Michigan State University APHA 2020 Booklet by MSUpublichealth

@ APHA 2020 A Summary of Flint focused work being presented during the American Public Health Association Annual Meeting & Expo

OCTOBER 24-28, 2020

COME SEE US AT APHA BOOTH #2325.

Welcome “

Michigan State said, we would be the stake in the ground for public health in Flint. We have built a model that is grounded in the principles of equity and authentic community engagement in all aspects of our work. The strides we’ve made in reducing health disparities in Flint are a direct result of the strong partnerships we have forged with the community we are so profoundly privileged to serve. During the COVID-19 pandemic, we worked tirelessly to flatten the curve and narrow the tremendous racial disparities we saw early in the pandemic. The underlying social and political determinants of health that give way to health disparities remain the target of our solutions-oriented approach to public health. We remain relentless in our pursuit that all people experience health and access to quality healthcare as a fundamental human right and not an economic, racial, or geographic privilege.

”

Debra Furr-Holden, Ph.D.

C.S. Mott Endowed Professor of Public Health Michigan State University Associate Dean for Public Health Integration Michigan Coronavirus Task Force on Racial Disparities Epidemiologist Mom

Division of Public Health College of Human Medicine

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CONGRATULATIONS Mona Hanna-Attisha APHA General Session Speaker and 2020 Award Recipient of the CDC Foundation Fries Awards for Health The prize honors individuals whose achievements have made the greatest contributions to public health. The award includes $60,000 that will be donated to the MSU Pediatric Public Health Initiative. Dr. Hanna-Attisha, MD, MPH, FAAP, is founder and director of the Michigan State University and Hurley Children’s Hospital Pediatric Public Health Initiative, an innovative and model public health program in Flint, Michigan. A pediatrician, scientist, activist and author, Hanna-Attisha has testified three times before the U.S. Congress, was awarded the Freedom of Expression Courage Award by PEN America and named one of Time magazine’s 100 Most Influential People in the World for her role in uncovering the Flint water crisis and leading recovery efforts. She is founding donor of the Flint Child Health and Development Fund. Hanna-Attisha received her Bachelor’s and Master of Public Health degrees from the University of Michigan and her medical degree from the Michigan State University College of Human Medicine. She completed her residency at Children’s Hospital of Michigan in Detroit, where she was chief resident. She is currently an Associate Professor of Pediatrics and Human Development and a C.S. Mott Endowed Professor of Public Health at Michigan State University.

Join us on Monday, October 26 at 7:00 PM (EST)

for APHA’s General Session on Policy-Mediated Violence: A Threat to Health and award presentation. 3318.0

MSU@APHA O U R

S U N D AY

PUBLIC HEALTH IN A DUAL PANDEMIC Sunday, October 25th 6:30pm - 7:30pm EST First 50 guests who register and attend will be mailed an MSU thank you gift. Join MSU leaders for a discussion on navigating public health during a dual pandemic. This session will discuss how pandemics, racism, health disparities, and health equity frameworks can have a significant impact on the lived experiences of people in differing communities. Register to attend.

E V E N T S

M O N D AY

MASTER OF PUBLIC HEALTH INFORMATION SESSION Monday, October 26th 12:00pm - 1:00pm EST First 50 prospective students who register and attend will be mailed an MSU thank you gift. This session gives prospective students an opportunity to explore the benefits of joining over 600 Spartans in Public Health. Meet the team that will guide your success throughout the program during a live presentation with time for Q&Aâ&#x20AC;&#x2122;s. Register to attend.

COME SEE US AT APHA BOOTH #2325.

25 4

Table of Contents Denotes Michigan State University Faculty, Community Partner, Student, or Alumni.

Welcome from Debra Furr-Holden. . . . . . . . . . . . . . . . . . . . . . . . . 2 Congratulations Mona Hanna-Attisha . . . . . . . . . . . . . . . . . . . . . . 3

S U N D AY | O C T O B E R 2 5 , 2 0 2 0 2050.0 Aging & Public Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

On demand

Challenges in post-hospitalized transition care: A retrospective chart review of nursing home residents diagnosed with urinary tract infection

2081 .0 Environment and Healthy Aging . . . . . . . . . . . . . . . . . . . . . . . . . 11

On demand

Social and environmental risk factors for isolation among older Americans with physical disabilities

2097 .0 Food & Nutrition Section: Poster Session 1 . . . . . . . . . . . . . . . . 12 On demand

Differences in nutrition behaviors among low-income immigrant, refugee, Native American and African American families in the Midwest

2099 .0 Food & Nutrition Section: Poster Session 3 . . . . . . . . . . . . . . . . 13 On demand

Consumption of soda pop and other sweetened beverages: Before and after Flint water crisis

M O N D AY | O C T O B E R 2 6 , 2 0 2 0 3066 .0 Environment: Unequal Treatment: An Exploration of Environmental Justice and Health Disparities . . . . . . . . . . . . . . 14 On demand

Inverting power within technology design as a model for developing community driven research

VIEW APHA PROGRAM TO CONFIRM TIMES AND DETAILS FOR EACH SESSION. THE FLINT @APHA BOOKLET MAY NOT REFLECT LAST MINUTE CHANGES MADE BY APHA. OCTOBER 24-28, 2020

Table of Contents 3107.0 Community Health Planning and Policy Development: Preventing Violence through Community-Based Collaborations. . . . . . . . . . 16 12:45 PM - 1:00 PM EST

Reducing violent crime and injuries with community-engaged crime prevention through environmental design (CPTED)

3105.0 Community Health Planning and Policy Development: Creating and Improving Community-Based Partnerships. . . . . . . . . . . . . 17 1:15 PM - 1:30 PM EST

Structuring interdisciplinary partnerships between clinical and community organizations to address social determinants of health in Flint & Genesee county

3187.0 Community Based Public Health Caucus: Community-Based Partnerships That Lead to Change. . . . . . . . . . . . . . . . . . . . . . . . 18 3:00 PM - 3:15 PM EST

Bridging science education and public health research perspectives to understand the impact of a community-inspired science curriculum

3189.0 Community Health Planning and Policy Development: Examining the Affects of Violence and Other Adverse Events across the Lifespan. . . . . . . . . . . . . . 19 3:45 PM - 4:00 PM EST

Longitudinal examination of adverse childhood experiences during adolescence as a predictor of adult intimate partner violence trajectories

3275.0 Flint Focused Community-Engaged Work to Impact Health. . . . 20 5:00 PM - 6:30 PM EST

Community voice on the Flint water crisis: A trust study, needs assessment and plan of action . . . . . 20

5:00 PM - 5:15 PM EST

Engaging the Flint Community in Research Through Symposia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

5:15 PM - 5:30 PM EST

Developing and Implementing a Community-based Parenting Education Program to Mitigate the Impact of the Flint Water Crisis. . . . . . . . . . . . . . . . . . . . . . . 22

5:30 PM - 5:45 PM EST

FLINT @ APHA 2020

3307.0 Science, Justice and Health Equity. . . . . . . . . . . . . . . . . . . . . . . . 23

5:45 PM - 6:00 PM EST

Use of a dissemination model to improve health equity through a clearer view of Medicaid data

3308 .0 Public Health Education and Health Promotion: Theoretical Frameworks for Health Promotion through the Life Course . . . . . . . . . . . . . . . . 24

5:30 PM - 5:45 PM EST

Development of stroke ready: Addressing community identified barriers to stroke response

3318 .0 Monday General Session: Policy-Mediated Violence: A Threat to Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 7:00 PM - 8:30 PM EST

Lecture on policy mediated violence and presentation of the CDC Foundation Fries Award for Health to award recipient Mona HannaAttisha

T U E S D AY | O C T O B E R 2 7, 2 0 2 0 4278 .0 Community-Based Public Health: Celebrating the Legacy of Toby Citrin . . . . . . . . . . . . . . . . . . . . 28

5:00 PM - 6:30 PM EST

Moving forward: Honoring Toby’s legacy

Overview and Introduction: Celebrating the Legacy of Toby Citrin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

5:00 PM EST

Elevating community voice at the table, locally and nationally. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

5:20 PM EST

Honoring Toby’s legacy moving forward . . . . . . . . . . . . . . . 28

5:55 PM EST

4118.0 Environment: Community Psychosocial Stress and Environmental Contamination: From Theory to Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 1:00 PM - 1:15 PM EST

Trauma-informed approaches for individual and community mental health during the Flint water crisis OCTOBER 24-28, 2020

Table of Contents RT30.1 Youth Round Table: Youth Leading the Way to Healthier Communities. . . . . . . . . . 30 2:00 PM - 2:30 PM EST

Translating the Flint water crisis; Development of a research readiness and partnership protocol (R2P2)

RT41 Community Engagement As an Approach to Health Improvement. . . . . . . . . . . . . . . . . . . 31 2:30 PM - 3:00 PM EST

Time for action, strengthening capacity with the building capacity for research and action funding opportunity

RT41 Community Engagement As An Approach to Health Improvement. . . . . . . . . . . . . . . . . . . 32

2:30 PM - 3:00 PM EST

Faith-based leader perspectives on community-based participatory research and community-academic partnerships

RT41 Community Engagement As An Approach to Health Improvement . . . . . . . . . . . . . . . . . . 33 2:30 PM - 3:00 PM EST

Equitable community partner compensation: A key component of trust in research relationships

RT42 Round Table: Programs/Services Addressing Determinants of Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 2:30 PM - 3:00 PM EST

Employing community health workers (CHWs) to address social determinants of health (SDOH) and promote clinical-community linkages

4160 .0 Applied Public Health Statistics: APHS Student Posters . . . . . 35 On demand

Spatial assessment of the relationship between water violations and poverty at the county level: Who has access to clean water?

