wednesday, March 2 during the lunch break (Noon-1:30 p.m.). The event will be held at Centennial Olympic Park. Participants may register on-site at the Healthy Activities Registration Table. Healthy Activities At-A-Glance Tuesday, March 1, 2005 6:30-7:30 a.m. Tai Chi Wednesday, March 2, 2005 6:30-7:30 a.m. Fun Exercise Routine Noon-1:30 p.m. Gold Medal Mile 6-8 p.m. Gala Reception Thursday, March 3, 2005 6:30-7:30 a.m. Morning Walk Tuesday, March 1, 2005 Program Events 6:30a.m. -7:30 a.m. Start the Day with Healthy Activities - Tai Chi 7:00 a.m.- 5:30 p.m. Registration Marquis Registration Booth 7:30 a.m.- 8:30 a.m. Exhibit Break and Continental Breakfast International Ballroom - Exhibit Level 8:30 a.m.- 11:00 a.m. Welcome and Plenary Presentation 11:00 a.m.- 11:30 a.m. Exhibit Break and Refreshments International Ballroom - Exhibit Level 11:30 a.m.- 1:30 p.m. Fries Prize for Improving Health - Awards Luncheon Marriott Ballroom 1:30 p.m. - 2:30 p.m. Concurrent Sessions 2:30 p.m.- 3:00 p.m. Exhibit Break and Refreshments Poster Session with the Authors International Ballroom - Exhibit Level 3:00 p.m. - 4:00 p.m. Concurrent Sessions 4:15 p.m. - 5:15 p.m. Concurrent Sessions 6:00 p.m.- 8:00 p.m. Town Hall Meeting Marriott Ballroom Tuesday, March 1, 2005 Welcome and Opening Remarks 8:30 a.m.- 9:30 a.m. Marriott Ballroom Presenter/Speaker George A. Mensah, M.D., F.A.C.P., F.A.C.C., F.E.S.C. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Shirley Franklin Mayor City of Atlanta What progress have we made in eradicating our society of health disparities? How can we continue to fight the good fight when, despite a number of effective interventions, disparities persist in health care access and quality of care? Why do these disparities still exist? In a rousing introductory presentation, attendees will learn about the evolution of the battle against health disparities, inspiring each of us to stay committed and focused, despite the many roadblocks and setbacks there may be along the way. With a wide range of populations - such as low-income, less educated, racial/ethnic, and gay/lesbian groups - still bearing the brunt of health care inequities, remaining dedicated to the challenge can be daunting for the public health community. With a special focus on using evidence-based research to impact policy, attendees will receive a look at the steps necessary to move beyond recognition of the problem of health disparities and into developing promising solutions to address them, including key areas where improvements have been made in eliminating such disparities. Plenary Presentation Evidence-Based Research 9:30 a.m.- 11:00 a.m. Marriott Ballroom Presenter/Speaker Helen Burstin, MD Agency for Healthcare Research and Quality Presenter/Speaker Roberto Dansie, PhD CEO, Cultural Wisdom Presenter/Speaker Linda C. Ellis, MDiv, MEd Atlanta Lesbian Cancer Initiative Presenter/Speaker Akiko S. Hosler, PhD New York State Department of Health Presenter/Speaker Elena V. Rios, MD, MSPH National Hispanic Medical Association Attendees will be treated to a discussion by a panel of notable leaders, including Helen Burstin, M.D., Director of the center for Primary Care Research of the Agency for Healthcare Research and Quality (AHRQ); Akiko Hosler, Ph.D., Director of Diabetes Surveillance and Evaluation at the New York State Department of Health; Elena Rios, M.D., M.S.P.H., President and CEO of the National Hispanic Medical Association; Linda Ellis, Executive Director of the Atlanta Lesbian Cancer Initiative; and Roberto Dansie, Ph.D., CEO Cultural Wisdom. Drawing on findings from the second annual “National Healthcare Disparities Report” developed by the AHRQ, Dr. Burstin will provide an update on the progress that has been made since the first report was published. Additionally, the panelists will discuss their successes, challenges, and theories in implementing strategic plans that are grounded in evidence-based research. With an emphasis on best practices and lessons learned, the panel will describe the report's performance measures as they relate to the fields of epidemiology, medicine, cultural competency, and behavioral science. Networking Luncheon and Fries Prize Presentation 11:30 a.m.- 1:30 p.m. Marriott Ballroom Presenter/Speaker James Fries, M.D. Chairman of the Board Healthtrac Foundation Award Recipient Faye Wattleton President of the Center for the Advancement of Women The 2005 Fries Prize Award will be presented to Faye Wattleton, president of the Center for the Advancement of Women, an independent, nonpartisan non-profit research and education institution dedicated to advocating for the advancement of women. As president of the Planned Parenthood Federation of America (PPFA) from 1978 to 1992, Ms. Wattleton championed for reproductive rights and health, shaping family planning policies and programs around the world. Under her leadership, PPFA has grown and now provides medical and educational services to four million Americans each year, through 170 affiliates, operating in 49 states and Washington, D.C. A remarkable role model, Ms. Wattleton now is leading the charge to create an institution dedicated to research-based education and advocacy for women. She will comment on the key programs she has helped implement over the years, as well as her vision for the future of women’s health issues and the steps she feels are necessary to have a positive influence. A01 Addressing Inequities in the American Indian/Alaskan Native Community: Progress and Ongoing Challenges 1:30 p.m.- 2:30 p.m. International A Moderator Jack F. Trope Association on American Indian Affairs Presenter/Speaker American Indian Health Dee Ann DeRoin, M.D., M.P.H. Ioway Tribe of Kansas Presenter/Speaker Donald J. Lott, Jr., B.S., M.H.A. Indian Family Health Clinic Presenter/Speaker Carol L. Barbero Hobbs, Straus, Dean & Walker, LLP Law Firm The health system that most American Indian/Alaska Natives access is a unique system that reflects the special legal status of American Indians and Alaska Natives. Indian tribes or nations are distinct political communities that possess attributes of inherent sovereignty over both their members and their territories. Indian tribes are neither states, nor part of the federal government, nor subdivisions of either. The United States government has a trust relationship with Indian people based upon the Constitution and common law and memorialized in a score of treaties. Thus, the health care system upon which most American Indians/Alaska Native rely is a hybrid system operated in part by the Indian Health Service, a branch of the Public Health Service, and in part by the Indian tribes themselves, primarily through contracts negotiated with the federal government pursuant to Public Law 93-638. This system has had some real successes in reducing the disparity between American Indians/Alaska Natives and broader populace in areas such as infant mortality rates, but significant disparities continue to exist in areas such as diabetes and periodontal disease. This session will focus upon both these successes and future challenges and explore broader lessons that might be learned from the experience of the American Indian/Alaska Native community. A02 Economic Assessment of Health Care and Health Promotion Programs 1:30 p.m.- 2:30 p.m. Bonn Moderator Shannon T Thompson, Centers for Disease Control and Prevention Presenter/Speaker Racial Disparities in hospitilizations and its costs due to chronic disease in Arkansas Appathurai Balamurugan, M.D., M.P.H. Arkansas Department of Health Diabetes Prevention and Control Program/Arthritis Health Program Presenter/Speaker An Economic Analysis of a Childhood Obesity Intervention in Largely Hispanic Schools H. Shelton Brown, Ph.D. The University of Texas School of Public Health Department of Management Policy and Community Health Presenter/Speaker The Cost Effectiveness of Treating the Metabolic Syndrome in the African American and General Population Joseph Tichawona Tasosa, M.B.A., M.S. Wright State University School of Medicine Department of Community Health Health Systems Management This panel presentation will describe efforts to assess the economic aspects of health care and health promotion programs. The first presenter will summarize the El Paso Coordinated Approach to Child Health (CATCH) intervention program designed to reduce the number of childhood obesity cases. Not only does CATCH appear to be effective, but it also results in a net positive economic impact. The following study supports a growing body of literature that indicates the cost-effectiveness of providing preventive services as early treatment, in this case of metabolic syndrome risk factors. The study also compares the cost-effectiveness of treating the metabolic syndrome in African Americans to that for the general population. The third study addresses a disproportionate burden of disease among certain racial groups and finds that this disparity is compounded by limited access to health care and is reflected in hospitalization rates and their costs. A03 Promising Evaluation Approaches to Assessing the Impact of Community-Based Programs 1:30 p.m.- 2:30 p.m. Sydney Moderator Barbara A. Bowman, PhD Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Julie W. Will, Ph.D., M.P.H. Centers for Disease Control and Prevention Presenter/Speaker Adapting to Diversity at the US-Mexico Border: Process and Outcomes of a Family-Based Diabetes Program Nicolette I. Teufel-Shone, Ph.D. University of Arizona Presenter/Speaker Factors involved in the Utilization of PRC Research: A Multiple Case Study Approach Jeffery Chaichana Peterson University of New Mexico Center for Health Promotion and Disease Prevention This session reinforces the need to identify promising evaluation approaches for assessing the impact of community-based programs and translating the findings into evidence-based program design. Using the RE-AIM (Research, Effectiveness, Adoption, Implementation, and Maintenance) model, which goes beyond the assessment of effectiveness to include a number of other important public health dimensions, researchers were better able to evaluate the effectiveness of the WISEWOMAN program. Participants will learn about the five dimensions of the RE-AIM evaluation framework and the value of using it as a broader model to assess overall public health impact. They also will learn about the current use of Prevention Research Centers' (PRCs) research findings by public health professionals and agencies, communities, and other systems as well as the key factors affecting the process of its utilization. The remaining panelist will share how research suggests that family support and involvement are associated with greater patient compliance with recommended self-management strategies and behavior change within the household. These research findings were translated into local context by promoting family support in a diabetes education program designed for low-income Hispanic families. The panelist will identify strategies for adapting such programs to the local context. A04 Diabetes and End-Stage Renal Disease 1:30 p.m.- 2:30 p.m. International B Moderator Arlene Sherman, CMP, CTAS Division of Diabetes Translation Presenter/Speaker End-Stage Renal Disease Due to Diabetes Among Southwestern American Indians, 1990-2001 Nilka Rios Burrows, M.S. CDC\NCCDPHP Presenter/Speaker The incidence of end-stage renal disease, Georgia, 1999-2002 Karon G. Abe, Ph.D. Georgia Department of Human Resources Georgia Division of Public Health Centers for Disease Control and Prevention Presenter/Speaker Getting the Most Out of Vital Statistics Data: Diabetes-related Heart Disease Mortality in New Mexico Heidi Krapfl, M.S. New Mexico Department of Health Diabetes Prevention and Control Program Diabetes and diabetes-related end-stage renal disease (ESRD) are major public health burdens, especially among racial/ethnic populations. This session focuses on the assessment of racial disparities in diabetes and end-stage renal disease. The first study was an effort to assess racial disparities in the burden of end-stage renal disease and its contributing causes in Georgia. Participants will learn about two ways that the incidence of ESRD might be reduced in persons with diabetes and hypertension. Then, participants will learn about how multiple-cause mortality data can enhance interpretation of heart disease (HD) mortality among racial/ethnic groups. The presenter will describe the steps to obtain multiple-cause mortality data at the state or national level and how it might be used to explore chronic disease trends. The third project was an effort to assess trends in diabetes-related end-stage renal disease among southwestern American Indians. The results indicate that since 1996, end-stage renal disease incidence decreased in the southwestern American Indian population with diabetes, which may reflect the recent reduction in risk factors and improvements in diabetes care practices. A05 Using Data to Guide Community Partnership Efforts 1:30 p.m.- 2:30 p.m. Champagne Moderator Maxia Dong, MD, PhD Centers for Disease Control and Prevention Presenter/Speaker Using geographical information systems to facilitate community based public health planning of diabetes intervention efforts Daniel J. Kruger, Ph.D. University of Michigan School of Public Health Prevention Research Center Presenter/Speaker Youth at Risk: A Status of Youth Behaviors in West Texas and Ciudad, Juarez, Mexico Ann G. Pauli Paso del Norte Health Foundation Presenter/Speaker Using data to build community partnerships: The little project that did! Marilyn M. Gardner, Ph.D. Western Kentucky University Department of Public Health This session concerns the use of data to guide community partnership efforts. To begin, participants will hear how the Prevention Research Center of Michigan (PRC/MI) used community-based research principles to design and implement the Speak to Your Health! Community Survey. This survey was developed by an alliance of partners and focuses on community health and community concerns. The discussion will include how geographic information systems can facilitate the planning of community-based public health interventions and the principles and practical applications of community-based research. The next presenter will illustrate ways in which existing data sources can be gathered and used to build partnerships to address health disparities related to issues of childhood overweight, as was the case in rural South Central Kentucky. Local prevalence documented the extent of childhood overweight and, once presented with these data, schools and community partners initiated actions to address the problem. Far from Kentucky, the Paso del Norte Health Foundation (PdNHF) in West Texas and Ciudad, Juarez, Mexico, realized its need to focus on health promotion and disease prevention primarily in the behavioral and environmental aspect of health. The Foundation has identified key focus areas that are crucial in positive youth development. The Youth Risk Behavioral Surveillance System (YRBSS) was utilized to support planning, development, and evaluation of interventions for PdNHF to address risky behaviors of youth. A06 Physical Fitness for Persons with Disabilities 1:30 p.m.- 2:30 p.m. International C Moderator Vincent Campbell, PhD Centers for Disease Control and Prevention Presenter/Speaker William E. Bodry Challenge Center Presentation will focus on the approach that the Challenge Center has applied to provide community-based programs to persons with disabilities. The interventions designed by the Challenge Center has profound positive outcomes, the most cost effective of which is preventing many secondary disabilities in persons with SCI, MS, TBI, and other long-term disability. A07 Health Disparities: Challenges, Opportunities, and What You Can Do About It 1:30 p.m.- 2:30 p.m. Magnolia Moderator Susan Jack, M.S. Centers for Disease Control and Prevention Presenter/Speaker Hani Atrash, M.D., M.P.H. Centers for Disease Control and Prevention This informative and engaging session will include an overview of the fundamental terms and key concepts necessary to understanding the magnitude of health disparities. Attendees will receive the most up-to-date statistics related to the health status of the various race and ethnic groups in the United States, including statistics on mortality, morbidity, behaviors, health care utilization, disability, and quality of care. The presenter will explain the current systems used to classify people by race/ethnicity and the systems’ limitations. The discussion also will focus on factors that contribute to health disparities and the challenges facing program and policy makers in tackling this issue. Special focus will be given to strategies that have been implemented to address health disparities, and practical steps health care providers can take to reduce or eliminate health disparities. A08 The Alabama REACH 2010 Project: A Community Action Plan for Breast and Cervical Cancer Health Disparities 1:30 p.m.- 2:30 p.m. Picard/Chablis Moderator Mary Schauer, M.S.P.H. Centers for Disease Control and Prevention Presenter/Speaker Theresa A. Wynn, Ph.D. University of Alabama at Birmingham Presenter/Speaker Mona N. Fouad, M.D., M.P.H. University of Alabama at Birmingham Presenter/Speaker Christine Nagy, Ph.D. Western Kentucky University Despite tremendous strides to promote breast and cervical cancer screening, studies continue to show a higher number of cancer deaths among African American women. Yet, the causative factors that contribute to this disparity are still under investigation. Eliminating health disparities require innovative approaches that can have a positive impact on the population at risk. An example of such an innovative approach is the CDC-funded Alabama REACH 2010 project. This panel presentation will describe the processes involved in implementing and evaluating a Community Action Plan (CAP) that was developed by a diverse coalition to eliminate breast and cervical cancer disparities in nine underserved counties in Alabama. In relation to the CAP, the authors will explain: 1) Community Infrastructure and mobilization efforts to eliminate health disparities; 2) Coalition capacity-building activities; 3) Collaboration with community volunteers (recruitment and training); and 4) Evidence-based project outcomes/progress at the individual, community systems, and agents of change levels. During each presentation, authors will expound on the progress, successes, and lessons learned throughout the course of this seven-year, community-based participatory research project. A09 Evidence-Based Programs for Improving Cancer Outcomes in Michigan's African American Populations 1:30 p.m.- 2:30 p.m. Rhine/Savoy Moderator May D. Yassine, Ph.D. Michigan Public Health Institute Presenter/Speaker May D. Yassine, Ph.D. Michigan Public Health Institute Presenter/Speaker Patty Brookover, M.P.H., R.D. Michigan Department of Community Health Presenter/Speaker Yvonne Lewis, B.B.A., B.S. Faith Access to Community Economic Development (FACED) This session will illustrate an example of a collaborative approach to a major public health problem and how a successful partnership can potentially create focus and enhance our ability to eliminate health disparities. Panel members will provide an overview of Michigan's Comprehensive Cancer Control Program and its priority objectives. These objectives - which were set by the Michigan Cancer Consortium, a public/private partnership of diverse organizations - encompass goals for reducing disparities in cancer incidence and cancer outcomes statewide. Participants will learn about an innovative program that is underway titled "Improving Outcomes in African-Americans" (ICOAA). Presenters will describe the ICOAA program components and facilitate a discussion of ongoing challenges in evaluating the community-based interventions within the program. The discussion also will focus on how best to engage target communities and to demonstrate the benefit of evidence-based programming to the target audience. The session will continue with a presentation of selected findings from a population-based survey of cancer-related Knowledge, Attitudes, and Screening Practices of African American adults in Michigan. This special survey can be used for assessing needs and guide interventions in the target communities and also serve as a baseline measure for evaluating changes over time. Discussion will be held around how data can best be presented/shared with the target audience so they can make the best use of them and benefit from the information that has been collected. Engaging the target audience in data collection efforts and in reviewing results will be discussed. A10 Evidence-Based Approaches to Chronic Disease Prevention: Lessons Learned From Europe and Latin America 1:30 p.m.- 2:30 p.m. Stockholm Moderator Ross C. Brownson, Ph.D. Saint Louis University School of Public Health Presenter/Speaker Overview of CINDI, lessons learned from cross-country collaborations Aushra Shatchkute, M.D. World Health Organization Presenter/Speaker Surveillance, data collection, and a primary care based approach Gunter Diem, M.D. CINDI Austria Presenter/Speaker Overview of CARMEN, lessons learned from cross-country collaborations Lucimar Coser Cannon, M.D., M.P.H., Ph.D. American Health Organization/World Health Organization Presenter/Speaker Training of practitioners and successful examples of interventions based on sound research Branka Legetic, M.D., M.P.H., Ph.D. Pan American Health Organization/World Health Organization A great deal is known about effective methods for decreasing the burden of chronic diseases, yet many scientific discoveries take years or decades to be translated into action in community and clinical settings. Internationally, the Countrywide Integrated Noncommunicable Disease Intervention (CINDI Programme in Europe) and the Conjunto de Acciones para la Reduccion Multifactoral de Enfermedades Notrasmissibles (CARMEN)Initiative (in Latin America and the Caribbean) seek to improve health and the quality of life in communities by reducing premature death, disease, and disability from major chronic diseases. Activities across the member countries include surveillance, collaborative interventions, training, and improvements in health services delivery. This presentation will provide an overview of CINDI and CARMEN, their mission and scopes, and will describe lessons learned in chronic disease prevention from experiences in Europe and Latin America. A11 What Does It Take to Build a Partnership to Eliminate the Disparities and Inequities That Cause Unequal Burdens of Illness, Disease, and Death? 1:30 p.m.- 2:30 p.m. International 10 Moderator Blanca L Torres, M.S.S.W. National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Building an Equitable Partnership Lovell Jones, Ph.D. The InterCultural Cancer Council The presenter will outline the developmental stages and organizational steps for establishing and sustaining partnerships, the leadership challenges, negotiation skills necessary, and the people skills required. Real-life examples will be presented. Commenters will be posing unique challenges from the perspective of different special populations. Areas covered will include: Elements of a working partnership: how do we create parity in partnerships? What does it take? Who needs to be at the table? What skills are needed? How do you measure success? Participants will learn the strategies, negotiations, and collaborations needed to build the partnerships, as well as how challenges to leadership, representation of diversity, and issues of equity were addressed by the participants and manifested in the partnership. A12 Learning By Doing: Incorporating Social Determinants of Health Inequity Into Chronic Disease Prevention Programming 1:30 p.m.- 2:30 p.m. International 9 Moderator Elizabeth Baker, Ph.D., M.P.H. Saint Louis University School of Public Health Presenter/Speaker Marilyn Metzler, R.N. CDC/NCCDPHP Presenter/Speaker Laura K. Brennan Ramirez, Ph.D., M.P.H. Inneval, LLC In October 2003, the Social Determinants of Health Disparities: Learning by Doing forum was held to provide an opportunity for in-depth sharing of experiences as well as discussion of the challenges and lessons learned in conducting interventions to address the social determinants of health disparities. A group representing individuals from the CDC/ATSDR Social Determinants of Health Working Group, the CDC Prevention Research Centers, the CDC Urban Research Centers, and partners from academia and public health practice organized the forum, which was sponsored by CDC. While there is much to be learned from all aspects of work presented at the forum, the greatest lessons emerge not only from the specific steps taken to address social determinants but also from challenges the groups experience when conducting their work. These include, but are not limited to, challenges associated with how to 1) define the problem of social determinants of health inequities; 2) choose the best processes for moving forward; and 3) develop, implement, and evaluate solutions. This session of the conference will review the workbook that was developed from the forum. The workbook includes an overview of the nine case studies as well as information about best processes for designing, implementing, and evaluating interventions. Participants will learn about portions of the workbook that identify specific strategies needed to incorporate partners needed to address social determinants of health inequity. The session will provide basic information, helpful hints, and specific questions to consider for those interested in addressing the social determinants of health inequity. Participants will be able to critically reflect on strategies and innovative ideas for creating community change. A13 Reporting Racial and Ethnic Disparities in Morbidity and Mortality: A Life Course Approach 1:30 p.m.