title: Perceived health needs of urban African American church congregants.
abstract: Theory-based assessment of congregant expectations and needs should be conducted prior to beginning a parish nurse program. However, no such assessments are found in the literature. Using Andersen's Health Access Model as a framework, investigators conducted interviews with 117 randomly selected congregants in five urban African American churches to describe their perceived needs and expectations. Causing most concern were the following: (a) symptoms of illness--high blood pressure (50.4%), dental problems (43.6%), and back pain (41%); and (b) health habits/risks--weight (75%), exercise (63%), and diet (63%). Younger adults were significantly more concerned about all aspects of their health than their older counterparts. Women were significantly more likely to express concern about health habits and health risks than males. No significant relationship was found between perceived need and access to care. Although terming health care services "adequate", congregants expressed many unmet health needs. This seemingly contradictory finding may illuminate a concrete role for the parish nurse, i.e., addressing personal health care concerns not alleviated by the current "adequate" health care delivery system. This study's significance lies not only in providing programming guidance, but also in theoretical insights into the role of the parish nurse.
authors.affiliation: University of Illinois at Chicago, College of Nursing, Peoria Regional Program, Peoria, 61656-1649, USA.
authors.forename: K A
authors.initials: KA
authors.lastname: Baldwin
authors.forename: P L
authors.initials: PL
authors.lastname: Humbles
authors.forename: F A
authors.initials: FA
authors.lastname: Armmer
authors.forename: M
authors.initials: M
authors.lastname: Cramer
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data*; D000368:Aged; D001294:Attitude to Health / Q000208:ethnology*; D003152:Community Health Nursing; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D007087:Illinois / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000706:statistics & numerical data*; D012067:Religion; D018570:Risk Assessment / Q000706:statistics & numerical data; D012938:Social Perception; D011795:Surveys and Questionnaires