4210 .0 Health Administration: Patient Considerations Related to Improving Quality in Health Services and Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 3:30 PM - 3:45 PM EST

Health information technology in pediatric care: Results of interviews with parents

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4228.0 Equity in Menâ&#x20AC;&#x2122;s Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 3:30 PM - 3:45 PM EST

Self-management of diabetes in black men: The Flint MANUP intervention study

4251.0 Health Informatics Information Technology: HIIT Poster Session #4: Creating the Healthiest Nation through Technological Advances Including Telemonitoring, Virtual Oncology Visits, Use of Mobile Health Devices and Other Improvements . . . . . 38 On demand

Development and assessment of a mobile application for assisting WIC participants with weight loss after childbirth

4259 .0 Maternal and Child Health: Violence Prevention Poster Session . . . . . . . . . . . . . . . . . . . . . . 39 On demand

Shortened future orientation mediates the relationship between higher rates of neighborhood disorder and harsh physical punishment

W E D N E S D AY | O C T O B E R 2 8 , 2 0 2 0 5052 .0 Aging & Public Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 12:30 PM - 2:00 PM EST

Advancing Research, Policy, and Practice on Collaboration for an Aging Society

GF07 APHA Public Health Film Festival: General Films GF07 Health Promotion I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

12:45 PM - 1:00 PM EST

Water-FIT: Partnering with a faith-based community help center to promote take-home colorectal cancer screening in Flint, Michigan

5063 .0 Measures, Methods, and Evaluation in CBPR . . . . . . . . . . . . . . . 42 1:00 PM - 1:15 PM EST

Developing a valid research partnership assessment

Flint Registry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Meet the Research Team . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44-48 Welcome from Wayne R. McCullough . . . . . . . . . . . . . . . . . . . . 49 Online Master of Public Health Program . . . . . . . . . . . . . . . . . . 50 OCTOBER 24-28, 2020

Agenda Denotes Michigan State University Faculty, Community Partner, Student, or Alumni.

S U N DAY | O C T O B E R 2 5 , 2 0 2 0 2050.0

AGING & PUBLIC HEALTH 5:30 PM - 6:30 PM EST

Challenges in post-hospitalized transition care: A retrospective chart review of nursing home residents diagnosed with urinary tract infection Denise Cooper, University of Michigan - Flint; Roxanne Buterakos, University of Michigan - Flint; Shoo-Yih Daniel Lee, University of Michigan School of Public Health; Jenny Tith, University of Michigan - Flint Background: Antibiotic misuse contributes to the widespread emergence of antibiotic resistant bacteria. Inappropriate antibiotic treatments for urinary tract infection (UTI) among nursing home (NH) residents is well documented, but evidence about the accuracy of treatment amongst residents transitioning between hospitals and NHs are lacking. UTI diagnosis differs in NH residents due to widespread presence of asymptomatic bacteriuria (ASB). The Infectious Disease Society of America strongly advises against antibiotic treatment of ASB. However, differentiating ASB from UTI is challenging. This study assessed if discharge documents of hospitalized NH residents treated for UTI supported appropriate diagnosis and treatment using signs, symptoms, laboratory results and prescription reviews. Methods: We conducted a retrospective chart review of convenience samples in 3 NHs and 4 hospitals in southeast Michigan over a 3-year period. Electronic medical record (EMR) data were abstracted for residents with a diagnosis of UTI. An evidence-based tool and inter-rater agreement were used to determine antibiotic appropriateness. Results: A total of 79 hospitalized residents were treated for UTI. Of those, 18 (22.8%) were appropriately treated. Non-catheterized residents were treated appropriately 13% of the time with catheterized residents appropriately treated 56% of the time. Longer lengths of stay were observed at some hospitals. Findings were impacted by missing communication and documentation between sites.

FLINT @ APHA 2020

Sunday | October 25, 2020 Conclusions: Appropriate treatment rates amongst hospitalized NH residents appears to be low. Use of a consistent process to facilitate communication and documentation is missing. A comprehensive approach to improve assessment of UTI may improve appropriate treatments. Implementation and further assessment are planned.

2081.0

ENVIRONMENT AND HEALTHY AGING 7:00 PM - 8:00 PM EST

Social and environmental risk factors for isolation among older Americans with physical disabilities Rie Suzuki, University of Michigan - Flint; Michael McCarthy, Northern Arizona University Background: Research has shown that people with physical disabilities (PDs) are often socially isolated and that social isolation places one at risk for poor health outcomes. However, few studies have investigated the relative impact of subjective versus objective impairment, nor the roles of social or environmental factors, on oneâ&#x20AC;&#x2122;s risk for social isolation. The purpose of this study is to identify social and environmental risk factors for isolation among older Americans with PDs. Methods: Data comes from the National Health and Aging Trends Study (2017). Subjective Activities of Daily Living (ADL) impairment and clinician-rated Short Physical Performance Battery (SPPB) impairment were used to identify and distinguish individuals with subjective versus objective PDs (N=2700). Mplus 8.4 was used to estimate multinominal logistic regression models predicting risk for self-reported social isolation among three groups: Socially isolated, partially integrated, and fully integrated (reference). Results: Controlling for demographic factors, individuals with subjective ADL impairments (but no SPPB impairments), no social network, and no household clutter were more likely to be socially isolated. Interaction effects showed that when individuals have at least one person in their social network as well as household clutter, they are more likely to be isolated. However, when individuals live with another person and have household clutter, they are less likely to be isolated. Implications: Findings suggest that individuals with subjective impairments may benefit from public health programs aimed at preventing social isolation. Additional research is needed to better understand the roles of social and environmental factors in this process. OCTOBER 24-28, 2020

Agenda 2097.0

FOOD & NUTRITION SECTION: POSTER SESSION 1 7:00 PM - 8:00 PM EST

Differences in nutrition behaviors among lowincome immigrant, refugee, native American and African American families in the Midwest Rachael Dombrowski, Wayne State University; Bree Bode, Wayne State University; E. Whitney Moore, Wayne State University, Noel Kulik, Wayne State University; Stephanie Willingham, Michigan Department of Education Introduction: The Best Food Forward (BFF) pilot project aims to provide multiple nutrition supports to improve family food security, academic, behavioral and other health outcomes within two school districts in Warren (SD2) and Flint (SD1), MI. BFF includes several multi-level interventions focused within schools and the surrounding communities. Methods: Through a quasi-experimental time series design, a multilevel evaluation is being administered for BFF and includes: school record review, community observations, school plate waste observation and completion of validated surveys, biometric assessments and focus groups among a random sample of youth (n=200) and parent participants (n=200). Results: Baseline measures are currently underway; Time 1 measures will be collected in May 2020. Preliminary findings from SD1 (N=56 youth, 77% African American, 7% Native American) include low consumption of leafy greens (45% never ate over past week), vegetables (34% never ate over past week) and milk (34% never ate over past week). We expect to see differences in these measures in SD2 among the immigrant and refugee families where traditional diets are more plant-based. Comparisons of baseline and Time 1 reports will be presented. Discussion: Food insecurity is often a familial challenge, and cultural preferences can influence nutrition-related behaviors. Ensuring nutrition support interventions address cultural food preferences to improve community diet is an important component of implementation and can mediate the development of obesity and other chronic disease. Understanding food preferences among low-income multi-cultural families can be helpful for other projects working with immigrant, refugee, Native American and/or African American families.

FLINT @ APHA 2020

Sunday | October 25, 2020 2099.0

FOOD & NUTRITION SECTION: POSTER SESSION 3 7:00 PM - 8:00 PM EST

Consumption of soda pop and other sweetened beverages: Before and after Flint water crisis Melanie Wierda, University of Michigan - Flint; Reza Amini, University of Michigan - Flint College of Sciences; Lisa Fockler, Genesee County Prevention Coalition There is growing evidence of inequities in the United Statesâ&#x20AC;&#x2122; water system, such as the recent human-induced emergency impacting the safety of municipal water in Flint, Michigan. The current study examines a possible secondary consequence of the Flint water crisis â&#x20AC;&#x201C; the change in intake of beverages containing added sugar. The Speak to Your Health! (STYH) surveys adults residing in Genesee County, Michigan, biennially. We used the STYH data of 2013 (before the water crisis) and 2017 (after the water crisis). The current analysis focuses on comparing the frequency of consumption (in six levels from 0 to 5+ per month) of soda pop and other sugar-sweetened beverages between 2013 and 2017 in Flint residents affected by the water crisis compared to Genesee County as a whole. We used longitudinal ordinal logistic regression to compare areas affected by lead contamination with notaffected areas. The preliminary results showed that, on a county-level, the consumption of sugar-sweetened beverages other than soda pop significantly decreased in 2017 compared to 2013, but this trend was significantly different in the areas affected by lead contamination. Being in the affected areas can increase the chance of consuming more sugarsweetened beverages by 52%. This difference was not significantly different in soda pop. The results of this research can generate new insight for policymakers to support community-level action and local health policy to address a secondary consequence of the water crisis in Flint and other areas.

OCTOBER 24-28, 2020

Agenda M O N D AY | O C T O B E R 2 6 , 2 0 2 0 3066.0 ENVIRONMENT

UNEQUAL TREATMENT: AN EXPLORATION OF ENVIRONMENTAL JUSTICE AND HEALTH DISPARITIES 12:30 PM - 1:30 PM EST

Inverting power within technology design as a model for developing community driven research Jennifer Carrera, Michigan State University; Sarah Bailey, Bridges into the Future; Ronnie Wiggins, HQLM Vision Center; Cynthia Watkins, Well Church international Ministries; Laura Sullivan, Kettering University In response to the Flint water crisis, Flint residents mobilized and elevated the national conversation about lead in drinking water and water quality in general. Flint residents, like so many other communities facing environmental justice struggles, learned about the contaminants in their environment and used that knowledge to advocate for their personal, family, and community health. We use a community based participatory research approach that emphasizes listening, dialogues, and action in the development of a critical environmental health literacy model. Our research draws from Flint residentsâ&#x20AC;&#x2122; expertise in environmental health literacy to expand the definition of environmental health literacy to include relational knowledge production and exchange within a terrain of uneven of equity and trust. We apply Paulo Freireâ&#x20AC;&#x2122;s (2000) critical literacy model in order to develop a model for conducting community driven research that inverts power relationships between non-community academics and residents, i.e. community scientists. From our focus group data (n=41) and our workshop dialogues (n=78), we created a collective action plan towards developing a mobile phone based application which could address community concerns around the exchange of water quality information in the community. In the final year of this three-year project, we engage with 25 Flint residents to design, use, troubleshoot, and redesign the mobile application as a demonstration of capacity around community

FLINT @ APHA 2020

Monday | October 26, 2020 driven technology design. Through this engagement we analyze the potential of the application to support the growth and exchange of environmental health literacy within the pilot group. Our work points towards a promising direction for inverting power relationships within technology design and using this process as a model for developing truly community driven research.

VIEW APHA PROGRAM TO CONFIRM TIMES AND DETAILS FOR EACH SESSION. THE FLINT @APHA BOOKLET MAY NOT REFLECT LAST MINUTE CHANGES MADE BY APHA.

COME SEE US AT APHA BOOTH #2325.