- 2:30 p.m. Consulate Moderator Nilka Rios Burrows, M.S. CDC\NCCDPHP Presenter/Speaker A life course approach to health disparities Hector Balcazar, Ph.D. University of Texas School of Public Health at Houston Health disparities are not static – they vary with the age of the individuals in a population. Each life stage could have its own set of disparities when comparing two groups. This session will explain how health disparities vary through time as individuals in a population age and traverse the different stages of their lives. A14 Removing Disparities From Rural Health Care Systems: Current Community Research Initiatives 1:30 p.m.- 2:30 p.m. International 8 Moderator Derek M. Griffith, Ph.D. Prevention Research Center of Michigan/University of Michigan School of Public Health, Department of Health Behavior and Health Ed Presenter/Speaker Understanding and Addressing Healthcare Disparities: A County Public Health Department's Dismantling Racism Intervention and Evaluation Vanessa Jeffries, M.P.H. Chatham County Public Health Department Presenter/Speaker Flint/Genesee County Friendly Access Program: An Evaluation of a Maternal and Child Health Program to Address Disparities Thomas M. Reischl, Ph.D. University of Michigan, School of Public Health Presenter/Speaker Peer Review Organization's Role in Improving Disparities within a Medicare Population Mary (Tony) Flowers, B.S., M.A. in progress Michigan Peer Review Organization This session will highlight existing community research initiatives in North Carolina and Michigan that have been developed to reduce disparities in health care settings. Particular focus will be given to specific strategies that are being employed to address this need. B01 Progress in Stopping Health Disparity and Inequity: Partners That Have Made Progress in Addressing the Issues in Different Environments 3:00 p.m.- 4:00 p.m. Bonn Moderator Kathleen Nolan, M.P.H. National Governor's Association Presenter/Speaker The Intercultural Cancer Council Lovell Jones, Ph.D. The University of Texas M.D. Anderson Cancer Center Presenter/Speaker Health For All: California's Strategy to Eliminate Racial and Ethnic Health Disparities Larry Cohen, M.S.W. Prevention Insitute Presenter/Speaker Bienestar Health Program Roberto P. Trevino, M.D. Social and Health Research Center A panel of three presenters will talk about why their partnership was established, how it was done, what each entity contributed, what were the results, and what is still in the works. This session will illustrate how national, state, and local partners in a partnership have made progress in addressing the issues in their different environments. Participants will learn of cross-contributions between the partners, the assets and challenges for each of these three levels in addressing disparity reductions, and lessons learned from other disparities. B02 Keeping It Simple: Promoting Health Literacy - A Strategy for Eliminating Health Disparities 3:00 p.m.- 4:00 p.m. Champagne Moderator Susan Lockhart, Ph.D. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Linda S. Potter, Dr.P.H. University of Medicine and Dentistry of new Jersey, School of Public Health Presenter/Speaker Sunil Kripalani, M.D., M.Sc. Emory University School of Medicine Health literacy problems affect people from all backgrounds, especially those with chronic health problems. Healthy People 2010 defines health literacy as "the degree to which people can obtain, process, and understand basic health information and the services they need to make appropriate health decisions." Panelists for this session will use this definition as the point of reference for an informative discussion of health literacy including recent advances in research on this topic and practical examples of how the public health professional can raise awareness of the importance of understandable health information as a key strategy in eliminating healthcare disparities. Panelists will explore exceptional strategies and technology that can be utilized to meet the communication needs of persons from all walks of life and to partner with health professionals to develop consumer friendly materials. Participants will leave the session knowing where to find resources for toolkits, Web sites, and existing materials to support their efforts to develop materials and implement programs to assist individuals with low-literacy skills to successfully access the health care system. This is a must attend session for the public health professional interested in developing solutions to positively impact the health and well-being of individuals. B03 Community Experiences in Implementing Healthy Aging Evidence-Based Programs 3:00 p.m.- 4:00 p.m. Consulate Moderator Lisa B. Sinclair, MPH NCBDDD Presenter/Speaker Developing, Implementing and Disseminating Evidence-based Healthy Aging Programs in Community-based Organizations Nancy Whitelaw, Ph.D. The National Council on the Aging Presenter/Speaker Lynda A. Anderson, Ph.D. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker James LoGerfo, M.D., M.P.H. University of Washington School of Public Health and Community Medicine Health Promotion Research Center This session showcases experiences implementing evidence-based healthy aging programs in community-based organizations. The National Council on the Aging (ACOA) conducted a three-year national project to translate health promotion and disease management studies into evidence-based model programs that are feasible for local agencies to operate and that are attractive to older adults. Participants will learn about the results of this project that reinforced the belief that community-based organizations are highly capable of implementing evidence-based health promotion and disease management programs for older adults. The second part of this session will describe the Administration on Aging’s three-year Evidence-Based Prevention Initiative to implement evidence-based preventive programs for older adults and the lessons learned after the first year. Although the initiative is still in progress, it has brought awareness about the importance of evidence-based programming to the aging services network. B04 Improving School Health Using National and Local Tools 3:00 p.m.- 4:00 p.m. Picard/Chablis Moderator Alexandria L Stewart, CDC Presenter/Speaker Effectiveness of the Massachusetts Partnership for Healthy Weight (MPHW) school-based physical activity and nutrition intervention (5-2-1 Go!) Daniel M. Finkelstein, Ed.M., M.A. Harvard University School of Public Health Harvard Prevention Research Center on Nutrition and Physical Activity Presenter/Speaker American Indian Children Walk for Health: Increasing physical activity by daily walking at school Donald B. Bishop, Ph.D. Minnesota Department of Health Center for Health Promotion Presenter/Speaker CDC's School Health Index: A Coordinated Approach to Improving School Health Anu Gupta, M.P.H., C.H.E.S. Center for Disease Control Each presenter on this panel will share national or local tools and models for improving school health. Set in two neighboring Indian reservations in northern Minnesota, the first project assessed the feasibility and initial efforts of a school environment and policy change for increasing physical activity in American Indian children. The presenter will highlight opportunities for introducing daily walking programs into the community as a feasible and efficacious method for increasing physical activity. Next, participants will learn about the purpose and structure of the Centers for Disease Control and Prevention's School Health Index: A Self-Assessment and Planning Guide (SHI) and the steps involved in implementing the guide as a means to help schools strengthen and improve their health and safety programs and policies. The remaining presenter will showcase preliminary findings on the effectiveness of the 5-2-1 Go! Program, an intervention designed to reduce the prevalence of behavioral risk factors in middle school youth. The program comprises the interdisciplinary Planet Health classroom and physical education curriculum and CDC’s School Health Index. B05 Arthritis and Multiple Sclerosis Data Sources 3:00 p.m.- 4:00 p.m. Rhine/Savoy Moderator John B. Lowe, DrPH, FAHPA, FAAHB Iowa Prevention Research Center, College of Public Health Presenter/Speaker Disparities in National Prevalence Estimates of Arthritis-Attributable Work Limitation Kristina A. Theis, M.P.H. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Prevalence and Impact of Arthritis Among Utah's Hispanic/Latinos compared to Utah's Non-Hispanic/Latino Whites Richard C. Bullough, PhD Utah Department of Health Presenter/Speaker Strategies for surveillance of autoimmune and neurological diseases Dhelia Williamson, M.P.H. Agency for Toxic Substances and Disease Registry Division of Health Studies Health Investigations Branch This session pertains to methods to measure the prevalence and impact of arthritis and multiple sclerosis. In Utah, researchers used the 2001 Utah Hispanic Health Survey and the 2001 Behavioral Risk Factor Surveillance System (BRFSS) to gather data about the prevalence of arthritis in both populations and the risk factors for arthritis. The presenter will share the results of this investigation, the risk factors for arthritis among the Hispanic/Latino populations, and the disabling consequences of arthritis. The second panelist will discuss the methods and findings of a multiple sclerosis (MS) prevalence study, the efficiency of the methods used, and recommendations for future surveillance strategies of autoimmune and neurological diseases. As the third panelist will describe, work limitation is an important measure of arthritis impact. The described study offers estimates of national arthritis-attributable work limitation (AAWL) among 18- to 64-year-olds with doctor-diagnosed arthritis and examines associated factors, such as demographics, comorbidities, and access to care. Disparities in AAWL by gender, race/ethnicity, education, and income suggest the need for more targeted research to better understand the natural history of work limitation and work-specific factors likely to result in AAWL. B06 Assessing Physical Activity in Populations 3:00 p.m.- 4:00 p.m. Magnolia Moderator Carmen Sanchez-Vargas, M.D., M.O.H., M.P.H. Centers for Disease Control and Prevention Presenter/Speaker The Status of the States: Benchmark Scoring for the State Physical Activity Program Tammy Vehige, MEd, CHES Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Elementary Students Dietary and Physical Activity Behaviors-Disparities by Grade and Gender Millie Naquin, Ph.D. Southeastern Louisiana University College of Nursing & Health Sciences Department of Kinesiology and Health Studies Presenter/Speaker Putting The Pieces Together: Lifestyle Physical Activity Among Hispanics Using Multiple Surveillance Systems Sandra Ham, MS Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion This panel presentation is focused on the assessment of physical activity in various populations. In an effort to focus the technical assistance efforts of the CDC’s Physical Activity and Health Branch, health education competencies related to physical activity disparities across the 50 states were assessed. Participants will learn of the five benchmarks used to assess these competencies and the preliminary findings. The next project was an assessment of the dietary and physical activity behaviors of students in grades 1 through 4, in an effort to examine the differences in these behaviors by gender and grade level and to use the findings to make recommendations about interventions to prevent obesity. Participants will learn how to assess students as well as the results of the study. The remaining project design was to describe lifestyle physical activity (occupation, transportation, household, leisure-time) in Hispanics and Latinos using surveillance statistics. Researchers found that multiple surveillance systems were needed to provide information about multiple domains of lifestyle physical activity. B07 The Art and Science of Developing Partnerships 3:00 p.m.- 4:00 p.m. Stockholm Moderator Brick Lancaster, MA, CHES Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Using neighborhood-specific clusters to stimulate and evaluate behavioral change: a Social Mobilization Campaign for Increasing Awareness of HIV/AIDS & Chronic Disease Bilal A. Salaam Pan-African Pedagogy Institute Presenter/Speaker Developing Sustainable Community-Based Chronic Disease Prevention Models in NC Margaret L. Sauer, M.S., M.H.A. Duke University Medical Center Department of Community and Family Medicine Division of Community Health Presenter/Speaker Moving from Advising to Partnering Anne Doolen, B.A. Migrant Benevolent Association, Inc This session will highlight lessons learned, strategies, essential elements, and tactics of developing effective partnerships. The first presenter will describe the evaluation findings of a partnership between a community advisory committee and a university-based Prevention Research Center, which revealed compelling information, lessons learned, and strategies for developing effective partnerships in diverse and rural communities. The second presenter will focus on the “Communities Accepting Responsibility” (CAR) campaign, a multicultural social mobilization campaign to promote knowledge and behavioral change as it relates to HIV/AIDS and chronic disease. Participants will learn about proven and effective mobilization strategies that empower consumers within at-risk communities to seek information on HIV/AIDS, STDs, mental health, and other health conditions. Concluding the session is a discussion of how Duke University Medical Center’s Department of Community and Family Medicine has developed a technical assistance partnership with community partners serving low-income, uninsured individuals to develop sustainable chronic disease/obesity prevention services. Participants will learn of strategies for developing successful collaborations and essential elements necessary to sustain these efforts. B08 Partnerships for Promoting Physical Activity 3:00 p.m.- 4:00 p.m. Sydney Moderator Lori A. Elmore, MPH, CHES, BSEd. Centers for Disease Control and Prevention Presenter/Speaker Extending Access to Physical Activity Programs for Persons with Arthritis Through Community Partnerships M. Jean Gearing, M.A., Ph.D., M.P.H. Georgia Department of Human Resources Georgia Division of Public Health Chronic Disease Prevention and Health Promotion Branch Presenter/Speaker Implementing Diverse National Strategies to Address Health Disparities in Older Adults Through Physical Activity Jason E. Lang, M.P.H., M.S. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker PE2GO - a program to address disparities in youth physical activity opportunities Maurice Martin, Ph.D. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion This panel presentation will highlight partnerships for promoting physical activity beginning with a program called PE2GO, one of Nike’s partnering initiatives. PE2GO is a self-contained physical education (PE) program that provides classroom teachers with the tools they need to lead developmentally appropriate, quality PE lessons in their 4th- and 5th-grade classrooms in inner-city schools. Participants will learn about the multiple methods used to evaluate the PE2GO program and the findings from the pilot study. The second panelist will describe several national examples of interventions to address the health needs of older adults through health promotion/disease prevention activities developed and implemented since 2001 by multiple national, state, and local partners spearheaded by the Centers for Disease Control and Prevention and the Administration on Aging. The session will highlight three distinct examples of national grant programs to reduce health disparities among racial and ethnic minority older adults. The third presentation describes how chronic disease-focused coalitions and health education strategies established a sustainable physical activity program for people with arthritis. Highlighted aspects include the use of community partnerships and principles to leverage and enhance the implementation of physical activity programs. B09 Partnerships to Promote Child Health 3:00 p.m.- 4:00 p.m. International A Moderator Tina Utley Edwards, MPA Chenango Health Network Presenter/Speaker Child participation in snack and meal preparation positively affects preference for fruits and vegetables Marilyn S. Nanney, Ph.D., M.P.H., R.D. Saint Louis University School of Public Health Department of Community Health Presenter/Speaker Lessons learned from engaging schools and underserved youth in physical activity promotion research Nancy O'Hara-Tompkins, Ph.D. West Virginia University Prevention Research Center Presenter/Speaker Promoting Healthy Eating and Physical Activity Among Preschoolers In Low Socio-economic Communities in Pennsylvania Vaheedha C. Prabhakher This panel presentation will describe partnerships used to promote child health beginning with the implementation of the Color Me Healthy (CMH) program in more than 300 daycare, Head Start, and Family Literacy centers across Pennsylvania. The CMH program is designed to reach limited-resource children aged 4 and 5 in daycare settings to promote healthy eating and physical activity. Partners included the Department of Education, the Department of Public Welfare, the Head Start Collaborative, the American Cancer Society, and the Pennsylvania Nutrition Education Network. Each organization shared resources needed for the success of the project. Another partnership, this time focused on 6- to 10-year-old children in St. Louis, Missouri, integrated an evidence-based nutrition curriculum to improve diet among at-risk children and to promote child participation in snack and meal preparation as a strategy to increase fruit and vegetable intake. The presentation will illustrate eating behaviors that are achieved when children participate in snack and meal preparation and the demographic characteristics of children who do not participate in such preparation. Concluding the session is an overview of an initiative that involved primarily rural underserved secondary-level students in the development, implementation, and evaluation of school/community-based research projects designed to promote physical activity. Special focus will be given to the process and challenges of engaging schools and underserved youth in physical activity promotion research. B10 Implementing Plans of Care for Chronic Conditions in the School Setting 3:00 p.m.- 4:00 p.m. International C Moderator Nikki Hayes Presenter/Speaker Diabetes Awareness, Training, and Action Program: North Carolina's Response to the Care of School Children with Diabetes Law Paula Hudson Collins North Carolina Department of Public Instruction A collaborative group comprising state government agencies and councils, a nonprofit association, foundation, and medical center formed a state-level task force in response to North Carolina SB 911. The law requires all school children who have diabetes to have an Individual Diabetes Care Plan in place upon parental request. In addition, it requires schools where children with diabetes are enrolled to offer general training for all faculty and support staff and to provide two volunteer emergency care providers for students with diabetes. The task force responded to the law, developed and produced training materials, designed and implemented six regional train-the-trainer sessions, sought private funding, and developed the care plans and all reporting forms. This presentation will describe the information, materials, and strategies used in implementing the statewide Diabetes Awareness Training and Action (DATA) Program in North Carolina. The session will highlight the collaboration between the school and health systems and explain how others can build similar partnerships. B11 Influencing Social Determinants at the State and National Level 3:00 p.m.- 4:00 p.m. International 8 Moderator Kimberly L Peabody, BS, MS, PhD NIOSH Presenter/Speaker Health for All: California's Strategic Approach to Eliminating Racial and Ethnic Health Disparities Leslie Mikkelsen, M.P.H., R.D. Prevention Institute Presenter/Speaker Health for All: California's Strategic Approach to Eliminating Racial and Ethnic Health Disparities Larry Cohen, M.S.W. Prevention Insitute Presenter/Speaker Case Study Assessment of Hard to Reach Populations' Perceptions of Medicare Rights and Protections Margaret Gerteis, Ph.D. BearingPoint Health Services Research & Management Group Presenter/Speaker Predictors of Health Status for Disadvantaged Medicare Beneficiaries: Results of the Medicare Health Outcomes Survey Beth Hartman Ellis, Ph.D. Health Services Advisory Group Surveys, Research & Analysis This panel presentation will focus on efforts to influence social determinants at the state and local level. The first two projects pertain to the Medicare population. In one, the Medicare Health Outcomes Survey was used to obtain information about predictors of physical health status for disadvantaged Medicare managed care beneficiaries. The results indicated that racial/ethnic background was not the strongest predictor of poor health. Poor beneficiaries (those having a household income of less than $10,000 a year) and those who had a low educational level (8th grade or less) were more likely to have poor health. The next project explored how isolated, vulnerable, and minority populations of Medicare beneficiaries perceive their rights and protections under Medicare, their experiences exercising those rights, and how their perceptions and experiences differ from those of Medicare beneficiaries in general. Findings in this study do not support prior assumptions. The third presenter will provide an overview of Health for All: California’s Strategic Approach to Eliminating Racial and Ethnic Disparities in Health. Key elements that also will be described are the community clusters, the factors that contribute to or reduce disparities as well as their role in closing the health gap, and the implications for next steps. B12 Communicating Clearly With People Hurt Most by Chronic Disease 3:00 p.m.- 4:00 p.m. International 9 Moderator P. Lynne Stockton, V.M.D., M.S., E.L.S. Centers for Disease Control and Prevention Presenter/Speaker L. Dawn Satterfield, Ph.D., C.D.E. Centers for Disease Control and Prevention Presenter/Speaker Katie P. Kilker, B.S., C.H.E.S. Centers for Disease Control and Prevention Presenter/Speaker Laurie C. Booker, BSN, MS Centers for Disease Control and Prevention More than 90 million Americans cannot understand basic health information, and the consequences can be deadly. This panel of doctors, nurses, and health educators will discuss the growing need for easy-to-read information in public health. They will review the Institute of Medicine’s latest findings about health literacy, explain how health literacy is linked with health equity and healthy outcomes, and will present examples of how plain language improves health outcomes for people hurt the most by disease. They also will present examples of how plain language and good scientific writing can promote better communication among health care professionals and be important in other public health fields. Participants will get the opportunity to compare the panelists' examples with their own print materials and begin to recognize areas where readability can be improved. Whether you are a physician, nurse, health educator, health communications specialist, policy maker, agency chief, or state partner, you will not want to miss this enlightening session. B13 Social Determinants and Global Program on Health Promotion Effectiveness: How the North American Effectiveness Project Is Expanding the Evidence Base for Community Efforts to Create Conditions That Promote Health for All 3:00 p.m.