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Reducing Health Disparities and Improving Health Equity in Saint Lucia

Author

Listed:
  • Kisha Holden

    (Satcher Health Leadership Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310, USA
    These authors contributed equally to this work.)

  • Lisa Charles

    (Victoria Hospital, Hospital Road, Castries P.O. Box 1750, St. Lucia
    These authors contributed equally to this work.)

  • Stephen King

    (Tapion Hospital, Tapion Road, Castries P.O. Box 1780, St. Lucia
    These authors contributed equally to this work.)

  • Brian McGregor

    (Satcher Health Leadership Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310, USA
    These authors contributed equally to this work.)

  • David Satcher

    (Satcher Health Leadership Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310, USA
    These authors contributed equally to this work.)

  • Allyson Belton

    (Satcher Health Leadership Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310, USA
    These authors contributed equally to this work.)

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.

Suggested Citation

  • Kisha Holden & Lisa Charles & Stephen King & Brian McGregor & David Satcher & Allyson Belton, 2015. "Reducing Health Disparities and Improving Health Equity in Saint Lucia," IJERPH, MDPI, vol. 13(1), pages 1-13, December.
  • Handle: RePEc:gam:jijerp:v:13:y:2015:i:1:p:37-:d:60996
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    References listed on IDEAS

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    1. Williams, D.R. & Haile, R. & González, H.M. & Neighbors, H. & Baser, R. & Jackson, J.S., 2007. "The mental health of Black Caribbean immigrants: Results from the National Survey of American Life," American Journal of Public Health, American Public Health Association, vol. 97(1), pages 52-59.
    2. Steele, C.B. & Miller, D.S. & Maylahn, C. & Uhler, R.J. & Baker, C.T., 2000. "Knowledge, attitudes, and screening practices among older men regarding prostate cancer," American Journal of Public Health, American Public Health Association, vol. 90(10), pages 1595-1600.
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