OCTOBER 24-28, 2020

Agenda 3107.0 COMMUNITY HEALTH PLANNING AND POLICY DEVELOPMENT

PREVENTING VIOLENCE THROUGH COMMUNITY-BASE COLLABORATIONS 12:45 PM - 1:00 PM EST

Reducing violent crime and injuries with community-engaged crime prevention through environmental design (CPTED) Thomas Rieschel, University of Michigan School of Public Health; Daniel Lee, Children’s Minnesota; Laney Rupp, University of Michigan School of Public Health; Justin Heinze, University of Michigan School of Public Health; Marc Zimmerman, University of Michigan School of Public Health Background: Violent injury is a major public health concern in the US. In 2017, there were 67,200 deaths from violent injuries and 2,292,945 million emergency department visits for nonfatal injuries (CDC WISQARS, 2020). Crime Prevention through Environmental Design (CPTED) has been widely adopted as an architectural and “physical” space management strategy for reducing property and violent crimes (Cozens & Love, 2015). This study focused on the added importance of community engagement (“social” CPTED) for violence prevention. Our study was based in a three square mile urban corridor in Flint, MI over a 3 year period (2014-2017). Flint’s high residential vacancy rates and physical deterioration have contributed to the loss of social capital and increased violent crime. Objectives: To examine how residents and community partners are engaged in CPTED activities and the effects of community-engaged CPTED activities on neighborhood violence. Methods: We recorded 389 CPTED activities and where they occurred on the 441 street segments within the study area—many activities covered multiple street segments. We coded the intensity of six physical CPTED strategies and four social CPTED strategies. We estimated conditional latent growth models to evaluate the effect of CPTED intensity on resident perceptions (surveys) and violence outcomes (crime incidents, ER injury data). Results: Initial analyses of 12-month moving average crime counts suggested nearly 50% reductions in assaults and robberies after CPTED activities were initiated in the study area and we noted higher violent crime reductions in neighborhoods

FLINT @ APHA 2020

Monday | October 26, 2020 with greater community engagement in CPTED activities. Additional analyses examined the effects of physical and social CPTED activity intensity at the more granular street segment level of analysis. In addition to analyzing crime incident trends, we analyzed trends in violent injuries. Measures of social capital and neighborhood activism (from resident surveys) were examined as mediating factors. Conclusions & Public Health Implications: The initial analyses suggest that engaging residents in CPTED activities increases neighborhood activism and social capital, which leads to drops in neighborhood violence. The discussion will focus on other mechanisms that explain how active and engaged residents create safer neighborhoods and reduce neighborhood violence.

3105.0 COMMUNITY HEALTH PLANNING AND POLICY DEVELOPMENT

CREATING AND IMPROVING COMMUNITY-BASED PARTNERSHIPS 1:15 PM - 1:30 PM EST

Structuring interdisciplinary partnerships between clinical and community organizations to address social determinants of health in Flint & Genesee County Nicole Smith-Anderson, Greater Flint Health Coalition; Kirk Smith, Greater Flint Health Coalition Introduction: Flint, Michigan has one of the highest poverty rates in the nation. Health disparities and social inequities compound the community’s health challenges, as food insecurity, housing, transportation, education, employment, and depression – in addition to the ongoing trauma associated with the Flint Water Crisis – significantly impact the lives of children, seniors, and families. Program Development/Implementation: To address the complex social determinant of health (SDOH) needs of Flint & Genesee residents, the non-profit, Greater Flint Health Coalition (GFHC) created a Community/ Clinical Referral Network to implement a regional technology-based platform allowing clinical and community partners to work together to address SDOH needs of residents in a manner that creates a closed loop system to verify resident needs are met. The integration of both clinical healthcare partners and community and social services agencies on a single platform provides an efficient process for addressing the OCTOBER 24-28, 2020

Agenda needs of residents. Specifically, this platform provides a closed-loop referral process allowing referring organizations to be made aware of the referral status. Supported via existing social service providers and a community health worker team, residentsâ&#x20AC;&#x2122; needs are monitored to successful resolution across more than 50 clinical and community partner sites. Utilizing a multi-sector coalition process, resident SDOH referrals are structured to increase access and connection to transportation, housing/emergency shelter, basic needs assistance, food/nutrition resources, health insurance, medical home, substance use treatment, and health and wellness programs. By addressing the underlying SDOH needs, it is anticipated residents will have improved health outcomes by ensuring needs associated with food, housing, healthcare access, and transportation are resolved and supported. Plan to Evaluate Outcomes: To evaluate this project, the following metrics will be measured: number SDOH referrals sent by type, number of needs addressed, category and corresponding outcomes (needs met, person on waiting list, person declined services), pre/post emergency department and inpatient hospitalization rates, etc. Conclusions: The GFHCâ&#x20AC;&#x2122;s Community/Clinical Referral Network will create a mechanism for efficient integration and shared operations that enhance strategies to address the social determinants of health in Flint and Genesee County, leading to improved health outcomes for residents.

3187.0 COMMUNITY BASED PUBLIC HEALTH CAUCUS:

COMMUNITY-BASED PARTNERSHIPS THAT LEAD TO CHANGE 3:00 PM - 3:15 PM EST

Bridging science education and public health research perspectives to understand the impact of a community-inspired science curriculum Irene Bayer, Michigan State University; Bianca Alexander, Michigan State University; Ella Greene-Moton, University of Michigan School of Public Health; Tania Jarosewich, Censeo Group; Consuelo Morales, Michigan State University; Idit Adler, Tel Aviv University Health in Our Hands (HiOH) is a community-inspired project-based learning science curriculum for middle school that engages students in learning about modern concepts in genetics by focusing on critical 18

FLINT @ APHA 2020

Monday | October 26, 2020 health concerns such as diabetes and addiction. As a “communityinspired” approach to science education, HiOH equitably involves teachers, students, family and community in all aspects of the learning processes. It connects science learning to students’ community, bringing in students’ cultural background and family experience as a resource and asset for learning. For their final project, students conduct a community research project and present the results to peers, family and community during a Health Summit. Our previous studies indicate that HiOH offers a promising approach to science teaching providing opportunities for students to develop social and emotional competencies necessary for them to become contributing members of their community. HiOH is guided by a coalition of community, health, and education organizations dedicated to its success. Using a CBPR approach, coalition members envisioned a “Community of Practice” in which HiOH is the vehicle through which students and their families, teachers, and community members interact to share their concern for the health and well-being of young people and work together to improve their lives. This presentation discusses a “work-in-progress” describing an evaluation framework that bridges science education and public health research. We will examine the evaluation and research questions, measures, and preliminary results to answer one of our overarching question: How can a communityhealth-education partnership support sustainability and equity in a community-inspired science curriculum?

3189.0 COMMUNITY HEALTH PLANNING AND POLICY DEVELOPMENT

EXAMINING THE AFFECTS OF VIOLENCE AND OTHER ADVERSE EVENTS ACROSS THE LIFESPAN

3:45 PM - 4:00 PM EST

Longitudinal examination of adverse childhood experiences during adolescence as a predictor of adult intimate partner violence trajectories Elyse Thulin 1 , Justin Heinze 2 , Marc Zimmerman 2 , (1)University of Michigan, Ann Arbor, MI, (2)University of Michigan School of Public Health, Ann Arbor, MI The objective of this study is to examine adverse childhood experiences (ACEs) during adolescence and intimate partner violence (IPV) fifteen years later during adulthood. Using multi-level negative binomial OCTOBER 24-28, 2020

Agenda regression, we examine the relationship between adolescent ACES (age 13-19) and adult IPV (age 28-34) in 502 participants over five waves of data from a twenty-four-year longitudinal study (W1:1994) based in Flint, Michigan. Adolescent ACEs include being a victim of violence, observed family conflict, parental use of alcohol, parental divorce, and observed community violence. First, we modeled the exposure ACES variables as a summary score to predict IPV during adulthood (b=0.171, p<0.001) while controlling for known risk factors and individual random effects. Secondly, we examined individual ACES iteratively to understand which adverse experiences predicted IPV in adulthood and found observed community violence remained significant when accounting for all other ACEs (b=0.276, p<0.05). Our findings support the negative effects of community violence in adolescence on later risk of IPV. Prevention interventions that focus on community violence prevention with a focus on healthy adolescent development may be pertinent in lowering IPV victimization in adulthood.

3275 .0

FLINT FOCUSED COMMUNITY-ENGAGED WORK TO IMPACT HEALTH 5:00 PM - 6:30 PM EST 5:00 PM - 5:15 PM EST

Community voice on the Flint water crisis: A trust study, needs assessment and plan of action Patricia Piechowski, Michigan Institute for Clinical & Health Research; Karen Calhoun, National Institute for Clinical and Health Research; E. Yvonne Lewis, National Center for African American Consciousness; Sarah Bailey, Bridges into the Future; Susan Woolford, University of Michigan; Kent Key Michigan State University (13) Concerned with discrepancies in story lines about the Flint Water Crisis, in 2016, an empowered community-academic partnership conducted a trust study to document lived experiences of the community and its stakeholders; and recommended ways to restore trust and accountability with the ongoing public health challenge. The community supports this action as a critical element of resilience and moving from crisis to recovery. Formative research included attending over 100 20

FLINT @ APHA 2020

Monday | October 26, 2020 community meetings, a literature review, and a qualitative analysis of community voices identifying common themes. The study was led by a community-academic research team and steering committee utilizing community engagement, leadership and deliberative democracy as central pillars. A mixed method analysis of thirteen focus groups was conducted. The project results report the faith communityâ&#x20AC;&#x2122;s role in the crisis, and the broader communityâ&#x20AC;&#x2122;s perceptions of mistrust with government officials, other individuals and institutions. The study team sought to hear from stakeholders whose voices may not have been heard, specifically seniors, youth, faith leaders, and diverse ethnicities and cultures who self-reported as Hispanic/Latino, African American, Caucasian, and mixed race. The findings are organized into five categories: motives, public health, funds, racism and trust/mistrust. The partnership will utilize the recommendations to promote a public health and research agenda to restore quality of life and guide future research in Flint, Michigan. An ambitious communications plan is being employed to ensure broad dissemination of the findings and encourage partnership building across sectors. This presentation will highlight progress of community-wide adoption of the recommendations. 5:15 PM - 5:30 PM EST