- 4:00 p.m. International B Moderator Mary Hall, M.P.H. Centers for Disease Control and Prevention Presenter/Speaker Marcia Hills, R.N., Ph.D. University of Victoria, Canada Presenter/Speaker Stephen Fawcett, Ph.D. University of Kansas Presenter/Speaker Marilyn Metzler, R.N., B.A. Centers for Disease Control & Prevention The debate regarding evidence in health promotion stems in part from the need to identify the best possible ways to promote health; to make decisions for policy development and funding allocation; and to demonstrate to decision-makers that health promotion works and is an effective strategy in public health. To address this need, the Global Programme on Health Promotion Effectiveness (GPHPE) involves a wide range of partners at the global and regional levels in an effort to describe the state-of-the-art in health promotion effectiveness and aims to raise standards of health promoting policy-making and practice worldwide by: reviewing evidence of effectiveness in terms of health, social, economic, and political impact; translating evidence to policy-makers, teachers, practitioners, researchers; and stimulating debate on the nature of evidence of effectiveness. The principal challenge for the GPHPE is to develop a sustainable approach with adaptations suitable to different regional needs, while maintaining the high quality for which the European work that triggered the programme is recognized. Although varied, the regional activities are all clearly designed to contribute to the global body of knowledge that the GPHPE aims to build. The social determinants of health will be taken as an example within the health promotion effectiveness debate. The effectiveness project of the North American region focuses on synthesizing the knowledge base for inter-sectoral community efforts that promote health with particular emphasis on those community efforts that deal with the social determinants of health. Participants will hear about findings from evidence-based literature reviews on social determinants and a framework that has been developed for the North American project on social determinants and the community context. The discussion will include recommended capacity-building measures in the North American region for evaluating the effectiveness of community efforts directed at the social determinants of health, as well as lessons learned and future challenges. B14 Faith-Based Organizations: Answering a Call to Health 3:00 p.m.- 4:00 p.m. Amsterdam Moderator Gregory C. Smothers, MPA, MT Centers for Disease Control and Prevention Presenter/Speaker Charmaine Ruddock, MS Institute for Urban Family Health Presenter/Speaker Cheryl Taylor, PhD, RN, MN REACH 2010 @ the Heart of New Orleans Presenter/Speaker Elizabeth Ann Calhoun, Ph.D. University of Illinois at Chicago School of Public Health Division of Health Policy and Administration REACH 2010 grantees have taken varied approaches for addressing chronic diseases in local ethnic/racial communities. The presenters will describe methods for promoting healthier lifestyles working through the influence of faith-based leadership, pastors and first ladies, to support system and environmental changes. These lifestyle system changes benefit the community as well as the congregation in adapting and maintaining healthier lifestyle and behaviors. Presenters will share their opportunities for collaboration and for implementation of policies in chronic disease control with faith-based and community-based organizations. B15 The Importance of Standardized Data in Reporting Racial and Ethnic Disparities 3:00 p.m.- 4:00 p.m. International 10 Moderator Michelle L Lackey, Ph.D. CDC\NCCDPHP Presenter/Speaker Importance of standardized data in racial and ethnic disparities Olivia Carter-Pokras, Ph.D. University of Maryland School of Medicine The assessment of health disparities requires the use of comparable data. Currently, the re-collection of health data from sub-populations living in the United States does not follow a uniform methodology. Such methodology is very much needed as we advance the knowledge in this field. This session provides an overview of the importance of standardizing data in reporting racial and ethnic disparities. Participants will hear how racial and ethnic data are collected in major surveys, the differences between these surveys regarding their target populations, and the benefits of standardizing data in major health surveys. C01 Utilizing Social Marketing to Address Health Disparities 4:15 p.m.- 5:15 p.m. Bonn Moderator Cherryll Ranger, RN, BSN, GCPH, M.A. CHES NCEH/ATSDR Presenter/Speaker Application of Chronic Disease Self-Management Materials and Methods in a Rural Primary Care Setting Richard Crespo, Ph.D. Marshall University School of Medicine. Department of Family and Community Health Presenter/Speaker Start Living Healthy: Using Social Marketing to Address Health Disparities Cynthia Cabot Hawaii State Department of Health Tobacco Settlement Project/Healthy Hawaii Initiative Presenter/Speaker VERB Campaign: Extending the reach of national campaign to etnically diverse audiences. Rosemary Bretthauer-Mueller Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker VERB Campaign: Extending the reach of national campaign to etnically diverse audiences. Heidi Melancon, M.P.H. Centers for Disease Control and Prevention This session will introduce participants to ways social marketing was used to reach ethnically diverse or underserved populations. To ensure that all segments of the multicultural audiences are reached by the VERB Campaign, CDC worked with four multicultural advertising/marketing agencies to supplement and complement the general market communication with culturally relevant messages through appropriate channels. These products were developed based on extensive formative and message-tested research. Participants will learn how research findings further refine concepts and messages for culturally relevant communication, which is mandatory to close the gaps inherent in general market communication. The panel will then share lessons learned about a mass media campaign, Start.Living.Healthy (SLH), targeted to a multiethnic population. Results of the first phase of the SLH campaign indicate high brand recognition and campaign awareness among all ethnic, income, and education groups. The presenter will identify the strategies used to tailor a social marketing campaign to a multiethnic population as well as the differences in reach of a social marketing campaign by ethnicity, income, and education. In conclusion, the panel will describe the development and application of self-management materials and methods, congruent with the transtheoretical model of behavior change, into a rural, underserved primary care setting. They also will present findings on the implications of applying this model and the efficacy of the model in promoting self-management among patients with chronic diseases. C02 Adopting Healthy Aging Programs in Diverse Settings 4:15 p.m.- 5:15 p.m. Champagne Moderator Susan J. Snyder, M.S. Senior Services of Seattle/King County Senior Wellness Project Presenter/Speaker "The 10 Keys to Healthy Aging" An Innovative Approach to Community Health Constance Mols Bayles, PhD University of Pittsburgh Graduate School of Public Health Department of Epidemiology Center for Healthy Aging Presenter/Speaker Community-Based Arthritis Exercise Randomized Control Trials: Implementation in Diverse Populations and Settings Leigh F. Callahan, PhD Univeristy of North Carolina at Chapel Hill Thurston Arthritis Research Center Presenter/Speaker Eliminating Disparities in Communities of Color through the Lifetime Fitness Program Susan J. Snyder, M.S. Senior Services of Seattle/King County Senior Wellness Project The focus of this session is healthy aging and fitness programs for older adults in diverse communities. The first project, set in the state of Washington, highlights the experiences of the Lifetime Fitness Program (LFP), an evidence-based physical activity program for older adults in communities of color. Two to three times a week, participants participated in strength, endurance, balance, and flexibility exercises. The presenter will describe the implementation and evaluation of the LFP and the lessons learned about implementing such a program. The next project, set in an at-risk, underserved community in Pennsylvania, introduced the “10 Keys to Healthy Aging” program to reduce preventable risk factors in the aging population. This session will highlight the various methods used to reduce preventable risk factors in the aging adult population as well as the importance of using multiple interventions and working with community partners to improve public health. Finally, participants will learn about the challenges, rewards, and lessons learned when conducting randomized community intervention trials of arthritis-specific exercise programs (i.e., “People with Arthritis Can Exercise” and “Active Living Every Day”) in diverse populations and locations. C03 Progress in Chronic Care Monitoring 4:15 p.m.- 5:15 p.m. Consulate Moderator Catherine Tapp, MPH Arkansas Department of Health - Arkansas Central Cancer Registry Presenter/Speaker Creating a Medical Home for Asthma: Improving care in pediatric clinics serving low-income communities Winston Liao, Ph.D. RTI International Presenter/Speaker Application of Chronic Disease Frameworks to Diabetes Care within the Indian Health Care System Kelly J. Acton, M.D., M.P.H. Indian Health Service Division of Diabetes Treatment and Prevention Presenter/Speaker Evaluation and Quality Monitoring of Chronic Disease Education Programs-brokerage system for providers and funders Richard H. Osborne, B.Sc., Ph.D. The University of Melbourne Department of Medicine Centre for Rheumatic Diseases Progress in the quality of care and monitoring of chronic diseases is the focus of this session. The panel begins with a description of a successful program called "Creating a Medical Home for Asthma" (CMHA) that was implemented in New York City. CMHA improved the quality of care for asthma patients in pediatric clinics serving low-income communities, thus addressing a major cause of health disparities in asthma. The next presenter will describe how the Indian Health Service (IHS) Division of Diabetes Treatment and Prevention used the Chronic Care Model (CCM) and the Innovative Care for Chronic Conditions (ICCC) Framework to evaluate the implementation of essential elements of diabetes care in the IHS system. Participants will be able to adapt this same strategy to their diabetes clinical care program. Then, participants will learn about a self-management program for people with chronic disease that is being implemented in Australia called the National Quality and Monitoring System. The presenter will convey the structure, function, and potential contribution of such a system and an integral component, the Health Education Impact Questionnaire (HEI-Q), which is used to evaluate health education programs for people with chronic conditions. Participants will learn of other potential uses of the HEI-Q. C04 Disease Management and Collaboratives: Innovative Methods and Effective Tools 4:15 p.m.- 5:15 p.m. Magnolia Moderator Herschel W Lawson, MD CDC; NCCDPHP; DCPC; PSB Presenter/Speaker Jo Anderson, B.S. Missouri Department of Health and Senior Services Missouri Diabetes Prevention and Control Program Presenter/Speaker Strategies that Facilitate Statewide Collaboration and Impact Chronic Disease Disparities in Primary Health Care Settings Janet Johnson Reaves, R.N., M.P.H. North Carolina Department of Health and Human Services Division of Public Health Diabetes Prevention & Control Program Presenter/Speaker Six Health Organizations that Have Implemented Chronic Disease Management Programs in Rural and Underserved Patient Populations Jane Nelson Bolin, Ph.D., J.D., R.N. Texas A&M University System Health Science Center School of Rural Public Health Department of Health Policy & Management In an effort to identify innovative methods and effective tools and strategies in the management of disease, these three projects investigated and evaluated chronic disease management programs and collaboratives. The first study evaluated chronic disease management programs offered by six health organizations serving primarily rural and underserved patient populations and found that, through the use of a variety of innovative and collaborative methods, these organizations have achieved clinical and financial success. Another study, of the North Carolina Chronic Disease Management Collaborative, identified successful partnering efforts and strategies that others may adopt to impact the quality of health care for disparate populations. Participants will learn about potential community partners with whom collaboratives may be established as well as materials and tools that support the collaborative process. The third presenter will share the concept of creating and using a “scoreboard report” as a quality improvement and communication tool within federally qualified health care centers (FQHC). The scoreboard serves several functions: It targets areas for improvement cycles; identifies successful centers in implementing best practices; provides peer-pressure effect; and serves as a communication tool to allow everyone within an organization to see how the organization is performing. C05 Chronic Disease in American Indians 4:15 p.m.- 5:15 p.m. Rhine/Savoy Moderator Benita L. Harris, M.P.H. Centers for Disease Control & Prevention -- Office of Minority Health/Office of Health Equity Presenter/Speaker Etiology of Chronic Liver Disease among American Indians, Phoenix, Arizona Stephanie Bialek, M.D., M.P.H. Centers for Disease Control and Prevention National Center for Infectious Disease Division of Viral Hepatitis Presenter/Speaker Culturally Competent Surveillance Strategies: Working With American Indian and Alaska Native Populations Janis C Weber, Ph.D. RTI International Presenter/Speaker Awareness of Cardiovascular Disease Risk in American Indians Carrie S. Oser, M.P.H. Montana Department of Public Health and Human Services Cardiovascular Health Program This session focuses on chronic disease in American Indians and Alaska Native populations. Although cardiovascular disease (CVD) has become the leading cause of death in American Indians, little is known about how Indian communities perceive their risk. The first project will describe a telephone survey used to identify American Indians' awareness of heart disease risk, history of CVD, and risk factors, as well as any gender differences between the men and women in their perception of cardiac risk factors. The next presenter will share how electronic medical records from the Phoenix Indian Medical Center were used to describe the prevalence of chronic liver disease (CLD) and its etiologies among a sample of Southwestern American Indians. The third presenter will showcase a project to initiate a process by which tribal-specific and village-specific tobacco surveillance data could be gathered, enabling tribes to address public health problems and policy issues. Tribal Support Centers staff, CDC, and contractors worked together to develop a methodology that was not only scientifically rigorous but also culturally competent. Lessons learned through this process will be shared. C06 Hair Today, Health Tomorrow: Eliminating Health Disparities Through Partnerships with Beauty Salons 4:15 p.m.- 5:15 p.m. International B Moderator Francine R Huckaby, MPH UAB Center for Health Promotion Presenter/Speaker Healthy Hair Starts with a Healthy Body: Lay Health Advisors Making a Difference within Communities Jodi M. Burke, BA, MSW National Kidney Foundation of Michigan Presenter/Speaker Response, Reach, Results: The Shop Talk Breast Cancer Awareness Project Julie Lejeune, M.S. West Virginia Medical Institute Communications/Health Care Quality Improvement Program Presenter/Speaker Not In Mama's Kitchen: Empowering Women of Color Against Secondhand Smoke Tamika R. Walls, B.S., C.H.E.S. Arkansas Department of Health Tobacco Prevention & Education Presenter/Speaker Not In Mama's Kitchen: Empowering Women of Color Against Secondhand Smoke Brenda Bell-Caffee, B.A. Caffee, Caffee and Associates This session highlights three successful partnerships with beauty salons to eliminate health disparities. Endorsed by the State Barbers and Cosmetologists Licensing Board and supported by resources from several community-based public health organizations, the ShopTalk project included a specially designed kit of educational materials to start the breast cancer awareness conversation between stylists and customers. Key partners, including hundreds of beauty shops, continue to share preventive health information as Community Health Improvement Champions. The next presenter will describe Healthy Hair Starts with a Healthy Body, a diabetes, hypertension, and kidney failure program intended to reduce the disproportionate rate of those diseases among African Americans. The program empowers hairstylists within their community by training them on these chronic diseases, local health care resources, and nutrition and physical activity. Participants will hear about the results of the program and how the small-business community can be used in a variety of ways to address healthy behavior change. The remaining panelist will provide an overview of “Not in Mama’s Kitchen,” an education-focused campaign created to collaborate with faith-based communities, community-based organizations, coalitions, African American hair salons and beauty supply merchants, and the community at large to get commitment pledges signed by women to not allow smoking in their homes or cars. Also discussed will be key components necessary to present an effective media event as well as the importance of collaborating with key stakeholders. C07 An Interactive Workshop on How to Build Partnerships for Community-Based Participatory Research 4:15 p.m.- 5:15 p.m. Stockholm Moderator Hodelin F. Rene, PhD Centers For Disease Control And Prevention Presenter/Speaker Building and maintaining effective community-based participatory research partnerships: an interactive session based on best practices Sarena D. Seifer, MD University of Washington School of Public Health and Community Medicine With funding from the CDC’s Prevention Research Center Program Office, through a cooperative agreement between the Association of Schools of Public Health and the CDC, the Community Institutional Partnerships for Prevention Research Group has identified characteristics of successful community based participatory research (CBPR) partnerships, factors that facilitate and impeded success, and strategies for building the capacity of communities, public health agencies and academic institutions to engage in CBPR. To address the continuing need for training and education for all partners that will enhance their capacity for CBPR that addresses priority health issues from the community’s perspective, the Prevention Research Group has developed the Curriculum Training Module on Building and Maintaining Effective Community-Institutional Partnerships for Prevention Research. This curriculum translates the group’s work into a series of short presentations using case studies and interactive exercises designed to trigger discussion and equip participants with strategies and tools for building and sustaining CBPR partnerships. This interactive skill-building workshop will use the curriculum units to guide participants in the key steps for initiating, developing and sustaining CBPR partnerships as well as the common challenges faced by such partnerships. Participants will also learn more about the CBPR partnership curriculum as well as how case studies of CBPR partnerships, focused on eliminating health disparities apply to their own experiences. C08 Utilizing Innovative Methods to Develop Interventions to Address Social Determinants of Health Disparities 4:15 p.m.- 5:15 p.m. Sydney Moderator Linda J. Redman, MPH Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker The influence of social, political, and cultural factors on physical activity among African Americans Cheryl M. Kelly, M.A., M.P.H. Saint Louis University Presenter/Speaker Engaging Older Adults to be More Active Where They Live: Audit Tool Development Melissa K. Kealey, M.P.H. University of California, Berkeley Center for Family and Community Health Presenter/Speaker What we see depends on where we stand: federal and local perspectives on health disparities Mary Kane Concept Systems, Inc This session will highlight innovative methods used to develop interventions addressing social determinants of health disparities. Partners of the Environmental Workgroup of the CDC Healthy Aging Research Network (HAN), for example, have designed and piloted an innovative instrument that focuses on the relationship between the built environment and physical activity in older adults. The instrument was designed to assess street-scale factors associated with physical activity across multiple settings. The presenter will describe the issues in the development of the instrument as well as the lessons learned from the pilot study that have implications for future research. The second panelist will explain that, to identify issues of highest priority, two conceptual frameworks (one state level and one federal level) were developed using a responsive mixed-methods stakeholder-based inquiry and examination model called concept mapping. Findings reinforced the belief that chronic illness and early death are strongly linked to institutional, social, and economic factors that must be recognized and addressed along with better quality of and access to prevention and treatment. The concluding presenter will describe how structured focus group techniques were used to explore the influence of social, political, physical, and cultural factors on physical activity among African Americans. The analysis of the focus groups identified some similar as well as unique challenges to participating in physical activities, including, but not limited to, lack of safety, decreased neighborhood cohesion, physical environment, and generational lifestyle changes. C09 The Basics of Plain Language: Learn How to Lift the Fog and Communicate Clearly 4:15 p.m.- 5:15 p.m. International A Moderator Sarah L. Gregory, B.A. Centers for Disease Control and Prevention Presenter/Speaker Sarah L. Gregory, B.A. Centers for Disease Control and Prevention Presenter/Speaker L. Dawn Satterfield, Ph.D., C.D.E. Centers for Disease Control and Prevention This hands-on workshop is for physicians, nurses, health educators, health communications specialists, agency chiefs, and others who want their vital public health messages to reach populations most in need. National experts on chronic disease and health literacy will describe the tools and strategies they use to improve readability. Participants will learn the value of tailoring messages for specific populations and designing messages that are grounded in the principles of health literacy. They will present specific examples to show participants how to use these strategies. Participants should bring materials that they would like to have critiqued. During the last half of the session, members of the CDC Plain Language Work Group will work with participants to critique these materials and suggest ways to improve readability. This will allow participants to appraise their own strengths and limitations in developing plain language materials, and to learn where and how to employ a professional for assistance, if needed. C10 Obesity Prevention and Control: Evidence-Based Research for Taking Off the Pounds 4:15 p.m.- 5:15 p.m. International 8 Moderator Leigh Ramsey, Ph.D. Centers for Disease Control and Prevention Presenter/Speaker Michele Reyes, Ph.D. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Roodly Archer, Ph.D. Centers for Disease Control and Prevention Presenter/Speaker Beth Tohill, Ph.D. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion The Guide to Community Preventive Services (Community Guide) of the U.S. Preventative Services Task Force will soon publish recommendations for preventing and controlling overweight and obesity for four intervention settings: 1) worksites, 2) schools, 3) medical care, and 4) communities. To complement the Community Guide activities, the Division of Nutrition, Physical Activity and Obesity (DNPAO) is translating these recommendations into specific products developed for each of the four intervention settings. This session will describe the following: • An example of a collaborative approach to a major public health problem and discussion about how participants might address preventive health needs in their communities. • The Community Guide’s systematic review process and how the U.S. Preventative Task Force issues recommendations. • DNPAO’s planned translation and dissemination activities. • Recommendations, activities, and promising practices in the Community Guide for obesity prevention and control in worksite and medical care settings. C11 Chronic Disease Indicators: Interactive Introduction to the New CDI Web Site and Application to State Programs 4:15 p.m.- 5:15 p.m. Picard/Chablis Moderator Paul Siegel, M.D., M.P.H., F.A.C.P.M. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Chris Maylahn, M.P.H. New York State Department of Health Presenter/Speaker Shannon K. Orr, B.A. Northrop Grumman Information Technology This session will present a demonstration of the new Chronic Disease Indicators (CDI) Web site. The panel will review the six categories of indicators in the CDI system. Representatives from states will discuss why CDI are useful to state programs, how states have applied CDI to sub-state areas, and how CDI has been used in other innovative ways. Participants will learn how to find state-specific data for one or more indicators, and how to make comparisons to other states and to U.S. national data. C12 More Evidence, More Action: Using Findings From the "Guide to Community Preventive Services" to Support Public Health Program and Policy 4:15 p.m.