title: Reducing Health Disparities and Improving Health Equity in Saint Lucia.
abstract: St. Lucia is an island nation in the Eastern Caribbean, with a population of 179,000 people, where chronic health conditions, such as hypertension and diabetes, are significant. The purpose of this pilot study is to create a model for community health education, tracking, and monitoring of these health conditions, research training, and policy interventions in St. Lucia, which may apply to other Caribbean populations, including those in the U.S. This paper reports on phase one of the study, which utilized a mixed method analytic approach. Adult clients at risk for, or diagnosed with, diabetes (n = 157), and health care providers/clinic administrators (n = 42), were recruited from five healthcare facilities in St. Lucia to assess their views on health status, health services, and improving health equity. Preliminary content analyses indicated that patients and providers acknowledge the relatively high prevalence of diabetes and other chronic illnesses, recognize the impact that socioeconomic status has on health outcomes, and desire improved access to healthcare and improvements to healthcare infrastructures. These findings could inform strategies, such as community education and workforce development, which may help improve health outcomes among St. Lucians with chronic health conditions, and inform similar efforts among other selected populations.
authors.affiliation: Satcher Health Leadership Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310, USA. kholden@msm.edu.
authors.forename: Kisha
authors.initials: K
authors.lastname: Holden
authors.affiliation: Victoria Hospital, Hospital Road, Castries P.O. Box 1750, St. Lucia. lisa_charles@hotmail.com.
authors.forename: Lisa
authors.initials: L
authors.lastname: Charles
authors.affiliation: Tapion Hospital, Tapion Road, Castries P.O. Box 1780, St. Lucia. kings@candw.lc.
authors.forename: Stephen
authors.initials: S
authors.lastname: King
authors.affiliation: Satcher Health Leadership Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310, USA. bmcgregor@msm.edu.
authors.forename: Brian
authors.initials: B
authors.lastname: McGregor
authors.affiliation: Satcher Health Leadership Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310, USA. dsatcher@msm.edu.
authors.forename: David
authors.initials: D
authors.lastname: Satcher
authors.affiliation: Satcher Health Leadership Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310, USA. abelton@msm.edu.
authors.forename: Allyson
authors.initials: A
authors.lastname: Belton
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006266:Health Education / Q000379:methods*; D000069576:Health Equity; D006291:Health Policy; D054624:Health Status Disparities; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D008297:Male; D010865:Pilot Projects; D015995:Prevalence; D062486:Public Health Surveillance; D036301:Qualitative Research; D019431:Saint Lucia / Q000453:epidemiology; D014481:United States
keywords: St. Lucia; diabetes; health equity; hypertension