Engaging The Flint Community in Research Through Symposia Susan Woolford, University of Michigan; E. Yvonne Lewis, National Center for African American Health Consciousness, Theresa KowalskiDobson, University of Michigan; Rick Sadler, Michigan State University; Tonya French Turner; Debra Furr-Holden, Michigan State University Issues: Research symposia are the traditional means for sharing early research findings within academia. They also serve as a venue for networking and exchanging ideas. Community-engaged research findings are often shared within these settings but there are significant barriers to community members attending and fully benefiting from participation. Description: The community-driven Healthy Flint Research Coordinating Center (HFRCC) began as a result of ongoing public health needs related to the water crisis in Flint, Michigan, to bring together community and academic researchers to build equitable solutions. As part of this vision, the HFRCC aimed to design a research symposium to showcase Flint-based work that was accessible and pertinent for both community and academic partners. This presentation will describe lessons learned over the course of conducting the symposia from 2018-2020. OCTOBER 24-28, 2020

Agenda Lessons Learned: All aspects of the symposia were planned under the guidance of the Community Core along with each Academic Core (University of Michigan, Michigan State University, and UM-Flint). This included establishing themes, selecting speakers, and designing sessions to be more accessible to community. For example, poster sessions incorporated â&#x20AC;&#x153;docentsâ&#x20AC;? to provide guidance and simplified formats with a limited number of posters (to encourage interaction). All components of the symposium were free to reduce barriers to participation. Recommendations: Research symposia that wish to provide a space for community members must remove barriers to participation. Costs should be reduced by academic/foundation partners providing financial support. Community leaders should guide development to ensure the event will be suitable and engaging for all attendees. 5:30 PM - 5:45 PM EST

Developing and Implementing a Communitybased Parenting Education Program to Mitigate the Impact of the Flint Water Crisis Chelsea Hetherington, University of Illinois at Urbana-Champaign; Kendra Moyses, Michigan State University Extension; Carrie Shrier, Michigan State University Extension In 2016, elevated child blood lead levels lead to a state of emergency being declared in Flint, MI. Flint children and families are particularly vulnerable, as children are most vulnerable to lead exposure, which can have lasting impacts on their physical, cognitive, and social functioning. In 2016, Michigan State University Extension secured funding to deliver parenting education to support Flint families and mitigate the negative impacts of the water crisis, as parenting education has previously been successful in reducing parenting stress, supporting resilience, promoting protective factors, and improving outcomes for families. This presentation will discuss the development and implementation of this program in the context of successes and challenges the team has encountered. A major success includes the incorporation of a funded planning year, which allowed the project to be developed using feedback from program stakeholders. Focus groups with Flint parents lead project directors to adapt an existing parenting education curriculum that centered around topics of interest to parents. Discussions also supported the addition of specific content parents were interested in learning about (e.g., how nutrition can fight lead exposure, impacts of lead on the brain). The program has also seen significant

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Monday | October 26, 2020 impacts on increasing family resilience and children’s’ executive function skills, as well as positive feedback from parents who have completed the program. Challenges of implementing this program have included high attrition rates, inconsistent attendance, and mid-grant changes in funders’ evaluation requirements. Recommendations include leveraging flexible funding programs and existing relationships in implementing a rapid response to similar crises.

3307.0 PUBLIC HEALTH EDUCATION AND HEALTH PROMOTION

SCIENCE, JUSTICE AND HEALTH EQUITY 5:45 PM - 6:00 PM EST

Use of a dissemination model to improve health equity through a clearer view of Medicaid data E. Yvonne Lewis, National Center for African American Health Consciousness; Debra Furr-Holden, Michigan State University; Heatherlun Uphold, Michigan State University; James Milanowski, Genesee Health Plan; Clara Barajas, Michigan State University; Luther Evans, Community Based Organizations Partnerships Introduction: The use of specific strategies to guide dissemination of evidence-based practices into community settings is limited. Dissemination and implementation science has highlighted the research-to-practice gap, attributing its continued struggle to ineffective dissemination (Rabin, 2008). This results in reduced return on investment for research dollars, communities with limited access to relevant evidence-based information, possible use of practices without rigorous evidence backing, and ultimately, poor community public health (Colditz, 2012). Project Description: The Partnership Consortium Core (PCC) within the NIMHD-funded Flint Center for Health Equity Solutions (FCHES) is guided by a CBPR approach to revolutionize health equity in Flint, Michigan. The PCC collaborates with local, state, and national partners to minimize duplication of efforts and reduce health disparities by leveraging and mobilizing resources, as evidenced by our work to advocate for and enable the analysis of Medicaid data through a health equity lens. Traditional evaluations of Medicaid data do not consider racial/ethnic specific differences, and availability of this data varies by state (Weech-Maldonado, 2001). Critically, this lack of specificity may indicate improved health outcomes despite the actuality that OCTOBER 24-28, 2020

Agenda disparities are worsening for some. Utilizing Brownson’s Model for the Dissemination of Research (Brownson, 2018) we will describe the process used to disseminate this evidence-based information to stakeholder audiences, including barriers and facilitators. Study findings will inform future dissemination methods used among communityacademic partnerships to maximize the reach of evidence-based information. Conclusion: Opportunity exists to better specify health equity outcomes by group to improve care for those most disadvantaged and use of deliberate strategies can improve the adoption and uptake of this approach.

3308.0 PUBLIC HEALTH EDUCATION AND HEALTH PROMOTION

THEORETICAL FRAMEWORKS FOR HEALTH PROMOTION THROUGH THE LIFE COURSE 5:30 PM - 5:45 PM EST

Development of stroke ready: Addressing community identified barriers to stroke response Casey L. Corches, University of Michigan; A. Camille McBride, School of Public Health, University of Michigan, Maria Cielito Robles, University of Michigan; Narmeen Rehman, University of Michigan; Sarah Bailey, Bridges into the Future Background: Acute stroke treatments reduce the likelihood of poststroke disability, but are vastly underutilized. In our work in Flint, MI, where acute stroke treatment rates are about half the national average, barriers delaying stroke response were identified. We describe the development of the Stroke Ready program – a Flint-based, communitywide, theory-based, stroke preparedness intervention—which addresses the community identified barriers. Methods: During our pilot study, we found the psychological factors of attitude, social norms, and self-efficacy toward calling 911 to be low in Flint. Exploring these constructs deeper we also found that a fatalistic

FLINT @ APHA 2020

Monday | October 26, 2020 attitude toward stroke, negative outcome expectations for seeking medical attention, and unawareness of stroke burden in Flint were also barriers. As a result, constructs from the Theory of Planned Behavior, Social Cognitive Theory, and elements of behavioral economics provided theoretical guidance in creating messaging to address behavioral factors that may improve stroke response. Results: Materials were fashioned to increase awareness that stroke is treatable, ability to recognize stroke signs, and that each person has the power to help someone they care about by calling 911. The resultant Stroke Ready program consists of print materials for peerled workshops and mailers, as well as social and broadcast media campaigns. To maximize intervention fidelity and community exposure, all program materials exhibit the tailored, theory-based stroke preparedness messaging. Conclusion: The Stroke Ready program addresses community specific barriers which informed the selection of health behavior theories that guided our intervention content. If successful, Stroke Ready may serve as a model for development of interventions addressing community barriers to stroke response.

3318.0 MONDAY GENERAL SESSION

POLICY-MEDIATED VIOLENCE: A THREAT TO HEALTH

7:00 PM - 8:30 PM EST

Lecture on policy mediated violence and presentation of the CDC Foundation Fries Award for Health to award recipient Mona Hanna-Attisha Mona Hanna-Attisha Policy is defined as a deliberate system of principles to guide decisions and achieve specific outcomes. In its simplest form, policy is a statement of intent. Policy can both mitigate and enhance violence, depending on its original intent or in the way its procedures are implemented. This session will explore the role of policy formation and implementation and discuss ways to ensure it mitigates, not enhances, violence.

OCTOBER 24-28, 2020

$72 MILLION EXTERNAL FUNDING

IN 6 YEARS

From 2015 – 2020, Michigan State University’s public health researchers have been awarded over $72 million in externally sponsored grants for community research. $72 MILLION

addressing the social determinants of health alongside the community.

at MSU and in local organizations to support collaboration with Flint studies.

to put the people of Flint first on Flint research and interventions.

One endowed professor retired in 2020.

PublicHealth.msu.edu

Agenda T U E S D AY | O C T O B E R 2 7, 2 0 2 0 4278.0 COMMUNITY BASED PUBLIC HEALTH CAUCUS

COMMUNITY-BASED PUBLIC HEALTH: CELEBRATING THE LEGACY OF TOBY CITRIN

5:00 PM - 6:30 PM EST

Community-Based Public Health: Celebrating the Legacy of Toby Citrin This session is dedicated to the memory of Toby Citrin, JD, who, among his many accomplishments, played a key role in starting APHA’s Community-Based Public Health Caucus and its affiliated National Community-Based Organization Network. Toby died in January 2020 at the age of 85, after a long career dedicated to advocacy for social justice through public health. A lawyer by training, Toby served as an adjunct professor in the Department of Health Management and Policy at the University of Michigan School of Public Health. He was the founding director of the W. K. Kellogg Foundation-funded Community Health Scholars Program, which trained postdoctoral scholars at four universities in community-based participatory research. An articulate advocate of the need to include community members’ input in public health programs and policies, Toby was well loved by his colleagues in academia and in the community. On this 20th anniversary of the founding of the CBPH Caucus, we come together in this session to pay tribute to his life and work. 5:00 PM EST

Overview and introduction: Celebrating the legacy of Toby Citrin Ella Greene-Moton 5:20 PM EST

Elevating community voice at the table, locally and nationally Irene Bayer, Michigan State University; E. Hill Deloney, Flint Health Awareness Center; Lucille Webb 5:55 PM EST