- 5:15 p.m. International 9 Moderator Peter A. Briss, MD, MPH Centers for Disease Control and Prevention Presenter/Speaker Jonathan E. Fielding, MD, MPH, MBA County of Los Angeles, Dept. of Health Services Presenter/Speaker Ross C. Brownson, Ph.D. Saint Louis University School of Public Health Presenter/Speaker George A. Mensah, M.D., F.A.C.P., F.A.C.C., F.E.S.C. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion The session will promote awareness of The Guide to Community Preventive Services (Community Guide) as a premier source of evidence-based recommendations on interventions to promote health and prevent chronic disease on topics such as diabetes, physical activity, oral health, and underlying sociocultural factors. The Guide can support program and policy decisions related to eliminating health disparities. The session will also promote awareness of efforts to translate findings into policy and practice including ways to address health disparities. Participants will learn of their potential role in translating findings into policy and practice. C13 Community and Business Strategies to Address Health Care Disparities 4:15 p.m.- 5:15 p.m. International 10 Moderator Abby C. Rosenthal, MPH Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Impacting Tobacco Dependence Treatment in Urban Dental Clinics Lucille Smith Voices of Detroit Incorporated Presenter/Speaker Addressing tobacco use disparities through clinic interventions Jodie Rudland, BA Alameda Health Corsortium Presenter/Speaker Coordinating with Business Health Coalitions around Chronic Disease Management Dorothy A. Jefferss, MBA, MSW, MA National Business Coalition on Health This session will illustrate community and business strategies to address health care disparities. One panelist will describe a community-based initiative to address tobacco-dependence treatment in low-income clinics. A representative from the National Business Coalition on Health will describe a diabetes initiative within a regional business health coalition and explain how to work with business health coalitions on chronic disease initiatives. A third presenter will describe a community organization initiative and how to use community organization techniques to reduce the availability of alcohol in Oakland, California. Town Hall Meeting 6:00 p.m.- 8:00 p.m. Marriott Ballroom D Moderator Elizabeth Cohen CNN Center Presenter/Speaker Julie Gerberding, M.D., M.P.H. Director, Centers for Disease Control and Prevention Presenter/Speaker Adewale Troutman, M.D., M.P.H. Louisville Metro Health Department Presenter/Speaker Barbara Major, B.A. St. Thomas Health Services, Inc. Presenter/Speaker Liany Elba Arroyo, M.P.H. National Council of La Raza Presenter/Speaker H. Van Dunn, MD, MPH Medical and Professional Affairs Presenter/Speaker Jonathan E. Fielding, M.D., M.P.H., M.B.A. County of Los Angeles, Department of Health Services Are you ready for an engaging debate on health disparities? Join in the conversation at our Town Hall Meeting as panelists - including Dr. H. Van Dunn, Senior Vice President and Chief Medical Officer for Medical and Professional Affairs for NY Health and Hospital Corporation; Dr. Jonathan Fielding, Director of Public Health and Health Officer for Los Angeles County; Liany Arroyo, Atlanta Program Office Director of National Council of La Raza; Dr. Adewale Troutman, Louisville, Ky., Metro Health Department Director; and Barbara Major, Executive Director of St. Thomas Health Services in New Orleans - square off. The night will kick off with an introduction from Dr. Julie Gerberding, Director of the CDC, as she sets the stage for the evening's discussion and shares CDC's perspective on the elimination of health disparities. As these leaders discuss differing viewpoints about the critical steps necessary to eliminate disparities, a lively discussion is sure to ensue. With a special consideration of the current public policy agenda and its relationship to health disparities, audience members will interact with the speakers, asking questions and offering contrary opinions. Moderated by Elizabeth Cohen, medical correspondent for CNN's health and medical unit, the Town Hall Meeting is sure to make for a memorable evening. Wednesday, March 2, 2005 6:30 a.m. - 7:30 a.m. Start the Day with Healthy Activities - Fun Exercise Routine 7:00 a.m.- 5:30 p.m. Registration Marquis Registration Booth 8:30 a.m.- 9:45 p.m. Welcome and Plenary Presentation 9:45 a.m.- 10:15 a.m. Exhibit Break and Refreshments International Ballroom - Poster Session with the Authors Exhibit Level 10:15 a.m.- 12:00 p.m. CDD Awards and Plenary Presentation 12:00 noon- 1:30 p.m. Lunch on Your Own/Networking Exhibits Open 12:00 noon- 1:30 p.m. Gold Medal Mile - Centennial Olympic Park 1:30 a.m.- 2:30 p.m. Concurrent Sessions 2:30 p.m.- 3:00 p.m. Exhibit Break and Refreshments International Ballroom – Poster Session with the Authors Exhibit Level 3:000 a.m.- 4:00 p.m. Concurrent Sessions 4:15 a.m.- 5:15 p.m. Concurrent Sessions 6:00 p.m. - 8:00 p.m. Gala Networking Reception - Atlanta Mart Wednesday, March 2, 2005 Welcome Remarks 8:30 a.m.- 8:45 a.m. Marriott Ballroom Presenter/Speaker Julie A. Harvill, MPA, MPH Illinois Department of Public Health Plenary Presentation Access and Other Challenges 8:45 a.m.- 9:45 a.m. Marriott Ballroom Presenter/Speaker Dean Ornish, M.D. Preventive Medicine Research Institute Presenter/Speaker Andrew Agwunobi, M.D., M.B.A. Grady Health System As president and chief executive officer of Grady Health System in Atlanta, the largest public hospital-based health system in the Southeast, Dr. Andrew Agwunobi is familiar with the challenges of ensuring uninsured and underinsured patients receive equal treatment in a health care setting. What can health care providers do to help eliminate disparities in care? How can we better educate health care providers about health care inequities? How can we bridge the gap between individuals at risk and health care providers? Dr. Agwunobi will take attendees through a series of alternatives and more rigorous approaches to address the issues of access and quality of care, including methods for educating health care providers about health disparities. CDD Awards Plenary 10:15 a.m.- 10:30 a.m. Marriott Ballroom The Joseph W. Cullen Award for Outstanding Contributions to Chronic Disease Prevention and Control is given to an individual outside the traditional public health field who has made outstanding contributions in the field of chronic disease. Julie Harvill of the Illinois Department of Public Health will present the award, which honors the memory of Joseph W. Cullen, Ph.D. Dr. Cullen served as Deputy Director of the National Cancer Institute's Division of Cancer Prevention and Control and is known as the architect of the National Cancer Institute's Smoking and Tobacco Control Program. This year's recipient is Dr. David Kessler, Dean of the University of California San Francisco School of Medicine. While serving as Commissioner of the FDA, he began looking into the regulation of nicotine as a drug and was instrumental in convincing President Clinton to enact tough federal regulation of tobacco. He had the courage to take on the tobacco industry at a time when everyone said it was impossible. In addition to spearheading the FDA regulation of tobacco, Dr. Kessler is credited for much of the groundwork for the Attorney General lawsuits against the tobacco industry that resulted in billions of dollars being awarded to states with some funds used for tobacco prevention. The Legislator of the Year Award is given to a legislative champion who has substantially assisted in the advancement of the association's goals by introducing or supporting legislation or amendments, including appropriation legislation, that reduce the chronic disease burden. Mayor Michael Bloomberg of New York City strongly supported a 100 percent smoke-free ordinance for the most populous city in the United States. Mayor Bloomberg ignored political opposition and did what was right for public health. As a result of his efforts, secondhand smoke exposure was reduced for millions of citizens. Plenary Panel Presentation: CHALLENGES 10:30 a.m.- 12:00 noon Marriott Ballroom Moderator Mehmet C. Oz, M.D., F.A.C.S. Columbia University College of Physicians and Surgeons Presenter/Speaker Sheldon Greenfield, M.D. University of California Irvine Presenter/Speaker Kimberlydawn Wisdom, M.D. Michigan Department of Community Health Presenter/Speaker Dr. Michael Montijo Senior Vice President for Government Operations at American Healthways Presenter/Speaker Maxine L. Golub The Institute for Urban Family Health Featuring Sheldon Greenfield, Chair of the Institute of Medicine’s Unequal Treatment Report; Kimberlydawn Wisdom, first state level Surgeon General from Michigan; and Maxine Golub, Senior Vice President of the Institute for Urban Family Health, this panel will grapple with the tough issues facing public health professionals today, including the benefits of building partnerships and coalitions to address access and quality issues that influence health care disparities. Along with moderator Mehmet Oz, M.D., of Columbia University, these dynamic leaders will focus on the development and implementation of multilevel strategies to address racial and ethnic disparities in health. With panelists from various levels of the public and private sectors, attendees will gain insight into aspects of community action and programs at all levels. D01 Focusing on New Partners: Moving Toward Fairness and Equity 1:30 p.m.- 2:30 p.m. Bonn Moderator Sherri L. Payton, B.S. North Dakota Department of Health Presenter/Speaker NIKE GO Sarah Martin, M.P.H. CDC Presenter/Speaker Developing Partnerships to Address Chronic Disease in the Pacific Islands Raubane Kirimaua, Ph.D., M.P.H. Pasifika Health Reform Ministry- Health for All, Inc. Presenter/Speaker California's Eric Mandell, B.S. California Department of Health Services A panel of presenters will discuss the pivotal issues that brought them together with a new partner. Participants will gain an understanding of the creativity necessary to develop innovative partnerships. Presenters will convey the advantages, disadvantages, and ongoing challenges they face in developing and maintaining innovative relationships. Participants will learn how to identify non-traditional partners to reach specific, disparate populations. Focus will be given to illustrating the techniques panelists have used to maintain long-term partnerships. D02 Communication and Community 1:30 p.m.- 2:30 p.m. Champagne Moderator Lorraine Adams, BA NCPHI Presenter/Speaker Ricardo Wray, PhD Saint Louis University School of Public Health Presenter/Speaker Arturo Vasquez Hispanic Radio Network A scholar from one of the nation's schools of public health will present current research and critical thinking on how communication initiatives complement community-based health promotion programs. A health advocacy group's efforts to foster public-private partnerships between local businesses and community-based organizations will be discussed. And, an executive from one of the nation's leading producers and distributors of Spanish-language informational and educational programming for radio will discuss turnkey approaches to health promotion and experiences with community special events and issue mobilization campaigns. D03 Using Surveillance and Technology to Confront Public Health Challenges Along the U.S.-Mexico Border 1:30 p.m.- 2:30 p.m. Picard/Chablis Moderator Connie L Kohler, MA, DrPH UAB Center for Health Promotion Presenter/Speaker The Brownsville-Matamoros Sister City Project for Women's Health Jill McDonald, Ph.D., Centers for Disease Control and Prevention Presenter/Speaker Setting the Stage: Public Health Challenges Faced by Residents of the US-Mexico Border Carmen Sanchez-Vargas, M.D., M.O.H., M.P.H. Centers for Disease Control and Prevention Presenter/Speaker Introduction to GIS and a Real World Application: Examining Obesity along the US-Mexico Border Candace Rutt, Ph.D. Centers for Disease Control and Prevention Surveillance of behavioral risk factors is an important tool to monitor the distribution over time of behaviors that contribute to chronic disease conditions. This fact is particularly important in the United States-Mexico border region, given the dynamics of a resident population that frequently crosses over in both directions for health care, work, and social reasons. Presenters will describe the prevalence of poor diet, overweight, and lack of physical activity that are reaching epidemic proportions among residents of the border region. Establishing a border-wide chronic disease behavioral risk factor surveillance system that collects uniform data from residents living on both sides of the U.S.-Mexico border will help to identify behaviors that can be targeted with the most appropriate chronic disease prevention strategies. This session will describe the challenges surveyors have had in developing a border-wide surveillance system.This session also will outline two efforts currently underway to gather relevant data: 1) “The Brownsville-Matamoros Sister City Project for Women’s Health.” This pilot project is designed to collect data from women who give birth to live-born infants in a hospital setting. Data collected through this project will encompass issues related to risk factors for adolescent pregnancy, infant mortality, and gestational diabetes, as well as information on physical activities, dietary practices, cervical cancer screening, and knowledge of HIV transmission and prevention. 2) In the “Introduction to GIS and a Real-World Application: Examining Obesity along the U.S.-Mexico Border,” participants will learn how a geographical information system (GIS) can be used effectively to examine the spread of obesity in the U.S.-Mexico border region. D04 Minority Women’s Participation in Cancer Screening 1:30 p.m.- 2:30 p.m. Rhine/Savoy Moderator Marsha B Henderson, M.C.R.P. FDA/Office of Women's Health Presenter/Speaker National Breast and Cervical Cancer Early Detection Program: 1991-2002 National Report A. Blythe Ryerson, M.P.H. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Can Presenter/Speaker Taking Care of Yourself: Factors Influencing African American Women's Participation in Breast Cancer Screening Cobie Whitten, Ph.D. Washington State Department of Health Washington Breast & Cervical Health Program Presenter/Speaker Taking Care of Yourself: Factors Influencing African American Women's Participation in Breast Cancer Screening Ellen Phillips-Angeles, M.S. Public Health-Seattle & King County Women's Health Unit This special session, on minority women’s participation in cancer screening, provides summaries of the Washington Breast and Cervical Health Program (WBCHP) and the 1991–2002 National Report on the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). Participants will learn that the WBCHP, whose goal is to reduce breast and cervical cancer morbidity and mortality among uninsured women with limited incomes, was the first study to identify barriers and beliefs of women who decided not to have a mammogram. Presenters will shed light on assumptions of breast cancer screening programs and the results of the study, which refuted such assumptions. Then, participants will learn about the National Report on the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which is one of the largest efforts in chronic disease prevention and control ever undertaken by a federal government agency. Presenters will summarize the organization, history, and future direction of the NBCCEDP as well as the screening and diagnostic outcomes for breast and cervical cancer in the NBCCEDP. D05 National Strategies to Identify and Disseminate Evidenced-Based Programs 1:30 p.m.- 2:30 p.m. Consulate Moderator Julie A. Marshall, PhD Rocky Mountain Prevention Research Center, University of Colorado Health Sciences Center Presenter/Speaker Challenges in Disseminating Evidence-Based Programs to Eliminate Disparities: A Multi-Issue Roadmap Cynthia Vinson, M.P.A. National Cancer Institute Cancer Control and Population Studies Presenter/Speaker Selecting Best Practices for Disparities Interventions in the National Healthcare Disparities Reports Karen K. Ho Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety National Healthcare Disparities Report This panel presentation will describe efforts to identify and disseminate evidence-based best practices for eliminating health disparities and reducing the burden of disease. The National Healthcare Disparities Report (NHDR), for example, provides an assessment of disparities in health care among racial, ethnic, and socioeconomic groups in the general U.S. population. The report also is used to highlight selected programs and interventions that have been successful at reducing health care disparities. Participants will learn about the goals of the NHDR, how the report can be used to inform policy and interventions, and the role of best practices in the report. Following that, participants will learn of the “Strategic Plan to Reduce Health Disparities,” a report from the National Cancer Institute (NCI) that seeks to understand the causes of health disparities in cancer and to develop effective interventions to eliminate these disparities. The presenter will share what NCI and its partners have learned about barriers to disseminating evidence-based interventions to reduce cancer disparities as well as ways to address barriers and create new models for dissemination by linking dissemination methods to issues and factors of greatest needs. Ultimately, participants should be able to relate the priorities that were identified in each NCI investigation to their own knowledge of priorities in reducing disparities. D06 Naming and Measuring Racism to Address Health Disparities 1:30 p.m.- 2:30 p.m. Sydney Moderator Camara P. Jones, M.D., M.P.H., Ph.D. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Camara P. Jones, M.D., M.P.H., Ph.D. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion This session will present the work of the Measures of Racism Working Group in developing two types of measures of racism. Analyses of data from the “Reactions to Race” module that was piloted on the 2002 Behavioral Risk Factor Surveillance System by six states (California, Delaware, Florida, New Hampshire, New Mexico, and North Carolina) will be presented. Data was helpful in identifying racism as a system of structuring opportunity and assigning value based on the social interpretation of how we look (which is what we call “race”). Interesting results include the relationship between responses to “How often do you think about your race?” and general health status, the relationships between self-identified and socially-assigned “race” and their roles as predictors of health status, and variations in “race” consciousness by “race” and state. In addition, early work on the development of qualitative measures of institutionalized racism, which allow identification of targets for intervention, will be shared. D07 Access and Quality: Chronic Disease Management and America's Health Centers 1:30 p.m.- 2:30 p.m. Stockholm Moderator Suzanne L. Feetham, Ph.D., R.N. Health Resources and Services Administration Presenter/Speaker Suzanne L. Feetham, Ph.D., R.N. Health Resources and Services Administration Presenter/Speaker Sam Shekar, M.D., M.P.H. Health Resources and Services Administration Presenter/Speaker Beechra Chouvair, M.D. Crusader Central Clinic Association Presenter/Speaker Ann Lewis, M.B.A. Care South Carolina, Inc. The federal health center program provides primary health care access for populations not currently being served and penetrating deeper into currently underserved populations. Chronic disease is an important and growing cost driver for health centers. Between 1998-2003, encounters for diabetes grew at a 57% rate, up from 1.4 million to 2.2 million. Similarly, hypertension encounters grew 42%, up from 1.9 million to 2.7 million. The burden of these conditions on health centers and the nation will only increase as the prevalence of obesity and diabetes increase in pediatric and young adult populations, especially among populations traditionally served by health centers – the poor and racial and ethnic population. The health center program model provides access to quality, culturally competent primary health care with no disparities due to race, ethnicity, income, and insurance status. In this session, components of this model are described including the Federal 330 model of an integrated health delivery system for comprehensive community based primary health care and the Health Disparities Collaboratives model for system change for quality improvement. Health centers are targeting chronic illnesses such as asthma, cardiovascular disease, and diabetes, assuring delivery of evidence-based health care, and actively helping patients and families to participate in their own care. This approach, coupled with a strong prevention component, is improving the health status outcomes for people served in health centers and is helping to close the health disparities gap between this population and the general population. HRSA’s Bureau of Primary Health Care will present national outcome data on chronic care management, and representatives from Federally Qualified Health Centers will present the application of local and state data. Recommendations for application of this model in other primary health care systems will be presented. D08 Public Health's Role in Implementing Health Care Systems Change to Improve Quality of Care 1:30 p.m.- 2:30 p.m. International 8 Moderator Belinda Minta, M.P.H. Centers for Disease Control and Prevention Presenter/Speaker Jan Norman, R.D., C.D.E. Washington State Department of Health Presenter/Speaker Linda Faulkner Arkansas Department of Health Presenter/Speaker Susan Chappell Witt North Carolina Department of Health & Human Services Multiple approaches exist and are being employed to bring about systemic changes within hospitals, community health centers, health plans, and provider practice settings to improve quality of care. The Chronic Care Model, for example, has been used within health care systems to improve the quality of care and overall management of cardiovascular disease, diabetes, cancer, and depression. During the session, presenters will describe the role of and opportunities for public health to develop and implement quality improvement strategies and interventions within health settings. Exemplary state programs will describe the role they have played in facilitating the adoption and implementation of the model within and across systems. The session will address strategies that state heart disease and stroke prevention programs can utilize to identify and develop partnerships, garner support and buy-in, and facilitate the adoption of the model. Particular focus will be given to explaining the components of the Chronic Care Model and how it can drive policy and systems changes within health settings and via the collaborative. D09 Reaching Out to Diverse Populations to Promote Wellness in the Workplace 1:30 p.m.- 2:30 p.m. Magnolia Moderator Pamela Allweiss, M.D., M.P.H. Centers for Disease Control and Prevention Presenter/Speaker Pamela Allweiss, M.D., M.P.H. Centers for Disease Control and Prevention Presenter/Speaker Sabrina Harper, M.S. Centers for Disease Control and Prevention Presenter/Speaker Betsy Rodriguez, M.S.N., C.D.E. Centers for Disease Control and Prevention The National Diabetes Education Program, a joint project of the CDC and NIH, has several workgroups addressing the needs of diverse populations, including the African American Workgroup, Latino Hispanic Workgroup, and the Business and Managed Care Workgroup (BMC). The BMC has developed tools for the business community to “take on diabetes." The BMC is now building bridges with other workgroups, starting with the Latino Hispanic Workgroup, to develop tools and partnerships to reach special populations at the work site to promote wellness. These activities include translation of the lesson plans and other tools at diabetesatwork.org into Spanish and reaching out to Latino Hispanic businesses to develop conferences and lunch and learns. Other programs will be developed with the other workgroups as well. D10 Florida's Public Health Response in the Face of Five Natural Disasters: Challenges for our Disparate Populations in Times of Disaster Everyone Becomes Disparate 1:30 p.m.- 2:30 p.m. International C Moderator Jennie A. Hefelfinger, MS Florida Department of Health Presenter/Speaker Jennie A. Hefelfinger, MS Florida Department of Health This session will address the challenges Florida’s disparate population faces in times of natural disaster. Presenters will discuss the major impact of natural disaster on that population. In the face of five natural disasters, Florida’s public health system identified the special needs of its disparate population during those challenging times. This session will focus on defining the public health infrastructure needed when facing natural disasters. D11 Defining Race and Ethnicity: Legal and Practical Implications 1:30 p.m.