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The Center for African American Health Presentation for Hypertension Panel Discussion June 12, 2015 Why the Center for r Afr frican Ameri rican Health? Free Trust Prevention Health Literacy Health disparity Cultural

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The Center for African American Health

Presentation for Hypertension Panel Discussion June 12, 2015

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Why the Center for r Afr frican Ameri rican Health?

  • Free
  • Trust
  • Prevention
  • Health Literacy
  • Health disparity
  • Cultural competency
  • Dissemination of information and available resources
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Center for r Afri rican American Healt lth Events & Pro rograms

3

Events

  • Annual Collaborative Health Fair – February 28, 2015
  • Annual Destination Health 5K Walk/Run/Learn – July

25, 2015

  • Annual Prostate Screening & Men's Health Day –

September 2015 Pro rogr gram ams

  • Diabetes Self-Management (6 weeks)
  • Live Well 4 Life Diabetes Prevention Program (22 weeks)
  • Just Check It (home blood pressure monitor program)
  • A Matter of Balance – fall prevention program (8 weeks)
  • Connect for Health Colorado Certified Assistant Site
  • Faith & Health Ministry
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Funded by CDPHE Cancer, Cardiovascular, and Chronic Pulmonary Disease Program

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Your Ju Just Check It It Team:

Wendy Smittick

Program Coordinator, JCI

Lucille Johnson

Special Programs Director

Mark Hocker

CAAH Community Liaison

Grant Jones

CAAH Director

Glenda Mitchell

Program Director

Lauren DeAlleaume, MD

Medical Consultant (UC Family Medicine

Linda Zittleman

Program Partner (UC Family Medicine)

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  • To reduce rural health disparities, High Plains Research Network (HPRN)

and its Community Advisory Council partnered to translate research on home blood pressure (BP) management to develop a program for rural primary care and a patient toolkit.

  • Built on previous home BP program called ACARE (in 26 practices

around Colorado and Just Check It pilot study in Hugo, CO.

Just Check It Beginnings

High Plains Research Network Staff & Community Advisory Council Gordon Clinic in Hugo, CO excited about new JCI patient toolkit.

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  • Orientation
  • What is hypertension
  • African Americans and hypertension stats
  • Theories
  • Epigenetics
  • Octavine Nelson
  • Lifestyle changes
  • Home blood pressure monitoring
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Blood Pre ressure Matters

  • No symptoms!
  • In general, people can’t tell when their blood pressure is high.
  • First symptom may be heart attack or stroke.
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Afr frican Americans and Hypertension

Bla lack Dem emog

  • graphic

ics – Cen ensus Bur ureau Data a & & Cha hart rts – By Category

1 3

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THEORIES ABOUT AFRICAN AMERICANS AND HYPERTENSION

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EPIGENETICS

  • Cherry Blossoms and Rats
  • Drought
  • Pregnant mom smoking
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EPIGENETICS

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BARRIERS TO HYPERTENSION

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YOU CAN CONTROL IT IT

  • Find a doctor you trust
  • See your doctor regularly
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You can control it

  • Salt is salt is salt
  • No more than 1500 mg a day
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You can control it

  • This diet is full of salt, butter,

and fat

  • This is not what a person with

hypertension should eat regularly.

  • Save for special occasions
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SOUL FOOD NUTRIT ITIONAL FACTS

Fried Chicken (1 piece) Black-eyed Peas Mac & Cheese Polish Sausage Collard Greens Salt Pork Hot water corn bread

TOTALS

Fat 14.8 18 3.5 22 6.5 64.8 Calories 246 240 420 55 70 212 128 1,371 Sodium (mg) 487 40 275 980 403 31 2,216 Big Mac Large Fries Large Drink TOTALS Fat 27 24 51 Calories 530 510 280 1320 Sodium (mg) 960 290 5 1255

MCDONALD’S SUPER SIZE MEAL

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On the Border Mexican Grill & Cantina

Dos XX Fis ish Tacos w/ / Crea eamy Red Chil ile Sa Sauce

Fat 144 g Calories 1400 Sodium (mg) 2610 mg

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Eat Healthy

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Get your exercise and manage your weight

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You can control it

The increase in blood pressure is approximately 1 mmHg for each 10 g alcohol consumed and is largely reversible within 2-4 weeks of abstinence or a substantial reduction in alcohol intake Also, alcohol can interfere with the effectiveness and increase the side effects of some blood pressure medications.

Alcohol is to Hypertension As Sugar is Diabetes

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Ju Just Check It It Registry ry – Information and Communication

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Just Check It Registry (www.justcheckit.org) Home BP Reporting System

  • A HIPAA-compliant tool for information, communication, and local data
  • Report and track average

home BPs over time

  • Provides feedback to patient

and providers

  • Maintained by Dept. of Family

Medicine at the University of Colorado Anschutz Medical Campus

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“Patient” Feedback Report

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Communicating with CAAH and Doctor