Honoring Toby’s legacy moving forward Ella Greene-Moton 28

FLINT @ APHA 2020

Tuesday | October 27, 2020 4118.0 ENVIRONMENT

COMMUNITY PSYCHOSOCIAL STRESS AND ENVIRONMENTAL CONTAMINATION: FROM THEORY TO PRACTICE 1:00 PM - 1:15 PM EST

Trauma-informed approaches for individual and community mental health during the Flint water crisis Vicki Johnson-Lawrence, Michigan State University - Flint Campus The Flint Water Crisis was a stimulus for health and community change. The historical exposure to chronic stress and complex community trauma weakened community and psychological resiliency to navigate and respond to new widespread stressors. A 2016 SAMHSA funded initiative, Flint ReCAST, was a city-academic-community partnership to increase the use of trauma-informed approaches (TIA) to support community change and improve mental health among Flint residents. We describe our three initial strategies to support the diffusion of TIA around Flint organizations and to individual residents. We used community participatory approaches (a recommended trauma-informed approach) to solicit input. Our initial sessions invited representatives from systems, organizations, community groups, and individual residents. We worked closely with emerging innovators from community sessions to learn their motivation for immediately adopting TIA. The first sessions were predominantly attended by Flint area natives- serving as both residents and area professionals- who self-reported experiencing multiple complex and ongoing stressors affecting the community at-large. Attendees represented systems-level (state, health system, and organizational) and local members (community organization and program directors). Repeat attendees self-identified as being motivated (innovators) to use TIA because they observed such high rates of trauma in their usual social spaces. We engaged these innovators to describe their perceived importance of TIA, and asked them about factors to increase the count of early adopters of TIA. Honoring existing local programs rather than new or duplicating programs was wellreceived, and increased community interest in TIA. Trauma informed approaches are evidence-informed actions that aim to reduce retraumatization for individuals who have experienced major chronic/ traumatic stressors. Community participatory approaches increased the reception of TIA in community spaces. Though many interventions and innovations are active in Flint, our determination to diffuse TIA throughout the community serves to complement the traditional clinical and public system uses of TIA. OCTOBER 24-28, 2020

Agenda RT 30.1 YOUTH ROUND TABLE

YOUTH LEADING THE WAY TO HEALTHIER COMMUNITIES 2:00 PM - 2:30 PM EST

Translating the Flint water crisis; Development of a research readiness and partnership protocol (R2P2) Athena McKay, Michigan Institute for Clinical & Health Research; Noelle Gorka, University of Michigan, E. Yvonne Lewis, National Center for African American Health Consciousness; Vaishali Nambiar, University of Michigan; Jordan Poll, Michigan Institute for Clinical & Health Research; Kent Key, Michigan State University College of Human Medicine The negative impacts of the tragedy in Flint are still felt by the community after six years without clean water, clear communication, and access to basic resources. In 2017, the Michigan Institute for Clinical & Health Research(MICHR) and the Community Based Organization Partners(CBOP) enhanced their working relationship to begin formulating the Research Readiness and Partnership Protocol(R2P2); a set of guidelines for communities in crisis, particularly in the event of a man-made disaster similar to the Flint Water Crisis. Phase One consisted of both community and academic partners conducting a comprehensive literature review and creating an abstracting guide. Phase Two, involves data collection of critical signals through quantitative interviews and creation of clear and open communication pathways to develop longterm partnerships in the translational research enterprise. The workgroup identified 12 sectors encompassing over 150 potential community stakeholders. Prior to obtaining IRB approval, the project was submitted to the Community Ethics Review Board(CERB). The CERB analyzes projects to ensure no harm is done to community. The review drew attention to critical issues, such as obtaining feedback from a diverse grassroots population with longevity in Flint, and consideration to support participants with childcare, transportation, increased stipends and access to resources to address traumatic recall. Upon completion, the protocol will display the pathway to create an agreement between researchers and communities in crisis, as well as state that priority will be given to community-identified clinical research that addresses their immediate needs. This presentation will outline this process and results of these two phases.

FLINT @ APHA 2020

Tuesday | October 27, 2020 RT41

COMMUNITY ENGAGEMENT AS AN APPROACH TO HEALTH IMPROVEMENT 2:30 PM - 3:00 PM EST

Time for action, strengthening capacity with the building capacity for research and action funding opportunity Athena McKay, Michigan Institute for Clinical & Health Research; Jordan Poll, Michigan Institute for Clinical & Health Research; Noelle Gorka, University of Michigan; Sarah Bailey Bridges into the Future; E. Hill DeLoney, Flint Health Awareness Center The City of Flint has been in distress for years. The long standing collaboration between the Michigan Institute for Clinical & Health Research (MICHR) and Flintâ&#x20AC;&#x2122;s Community Based Organization Partners (CBOP) aims to provide resources to develop community-identified sources with the power to relieve this distress. The Building Capacity for Research and Action (BCRA) was initiated in 2016 to support the development of new research projects and partnerships that address community-identified health priorities in Flint. We are currently reviewing the third round of applications. The funding mechanism supports community-academic teams with funds of $5,000 partnership development or $10,000 small research projects. Previous rounds attracted 41 applications that yielded 13 funded projects totaling $105,000. The review process transitioned to the NIH study section model to strengthen the vitality and objectivity amongst community stakeholders. Awarded community-engaged research teams requested a collaborative platform to network around the synergy of Flint-based not, placed research. All teams presented lessons learned, project progress, next steps, and potential health impacts. The work-group continues to modify the funding opportunity to better reduce barriers to conducting research in Flint for community investigators new to research and for academics considering community engaged research (CEnR). Some modifications include an earlier call for applications, extending the review of proposals, creating more detailed funding guidelines, hosting a technical assistance webinar, and increasing outreach through platforms such as Facebook and community forums.

OCTOBER 24-28, 2020

Agenda RT41

COMMUNITY ENGAGEMENT AS AN APPROACH TO HEALTH IMPROVEMENT 2:30 PM - 3:00 PM EST

Faith-based leader perspectives on community-based participatory research and community-academic partnerships Patricia Piechowski, Michigan Institute for Clinical & Health Research; Karen Calhoun, Michigan Institute for Clinical and Health Research; Sarah Bailey, Bridges into the Future; Chris M. Coombe, University of Michigan School of Public Health; Donna Harris, Grace Learning Center; Kent Key, Michigan State University College of Human Medicine Faith assemblies provide place-based social services through health ministries and outreach. Many faith leaders have not explored legal liabilities to engage in research nor have they been trained in human subjects protection and research methodology, yet, they are increasingly invited to participate in/conduct community health studies. “Building Faith Collaboratives to Address Public Health” is encouraging capacity building among faith leaders/institutions for communitybased participatory research (CBPR) and community-academic partnerships in Flint, Detroit and Ypsilanti-Ann Arbor with University of Michigan academic investigators. This faith-based community-academic partnership, organized in 2015, is funded by the Michigan Institute for Clinical & Health Research. The team hosted trainings in each community, conducted by the Detroit Community-Academic Research Center (Detroit URC), to help faith leaders better understand CBPR, share decision-making knowledge on engaging in community-academic partnerships, and review the basics of CBPR. The methodology included 1) recruiting ambassadors to support the project; 2) designing a survey to guide the project and gauge faith leaders’ knowledge/ attitudes/capacity for health research, 3) convening networking events to administer the survey and discuss local public health needs and 4) host trainings on equitable engagement in community-academic partnerships. A workshop evaluation was administered by the Detroit URC following each training. This presentation will share findings from the project survey and workshop evaluation, overall project outcomes on perspectives of CBPR and community-academic partnerships from seasoned/new to CBPR faith leaders, increasing partners’ community leadership, awareness of CBPR within the faith community, and building capacity of faith leaders/institutions for CBPR. The partnership is exploring next steps. 32

FLINT @ APHA 2020

Tuesday | October 27, 2020 RT41

COMMUNITY ENGAGEMENT AS AN APPROACH TO HEALTH IMPROVEMENT 2:30 PM - 3:00 PM EST

Equitable community partner compensation: A key component of trust in research relationships Meghan Spiroff, University of Michigan, Sarah Bailey, Bridges into the Future, Charo Ledon, Buenos Vecinos, Zachary Rowe, Friends of Parkside, Maryn Lewallen, University of Michigan Equity is a key aspect of community and academic research partnerships and projects. Compensation for the time and expertise of community partners as compared to academic partners is an important feature of equity. Consistency, predictability, and sustainability of compensation are more sensitive to grant funding for community partners than academic partners. According to Skinner, et al., community partners do not feel fairly compensated for the time and expertise they bring to research projects. As there are no established federal grant dollar guidelines for compensation, institutions are left to their own discretion for compensation guidelines. Compensation may vary for a multitude of reasons, including but not limited to cost of living, lack of value of lived experiences, assumptions about community leaders’ and organizations’ status as nonprofit entities, and academic institution policies. An informal survey was sent to three similar academic institutions by the University of Michigan’s Michigan Institute for Clinical & Health Research, and found a range of $25-$75/hour for compensation for community partners’ involvement in research activities. Practices for continuity and sustainability of compensation should include monetary compensation for time and expertise, mileage, and other costs for the community partner. Equity in compensation is critical to a research partnership. Discussions about equity in compensation should be continued. It is our hope that during a round Table discussion, community and academic partners can talk about equity in compensation in research, what is needed to inform these practices, and how to best strengthen academic-community partnerships for continuity and improved health for communities.

OCTOBER 24-28, 2020

Agenda RT42

ROUND TABLE: PROGRAMS/SERVICES ADDRESSING DETERMINANTS OF HEALTH 2:30 PM - 3:00 PM EST

Employing community health workers (CHWs) to address social determinants of health (SDOH) and promote clinical-community linkages Nicole Smith-Anderson, Greater Flint Health Coalition For years within Flint & Genesee County, MI local data indicated children with public or no health insurance experience poorer health outcomes, more frequent emergency room visits, higher hospitalization rates, and lower rates of well child visits in the first 15 months of life. In 2015, the Genesee Community Health Access Program (CHAP) was launched to improve health outcomes of children with Medicaid, utilizing a CHW integration model in partnership with medical homes. CHAP works at the system, provider, and family levels. To address SDOH needs at the family level CHAP deploys Community Health Workers to work directly with patients in community locations to connect them to the appropriate, available resources. Since its launch in 2015 through December 2019, CHAP has served over 7,369 unduplicated patients referred for SDOH needs including transportation, education, basic needs, food, housing, and utilities. In addition to connecting patients with resources to meet SDOH needs, CHWs also work to connect residents to their medical home. In addition to providing direct support to community members, CHW efforts have informed provider and systems level change to improve policies and decrease barriers on a larger scale. For example, within Flint & Genesee County, Medicaid health plans agreed to waive a 72 hour advance notification for health plan transportation assistance. This change allows for CHWâ&#x20AC;&#x2122;s to connect patients with same day transportation to ensure healthcare needs are met, while reducing missed appointments and increasing medical home utilization. CHWâ&#x20AC;&#x2122;s have exhibited >75% rate of positively resolving SDOH needs among patients.