- 2:30 p.m. International 9 Moderator Philip Huang, M.D., M.P.H. Texas State Department of Health Presenter/Speaker Defining race and ethnicity John Lumpkin, M.D., M.P.H. Robert Wood Johnson Foundation The concepts of race and ethnicity are at the core of health disparities; however, these concepts are poorly defined and are not used consistently throughout the literature on health disparities. This presentation will seek to add clarity to the current definitions of race and ethnicity in the context of health disparities. Presenters will distinguish between race and ethnicity, share clear definitions of race and ethnicity, and highlight the legal implications of each definition. Participants will be keenly aware of the practical implications of using race and ethnicity when reporting health disparities. D12 Does Equal Access Solve the Problem? 1:30 p.m.- 2:30 p.m. International 10 Moderator Earl W. Schurman Maryland Department of Health and Mental Hygiene Presenter/Speaker Does Equal Access Solve the Problem? Marilyn H. Sitaker, M.P.H. Washington State Department of Health Using a point/counterpoint format, this presentation will provide differing views on the ability of equal access to health care to solve health disparities challenges. Through an interactive session, participants will engage in a discussion about the obvious challenges to access: Availability of resources; geographic proximity; ability to pay; coverage; and transportation; as well as other, less apparent factors: language and cultural appropriateness, among others. Additionally, participants will learn about findings from studies that question whether lack of access to care is the primary reason health disparities exist. Particular focus will be given to defining equal access and other high-impact issues. D13 Strengthening the Relationship Between Academia and the Community 1:30 p.m.- 2:30 p.m. International B Moderator Elizabeth Baker, Ph.D., M.P.H. Saint Louis University School of Public Health Presenter/Speaker Yvonne Lewis, B.B.A., B.S. Faith Access to Community Economic Development (FACED) Community members are often at the forefront of understanding and action when it comes to addressing social determinants of health inequities. This workshop will enable community members to share with each other and health practitioners/academics the specific strategies they have found useful in working with academics and practitioners to move the health agenda to focus on these critical areas. D14 The African American Collaborative Obesity Research Network: A Potential Strategy for Reaching the Deep Structure Underlying the Obesity Problem in African American Communities 1:30 p.m.- 2:30 p.m. International A Moderator Emma Green, M.P.H. National Association of County and City Health Officials Presenter/Speaker Shiriki K. Kumanyika, Ph.D., M.P.H. University of Pennsylvania School of Medicine Presenter/Speaker Tiffany L. Gary, Ph.D. Johns Hopkins University Bloomberg School of Public Health Presenter/Speaker T. Elaine Prewitt, Dr.P.H. University of Arkansas for Medical Sciences College of Public Health Translating the concept of social determinants of health equity into effective strategies to address chronic disease issues can seem daunting. Obesity is one of the most significant chronic disease problems facing our nation, and the burden of obesity is particularly high in African American communities. This session will feature a speaker from the African American Collaborative Obesity Research Network (AACORN). AACORN was formed in 2002 to stimulate and support greater participation in obesity research by investigators who have social and cultural grounding in African American life experiences, bringing together 11 African American researchers from 10 different universities or research centers around a common vision of “healthy weight, freedom from obesity-related health problems, and high quality of life for African American youth, adults, and elders.” Informed by a review of the broader obesity research agenda nationally, and on a workshop involving diverse researchers and research collaborators as well as CDC staff, AACORN is developing novel research approaches that may lead to creative programming applicable to addressing obesity and related chronic diseases in African American communities. The session will highlight innovative approaches to research development, including the use of nontraditional data to develop program designs (e.g. reviewing literary and historical works)as well as examining cultural and family structure and how they play a role in obesity in African Americans. Focus will be given to the value of delving deeper than current literature to address the underlying structure of the obesity epidemic. E01 Challenges to Fairness and Equity, and What We Can Do About Them: Partners for Equitable Access to Health Care for Populations With Special Needs 3:00 p.m.- 4:00 p.m. Champagne Moderator Carol Steiner, R.N., M.N. Department of Human Resources, GA Presenter/Speaker American Association on Health and Disability Vera Kurlantzick, M.S. American Association on Health and Disability Presenter/Speaker Disability and Health Program in South Carolina Suzanne McDermott, Ph.D. Department of Family and Preventive Medicine USC School of Medicine A panel of presenters will discuss physical and mental disabilities and how cross-system partnerships expand our ability to address resulting inequity challenges. Building on the example of disabilities, the panel will introduce several concepts about cross-system partnerships that can be used with other special populations. Participants will hear real examples of cross-system partnerships that have been successful in meeting the prevention and treatment needs of this population and the factors they have in common. Special focus will be given to discussing the challenges cross-system partnerships still face in meeting these needs. E02 Inequities in Health for Rural Populations: Can Policy Make a Difference? 3:00 p.m.- 4:00 p.m. Picard/Chablis Moderator Kathleen Nolan, M.P.H. National Governor's Association Presenter/Speaker Rural Health Keith Mueller, Ph.D. RUPRI Center for Rural Health Policy Analysis By expanding the understanding of the policy issues that impact health care access and prevention efforts aimed at a rural population, this session will begin to build a picture of change that will move chronic disease policy beyond an urban focus. This session will address barriers to changing the status of health disparities in rural and remote populations. Focusing on policy challenges that impact rural populations, the presenter also will address American Indian/Alaska Native populations. E03 Are Social Marketing Approaches Positively Changing Knowledge and Behavior? 3:00 p.m.- 4:00 p.m. Consulate Moderator Renee Brown-Bryant, MSW DRH/NCCDPHP Presenter/Speaker Moving People to Move: Mid-point Results of the Walk the Ozarks to Wellness Project Nikki M. Caito, M.P.H., M.S., R.D., L.D. Saint Louis University School of Public Health Presenter/Speaker Reaching Spanish-speaking Hispanic women to prevent birth defects by promoting folic acid Christine E. Prue, Ph.D. Centers for Disease Control and Prevention National Center on Birth Defects and Developmental Disabilities Presenter/Speaker Huesos Fuertes, Familia Saludable (Strong Bones, Healthy Family): Improving Bone Health Among Latino Mothers Nestor Martinez, MPH, RD California Project LEAN Presenters on this panel will showcase efforts to use social marketing to increase knowledge, and ultimately change behavior, among high-risk and underserved populations. In six rural underserved communities in Missouri’s Ozark region, the "Walk the Ozarks to Wellness" Project uses tailored newsletters to increase walking among low-income, overweight, rural Missourians who have or are at risk for becoming overweight and diabetic. Although they are still in the process of conducting a five-year longitudinal study of walking, there are variables that significantly improved at the mid-point analysis of the program. They also have realized the impact that tailored newsletters, as part of a multicomponent intervention, can have on increasing awareness and knowledge about the role of exercise in decreasing the risk of obesity and diabetes in high-risk populations. Another multiyear evaluation was of a Spanish-language communication campaign, aimed at increasing folic acid awareness, knowledge, and consumption among 18 to 35 year-old Spanish-speaking Hispanic women for the prevention of neural tube birth defects. The presenter will share the results of the evaluation, as well as lessons learned in conducting process and outcome evaluation of communication campaigns. The third project, also aimed at Spanish-speaking women was the implementation and evaluation of Huesos Fuertes, Familia Saludable (Strong Bones, Healthy Family) social marketing intervention in four Latino-dominant communities in California. The presenter will share bone health intervention strategies for reaching this population and lessons learned from implementing and evaluating the project. E04 Increasing Cancer Screening Rates Among Diverse Populations 3:00 p.m.- 4:00 p.m. Magnolia Moderator Mary C. White, ScD, MPH Epi & Applied Research Br/DCPC/CDC Presenter/Speaker Increasing Colorectal Cancer Screening Rates among African Americans: Varying approaches in community and clinical settings Selina A. Smith, M.S., Ph.D. Morehouse School of Medicine Department of Community Health & Preventive Medicine Prevenition Research Center Presenter/Speaker Colorectal Cancer Screening among Latinos from U.S. Cities along the Texas-Mexico Border: A Qualitative Study Maria E. Fernandez, Ph.D. University of Texas Health Science Center at Houston Center for Health Promotion and Prevention Research School of Public Health Presenter/Speaker Colorectal Cancer Screening among Minorities in Florida Zhaohui Fan, MD, MPH Florida Department of Health Bureau of Epidemiology Chronic Disease Epidemiology Surveillance and Evaluation Section Each member of this panel will describe efforts for increasing colorectal cancer screening among diverse populations. To begin, participants will hear about a study that assesses factors that influenced colorectal cancer screening among low-income Latinos living along the Texas–Mexico border. Four focus groups with low-income Latino men and women were conducted to identify demographic, psychosocial, and cultural factors potentially related to colorectal cancer screening. A summary of the results from these focus groups, including barriers to colorectal screening as well as priority areas for research, will be shared. The next presenter will discuss the analysis of the 2002 Florida County Behavioral Risk Factor Surveillance System (BRFSS) data to identify the prevalence of colorectal cancer screening among adults aged 50 years and older. Participants will learn of the racial disparities in colorectal cancer screening among Floridians that this analysis exposed as well as the factors that were associated with this data. In conclusion, the purpose of the third study was to examine three methods of education and their effects on the knowledge, attitudes, and beliefs of African Americans regarding colorectal cancer screening and whether reducing the financial barrier would increase screening rates. The study results suggest strategies for marketing and increasing participation in intervention trials among the African American population. E05 The Benefits of Culturally Competent Care – Three Diverse Examples 3:00 p.m.- 4:00 p.m. Stockholm Moderator Parul D. Nanavati, MPH CDC Presenter/Speaker Out on the Prairie: Homophobia, Heterosexism, and Oblivious Disregard-Rural Health Hazards Sherri L. Paxon, B.S. North Dakota Department of Health Division of Chronic Disease Presenter/Speaker Investigating Unrecognized Risk of the Metabolic Syndrome in African-American Women: The Role of Psychological Factors Daphne P. Ferdinand, Ph.D., A.P.R.N. Southern University and A&M College School of Nursing Office of Research Presenter/Speaker Public Health Villains or Good Guys: Do we know the difference? Barbara A. Yamashita, M.S.W. Hawaii State Department of Health Community Health Division Through three diverse examples, participants will enjoy an opportunity to learn of the benefits of culturally competent care. The first project determined associations between psychological factors of self-concept, self-efficacy, and stress, and the metabolic syndrome in obese African American women. Researchers were able to describe culturally specific psychological factors that influence risk for diabetes and coronary heart disease as well as identify recommendations to public health care providers to improve early identification and treatment of the metabolic syndrome in African American women. The second project, set in Hawaii, found that epidemiological data on the chronic disease burden clearly demonstrates consistent and increasing health disparities, particularly of those with low incomes and/or low education and those in rural areas. In response, the health department conducted a series of focus group discussions with representatives of these groups. Feedback suggests that changes in the methodology of prevention programs, health research, and evaluation are needed. Participants will learn what the health department is doing to create these suggested system changes. Health disparities for the Lesbian, Gay, Bisexual, and Transgender (LGBT) population exist and homophobia, heterosexism, and oblivious disregard impact the issues both for the patient and the provider. Participants will learn about these disparities and about a survey of health services for LGBT individuals in North Dakota that adds validity to provider training sessions to heighten awareness of health disparities. This training is needed before solutions can be implemented and “buy-in” occurs. E06 Improving Health and Reducing Costs: Modeling Changes in Health Systems 3:00 p.m.- 4:00 p.m. International A Moderator Sharon K West, BSN MIssion Hospital's Presenter/Speaker Keeping ME Healthy: The Maine Youth Overweight Collaborative Joan Orr, B.A., C.H.E.S. Maine Center for Public Health Presenter/Speaker Lessons Learned in Miami in Complex Care Delivery, Disease Management and Navigation with Underserved Populations Margaret McLoughlin, R.N., J.D. Jackson Health System Community Access Program of Miami-Dade County Presenter/Speaker Inequities in Access to "Best Medicines": Role of Public Health in Fight Against Health Disparities Katharina A. Kovacs Burns, M.Sc., M.H.S.A., Ph.D. University of Alberta Faculty of Nursing Members of this panel will describe efforts to improve health, prevent inequities and health disparities, and reduce costs by assessing health systems and identifying promising changes. Based on a literature and news review of Canadian and American health care systems and public policies that specifically focus on addressing drug choices, coverage, and other access issues, researchers identified inequities leading to health disparities and opportunities for public health to play a key role in influencing policy decisions and health system inadequacies. Another panelist will convey lessons learned from three years of a coordinated program of disease management and health navigators in a Florida community with high numbers of uninsured, underserved populations. Mechanisms of coordination that have proven successful for the Community Access Program (CAP), a large collaborative in Miami, will be identified. Next, participants will be briefed on the Maine Youth Overweight Collaborative, which used the “Breakthrough Series Collaborative” to address the documented need for provider intervention tools and practice protocols. The presenter will describe the key components of the model used in the collaborative and the key measures used to evaluate its success. E07 Minority Health Surveys and Minority Participation in Health Surveys 3:00 p.m.- 4:00 p.m. Sydney Moderator Loria Pollack, MD, MPH CDC/NCCDPDH/ Div. of Cancer Prevention and Control Presenter/Speaker Assessing Health Disparities: Results of the Oklahoma Minority Health Survey Janis E. Campbell, Ph.D. Oklahoma State Department of Health Chronic Disease Service Presenter/Speaker Race, Ethnicity, and Linguistic Isolation as Determinants of Participation in Public Health Surveillance Surveys Michael W. Link, Ph.D. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion In order to plan, implement, and evaluate programs designed to eliminate health disparities among racial and ethnic minority populations, public health officials and researchers require valid and reliable public health surveillance data. This session presents two cases that evaluated the assessment of health disparities of minority populations. The first case studied monthly public health surveillance data collected by the Behavioral Risk Factor Surveillance System (BRFSS) in 2003. The presenters found that areas with higher percentages of African Americans, Hispanics, and those who do not speak English were significantly less likely to participate in public health surveillance. In response, the BRFSS is investigating two alternatives for reaching these underrepresented groups. The second case illustrates how a statewide minority telephone health survey was implemented among racial/ethnic minority adult populations in order to obtain a larger sample from these groups than the standard BRFSS. Presenters will explain how to conduct a successful statewide minority health survey that provides critical evidence-based data on racial/ethnic disparities regarding health status, access to care, and behavioral risk factors. E08 Smoking Cessation Programs and State Smoking Reductions 3:00 p.m.- 4:00 p.m. International B Moderator LaTisha L Marshall, MPH Centers for Disease Control and Prevention/Office on Smoking and Health Presenter/Speaker Trying to Quit: Low income smokers' access to cessation care in a managed care environment Millicent Fleming-Moran, Ph.D. Indiana University Department of Applied Health Science Presenter/Speaker Success Stories! California and New York Reduced Smoking and Health Disparities Bruce Leistikow, M.D., M.S. University of California, Davis School of Medicine Department of Public Health Sciences Presenter/Speaker Socioeconomic disparities in smoking and recent quitting in Maine: individual and town level predictors Nancy Sonnenfeld, Ph.D. RTI International Disease Control and Registries Program Survey Research Division This session highlights three projects assessing the efforts of smoking cessation and state smoking reduction programs. In one project, researchers determined the proportion of current smokers in a primary care provider (PCP), managed care, safety net insurance program having access to at least one cessation advisement visit in the previous year. The presenter will share the findings of this study, as well how the data may assist efforts to target patients in need of smoking cessation intervention. In Maine and other states, comprehensive programs, which include local community mobilization components, have been implemented to prevent tobacco use. Even so, state health departments rarely have sufficient data to provide community-specific statistics. The presenter will illustrate that characteristics of the area must be taken into account in tobacco prevention programs and individual risk factors associated with smoking must be delineated. The third project was an assessment of the associations between U.S. health inequities and both smoke exposure and state smoking reductions. The participants will learn of ways to measure smoke effects on health disparities. E09 Training Community Members as Health Workers to Reach the Underserved 3:00 p.m.- 4:00 p.m. International 8 Moderator Janisa L Clayton, NCCDPHP/Division of Diabetes Presenter/Speaker A community-based partnership to address barriers to physical activity in an African American community Marcus Plescia, M.D., M.P.H. North Carolina Department of Health and Human Services Division of Public Health Presenter/Speaker Public housing residents are catalysts to enhanced public health promotion and community linkages Erin E. Gray, MPH Boston University Partners in Health and Housing Prevention Research Center School of Public Health Presenter/Speaker Developing a Rural Health Promotion Specialist Program to Provide Preventive Health Care to the Medically Indigent Joy Maltese, R.N. District 4 Health Services This session focuses on using community members to promote preventative health care in underserved regions. The first segment will use the Troup and Heard counties of West Georgia as an example of how community health workers were recruited and trained. In this setting, where hypertension was problematic, community health workers were recruited, received one day of training, and were successful in convincing individuals to resume their prescribed medication regiment. Participants then will be exposed to different ways in which trained community health workers can effectively promote positive health initiatives within their neighborhoods. The Boston Housing Authority study will be used to demonstrate specific examples of how resident health advocates were able to establish improved health within a housing development and introduce residents to under-used health services available to them in that setting. To conclude the session, participants will be introduced to a partnership between a community coalition, lay health advisors, and a local branch of the YMCA and the three different ways in which the efficacy of using community health workers was assessed. The presenter will describe how follow-up studies from the CDC’s REACH 2010 project displayed improved health for citizens of communities where community health workers were utilized as tools for promoting preventative health. E10 Culture Influences on Health 3:00 p.m.- 4:00 p.m. International 9 Moderator Jennifer X. Hartfield, MPH, BS Morehouse School of Medicine Presenter/Speaker Fruit and Vegetable Consumption Among African American Women: Do Cultural Characteristics Help Identify Sub-Groups With Greater and Lesser Consumption Ajlina Karamehic, MA, PhD Saint Louis University School of Public Health Presenter/Speaker Reducing the Risk of Obesity in Latino Children Andra Opalinski, RN-MSN, PNP University of Colorado Health Sciences Center School of Nursing Presenter/Speaker The Use of Cultural Competency Training to Begin Chronic Disease Program Integration Eric Weiskopf, Med. New York State Department of Health Diabetes Prevention and Control Program Before changes in health disparities are achieved, public health practitioners need to understand how culture influences not only the populations they serve, but themselves as well. Toward that end, the first presenter will describe replicable one-day trainings in cultural competency that can be used for local and state partners as a first step in eliminating disparities. Participants will learn how to use the template to implement trainings in their communities as well as how chronic disease programs can collaborate on training efforts. Then participants will learn of a study that was conducted to identify cultural beliefs and practices of Latino families regarding causes of childhood obesity. The study identified factors that contributed to overweight in Latino children as well as suggestions for interventions and further investigation. The third presenter will reinforce the importance of cultural variables in influencing health behaviors. The study explored whether and how four cultural variables — collectivism, racial pride, religiosity, and time orientation — contribute to identifying subgroups of African American women who differ in their level of daily fruit and vegetable consumption. The results indicated that psychosocial and cultural characteristics distinguished subgroups of these women. Information on cultural variables can help improve public health programs designed to influence health behaviors. E11 Ways of Bringing About Change in Social Determinants of Health Inequities (Part One) 3:00 p.m.- 4:00 p.m. Bonn Moderator Constance Mols Bayles, PhD University of Pittsburgh Graduate School of Public Health Department of Epidemiology Center for Healthy Aging Presenter/Speaker Health Perceptions and Knowledge of Healthy Choices among Adult Mexican Americans with Intellectual Disabilities Janine Jurkowski, M.P.H., Ph.D. University at Albany School of Public Health Health Policy, Management & Behavior Presenter/Speaker Education and Negative Affect as Prospective Factors in Hypertension Disparities Between White and Black Women Bruce S. Jonas, Sc.M., Ph.D. Centers for Disease Control and Prevention Presenter/Speaker Lessons Learned From the Field: Faith-Based Breast and Cervical Cancer Early Detection Project Elizabeth Ann Calhoun, Ph.D. University of Illinois at Chicago School of Public Health Division of Health Policy and Administration This session concerns ways of bringing about change in social determinants of health inequities. Using the National Health and Nutrition Examination Survey (NHANES 1) Epidemiologic Follow-up Study (NHEFS) – a longitudinal study of the participants in NHANES 1 – researchers tested the hypothesis that education and negative affect are prospectively associated with hypertension incidence among white and black women. Results indicated that women’s hypertension incidence risk disparities were independently observed for blacks, low education, and elevated negative affect and that risk disparities were particularly pronounced for black women with low education and elevated negative affect. The presenter will discuss the findings and cite mechanisms, both direct and indirect, that may explain the relationship between psychological factors and hypertension disparities. The next panelist will describe the evaluation of a faith-based breast and cervical cancer early detection project and the lessons learned. Participants will learn about challenges inherent in linking minority women to cancer screening services as well as the screening behavior and perceptions of African American and Latino women. The third panelist will share research that explored health perceptions and knowledge of healthy choices for preventing chronic diseases among Latino adults with intellectual disabilities (ID) participating in programs at a community agency in Chicago. What was found was that health promotion programs that may include Latino adults with ID should be tailored to not only focus on knowledge of healthy choices, but also teach concrete strategies for behavior change. The presenter will share some of these strategies with the audience. E12 Civil Rights and Health Care 3:00 p.m.- 4:00 p.m. International C Moderator Joyce D.K. Essien, M.D., M.P.H. Rollins School of Public Health, Emory University Presenter/Speaker Vernelia R. Randall, B.S.N., M.S.N., J.D. University of Dayton Presenter/Speaker Roosevelt Freeman, JD Department of Health & Human Services Eliminating health disparities has been described as the civil rights movement of the 21st century. This session will provide an overview of the role of civil rights laws in ensuring fair and equal health care. Participants will learn how civil rights laws developed for health care and how they might be applied to vulnerable populations in their state and community. Presenters will discuss events and their impact on health care laws with strategies and implications for public health. The session will conclude with innovative ways public health professionals can work with their health care system and communities to eliminate health disparities. E13 Strategies to Address Health Disparities in the WISEWOMAN Program 3:00 p.m.- 4:00 p.m. Rhine/Savoy Moderator Charlene Sanders, M.P.H., R.D. Centers for Disease Control and Prevention Presenter/Speaker Strategies to Address Health Disparities in the WISEWOMAN Program Julie W. Will, Ph.D., M.P.H. Centers for Disease Control and Prevention Presenter/Speaker Strategies to Address Health Disparities in the WISEWOMAN Program Eric Finkelstein, Ph.D., M.H.A. RTI International Presenter/Speaker Strategies to Address Health Disparities in the WISEWOMAN Program Olga Khavjou, M.A. RTI International WISEWOMAN is a CDC-funded intervention program aimed at reducing cardiovascular disease (CVD) risk among low-income, uninsured women aged 40-64 years. WISEWOMAN projects have screened more than 8,200 minority women for body mass index, blood pressure, cholesterol, and blood glucose levels. Baseline data from January 2000 to December 2003 illustrate the extent of health disparities in minority women participating in WISEWOMAN: 82% of African American women, 63% of Hispanic women, 54% of Asian women, and 62% of Native American women have blood pressure readings that categorize them as pre-hypertensive or hypertensive. This session will describe the WISEWOMAN program and its impact on the cardiovascular health of minority populations. The presentation will include: a description of the WISEWOMAN screening and lifestyle intervention program; the prevalence of CVD risk factors at baseline by race/ethnicity; culturally relevant strategies to improve lifestyle behaviors and to reduce disparities; and one-year improvements in CVD risk factors by race/ethnicity. E14 Bridging the Gap of Health Disparities: Successful Examples Using Community Health Workers and Community-Based Partnerships 3:00 p.m.- 4:00 p.m. International 10 Moderator Brenda D. Hayes, DSW, MPH, MSW Morehouse School of Medicine Presenter/Speaker Rev. Larry Hill Northwest Youth Power, Inc. Presenter/Speaker William Murrain, JD Oakhurst Medical Centers, Inc. Presenter/Speaker Betsy Rodriguez, M.S.N., C.D.E. Centers for Disease Control and Prevention Representing a national health foundation, a community health center, and a local grassroots organization operating in a public housing neighborhood, this panel will describe the pivotal role community health workers (CHWs) serve in bridging gaps between individuals at risk and health care providers. This session brings together organizations developing training curricula and materials for community health workers (promotoras de salud, as well as CHWs serving other ethnic groups and communities), organizations developing training programs teaching CHWs, and community health workers themselves. New tools for CHWs for teaching and supporting healthy lifestyle behavior changes will be highlighted. Further opportunities for partnership will be discussed. This panel presentation will focus on the successful collaborations these community and faith-based organizations have implemented with public and private agencies to address health disparities. Each one of these agencies has worked with an academic partner to facilitate educational and service projects aimed at the reduction and elimination of health disparities. F01 Using Social Marketing Assessments to Drive Communication Campaigns Differently 4:15 p.m.- 5:15 p.m. Champagne Moderator Judith W. Lee, MS, PhD CDC/NCCDPHP/DCPC/EARB Presenter/Speaker Improved Targeting of Smokers with Cessation Messages: Insights from the Health Styles and Consumer Styles Surveys David E. Nelson, M.D., M.P.H. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Changes of Fortune: working with the telenovela industry to communicate health messages about diabetes Jane M. Kelly, M.D. Centers for Disease Control and Prevention Presenter/Speaker Betsy Rodriguez, M.S.N., C.D.E. Centers for Disease Control and Prevention This session focuses on the social marketing assessment of communication campaigns designed to reach high-risk populations. Analyses of the 2002-2003 HealthStyles and ConsumerStyles consumer databases found that differences exist in terms of different communication channels, between smokers and non-smokers, as well as among smokers themselves by confidence and plans to quit. Presenters will highlight specific channels that may be most appropriate for targeting cessation messages to different types of smokers, as well as how to use the findings to identify potential partners and plans for future interventions. Next will be a presentation on the approaches taken by the CDC Division of Diabetes Translation as they work with the telenovela (Spanish language serial dramas that typically focus on emotional human interactions) industry to incorporate public health messages. The presenter will identify ways in which public health messages targeting Hispanic/Latino audiences can be communicated through telenovelas, as well as the concept of depicting characters modeling behaviors that result in good or poor health outcomes. Concluding the session is a presentation on the National Diabetes Education Program (NDEP), a joint initiative of the CDC and the National Institutes of Diabetes, Digestive, and Kidney Disease (a network involving more than 200 private and public partners invested in reducing the burden of diabetes). Participants will learn about the NDEP partnership network, partner survey results describing the use of NDEP materials, the five components of NDEP, and its campaigns addressing health disparities populations. F02 Environmental Approaches to Assessing and Addressing Community Health Promotion 4:15 p.m.- 5:15 p.m. Magnolia Moderator Bill Potts-Datema, MS Harvard School of Public Health Presenter/Speaker THRIVE: Toolkit for Health and Resilience in Vulnerable Environments Larry Cohen, M.S.W. Prevention Insitute Presenter/Speaker Project WOW: Implementing a multi-level walking intervention in rural Missouri Sarah L. Lovegreen, M.P.H., C.H.E.S. Saint Louis University School of Public Health Presenter/Speaker An investigation of the environment and diabetes risk in rural communities Karrisa Weidinger, M.P.H.(c), C.H.E.S. Saint Louis University School of Public Health Prevention Research Center Focusing on environmental approaches to assess and address community health promotion, this panel will begin with details of an investigation into the factors of the home and community environment associated with elevated hemoglobin A1c (HbA1c) levels (a marker of long-term blood sugar control that suggests a risk level for diabetes) among overweight, nondiabetic individuals. Next, participants will learn about the development and implementation of Project WOW, a multiyear community-based research program used to promote physical activity, specifically walking, in rural Missouri. Findings from the project identified characteristics of a successful steering committee and community program to promote walking in a rural setting with high rates of type 2 diabetes. In conclusion, this session will describe the piloting of THRIVE, the Toolkit for Health in Resilience in Vulnerable Environments, to determine its applicability and utility as a framework for identifying and addressing community conditions that can improve health outcomes and close the health gap. Participants also will learn about examples of how community-level data on community factors can guide residents in formulating programs and policies that will reduce health disparities. F03 Guidelines and Compliance: Patient, Provider, or Just Poor Documentation? 4:15 p.m.- 5:15 p.m. Consulate Moderator David L. Poehler, BS, MS, PhD, CHES CDC/NCCDPHP/DASH Presenter/Speaker Compliance with Pediatric Asthma Guidelines in General Emergency Departments Ellen A. Vasser, M.S.N., R.N. Children's Hospital of The King's Daughters Center for Pediatric Research Presenter/Speaker Adherence to guidelines for following up low-grade Pap results by age and race or ethnicity Vicki Benard, Ph.D. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Improving Chronic Disease Outcomes in Correctional Health Care Programs Ronald Shansky, M.D., M.P.H. National Commission on Correctional Health Care This panel presentation focuses on compliance with guidelines for care in health systems. In a study of low-income and uninsured women in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), less than half of the women studied with abnormal cervical cytology received follow-up care according to the recommended guidelines. The presenter will discuss what factors might have influenced this outcome as well as further efforts to investigate the issue and recommend interventions. The second project explored use of the National Heart, Lung, and Blood Institute (NHLBI) Pediatric Asthma Guideline in general emergency departments with the plan of fostering guideline adherence and thereby improving quality of care. Researchers found that, while there appears to be significant room for improvement in pediatric asthma guideline compliance, this issue is primarily one of poor documentation rather than inadequate care. The presenter will discuss the differences in parents' perception of their child’s emergency department visit vs. documentation of the visit as found in the medical record. To conclude, the third presenter will describe efforts to develop an effective chronic disease outcome measurement program for prison health care systems that will result in improved patient care. Participants will hear how the study expanded on nationally recognized chronic disease clinical guidelines by describing strategies to overcome barriers to their implementation commonly found in correctional settings and by developing a simple measurement tool that health care providers could use in assessing and improving patient care. Although the project is still in the process of determining improvement, preliminary data showing improved chronic disease care are encouraging. F04 Measuring Health Disparities 4:15 p.m.- 5:15 p.m. Stockholm Moderator Dhelia Williamson, M.P.H. Agency for Toxic Substances and Disease Registry Division of Health Studies Health Investigations Branch Presenter/Speaker Measuring Population Health Disparities: The Wisconsin County Health Rankings Angela M. Kempf, M.A. University of Wisconsin-Madison Wisconsin Public Health and Health Policy Institute Department of Population Health Sciences Presenter/Speaker Challenges to Measuring Health Care Disparities in the National Healthcare Disparities Report: Disparities in Data Ernest Moy, M.D., M.P.H. Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety Presenter/Speaker Developing Unique Community-Based Infrastructure for Assessment to Identify, Monitor, and Assist Disparate Populations Alex Charleston, BS Centers for Disease Control and Prevention Epidemiology Program Office Division of Public Health Surveillance and Informatics This session will reinforce the importance of measuring health disparities at the local and national level and share methods for accomplishing both. The first presenter will provide an overview of the Wisconsin County Health Rankings, an annual compilation of county data on community health, as well as the methods used to develop such a summary. The rankings provide a valuable vehicle for the delivery and discussion of county-level health information and a means of engaging stakeholders in the discussion of approaches to reduce observed disparities. Next, researchers assessed the ability of extant national data sets, in this case, the National Healthcare Disparities Report (NHDR), to measure health disparities in access, use, and quality for different racial and ethnic groups. Participants will learn of the challenges related to measuring health care disparities for smaller groups of minorities using extant national data sets. The third presenter will describe the Centers for Disease Control and Prevention (CDC) Assessment Initiative, a cooperative program between CDC and state health departments that supports the development of systems and methods that improve the way data is used to inform public health decisions and policy. The current roles and responsibilities of the Assessment Initiative, examples of innovative approaches to community health assessment and data use, and their potential impact on issues associated with health disparities will be presented. F05 Unique Partnerships for Early Disease Detection 4:15 p.m.- 5:15 p.m. Sydney Moderator Kristina L. Ernst, BSN, RNC, CDE CDC/NCCDHP/DDT Presenter/Speaker Detecting Diabetes in East Harlem, New York through a "Food for Life" Festival Louise Square New York State Department of Health Diabetes Prevention and Control Program Presenter/Speaker Carol Horowitz, M.D. Mount Sinai School of Medicine Presenter/Speaker "From The Flying Deck, Get A Breast Check: Selma J. Morris, Med Grady Health System Medical Affairs Presenter/Speaker An Effective Osteoporosis Education, Screening, Follow-Up and Treatment Initiative in the Asian Community David B. Bauer, M.D., F.A.C.E.P., C.C.D. Bone Density Specialists, PLC Identifying unique partnerships can boost efforts to prevent and detect disease early. Such is the case in which the University of Michigan School of Nursing, the Michigan Public Health Institute, and the Healthy Asian American Project collaboratively provided lectures on osteoporosis to three Asian communities in Michigan. The one-day programs involved osteoporosis seminars, with a live Mandarin-speaking interpreter, and on-site bone density testing. The project concluded that focused programs combining education, on-site testing, and follow-up can effectively bring osteoporosis awareness, screening, and therapy to the Asian community, thereby reducing osteoporosis incidence and related fractures. The next project was a diabetes detection initiative in East Harlem, N.Y. Through an effective collaboration with local restaurants, state and local health departments, CDC, and HHS, a “Food for Life” community festival was held and offered healthy dishes prepared only with foods that could be found in the neighborhood. Festival attendees were asked to complete the American Dietetic Association’s risk test for diabetes detection and participate in follow-up blood glucose testing if found to be high. Set in a nontraditional arena – the Hartsfield-Jackson Atlanta International Airport – the third project showcases a work site breast health program. Participants will learn of nontraditional arenas for promoting breast health, advantages of partnerships and collaborations, and lessons learned to replicate the program nationally. F06 Ways of Bringing About Change in Social Determinants of Health Inequities (Part Two) 4:15 p.m.- 5:15 p.m. Bonn Moderator Frank Vinicor, MD, MPH Centers for Disease Control and prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Gender Disparities in Physical Activity Participation among Boston Youth Alison M. El Ayadi, M.P.H. Harvard University School of Public Health Harvard Prevention Research Center on Nutrition and Physical Activity Presenter/Speaker Health Inequities of Eastern North Carolina Native Americans: Comparisons with Latino Immigrants and African Americans Dothula E. Baron-Hall, M.A. MBA Services, Inc Presenter/Speaker Making a difference in our own lives: Pemiscot Male Mentoring Program Alfonzo Branch Pemiscot Male Mentoring Program This session illuminates three more projects designed to bring about change in social determinants of health inequities. The objective of the first study was to examine gender disparities in barriers to physical activity participation among Boston youth. The study validated substantial gender disparities in meeting recommended levels of vigorous activity levels and sports team participation. The hope is that the study results can help guide efforts into improving opportunities for Boston girls to increase their participation in physical activity participation. The second presentation describes the Pemiscot County Male Mentoring Program (PCMMP), a program designed to decrease health disparities by assisting men in obtaining the education and skills necessary to acquire work. The panelist will describe how the PCMMP validated the association between educational attainment and health outcomes and was an important example of how community members can participate in defining the underlying factors affecting their community and work toward effective solutions. The third panelist will describe the Eastern North Carolina American Indian Rural Health Outreach Project, which was conceived in response to the overwhelming need for access to adequate, affordable, culturally appropriate health care for American Indians in rural North Carolina. Its focus is physical, mental, emotional, and spiritual health. The significance is that culturally appropriate health education, care, and services can decrease, and in some cases, alleviate, health disparities among these groups. F07 Health Disparities in Hispanics 4:15 p.m.- 5:15 p.m. International 8 Moderator Joel Meister, Ph.D. University of Arizona College of Public Health Presenter/Speaker Michael D. Lebowitz, M.A., Ph.C., Ph.D. University of Arizona College of Public Health Presenter/Speaker Lisa K. Staten, Ph.D. University of Arizona College of Public Health Presenter/Speaker Jill G. De Zapien, B.A. University of Arizona College of Public Health The session will focus on evidence of health disparities in chronic diseases in minority underserved populations, including health insurance and health care access and utilization. The panel will begin by clarifying some points including the definition of “health disparity” and how disparities relate to chronic disease, health care, and minority populations. Presenters will differentiate health disparities by race/ethnicity and geographic area and work with participants to deduce the underlying reasons. Participants will be able to construct new ideas for interventions to reduce disparities as well as the methods for evaluating such interventions. F08 Innovative Approaches to Prostate Cancer Awareness and Education 4:15 p.m.- 5:15 p.m. International C Moderator Theodis Mitchell, Jr., M.S. Centers for Disease Control and Prevention Presenter/Speaker Innovative Approaches to Prostate Cancer Awareness & Education Jamal R. Allen-Rasheed, M.A., B.S. Methodist Health System of Dallas Presenter/Speaker Innovative Approaches to Prostate Cancer Awareness & Education Folakami T. Odedina, Bs.C., Ph.D. Florida A&M University Presenter/Speaker Innovative Approached to Prostate Cancer Awareness & Education Donna L. Berry, Ph.D., R.N. University of Washington This session will feature four programs from various regions of the country that use creative approaches when providing educational messages relating to prostate cancer. Topics will include prostate cancer educational awareness and outreach, informed decision-making, prostate cancer screening and treatment, follow-up, and support. The panel will identify best practices, express ideas, describe a clear vision of purpose for future efforts, and describe effective partnerships. F09 Addressing Disparities With People Who Are Deaf: Opportunities for Partnerships in Research and Health Interventions 4:15 p.m.- 5:15 p.m. Rhine/Savoy Moderator Danielle S. Ross, Ph.D., M.S. Centers for Disease Control and Prevention Presenter/Speaker Steven Barnett, M.D. University of Rochester Presenter/Speaker Matthew J. Starr, M.P.H. The Health Association/DePaul Innovative Solutions Presenter/Speaker Thomas A. Pearson, M.D., Ph.D. University of Rochester Deaf people who communicate in American Sign Language (ASL) comprise an understudied and medically underserved language minority community. This session will review the health and mental health disparities experienced by deaf people and their families, focusing on the similarities and differences between this community and other disparity populations. The presenters also will devote time to discussing the research challenges, opportunities, and strategies available to address access and quality issues in partnership with the deaf community. Participants will learn how to apply the findings to build partnerships with their local deaf communities, begin to measure and address disparities and examine chronic disease prevention with deaf people and their families. F10 Taking Action Against Disparities in Heart Disease and Stroke in Diverse Communities 4:15 p.m.- 5:15 p.m. International 9 Moderator Darwin Labarthe, M.D., M.P.H., Ph.D. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker B. Waine Kong, Ph.D., J.D. Association of Black Cardiologists Presenter/Speaker Maria Eugenia Lane National Council of La Raza Presenter/Speaker Melinda Martin Association of Asian Pacific Community Health Organizations (AAPCHO) Presenter/Speaker H. Sally Smith National Indian Health Board This exciting program will gather together a panel of some of the most respected names from the Hispanic, African American, Asian-Pacific, and Native American communities to engage in a dialogue on eliminating racial and ethnic disparities in heart disease and stroke. All members of the National Forum for a Public Health Action Plan to Prevent Heart Disease and Stroke, presenters will explain the major disparities in heart disease and stroke and will discuss their organizational strategies to eliminate these disparities within the context of the Action Plan. They will share lessons learned, showcase examples of current partnership activities being undertaken to eliminate disparities, and distill practical information for effective interventions through dedicated partnerships for action at the local, regional, and national levels. Panel members also will present promising practices to optimize strategic partnerships that can impact quality of life in high-risk populations. F11 Mental Health, Physical Health, and Health Disparities: The Role of Public Health 4:15 p.m.- 5:15 p.m. International B Moderator Jim Lando, M.D. Centers for Disease Control & Prevention Presenter/Speaker Bruce S. Jonas, Sc.M., Ph.D. Centers for Disease Control and Prevention Presenter/Speaker John Head, B.A. Carter Center Presenter/Speaker Corey Keyes, Ph.D. Emory University, Rollins School of Public Health The mission of the Coordinating Center for Health Promotion (CoCHP) is to enhance the potential for full, satisfying and productive living across the lifespan for all people, in all communities. The role of mental health in enhancing our ability to enjoy life and deal with the challenges faced across the lifespan is widely recognized. According to the World Health Organization’s World Report (2001), more than 450 million people suffer from mental disorders worldwide, and one in four persons will develop a mental or behavioral disorder throughout their lifetime (WHO, 2001). The purpose of this session is to broadly discuss the role of public health in the promotion of mental health and prevention of mental disorders, and to discuss how the incorporation of mental health provides a means of addressing the issue of health disparities. The session will present research that examines the relationship between mental health and various chronic diseases (e.g., cardiovascular disease, cancer, diabetes) and will discuss how mental health could be incorporated into the work being done in the Coordinating Center for Health Promotion. F12 Communications and Policy: Raising Awareness of Alaska Natives' Cancer Burden Through Stories, Data, and Graphics 4:15 p.m.