FLINT @ APHA 2020

Tuesday | October 27, 2020 4160.0 APPLIED PUBLIC HEALTH STATISTICS

APHS STUDENT POSTERS

3:00 PM - 4:00 PM EST

Spatial assessment of the relationship between water violations and poverty at the county level: Who has access to clean water? Ruby Bayliss, Drexel University; Loni Philip Tabb, Drexel University Despite the United States (US) having the safest public drinking water supplies in the world, there are still many communities across the US that lack access to safe and reliable drinking water. The 2014 Flint, Michigan water crisis brought national attention to the importance of safe drinking water and also raised the question of which sociodemographic groups are more at risk to exposure of inadequate access to safe and reliable drinking water. The existence of water violations within community water systems (CWS) is well documented throughout the US, but the relationship between socioeconomic status and water violations is unclear. Residential segregation may also provide more accuracy in understanding this complex relationship. Our primary goal was to determine the county level spatial patterning of neighborhood characteristics related to socioeconomic status, residential segregation and the distribution of water violations throughout several states. Using County Health Rankings data, we identified three states, including Michigan, based on varying proportions of counties that had at least one CWS violation. Utilizing exploratory and inferential spatial statistical methods, we examined the spatial patterning of water violations and neighborhood characteristics within each state. We found variation in the spatial patterning of the socioeconomic status variables among the states, in addition to varying impacts of residential segregation. Policies regulating drinking water for CWS must consider that neighborhood characteristics may influence the spatial patterning of water violations within a community- with a specific focus on the impact of residential segregation.

OCTOBER 24-28, 2020

Agenda 4210.0 HEALTH ADMINISTRATION

PATIENT CONSIDERATIONS RELATED TO IMPROVING QUALITY IN HEALTH SERVICES AND PROGRAMS 3:30 PM - 3:45 PM EST

Health information technology in pediatric care: Results of interviews with parents Gergana Kodjebacheva, University of Michigan - Flint; Maria Koleilat, California State University - Fullerton; Faith Groesbeck, University of Michigan - Flint; Charlotte Tang, University of Michigan - Flint The Agency for Healthcare Research and Quality (AHRQ) has the goal of promoting the use of health information technology (HIT) to improve childrenâ&#x20AC;&#x2122;s health. In an AHRQ study, only 5 out of 12 states had programs to increase awareness about HIT among families. In past research, pediatricians stated that parents had limited knowledge regarding HIT. In order to understand how to improve HIT, the voices of families need to be heard. Families best understand their needs. This study investigates recommended strategies for promoting HIT among families. Parents are recruited by visiting pediatrician offices in Genesee County, MI. The physician offices are chosen randomly from the list of all pediatricians in Genesee County, MI. We telephone physicians to ask for permission to recruit parents in their waiting room. A total of 20 in-depth one-to-one interviews are conducted with parents. Questions regarding HIT are asked during the interviews such as suggestions for incorporating technology in health care, designing HIT to more effectively present health information to parents and their children, and increasing use of HIT among families. Interviews are recorded with parental permission. The recordings are transcribed. Qualitative data are analyzed utilizing a grounded theory approach. The study is ongoing with a planned completion month of June, 2020. Themes emerging during the interviews will be presented. The findings may be used to develop HIT interventions. HIT interventions have the potential for reducing errors, promoting effective communication between physicians and families, and improving health outcomes.

FLINT @ APHA 2020

Tuesday | October 27, 2020 4228.0

EQUITY IN MEN’S HEALTH 3:30 PM - 3:45 PM EST

Self-management of diabetes in black men: The Flint MANUP intervention study Harold Neighbors, Michigan State University College of Human Medicine; Dana Carthron, Michigan State University College of Human Medicine; Wayne McCullough, Michigan State University College of Human Medicine; Samir Chatterjee, Claremont Graduate University; Zhengmin Song, Claremont Graduate University The story of John Henry, the “steel-drivin’ man”, is well known to Black men in the United States. To most Black men, John Henry is a hero because he demonstrated tremendous strength and self-determination. The story of John Henry gave birth to the concept of John Henryism, which is defined as high-effort active coping in the face of adversity. The MANUP diabetes program used the story of John Henry and John Henryism as the basis of a diabetes intervention for Black men. MANUP conducted four community-based focus groups to identify topics of concern to Black men with type 2 diabetes (T2D). Interestingly, the men reported that high-effort active coping was crucial for successful diabetes self-management. Next, the MANUP team developed and implemented a longitudinal culturally targeted self-management program for 33 Black men with T2D in Flint, Michigan. MANUP included discussion groups, physical activity, and an app incorporating textmessaging, group-chat, and a blood glucose monitoring dashboard to improve glycemic control (A1c). This single-group, repeated measures intervention assessed A1c three times over a six-month period. Average age was 61 years; 35% of participants were high school graduates and over half reported a yearly household income of less than $30,000. One-third of participants (31%) were retired. Improvements in A1c were observed at: baseline – time 2: 8.9% vs 8.6%, p=0.14; time 2 – time 3: 8.6% vs 8.1%, p=0.21; and baseline – time 3: 8.9% vs 8.1%, p=0.005. After controlling for age and insulin use, the significant reduction in A1c over 6 months remained (p=0.01). These findings demonstrate that combining mobile health technology and moderate physical activity with culturally targeted discussion topics can improve T2D self-management and reduce A1c in Black men. More community-driven longitudinal intervention studies that improve diabetes self-management among Black men are needed to achieve gender and racial health equity.

OCTOBER 24-28, 2020

Agenda 4251.0 HEALTH INFORMATICS INFORMATION TECHNOLOGY: HIIT POSTER SESSION #4

CREATING THE HEALTHIEST NATION THROUGH TECHNOLOGICAL ADVANCES INCLUDING TELEMONITORING, VIRTUAL ONCOLOGY VISITS, USE OF MOBILE HEALTH DEVICES AND OTHER IMPROVEMENTS 5:00 PM - 6:00 PM EST

Development and assessment of a mobile application for assisting WIC participants with weight loss after childbirth Maria Koleilat, California State University, Fullerton; Paul Inventado, CSUF; Erin Frost, CSUF; Background: Weight retention after childbirth increases lifetime risk of obesity and its consequences among mothers and their offspring. Rates of weight retention after childbirth are even higher among low income mothers, for whom few effective interventions exist. Objective: The purpose of this study is to develop and assess a mobile phone application (app) designed to assist participants of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) with their postpartum weight loss. This project is a collaboration between the departments of Public Health and Computer Science at an academic institution in Southern California. The content of the app is based on our previous pilot work that explored perceived motivators and barriers to weight loss after childbirth and ideas for postpartum weight loss interventions among WIC participants. Methods: The app is currently being developed. Four focus group (FG) (two in English and two in Spanish) discussions with WIC participants in Southern California will be conducted to gather feedback on the app and identify features that work well, features that require more refinement, and missing features. A total of 24-32 participants (6-8 participants per FG) will be recruited based on the following criteria: (1) age â&#x2030;Ľ 18, (2) 0-12 months after childbirth and (3) English- or Spanish- speaking. All discussions will be audio- and video-recorded for transcription and data analysis purposes. All transcripts will be organized in ATLAS.ti and analyzed using thematic content analysis. Results: This study is ongoing with a completion date in June 2020. Results of the thematic content analysis will be presented. Conclusion: The WIC program currently serves over 6 million participants nationwide. Therefore, intervening to fight postpartum weight retention among WIC participants could have a tremendous impact on reducing obesity rates nationwide. 38

FLINT @ APHA 2020

Tuesday | October 27, 2020 4259.0 MATERNAL AND CHILD HEALTH

VIOLENCE PREVENTION POSTER SESSION 5:00 PM - 6:00 PM EST

Shortened future orientation mediates the relationship between higher rates of neighborhood disorder and harsh physical punishment Jessie Spencer, Michigan State University; Morgan Cinader, Michigan State University; Julia Felton, Michigan State University Background: Harsh physical discipline has been linked to physical abuse. Moreover, a shortened future orientation and neighborhood disorder may place parents at greater risk for prioritizing short-term rewards, such as physical discipline, relative to longer-term goals. This study seeks to identify if future orientation links neighborhood disorder with maladaptive parenting behaviors. Methods: N=200 mothers (M= 32.62 years, SD= 7.41), with an annual income below $50,000, were asked to identify their oldest child within the range 6-17 (M= 8.74, SD= 2.76). Participants used Amazonâ&#x20AC;&#x2122;s Mechanical Turk to complete the Confusion, Hubbub, and Order Scale (CHAOS), Corporal Punishment subscale of the Alabama Parenting Questionnaire (APQ), Strengths and Difficulties Parent-Report (SDQ), and a parent-adapted version of the Considerations of Future Consequences Scale (CFCS). Non-parametric bootstrapping procedures were used to evaluate the indirect effect of neighborhood disorder on harsh physical discipline. Results: Controlling for child age, sex, and race, there was a significant direct effect of neighborhood disorder on harsh physical discipline (b = .12, p < .001). Neighborhood disorder also significantly predicted future orientation (b = -0.63, p < .001) which, in turn, predicted harsh physical discipline (b = -0.15, p < .001). As hypothesized, future orientation significantly mediated the relation between neighborhood disorder and physical discipline (std. IE = .10, 95% bootstrapped CI = .06 to .14). Conclusions: Results suggest that shortened future orientation is one pathway linking higher rates of neighborhood disorder to harsh physical punishment. The results from this study will inform future efforts to reduce child maltreatment in low-income communities.

OCTOBER 24-28, 2020

Agenda W E D N E S D AY | O C T O B E R 2 8 , 2 0 2 0 5052.0

AGING & PUBLIC HEALTH 12:30 PM - 2:00 PM EST

Advancing Research, Policy, and Practice on Collaboration for an Aging Society Jessica Link Reeve; Reza Amini, University of Michigan - Flint College of Health Sciences; Jessica Link Reeve Although collaboration has been a long-standing emphasis of public health, systematic approaches to collaboration within the field of aging are in their nascence. This symposium features new tools—including program theory, pilot models, survey instruments, and datasets—to optimize collaborative processes and outcomes for healthy aging in the 21st century. The first paper presents the development of a novel quantitative tool to comprehensively assess collaboration activities specific to age-friendly community initiatives (AFCIs)—a new and rapidly emerging structure for inter-organizational partnerships in aging. The second paper examines the population health impact of collaboration in aging at the county level. Using data from a national survey of Area Agencies on Aging (AAA) and geo-coded health services data, findings demonstrate associations between AAA involvement in age-friendly/livable community initiatives and reductions in avoidable nursing home use in the context of strong capacity within collaborating organizations. The third paper describes a multi-sector statewide process in Iowa to design and implement a program to more effectively connect older adults to evidence-based falls prevention programs through partnerships with fire departments. The fourth paper provides an overview of a collaborative effort among Florida County Health Departments and two national organizations toward Age-Friendly Public Health Systems. The paper presents lessons learned while piloting efforts to more deliberately integrate programs and services in public health with those in aging and to align Age-Friendly Public Health Systems, Age-Friendly Health Systems, and Age-Friendly Communities initiatives. Carrie Graham, who is facilitating collaborative processes toward a Governor-directed California Master Plan for Aging, will serve as discussant.