- 5:15 p.m. Picard/Chablis Moderator Leslie Given Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Christine A. DeCourtney, MPA Alaska Native Tribal Health Consortium The "Alaska Natives and Cancer” publication was designed to raise awareness at a state and national level regarding the burden of cancer in an indigenous population. Cancer rates for Alaska Natives are generally combined with other populations for national reporting purposes; diminishing understanding of the actual impact cancer has on the population. It is also designed to help Alaska Natives (through the mechanism they are most familiar with, stories) understand cancer – a devastating (number one cause of death) but relatively new disease – in the population. Participants will learn how to design publications for multiple audiences to help further the understanding of the burden of cancer and other chronic diseases through the use of cultural tools, evidence-based information, graphics and analogies. F13 Futures Update Special Session 4:15 p.m.- 5:15 p.m. International 10 Presenter/Speaker Donna F. Stroup, Ph.D., M.Sc. Centers for Disease Control and Prevention, Coordinating Center for Health Promotion TBD F14 Community Competence: A Paradigm for Addressing Development of Effective Interventions 4:15 p.m.- 5:15 p.m. International A Moderator Emma Green, M.P.H. National Association of County and City Health Officials Presenter/Speaker Robert Robinson, Dr. P.H. CDC Populations experiencing disparities are typically characterized by minimal availability of effective interventions. It is well recognized that one shoe does not fit all and that interventions tailored to the specific needs of populations need to be developed if disparities are to be addressed and eliminated. Community Competence is a protocol to address a broad spectrum of issues impacting the efficacy and effectiveness of public health applications. These applications can range from survey protocols to health promotion materials to communication campaigns, including generic issues related to the competent delivery of services. Community Competence departs from cultural competence in that the latter is considered reductionist and a construct not sufficiently robust to include the full complexity of populations or communities. Community Competence has primary and secondary components. The primary component consists of history, culture, context, and geography and captures the ways in which populations are organized and define themselves as collectives. The secondary component consists of language, literacy, positive and salient imagery, multigenerational, and diversity and captures how best to operationalize the specific protocols that are being developed. The elements of these two components are dynamic and relative and will change in importance depending on the particular problem, intervention and population being addressed. Pathways to Freedom, a state-of-the-art tobacco cessation guide for African Americans, will be offered as a case study of Community Competence. F15 Policy Challenges Impacting "Other" Disparities 4:15 p.m.- 5:15 p.m. Amsterdam Moderator Kathleen Nolan, M.P.H. National Governor's Association Presenter/Speaker Disability Policy Eileen Elias, M.Ed. US Dept of Health and Human Services This session will address the role of public health in impacting policies to address access and quality of care for people with disabilities. The presenter will take participants on an exploration of the unique policy issues that affect access to health care for people with disabilities. Discussion also will focus on the interventions and challenges chronic disease prevention and management efforts must address to change the health outcomes of people with disabilities, including mental disabilities. Questions addressed during this session will include: What can this population teach us about other health disparities and inequities in access and quality of chronic disease prevention and care? How can the power forces in disability policies be directed to advocate for improved chronic disease prevention in this population? Questions addressed during this session will include: What can this population teach us about other health disparities and inequities in access and quality of chronic disease prevention and care? How can the power forces in disability policies be directed to advocate for improved chronic disease prevention in this population? Gala Networking Reception 6:00 p.m.- 8:00 p.m. Atlanta Merchandise Mart Now that you've learned what you need to know, now meet who you need to know. Make new contacts and reconnect with old at our Gala Networking Reception. Take a trip around the world with your fellow conference attendees in a multicultural experience. Aromas from ethnic Asian, Caribbean, Latin/Hispanic, and Native American dishes will tantalize your taste buds while music will entice you to move to the rhythm of the night. Mingle with local dignitaries, national leaders, and icons of social justice while partaking in this feast of the senses. Take a step toward bridging the gap of cultural understanding by attending the Gala Networking Reception. Festive attire is welcome, but please wear comfortable shoes, as the short walk to the Atlanta Mart is slightly uphill. Don't miss this entertaining exploration of multicultural cuisine and music. Thursday, March 3, 2005 6:30 a.m. -7:30 a.m. Start the Day with Healthy Activities - Morning Walk 7:00 a.m.- 10:30 a.m. Registration Marquis Registration Booth 7:30 a.m.- 8:30 a.m. Exhibit Break and Continental Breakfast International Ballroom - Exhibit Level 8:30 a.m.- 9:30 a.m. Concurrent Sessions 9:30 a.m.- 10:00 a.m. Exhibit Break International Ballroom - Exhibit Level 10:00 a.m. –12:00 p.m. Closing Plenary Presentation Thursday, March 3, 2005 G01 Mobilizing Citizens: Working Together to Affect Change 8:30 a.m.- 9:30 a.m. Stockholm Moderator Mark A. Schoeberl, MPA American Heart Association Presenter/Speaker Principles of Public Advocacy Ron Pollack Families USA Presenter/Speaker Immigration law Liliana K Vaamonde, JD Community Service Society of NY Working on cross-cutting issues, such as health disparities, requires a very different focus, different people coming together, and new models for success. In order to realize those often talked about principles, individuals, communities and organizations need to learn from real world examples of how these vital forces come together. Examples include developing programs, partnership development among various organizations, etc. In this session, presenters will share their experiences and case studies on how citizens can be mobilized to influence change. Discussions will focus on examples of efforts within their communities of how health disparities topics have been integrated into existing priorities, as well as identifying new ways to eliminate inequities in health. G02 The Collection and Use of Health Data Among Ethnic and Racial Groups by Federal and State Agencies and the Private Sector 8:30 a.m.- 9:30 a.m. Champagne Moderator Rodolfo Valdez, Ph.D., M.Sc. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Racial and Ethnic Health Data Collection by Federal Agencies Anthony D'Angelo, Ph.D. Statistical Consultants Presenter/Speaker Collection and Use of Racial and Ethnic Health Data by State Agencies Denise Love, Ph.D. National Association of Health Data Organizations Presenter/Speaker The Use and Collection of Racial and Ethnic Health Data by the Private Sector Carl Volpe, Ph.D. WellPoint Health Networks Inc. Federal, state, and private agencies currently collect a wealth of information on the health status of U.S. racial and ethnic minority populations. The differences, similarities, and uses of these data collections are rarely highlighted. This session will try to compare the mechanisms by which federal, state, and private agencies collect and use health data from ethnic and racial minority groups. G03 The Brass Tacks of Getting the Best Bang for Your Bucks: Working With Media for Health Promotion 8:30 a.m.- 9:30 a.m. Magnolia Moderator Marsha L. Houston, B.S. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Vicki Beck, M.S. Hollywood, Health and Society Presenter/Speaker Ivan Juzang, M.B.A. MEE Productions Invited panelists profile an array of innovative and creative approaches to message positioning to highlight health education and information messages in print and broadcast materials. A special focus of this session will be on reaching diverse populations through the methodical use of media as well as showcasing strategies and approaches to increase the visibility of a program's message in local and regional media. Professionals participating in this session include an Executive from an African American-owned advertising agency and a communication specialist who develops and promotes strategies to encourage the entertainment industry to include health topics in prime-time award-winning television programs. Participants will learn how to examine their own programs to determine if their messages are positioned for optimal exposure. G04 Geographic Distribution of Chronic Disease 8:30 a.m.- 9:30 a.m. International A Moderator Dorothy E. Stephens, MHS CDC/NCEH/EEHS/EHSB Presenter/Speaker State Cancer Profiles: A Data Portal for Comprehensive Cancer Control Planning Temeika L. Fairley, Ph.D. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Innovative Uses of Geographic Information Systems Technology to Reveal Health Disparity Burdens in Disadvantaged Communities Charles Marc Croner, Ph.D. Centers for Disease Control and Prevention National Center for Health Statistics Office of Research and Methodology Presenter/Speaker Temporal changes in the geographic disparity of heart disease mortality Michele L. Casper, Ph.D. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Each of the projects in this session focuses on the geographic distribution of chronic disease. State Cancer Profiles (SCP), developed by the National Cancer Institute and the Centers for Disease Control and Prevention (CDC), provide a standardized system to characterize cancer burden so that users can quickly explore potential disparities at the national, state, and county levels. Participants will hear about the SCP, what is contained in it, and future plans for a Web site to support its use. Then participants will learn how Geographic Information Systems (GIS) can be used with standardized health and other socioeconomic measurements to provide for uniform and evidence-based measures of health burden. The remaining project was designed to document the temporal changes in geographic disparities of heart disease at the county level from 1992 to 2002 of all U.S. counties. Maps show dramatic changes in the pattern of geographic disparities in heart disease death rates and provide critical insights into understanding the determinants of geographic disparities in heart disease mortality. G05 Women's Health 8:30 a.m.- 9:30 a.m. International B Moderator Shaunette J Crawford, MPA, MS CDC/NCCDPHP/Division of Reproductive Health Presenter/Speaker Making the Grade on Women's Health: A National and State-by-State Report Card Michelle Berlin, M.D., M.P.H. Oregon Health & Science University Center of Excellence in Women's Health Presenter/Speaker Using the Perinatal Periods of Risk (PPOR) Approach for Reducing Health Disparities in Feto-Infant Mortality Jennifer Skala, Med. CityMatCH University of Nebraska Medical Center Department of Pediatrics This session showcases surveillance methods for improving women and infant health. For example, to evaluate the state of women’s overall health, the Report Card uses health status indicators and policy indicators. The states and the nation received grades for each of these indicators. This session will describe the methodology and data sets underlying the Report Card, the major findings of the 2004 Report Card, and the progress, or lack thereof, for key status and policy indicators of interest. The Perinatal Periods of Risk (PPOR) approach is used to identify risk factors, which reduce racial and ethnic disparities in feto-infant mortality. The session will highlight how, from 2000 to 2002, the PPOR approach was used in the Practice Collaborative to build community and analytic “readiness," to map and further investigate city-specific feto-infant mortality, and to translate findings into targeted community-driven actions to address racial and ethnic health disparities. This session will also suggest how urban communities use the PPOR approach to target prevention strategies to reduce feto-infant mortality. G06 Promoting Nutrition in Schools – Increasing Student Achievement Through Nutrition 8:30 a.m.- 9:30 a.m. Picard/Chablis Moderator Tonya S Roberts, CDC Presenter/Speaker The USDA Fresh Fruit and Vegetable Snack Program: Effective Policies Promoting Exciting Environments in Schools Tracy Fox, MPH, RD Food, Nutrition & Policy Consultants, LLC Presenter/Speaker Educating California School Board Members: Aligning Policies for Student Health and Achievment Vicki Berends California Project LEAN This session showcases two projects designed to promote nutrition in schools. The first is a three-year intervention aimed to educate California school board members about the important role school nutrition policies can play to increase the health and academic achievement of students. California Project LEAN, The California School Boards Association, the University of South Florida, the California Parent Teachers Association, and 10 collaboratives worked together to educate school board members with special outreach efforts toward school districts serving low-income children. Participants will learn about the findings from this intervention; the opportunities and barriers for working with local school boards; tools that can help address school nutrition policy; and new partners to address school nutrition policy. The second project describes one state and one tribe nation’s experience with the USDA Free Fruit and Vegetable Snack Program. Federal legislation in 2002 and 2004 provided funding to states to implement policies and interventions to provide free fruits and vegetables to school children, including the largest public health initiative, the Free Fruit and Vegetable Snack Program. This session will highlight the exciting program and its impact on students and health disparity issues, as well as ways to expand it through policy initiatives to additional states, schools, and tribal nations. G07 Health Equity: New and Bold Opportunities to Eliminate Health Disparities 8:30 a.m.- 9:30 a.m. International 9 Moderator Jamila Rashid, Ph.D., M.P.H. Centers for Disease Control and Prevention Presenter/Speaker Walter W. Williams, M.D., M.P.H. Centers for Disease Control and Prevention Presenter/Speaker Phillip Bowman, Ph.D. University of Illinois @ Chicago Presenter/Speaker Sean Cucchi Centers for Disease Control and Prevention Presenter/Speaker Aida Giachello, PhD University of Illinois at Chicago, Training and Policy Center National expert presenters will describe the CDC framework and policies for achieving health equity. Included in this session will be an explanation of both the conceptual and operational definitions of health equity. Participants will recognize why CDC is changing its focus from health disparities to health equity. This presentation will provide an overview of opportunities to collaborate across sectors - federal, state, local, communities, academia, and business. Participants will be encouraged to engage and identify opportunities to achieve health equity and will increase their knowledge of science-based interventions to eliminate health disparities in chronic disease prevention and control. G08 Patterns of Use and Outcomes of Evidence-Based Complementary and Alternative Medical (CAM) Therapies Among U.S. Ethnic Minority Adults 8:30 a.m.- 9:30 a.m. Rhine/Savoy Moderator Patty McLean Centers for Disease Control and Prevention Presenter/Speaker Robert E. Graham, M.D. Osher Institute, Harvard Medical School Presenter/Speaker Alarik Arenander, Ph.D. Maharishi University of Management Presenter/Speaker Charles R. Elder, M.D., M.P.H. Kaiser Permanente Center for Health Research Complementary Alternative Medical (CAM) therapies continue to grow in popularity and are widely used by patients to treat chronic disorders, in particular to promote cardiovascular health and weight loss. The patterns of use and benefits of CAM in U.S. ethnic minority adults is now being investigated. This session will offer three evidence-based perspectives on CAM use in ethnic minorities, in particular, Hispanics and non-Hispanic blacks and the impact of its use in helping health care professionals offer more culturally sensitive care. The session will provide an introduction to the patterns of use and the outcomes in cardiovascular and weight disorders. Participants will review the results of the Alternative Health Supplement to the 2002 National Health Interview Survey (NHIS). Discussion will focus on the issues surrounding the rate of use and rate of non-disclosure in ethnic minority populations. CAM therapies have successfully been used to treat cardiovascular disease in non-Hispanic whites, non-Hispanic blacks and native Hawaiian populations. Clinical studies and meta-analyses of a variety of mind-body techniques indicate that meditation, in particular the Transcendental Meditation technique, is a significantly effective intervention reducing psychosocial stress, blood pressure, substance abuse, and mortality rates. The presenters will review the evidence-based support for the use of herbals, acupuncture, meditation, and other CAM modalities in the setting of obesity management. They also will discuss the future directions for research in mind-body health in ethnic minority populations. Reach 2010 grantees have taken various approaches for addressing chronic diseases in local ethnic racial communities. The presenters will describe methods and opportunitites for promoting healthier lifestyles by collaborating with faith-based leadership, pastors, and first ladies, to support system and environmental changes. G09 Log in to Live Longer 8:30 a.m.- 9:30 a.m. International C Moderator Patricia Brindley Centers for Disease Control and Prevention Presenter/Speaker LaDene Larsen, B.S.N. Utah Dept of Health This session will explore the challenges and benefits of using electronic systems to implement cost savings and health promotion interventions. Included will be a description of the cost benefits of Web-based interventions for chronic disease control, appropriate populations for technology-based health promotion interventions, and the technical tools needed to implement Web-based interventions. Panelists will discuss marketing communications strategies that increase the utilization of Web-based information and tools by those most in need. G10 Excellence for a 21st Century Public Health Workforce 8:30 a.m.- 9:30 a.m. International 8 Moderator Sandra DeShields Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Sandra DeShields Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Lennie Waugh Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Presenter/Speaker Richard Gerber, R.N., M.B.A. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion The Institute of Medicine's landmark report "Unequal Treatment" provides several recommendations for eliminating health disparities, one of which is the development of a competent workforce to adequately respond to the multidimensional needs of those affected most by disparities. This session will highlight the NCCDPHP Workforce Development and Succession Planning Committee pilot initiative designed to strategically address the workforce capacity and evolutionary needs in the field of public health. The goals of the Committee are to develop the infrastructure, plans and programs needed to: Develop and retain a diversified workforce reflective of its constituency; ensure a workforce that posesses core competencies for future challenges, goals, and objectives; establish and develop succession plans and an inventory of successors through a number of processes, programs, and strategies (e.g. development, training, mentorship, coaching); work in collaboration with partners to conduct needs assessment, build state capacity, and increase retention; partner with internal/external colleagues and businesses for the purpose of understanding and adopting best and promising practices; and define and effectively address career inertia. G11 Call to Complementary Action for Fairness and Equity in Health: What Should We Do Between Now and Next Year's Conference? 8:30 a.m.- 9:30 a.m. Bonn Moderator Mary Kane Concept Systems, Inc Presenter/Speaker Mary Kane Concept Systems, Inc Presenter/Speaker Blanca L Torres, M.S.S.W. National Center for Chronic Disease Prevention and Health Promotion All session participants will receive, consider and discuss a summary overview of the major topics covered in the partnership track during the conference. They will also consider and describe their own experiences and learning at the conference. The facilitated discussion will identify key areas where partnerships need to be developed, strengthened or connected to establish an effective partnership strategy to address health disparities and equities. G12 Reporting Racial and Ethnic Disparities in Risk Factors for Disease: Opportunities for Prevention 8:30 a.m.- 9:30 a.m. International 10 Moderator Rodolfo Valdez, Ph.D. CDC\NCCDPHP Presenter/Speaker Opportunities for prevention of chronic disease among minorities Shiriki Kumanyika, Ph.D. University of Pennsylvania School of Medicine Health disparities not only refer to the prevalence and incidence of certain diseases but also to the risk factors for these diseases. It is clear that the presence of several risk factors for chronic diseases vary from one racial or ethnic group to another, and these factors are more abundant among minorities. This session will illustrate this excess of risk factors among minorities when compared to the majority population presents an excellent opportunity for the prevention of chronic diseases, as the majority population exemplifies what is achievable. G13 Health Disparity Collaboratives in Rural Communities 8:30 a.m.- 9:30 a.m. Consulate Moderator Rosemary McKenzie National Rural Health Association Presenter/Speaker Asthma Collaborative in Rural Health Care (African American) Janice Bacon, MD G.A. Carmichael Family Health Center Presenter/Speaker Cardiovascular Collaborative (American Indian) James M. Galloway, MD, FACP, FACC University of Arizona, Indian Health Service Presenter/Speaker Health Care Initiatives to Reduce Diabetes Disparities in Rural Settings Sabrina Harper, M.S. Centers for Disease Control and Prevention This presentation will address disparities and the implementation of rural chronic disease collaborative models in order to meet the needs of diverse populations. A panel of presenters, with system change experience addressing disparities in diabetes, cardiovascular (CVD) and asthma within rural health settings, will summarize strategies for implementation of system changes. Each presenter will share what has been done to date, challenges they have faced, systems changes that were necessary to implement the projects and the success of each of the projects. Closing Plenary 10:00-12:00 noon Marriott Ballroom Welcome from PRC Presenter/Speaker Geri Dino Ph.D. Director, Centers for Public Health Research and Training at West Virgina University (Formerly the Prevention Research Center) Plenary Panel Opportunities: Communication and Policy 10:15 a.m.- 11:15 a.m. Marriott Ballroom Presenter/Speaker Thomas LaVeist, Ph.D. Director, Morgan-Hopkins Center for Health Disparities Solutions Presenter/Speaker John Ruffin Director, National Institutes of Health, National Center on Minority Health and Health Disparities Presenter/Speaker Doug Levy Director of Communications, University of California, San Francisco, School of Medicine Presenter/Speaker Marsha Lillie Blanton, Dr PH Henry J. Kaiser Family Foundation Now that the conference is coming to a close, you feel armed with knowledge and ready to take on the world. So, now what? A panel of experts - including Dr. John Ruffin, Director of the National Institutes of Health's National Center on Minority Health and Health Disparities; Dr. Marsha Lillie-Blanton, Vice President of the Henry J. Kaiser Family Foundation; Doug Levy, Director of Communications at the University of California San Francisco School of Medicine; and Dr. Thomas LaVeist, Director of the Morgan-Hopkins Center for Health Disparities Solutions at the Johns Hopkins Bloomberg School of Public Health - will challenge attendees to implement novel methods and programs relevant for their communities and organizations based on information gathered during the conference. Touching on policy recommendations and opportunities on the horizon, the panel will leave attendees with feelings of hope, excitement, and enthusiasm for the future. Consequential Epidemiology Awards 10:00 a.m.- 10:15 a.m. Marriott Ballroom Moderator Paul Siegel, M.D., M.P.H., F.A.C.P.M. Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion The inaugural Consequential Chronic Disease Epidemiology Awards will be presented to one oral presentation and one poster presentation from the conference. The presentations – chosen by a committee comprised of representatives from CDC, CDD, and PRC – best exemplify the use of epidemiologic methods to enhance the evidence base for chronic disease prevention programs, policy, surveillance, or evaluation. Dr. William Foege, former Director of the Carter Center and CDC, is credited with coining the term “consequential epidemiology” to describe applied research that has the potential to improve public health policy and to prevent disease. Congratulations to this year’s winners! Closing Remarks 11:30 a.m. – 12:00 noon Marriott Ballroom Presenter/Speaker Donna Stroup Centers for Disease Control and Prevention 19th National Conference on Chronic Disease Prevention and Control Poster Presenter List Poster Session with the Authors International Ballroom - Exhibit Level Tuesday, March 1, 2005 - 2:30 p.m. - 3:00 p.m. Wednesday, March 2, 2005 - 9:45 a.m. - 10:15 a.m. Wednesday, March 2, 2005 - 2:30 p.m. - 3:00 p.m. Session Code Abstract ID Abstract Title Presenter(s) 001 7226 Partnering to Decrease Health Disparities Among Native American Women Glenda Cross 002 7228 Screen Our Sisters - Community Agencies collaborate to Provide Breast Cancer Screening to African American Women Cheryl Leon 003 7249 Developing Effective Partnerships between Researchers and the Faith Community: Results from Pastor Focus Groups Moses Goldmon; Benita Weathers; Natasha C. Blakeney 004 7359 Opportunities to Eliminate Health Disparities through Partnerships in AAPI Cancer Survivorship Amy Wong; Roxanna Bautista 005 6975 Seattle - Rapid Assessment of Physical Activity (RAPA): Preliminary Validation of a New Clinical Tool Tari D. Topolski 006 7131 Impact of Chronic Disease Self-management Programs: A national community-based transition study Richard H. Osborne 007 6675 Culturally Competent Healthcare Systems - Evidence-based Reviews in the Guide to Community Preventive Services Toby Quinn 008 7333 Implementing Evidence-Based Guidelines For Managing Chronic Obstructive Pulmonary Disease (COPD) In Rural Primary Care Practices Ronald Deprez 009 7203 Response shift: The measurable & desired outcome of chronic disease self-management programs that violates pre-vs-post assessment Richard H. Osborne 010 7179 Health Risks and Conditions among American Indians in North Carolina Ziya Gizlice 011 7126 Factors Associated with Tooth Loss Among Mississippi Adults Lei Zhang 012 6570 Cardiovascular Risk reduction and health empowerment among African American Men: the AMEN Example from the Fulton County REACH 2010 Project Torrance Stephens 013 7212 Evaluation Strategies for Qué Sabrosa Vida: A Culturally Targeted Community-based Nutrition Intervention, El Paso, TX R. Sue Day 014 7264 Reach and effectiveness of CD-ROM intervention to increase informed decision making for prostate cancer screening Lori A. Crane 015 6686 A public health approach for the prevention of blindness within states Richard T. Bunner; Dorothy Gohdes 016 6642 Ethnic Disparities in the Control of Glycemia, Blood Pressure, and LDL-Cholesterol Julienne K. Kirk 017 6775 Age-adjusted Per Capita Charges as an Indicator to Identify Racial/Ethnic Disparities in Hospitalization Expenditures Yinmei Li 018 6829 Disparities in Colorectal, Breast and Cervical Cancers: Incidence, Mortality, and Stages at Diagnosis in 1981-2001 Youjie Huang 019 7080 Improving surveys assessing physical activity in rural populations: reliability of environmental and behavioral factors Michael Elliott 020 7117 Predictors Of Body Mass Index And Its Effect On Colorectal Cancer Incidence, Prevalence And Mortality Kathleen Cullinen 021 7192 Development of a User-Friendly Audit Tool for Assessing the Activity-Friendliness of Neighborhood Environments Christine M. Hoehner 022 7223 Utilizing multiple data sources to understand disparities and focus asthma interventions in Minneapolis/St. Paul Jill Heins 023 7235 Using cancer registry data to describe possible disparities in patterns of care for three cancers Linda G. Alley 024 7278 Binge Drinking in the United States: Sociodemographic Disparities Ernest E. Sullivent 025 7292 Tracking Health-Related Quality of Life (HRQOL) to Identify Health Disparities and Guide Health Policy David G. Moriarty 026 7327 Indicators for Chronic Disease Surveillance at the Local Level: Assessing Geographic and Racial Disparities Kristen Mertz 027 6569 Legal barriers in the care of people with substance use disorders Carol Girard 028 6700 Colorectal Cancer Screening in Washington State: Predictors of Current Screening and Explanations for No Screening Peggy A. Hannon 029 7258 Is food insecurity a price of smoking among the poor? Brian Armour 030 6963 Reducing disability, income, and race/ethnic disparities: how much will health indicators improve? Nancy Wilber 031 6892 Maternal Diabetes and Perinatal Outcomes Cecil Pollard 032 6930 The Use of Arizona BRFSS data to estimate health disparities in Hispanics Michael D. Lebowitz 033 7281 Chronic Stress, Clinical Depression, and Blood Pressure in Clinically Diagnosed Hypertensive African American Women Cynthia Bienemy 034 6890 Differential Effects of Active Living on Quality of LIfe at Various Levels of Income Jana J. Peterson 035 7230 Attitudes Toward Pap and HPV Testing and Health Surveys in an Appalachian Community Claudia Hopenhayn 036 7280 Obesity and income are associated with low priority for fruit and vegetable consumption S.R. Bobra 037 6957 Environmental correlates of physical activity in a rural diabetic population Anjali D. Deshpande 038 6429 Knowledge, Beliefs, and Stage of Adoption towards Colorectal Cancer Screening Among Chinese Worksite Population Su-I Hou 039 6458 Characteristics of Internet Use and Health Locus of Control of Seniors with Arthritis Pam York 040 6603 Promoting healthy behavior among older adults: A consumer research approach Natasha S. Bryant 041 6947 Developing a Web-based health care decision support tool for adults with arthritis Mary B. Waterman 042 6724 Communication & Partnership Strategies for Reaching Rural Hispanic Populations Linda G. Powell 043 6995 Conducting a Successful Through With Chew Week Sylvia Bagdonas 044 6541 Racial and ethnic differences in the prevalence and impact of doctor-diagnosed arthritis—United States, 2002 Julie Bolen 045 6552 Addressing Multicultural Health Promotion through Driving Wellness Programs Nancy Ceridwyn 046 6598 Developing a Culturally Appropriate Spanish Version of “Tips to Prevent Medical Errors” Gabrielena Alcala-Levy 047 6673 Understanding the Unique Information Needs of Diverse Population Groups in the U.S Sally Crelia 048 6713 Race and Income Differences in Community Attitudes About Diabetes and Organ Donation Amy D. Waterman 049 6771 Racial differences in factors that influence survival with oral cancer in Georgia: 1978-2001 Ranjitha Krishna 050 6788 Age and Race-Specific Distribution of Prostate Specific Antigen among US men, 2001-2002 Mona Saraiya 051 6797 Harvesting Our Community:Mobilizing community support for obestiy prevention among African Americans in WV Wendy L. Moore 052 6867 Characteristics of a Successful Community Coalition Heather Fuller 053 6877 Trends in Mortality and Hospitalizations for Valvular Heart Disease in the United States, 1980-2000 Hylan D. Shoob 054 6879 Florida’s Coordinated School Health Program: A World Class School Health Learning Community Faye Johnson; Antionette Meeks 055 6880 Impact of Baby Boomers on Hospitalizations for Coronary Heart Disease and Stroke in the United States Hylan D. Shoob 056 6922 Regional/Racial Prevalence of Metabolic Syndrome: The MSM Regional Assessment Health Surveillance Study (RAHSS), 2003 2004 Dennis Jones 057 6944 Profile of Health Disparities in Diabetes among Hispanic/Latino Population in Colorado Wenfang C. Muhr 058 6978 Neighborhood Disparities in Hospitalizations for Lower Extremity Amputations with Diabetes, New York City 2003 Anju S. Morarka 059 6981 Reducing Dental Sealant Disparities in School-Aged Children through Better Targeting of Informational Campaigns Kari Jones 060 6994 Community-Institutional Partnerships: Understanding Trust among Partners Sharrice White 061 7015 The California 5 A Day Be Active Pilot Project- A State and Local Perspective Jessica Micheletti 062 7029 Economic impact of Coronary Heart Disease in South Carolina Praphul Joshi 063 7044 Building Community Capacity for Healthy Eating Through the Use of Tailored Resources Quentin J. Moore 064 7063 Retooling an Osteoporosis Prevention Program to Serve Low-Income Populations: A Practical Guide to Bone Health Judith S. Lyles 065 7086 Tobacco Prevention and Control in Utah’s Ethnic/Minority Communities LaDene Larsen 066 7089 Minorities as Research Subjects: Rights and Responsibilities Joan Redmond Leonard 067 7106 A Pilot Study of the Use of Theater in Nutrition Education for Low-Income African-American Children Caree J. Jackson 068 7133 Mexican American Veterans' Stroke Risk Profiles: Implications for Expanding Culturally Responsive Best Clinical Practices Carol M. Baldwin 069 7134 Validity and Reproducibility testing of a web-based food frequency questionnaire among urban African-American pre-adolescents Kimberly Gibson Lane 070 7135 Health Care Utilization Following Negative Experiences in Primary Health Care Settings Judith W. Lee 071 7143 Linking Real Data to a Program Assessment and Feedback Model in State Tobacco Prevention and Control Programs Nell H. Gottlieb 072 7160 Immigration and Health: Is immigration to the United States detrimental for health? Jimi Huh 073 7177 Healthy Food, Healthy Soul: Campaign: Promoting Healthy Eating and Physical Activity to African American Men Quentin J. Moore 074 7180 Cholesterol Screening and Awareness in Michigan Michelle L. Cook 075 7213 Designing Effective Health Messages for Ethnically Diverse Audiences: Overcoming an Environment of Distrust Allison L. Friedman 076 7217 Associations of Diabetes and Family History Among Adult NHANES Participants 1999-2002 Ann M. Annis 077 7233 Evidence of Effectiveness: A Summary of State Tobacco Control Program Evaluation Literature Nicole M. Kuiper; David E. Nelson 078 7252 Barriers to physical activity among women in a rural, medically underserved population Thearis A. Osuji 079 7254 Creating an Effective Multi-Session Nutrition and Physical Activity Intervention for Low-Income Rural and Urban Women Sandra J. Ryan 080 7255 An Alternative To Identifying And Engaging The Underserved, Out of Care, HIV High-Risk Population Erum Khan Hadi 081 7260 Economic-related Disparities in Child and Parent Fruit and Vegetable Intake and Body Mass Index Christina Mushi-Brunt 082 7284 School based/school linked Dental Sealant Programs in Selected States Sherry Williams 083 7294 Disparities in ambulatory care sensitive conditions among adults in Georgia Manxia Wu 084 7309 Physicians' and Hispanic Patients’ Perceptions of Differential Treatment in an Arkansas Specialized Healthcare Facility Wilson Gonzalez-Espada 085 7311 Exploring racial and ethnic differences to reduce children’s television viewing to prevent childhood overweight/obesity Arlynn Filomeno 086 7322 Factors that Lead to Depression among Black Men: A Systematic Review of the Literature from 1984 to 2004 Daphne C. Watkins 087 7324 The Use of Social Capital to Promote Physical Activity in Older Adults Mari T. Brick 088 7350 Disparities in premature death from stroke among adults in the United States Carmen D. Harris 089 7368 Improved Physical Environment Can Improve Quality Of Life Sherri L. Penchishen; Kristen Wenrich 090 7388 Aspirin use as a Preventative Measure for CVD among African-Americans and Whites in Georgia Peter Thomas Baltrus 091 7392 Development of a Partnership Enhancement Toolkit April Vance; Cindy S. Soloe 092 7395 Access to Primary Care for Non-Medicaid Insured: The Advantage Program Survey Eric J. Nehl 093 7027 Analysis of Disparities In Client Satisfaction Between Spanish and English Speaking Women Enrolled in UCCP Kathryn Rowley 094 7385 Abnormal Mammogram Follow-up Among African-American Women: Do Community Lay Health Advocates Make a Difference? Lee Caplan 095 8888 Healthy and Whole Janet Ellis; Katherine Brewer Top Poster Abstracts Colorectal Cancer Screening in Washington State: Predictors of Current Screening and Explanations for No Screening Peggy A. Hannon, University of Washington Regional/Racial Prevalence of Metabolic Syndrome: The MSM Regional Assessment Health Surveillance Study (RAHSS), 2003-2004 Dennis Jones, Morehouse School of Medicine Retooling an Osteoporosis Prevention Program to Serve Low-Income Populations: A Practical Guide to Bone Health Judith S. Lyles, Michigan Public Health Institute An Alternative to Identifying and Engaging the Underserved, Out of Care, HIV High-Risk Population Erum Khan Hadi, Dutchess County Department of Health Is Food Insecurity a Price of Smoking Among the Poor? Brian Armour, Centers for Disease Control and Prevention Racial Differences in Factors That Influence Survival With Oral Cancer in Georgia: 1978-2001 Ranjitha Krishna, Centers for Disease Control and Prevention Reducing Disability, Income, and Race/Ethnic Disparities: How Much Will Health Indicators Improve? Nancy Wilber, Massachusetts Department of Public Health Building Community Capacity for Healthy Eating Through the Use of Tailored Resources Quentin J. Moore, Michigan Public Health Institute Response Shift: The Measurable and Desired Outcome of Chronic Disease Self-management Programs That Violates Pre- vs. Post-assessment Richard H. Osborne, The University of Melbourne Maternal Diabetes and Perinatal Outcomes Cecil Pollard, West Virginia University The Use of Arizona BRFSS Data to Estimate Health Disparities in Hispanics Michael D. Lebowitz, University of Arizona Seattle - Rapid Assessment of Physical Activity (RAPA): Preliminary Validation of a New Clinical Tool Tari D. Topolski, University of Washington Reducing Dental Sealant Disparities in School-Aged Children Through Better Targeting of Informational Campaigns Kari Jones, Centers for Disease Control and Prevention Conducting a Successful “Through With Chew” Week Sylvia Bagdonas, Substance Abuse Division, Wyoming Department of Health Mexican American Veterans' Stroke Risk Profiles: Implications for Expanding Culturally Responsive Best Clinical Practices Carol M. Baldwin, Arizona State University Health Risks and Conditions Among American Indians in North Carolina Ziya Gizlice, North Carolina State Government Aspirin Use as a Preventative Measure for CVD Among African Americans and Whites in Georgia Peter Thomas Baltrus, Morehouse School of Medicine Development of a Partnership Enhancement Toolkit Cindy S. Soloe, RTI International April Vance, Centers for Disease Control and Prevention Knowledge, Beliefs, and Stage of Adoption Towards Colorectal Cancer Screening Among Chinese Worksite Population Su-I Hou, University of Georgia Characteristics of Internet Use and Health Locus of Control of Seniors With Arthritis Pam York, Minnesota Department of Health Promoting Healthy Behavior Among Older Adults: A Consumer Research Approach Natasha S. Bryant, Institute for the Future of Aging Services Communication and Partnership Strategies for Reaching Rural Hispanic Populations Linda G. Powell, Mountain States Group, Inc Factors Associated With Tooth Loss Among Mississippi Adults Lei Zhang, Mississippi State Department of Health Healthy Food, Healthy Soul Campaign: Promoting Healthy Eating and Physical Activity to African American Men Quentin J. Moore, Michigan Public Health Institute Designing Effective Health Messages for Ethnically Diverse Audiences: Overcoming an Environment of Distrust Allison L. Friedman, Centers for Disease Control and Prevention Economic-related Disparities in Child and Parent Fruit and Vegetable Intake and Body Mass Index Christina Mushi-Brunt, Saint Louis University Indicators for Chronic Disease Surveillance at the Local Level: Assessing Geographic and Racial Disparities Kristen Mertz, Georgia Department of Human Resources Top Oral Abstracts Developing, Implementing and Disseminating Evidence-based Healthy Aging Programs in Community-based Organizations Nancy Whitelaw, The National Council on the Aging Lynda Anderson, Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Adult and Community Health PE2GO: A Program to Address Disparities in Youth Physical Activity Opportunities Maurice "Bud" Martin, Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Diabetes Translation Developing a Rural Health Promotion Specialist Program to Provide Preventive Health Care to the Medically Indigent Joy Maltese, District 4 Health Services A Community-based Partnership to Address Barriers to Physical Activity in an African American Community Marcus Plescia, North Carolina Department of Health and Human Services Division of Public Health Engaging Older Adults to Be More Active Where They Live: Audit Tool Development Melissa K. Kealey, University of California, Berkeley Center for Family and Community Health Adherence to Guidelines for Following Up Low-grade Pap Results by Age and Race or Ethnicity Vicki Benard, Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Cancer Prevention and Control Eliminating Disparities in Communities of Color Through the Lifetime Fitness Program Susan J. Snyder, Senior Services of Seattle/King County Senior Wellness Project An Effective Osteoporosis Education, Screening, Follow-Up, and Treatment Initiative in the Asian Community David B. Bauer, Bone Density Specialists, PLC Using Geographical Information Systems to Facilitate Community-based Public Health Planning of Diabetes Intervention Efforts Daniel J. Kruger, University of Michigan School of Public Health Prevention Research Center Moving People to Move: Mid-point Results of the Walk the Ozarks to Wellness Project Nikki M. Caito, Saint Louis University School of Public Health Colorectal Cancer Screening Among Latinos From U.S. Cities along the Texas-Mexico Border: A Qualitative Study Maria E. Fernandez, University of Texas Health Science Center at Houston Center for Health Promotion and Prevention Research School of Public Health Moving From Advising to Partnering Anne Doolen, Migrant Benevolent Association, Inc. Awareness of Cardiovascular Disease Risk in American Indians Carrie S. Oser, Montana Department of Public Health and Human Services Cardiovascular Health Program Race, Ethnicity, and Linguistic Isolation as Determinants of Participation in Public Health Surveillance Surveys Michael W. Link, Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Adult and Community Health Behavioral Surveillance Branch Measuring Population Health Disparities: The Wisconsin County Health Rankings Angela M. Kempf, University of Wisconsin-Madison Wisconsin Public Health and Health Policy Institute Department of Population Health Sciences Using Neighborhood-specific Clusters to Stimulate and Evaluate Behavioral Change: A Social Mobilization Campaign for Increasing Awareness of HIV/AIDS and Chronic Disease Bilal A. Salaam, Pan-African Pedagogy Institute Educating California School Board Members: Aligning Policies for Student Health and Achievement Vicki Berends, California Project LEAN VERB Campaign: Extending the Reach of a National Campaign to Ethnically Diverse Audiences Rosemary Bretthauer-Mueller, Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Adolescent and School Health, VERB Education and Negative Affect as Prospective Factors in Hypertension Disparities Between White and Black Women Bruce Stephen Jonas, Centers for Disease Control and Prevention National Center for Health Statistics Office of Analysis and Epidemiology Getting the Most Out of Vital Statistics Data: Diabetes-related Heart Disease Mortality in New Mexico Heidi Krapfl, New Mexico Department of Health Diabetes Prevention and Control Program Creating a Medical Home for Asthma: Improving Care in Pediatric Clinics Serving Low-income Communities Winston Liao, RTI International Predictors of Health Status for Disadvantaged Medicare Beneficiaries: Results of the Medicare Health Outcomes Survey Beth Hartman Ellis, Health Services Advisory Group Surveys, Research & Analysis What We See Depends on Where We Stand: Federal and Local Perspectives on Health Disparities Mary Kane, Concept Systems, Inc. An Investigation of the Environment and Diabetes Risk in Rural Communities Karrisa Weidinger, Saint Louis University School of Public Health Prevention Research Center Investigating Unrecognized Risk of the Metabolic Syndrome in African American Women: The Role of Psychological Factors Daphne P. Ferdinand, Southern University and A&M College School of Nursing Office of Research American Indian Children Walk for Health: Increasing Physical Activity by Daily Walking at School Donald B. Bishop, Minnesota Department of Health Center for Health Promotion Gender Disparities in Physical Activity Participation Among Boston Youth Alison M. El Ayadi, Harvard University School of Public Health Harvard Prevention Research Center on Nutrition and Physical Activity Making the Grade on Women’s Health: A National and State-by-State Report Card Michelle Berlin, Oregon Health and Science University Center of Excellence in Women's Health Compliance With Pediatric Asthma Guidelines in General Emergency Departments Ellen A. Vasser, Children's Hospital of The King's Daughters Center for Pediatric Research Challenges to Measuring Health Care Disparities in the National Healthcare Disparities Report: Disparities in Data Ernest Moy, Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety The Incidence of End-stage Renal Disease, Georgia, 1999-2002 Karon G. Abe, Georgia Department of Human Resources Georgia Division of Public Health Centers for Disease Control and Prevention Trying to Quit: Low-income Smokers’ Access to Cessation Care in a Managed Care Environment Millicent Fleming-Moran, Indiana University Department of Applied Health Science Ancillary Meetings Monday, February 28, 2005 CDD Business Meeting 2:00 p.m.- 5:00 p.m. Marquis Salon 3 Jayme Washam CDD Healthy Aging Interest Group 8:00 p.m.- 9:30 p.m. Consulate Jeanne Alongi, MPH Tuesday, March 1, 2005 CDD Board Meeting 7:00 a.m.- 8:00 a.m. Amsterdam Jayme Washam CDD Past President Committee 7:00 a.m.- 8:00 a.m. Burgundy Jack Hataway PRC Regional Directors' Meeting 7:00 a.m.- 8:00 a.m. Bordeaux Boardroom Sharrice White CDC Division of Nutrition and Physical Activity 12:00 noon- 1:30 p.m. Amsterdam Robin Hamre ORC Macro 12:30 p.m.- 1:30 p.m. International Salon C Doryn Chervin CDD - Science & Epidemiology Committee 5:15 p.m.- 6:00 p.m. Burgundy Boardroom Christopher Maylahn CDD Arthritis Council Meeting 5:15 p.m.- 6:00 p.m. Pickard/Chablis Classroom Jeanne Alongi, MPH CDD Comprehensive Cancer Interest Group 5:15 p.m.- 6:00 p.m. Rhine/Savoy Theater Larry K. Jenkins, MPH CDD Diabetes Council 5:15 p.m.- 6:00 p.m. Amsterdam Barbara Larsen, MPH, RD DCPC/OPPI 5:15 p.m.- 6:00 p.m. Bordeaux Kathleen Carey PRC National Community Committee General Meeting 5:15 p.m.- 8:15 p.m. International Salon C Sharrice White CDC - State-Based Epi 8:00 p.m.- 9:30 p.m. Bordeaux Boardroom Paul Siegel, M.D., M.P.H., F.A.C.P.M. Wednesday, March 2, 2005 CDC National Vision Program/CDCPHP/DDT 6:00 a.m.- 8:00 a.m. Copenhagen/Stockholm Michael Duenas CDD Board Meeting 7:00 a.m.- 8:00 a.m. Amsterdam Jayme Washam CDD Legislative and Policy Committee 7:00 a.m.- 8:00 a.m. International Salon C David P. Hoffman, MEd CDD CVH Council 7:00 a.m.- 8:30 a.m. International Salon A Margaret O. Casey PRC National Community Committee 7:30 a.m.- 8:30 a.m. International Salon B Sharrice White CDC Division of Nutrition and Physical Activity 12:00 noon- 1:30 p.m. International Salon C Robin Hamre CDC Preventing Chronic Disease E-Journal 12:00 noon- 1:30 p.m. Amsterdam Alexis Simmons CDC-State-Based Epidemiology 12:00 noon- 1:30 p.m. Bordeaux Boardroom Paul Siegel, M.D., M.P.H., F.A.C.P.M. CDD Council Coordination and Leadership Committee 12:00 noon- 1:30 p.m. Burgundy Barbara Larsen, MPH, RD PRC Latino Health Network 12:00 noon- 1:30 p.m. Rhine/Savoy Classroom Barbara Ainsworth CDC: Steering Committee: Nutrition & Physical Activity Work Group 5:15 p.m.- 6:00 p.m. Burgundy Tamara Salman Thursday, March 3, 2005 CDD Board Meeting 7:00 a.m.- 8:00 a.m. Amsterdam Jayme Washam CDC - Nutrition and Physical Activity Work Group 7:00 a.m.- 8:30 a.m. Rhine/Savoy Tamara Salman PRC/CDC Admin Workshop 7:30 a.m.- 9:30 a.m. International Salon C Classroom Jean Smith PRC Policy Committee 12:00 noon- 1:15 p.m. Burgundy Charles Deutsch, MA, ScD PRC Communication Committee 12:00 noon- 1:30 p.m. Bordeaux Carol A. Bryant, PhD Physical Activity Capacity Building Project 12:00 noon- 5:00 p.m. Pickard/Chablis Theater Jody Stones National Comprehensive Cancer Control Program Directors (CDC) 1:00 p.m.- 4:00 p.m. Bonn Nikki Hayes PRC/CDC Business Meeting 1:00 p.m.- 5:00 p.m. Copenhagen/Stockholm/Amsterdam Jean Smith CDD CSHP Collaborative 2:00 p.m.- 8:00 p.m. Rhine/Savoy Stacey Tompkins, MS, CHES PRC/CDC - PRC Reception 6:00 p.m.- 8:00 p.m. Consulate Jean Smith Friday, March 4, 2005 CDD School Health Council 8:00 a.m.- 11:00 a.m. Summit Stacey Tompkins, MS, CHES PRC/CDC Business Meeting 8:00 a.m.- 5:00 p.m. Yukon/McKenzie/Rio Grande Jean Smith