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Wednesday | October 28, 2020 APHA PUBLIC HEALTH FILM FESTIVAL

GENERAL FILMS - GF07 HEALTH PROMOTION I 12:45 PM - 1:00 PM EST

Water-FIT: Partnering with a faith-based community help center to promote take-home colorectal cancer screening in Flint, Michigan Todd Lucas, Michigan State University; Philip Lupo, Trail Productions Inc; Sandra Jones, R.L. Jones Community Outreach Center; Robert Jones, R.L. Jones Community Outreach Center; Abby Moler, American Cancer Society

This promotional video was created to support a colorectal cancer screening outreach program developed by the Michigan State University Division of Public Health (MSU-DPH) in partnership with the community of Flint, Michigan. In response to the Flint water crisis, the R.L. Jones Community Outreach Center (COC) continues to provide weekly drive-up bottled water distribution to affected Flint residents. Members of MSU-DPH partnered with COC to develop a take-home colorectal cancer screening outreach program that could coincide with weekly bottled water distribution. This partnership was nurtured by support from the American Cancer Society and two local hospitals that supplied fecal immunochemical test (FIT) kits for distribution at COC. The promotional video features Bishop Robert L. Jones – founder of Greater Holy Temple Church of God in Christ through which COC is affiliated, and himself a colorectal cancer survivor. Sandra S. Jones – executive director of the COC and wife of Bishop Jones – is also featured. The video serves as a testimonial to the life-saving potential of early cancer detection, and is also a call-to-action by Bishop Jones to patrons of the COC bottled water distribution program to make use of the no-cost take-home colorectal cancer screening kit available to them. OCTOBER 24-28, 2020

Agenda

Wednesday | October 28, 2020

5063.0

MEASURES, METHODS, AND EVALUATION IN CBPR 1:00 PM - 1:15 PM EST

Developing a valid research partnership assessment Athena McKay, Michigan Institute for Clinical & Health Research; Elias Samuels, Michigan Institute for Clinical Health & Research; Sarah Bailey, Bridges into the Future; Arlene Sparks, Flint Development Center, Bettina Campbell; Kent Key, Michigan State University College of Human Medicine A fundamental activity of organizations that receive an NIH Clinical and Translational Science Award (CTSA) is developing community-academic research partnerships. The Michigan Institute for Clinical and Health Research (MICHR), the CTSA grantee at the University of Michigan, cultivates a variety of community-academic research partnerships across the state. In 2017, in response to the ongoing Flint water crisis, MICHR and several community partners in Flint collaborated to launch a research funding program. Twenty-one study teams applied and eight were awarded funding. As an aim of MICHRâ&#x20AC;&#x2122;s CTSA grant, MICHR proposed to assess the quality of these community-academic study teams in order to identify and disseminate partnership best practices. While validated assessments of community-based participatory research collaborations were available and recommended for use by CTSAs, there are no validated assessments designed to measure the quality of partnerships across the full spectrum of community-engaged research. The Flint community partners and MICHR faculty and staff reviewed existing assessments and created complementary questions designed to identify research partnerships that embody different levels of community engagement. Focus groups with community-academic study teams were used to refine the instrument and the survey was piloted with study teams receiving funding in Flint. Fifty-six study team members received survey invitations; thirty surveys were completed (54%). Nineteen of the respondents were community partners (63%), eleven were academic partners (37%). The results suggest that the finalized survey can be used to assess a broad range of communityacademic research partnerships.

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A RESOURCE FOR THE FLINT COMMUNITY

he Flint Registry is a resource to see how the people of Flint are doing and provide support for those impacted by the water crisis. After completing a survey, individuals are referred to services that promote health and development such as education, health and nutrition programs. Support, especially for children, includes referral to Genesee Health System Neurodevelopment Center of Excellence â&#x20AC;&#x201C; a new, no-cost child development assessment center. The Flint Registry is modeled after other public health registries like the World Trade Center Disaster Registry. The Flint Registry is for anyone who was exposed to lead-contaminated water because they worked, lived, went to school, or daycare identified as an address on the Flint water system from April 25, 2014 â&#x20AC;&#x201C; October 15, 2015, including children who were prenatally exposed. The Flint Registry is for all ages.

WHAT IS THE LOGO ALL ABOUT? The logo represents the Sankofa bird, a mythical African bird from the Akan tribe in Ghana. The bird is flying forward, yet looking back, and carrying an egg in its mouth. It is symbolic of always needing to move forward, but never forgetting what happened in the past, and prioritizing the young. The logo suggestion was made by a Flint resident.

Want to learn more? Visit our website at flintregistry.org or call 833-GO-FLINT.

Michigan State University College of Human Medicine received funding for this work from the Centers for Disease Control and Prevention (CDC), Grant #NUE2EH001370.

Meet the Research Team Debra Furr-Holden,

PhD, C.S. Mott Endowed Professor of Public Health, is the associate dean for public health integration and member of the Michigan Coronavirus Task-force on Racial Disparities. She is an epidemiologist and classically-trained public health professional with expertise in health equity and health disparities research. Dr. Furr-Holden takes on issues that lead to disparate health outcomes, such as the social determinants of health and racism as a public health crisis. She has worked with a wide range of partners, including community-based organizations, local municipal officials, and national policymakers and leaders. Her research has driven multiple policy interventions to address public health challenges affecting ethnic and racial minorities in racially- and economically segregated communities. As director of the Flint Center for Health Equity Solutions, funded by the National Institute on Minority Health and Health Disparities, she has led community-based research to prevent chronic disease and reduce health inequities.

Mona Hanna-Attisha,

MD, MPH, FAAP, C. S. Mott Endowed Professor of Public Health, is founder and director of Michigan State University and Hurley Children’s Hospital Pediatric Public Health Initiative, an innovative public health program in Flint, Michigan. A pediatrician, scientist, activist, and author, she had testified three times before the U.S. Congress, awarded the Freedom of Expression Courage Award by PEN America, named one of Time magazine’s 100 Most Influential People in the World, and recognized as one of USA Today’s Women of the Century for her role in uncovering the Flint water crisis and leading recovery efforts. Her widely acclaimed book What the Eyes Don’t See: A Story of Crisis, Resistance, and Hope in an American City is a 2018 New York Times 100 Notable Book. A Covid-19 survivor, Dr. Hanna-Attisha, has donated her convalescent plasma three times while advocating for health and racial equity.

Jennifer E. Johnson,

PhD, C. S. Mott Endowed Professor of Public Health, is a licensed clinical psychologist. She conducts policy-relevant randomized trials of effectiveness, cost-effectiveness, and implementation of mental health and substance use interventions for vulnerable populations. Her studies include the first large randomized trial of any treatment for major depressive disorder in an incarcerated population, the first randomized trial of suicide prevention for justice-involved individuals, and an extensive study of a postpartum depression prevention program serving low-income women nationally. She has been Principal Investigator of fourteen research studies funded by the National Institutes of Health, and Co-Investigator of thirteen. Dr. Johnson is Vice-Chair of the MSU Faculty Senate, representing more than 5,700 faculty and academic staff.

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Todd Lucas,

PhD, C. S. Mott Endowed Professor of Public Health, is a social and health psychologist. His research considers the psychosocial causes of racial health disparities. He is mainly focused on stress and preventive health behavior pathways, such as cancer screening. His research especially considers psychological justice - the causes and resulting health and social consequences of perceiving injustice for individuals and communities. He has received funding from the National Cancer Institute and the National Heart, Lung and Blood Institute to support research on topics that have ranged from understanding stress reactivity responses to injustice to promoting better uptake of colorectal cancer screening.

Julia Felton,

PhD, is a child clinical psychologist whose work focuses on identifying and treating early predictors of the development of depression, substance use, and related risk behaviors. Her work is guided by socio-ecological models of developmental psychopathology and considers environmental, interpersonal, and intra-personal risk factors. Recent research has focused on the role of impulsivity, cognitive style, and peer influence in the onset and maintenance of psychological disorders. She has served as an investigator on a number of federallyfunded grants examining how these vulnerabilities manifest across adolescence and specific interventions to buffer these effects.

Vicki Johnson-Lawrence,

PhD, MS, is an expert in the use of trauma-informed approaches for public health practice and health equity research. She studies social factors that increase stress and by extension, chronic disease risk in mid-late adulthood. Dr. Johnson-Lawrence is drawing upon her well-rounded professional background expertise in epidemiology, health services research, community participatory approaches, and implementation science to promote trauma-informed action in Michigan and around the United States.

OCTOBER 24-28, 2020

Meet the Research Team Nicole Jones,

PhD, MS, is a perinatal epidemiologist with over 20 years of experience in research teams and projects related to maternal and child health. She is the Director of the Flint Registry, a Centers for Disease Control and Prevention funded project designed to identify and support individuals impacted by lead-contamination during the Flint Water Crisis. In collaboration with broad community-based partners, Dr. Jones leads a dynamic team of 30 registry staff. Over 10,000 individuals have enrolled in the Flint Registry, and more than 14,000 referrals have been made to health and education resources.

Kent Key,

PhD, MPH, is an expert in building equitable relationships between community and academic partners for health research and elevating community-identified health priorities to the research enterprise. As a health disparities researcher, his focus is on community-engaged researcher approaches. Dr. Key has worked on national, regional, and local levels throughout his career to translate the resources of government, research partnerships, and foundations into practical support. He is a Fellow of the Robert Wood Johnson Foundation Culture is Health Leaders Program as a Health Equity Scholar. Most recently, Dr. Key played an instrumental role in helping to get Racism declared as a public health crisis in Flint, Michigan.

Wayne R. McCullough,

PhD, MA, is Director of the Master Public Health Program. He is responsible for curricular changes and faculty hiring in response to the evolving public health environment. He is leading the application process for the Council on Education in Public Health accreditation. Dr. McCullough is co-investigator on the Research to Reduce Disparities in Disease NIH grant, which trains students to conduct mentored research through their medical education. He conducts research on men’s health issues—especially those of black men—centered on mental health, depression, diabetes, and CVD. He is widely published in academic and scholarly publications, including the Journal of the National Medical Association, Health Equity, and Current Gerontology and Geriatrics Research.

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Lauren O’Connell,

MD, MSc, is a developmental-behavioral pediatrician practicing at Hurley Children’s Clinic in Flint, Michigan. She is a founding member of the Pediatric Public Health Initiative of Flint and committed to community-driven research. She has clinical expertise in the evaluation of the motor, cognitive, language, and social-emotional domains of development in children from infancy through adolescence, as well as the assessment and treatment of child behavioral problems. Clinically, Dr. O’Connell works closely with the Genesee Health System Autism Evaluation Center to identify children with autism and connect them with needed resources. Her autism-related research focuses on medical education and health delivery systems.

Steve Ondersma,

PhD, FAPA, is a clinical psychologist. His research is focused on the promotion of maternal and child health and healthy birth outcomes using high-reach technology-delivered brief interventions. His primary interest is in populationlevel interventions promoting maternal and child health in underserved communities, particularly via technologybased brief interventions for substance use in the perinatal period. He co-chairs the Neonatal Opioid Withdrawal Syndrome subgroup of the NIH’s Environmental Influences on Child Health Outcomes initiative. Dr. Ondersma has led multiple NIH and CDC studies focusing on the development, validation, and implementation of novel screening techniques and electronic/mobile (mHealth) interventions in healthcare settings.

Rick Sadler,

PhD, MPH, is an urban geographer with expertise in environmental science, GIS, food systems planning, and land use policy in legacy cities. His research interests include integrating urban planning and public health topics related to neighborhood/built environmental effects on health. Some such topics include local food systems, urban agriculture, access to healthy food, crime, urban disorder, blight elimination, residential segregation, and active travel. Methodologically, Dr. Sadler combines spatial analysis and community-based participatory research approaches to address challenges in the urban environment. Throughout his work, the overarching goal is to strengthen the understanding between the built environment and health behaviors/outcomes with the objective of shaping land use policy to build healthier cities.

OCTOBER 24-28, 2020

Meet the Research Team Mieka Smart,

DrPH, MS, is an epidemiologist and director of the College of Human Medicine Leadership in Medicine for the Underserved certificate program. Dr. Smart has led and designed experiential education abroad programs in Uganda, South Africa, Belize, and the United States. She does alcohol policy evaluation and monitoring work in Uganda, providing the evidence needed to inform policy interventions, enforcement strategies, and campaigns for compliance uptake. She serves as a co-investigator in the Methodology Core of the Flint Center for Health Equity Solutions. Since the onset of the coronavirus, she has supported contact tracing efforts in Flint and Genesee county. In 2020, she was named a Michigan Center for Urban African American Aging Research scientist.

Amy Saxe-Custack,

PhD, MPH, RDN, is a registered dietitian and serves as the Nutrition Director for the Pediatric Public Health Initiative, a joint effort between Michigan State University and Hurley Children’s Hospital, to address the impact of Flint’s lead exposure on children. Dr. Saxe-Custack is dedicated to the evaluation and expansion of nutrition programs that target children and families living in Flint, with a particular focus on improving access to fresh foods. Her work examines the impact of an innovative fruit and vegetable prescription program for pediatric patients. Through recent grants, she works with community partners on an experiential nutrition and cooking program called Flint Kids Cook.

Rodlescia S. Sneed,

PhD, MPH, is a social and health psychologist interested in evaluating and improving how older adults age successfully in vulnerable communities. Her work evaluates interactions between the social environment, stress, and social support in the lives and long-term health outcomes of older adults. Further, she utilizes community-engaged approaches to understand how chronic disease prevention and intervention efforts work best among older adults in community and institutional settings. Dr. Sneed’s current projects include an NIH-funded study evaluating the health and well-being of African-American older adults with a history of incarceration and a policy grant from the Robert Wood Johnson Foundation that addresses the potential impact of Medicaid work requirements on older adults.

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Welcome

â&#x20AC;&#x153;For the past 12 years, Michigan

State has advanced the health and well-being of local and global communities by educating the next generation of public health professionals through its online Master of Public Health program. With more than 650 graduates, Spartans in Public Health are mobilizing change in meaningful ways. As a pioneer land-grant institution, MSU works side-by-side with communities to identify relevant health issues. We advance health equity and showcase our public health strengths in places like Flint, Michigan. Our curriculum is led by community-engaged, practice-oriented, and experienced practitioners. We educate public health practitioners armed with skills to address the social determinants of health and improve community health.

â&#x20AC;?

Wayne R. McCullough, PhD

Michigan State University Master of Public Health Director

OCTOBER 24-28, 2020

ONLINE MASTER OF PUBLIC HEA

Empower your goals with a public health career that protects the health of people and communities. Make a difference in people’s lives, stand up for health disparities, and be a part of the solution to better health outcomes. At Michigan State University, we offer an online master’s degree that can be customized to your public health interests.

Here’s how we do it: • • • •

100% online curriculum: work while pursuing your degree Competitive tuition: in-state tuition for all students Personalized mentoring from application through graduation Complimentary student membership to the American Public Health Association • GRE waiver for all applicants who complete their application on or before September 30, 2020. Consideration for extension of the GRE waiver is underway and a decision will be made by the end of October. Pursue your passion and become a part of public health in action.

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ALTH PROGRAM

Learn more by attending our MPH information Session scheduled on October 26th at 12:00pm EST. In the meantime, explore mph.msu.edu or schedule an appointment to speak directly with an academic advisor at a time convenient to your busy schedule. COME SEE US AT BOOTH #2325.

Alumni Spotlight Addressing the Social Determinants of Health in Detroit Emily Williams is working to improve population health in the Greater Detroit area. With a focus on the social determinants of health, she is addressing food insecurity, housing, transportation, and employment needs. Emily is incredibly excited about a pilot project she is working on to provide housing for ten individuals for up to a year and wraparound services such as health, dental, education, preventive care, and employment. At the foundation of this work is creating Emily Williams, MPH relationships with community-based Director of Population Health, organizations to work together to address UnitedHealthcare, Greater Detroit area some of these social determinants together. Spartan In Public Health, 2013 Lifelong Scholar and Agent of Change A first-generation American citizen, Bryan O. Buckley, credits his Antiguan family’s work ethic and academic accomplishments with his drive to pursue further knowledge continuously. One of the achievements he’s proudest of is his work as a student on the task force to establish MSU as a tobacco-free campus. He was recognized for that work with the 2016 Michigan Health & Hospital Association’s Outstanding Leadership in Community Health Award. In 2020, he graduated from the Harvard T.H. Chan School of Bryan O. Buckley, DrPH, MPH Public Health with his Doctor of Public Research Fellow, Health. He serves as Chair of the APHA MedStar Institute For Quality And Safety Community Health Planning & Policy Spartan In Public Health, 2012 Development Section.

Protecting Health in the Latino Community Clara Barajas grew up working in farm fields and picking crops with her siblings. As a child, she recalls serving as a translator and helping loved ones get needed health care services. As a public health professional, she advocates for the health interests of the Latino community. From 2018 – 2020, Clara served as the Communications Chair for the Latino Caucus for Public Health. In her current position, she works as a Project Coordinator at PAHO/ Clara Barajas, MPH WHO, where she supports cancer initiatives Director of Population Health, to improve screening programs and develop UnitedHealthcare, Greater Detroit area national cancer plans in Latin America and Spartan In Public Health, 2013 the Caribbean. She also has a part-time appointment at MSU, supporting the Flint Center for Health Equity Solutions. 52

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Student Spotlight Public Health Physician Bridging public health, clinical medicine, and Maternal and Child Health into a career, Abhishek Sharma is pursuing his Master of Public Health degree while in India. As a public health trained physician, he plans to serve as a health advocate and health educator in his community. Sharma believes addressing the upstream factors that affect an individual patient’s decision to take ownership of their health is essential.

Abhishek Sharma Doctor of Medicine (MD) B.Sc. Biology

Spartans Will Improve Health Melody Marzjarani is a triple threat, serving on the Student Advisory Board, working as a Graduate Teaching Assistant, and holding a bachelor’s degree in Human Biology from MSU’s Lyman Briggs College. As an aspiring pediatrician, Melody wants to provide her future patients with the best possible care. For her, this involves not only caring for them on an individual basis but having a broader perspective of population health.

Melody Marzjarani B.S. Human Biology

Eternal Commitment to Global Health Knowing more education increases life expectancy and influences healthy living, Claire Schertzing is transforming the academic journey for many lowincome first-generation college students. Claire is at the top of her MPH class, earning a 4.0 GPA and an invitation to the Phi Kappa Phi honor society. She is interested in a career in global health with a particular interest in the prevention and control of infectious diseases like malaria.

Claire Schertzing

B.A. Spanish Language and Literature B.A. Biology

OCTOBER 24-28, 2020

PEDIATRIC PUBLIC HEALTH FELLOWSHIP FELLOWSHIP SUMMARY

A tremendous lesson we have learned in Flint is that we need to have a competent and capable workforce to identify and tackle pediatric public health issues. This Michigan State University-Hurley Children’s Hospital Pediatric Public Health Initiative (PPHI) Pediatric Public Health Fellowship is a two-year, post-residency fellowship. The fellow will complete an MPH (Master of Public Health) degree at MSU, and conduct research as part of the MSU-Hurley Pediatric Public Health Initiative. In addition, the fellow will work in the public health-focused Hurley Children’s Clinic, at the Flint Farmers’ Market teaching residents and medical students, and providing direct clinical care.

LEADERSHIP

Fellowship Director: Mona Hanna-Attisha, MD, MPH

PROGRAM LENGTH 2 years

ABOUT PPHI

Through community and clinical programs, childhood health policy and advocacy, and robust evaluation, the Pediatric Public Health Initiative works with many partners, including Flint’s heroic parents and kids, as a center of excellence, with the primary goal of mitigating the impact of the Flint Water Crisis and serving as a national resource for best practices.

For further inquiries, contact pphi@hc.msu.edu. To learn more about PPHI visit https://msuhurleypphi.org. To apply visit http://careers.msu.edu/ Job no: 608553.

FREE ONLINE COURSE

Brought to you by Michigan State University Public Health Experts and Community Leaders This course will enhance the publicâ&#x20AC;&#x2122;s understanding of public health, why it is important in the fight against COVID-19 and beyond, and practices for promoting the health of diverse individuals and communities. Course content includes: Five brief core modules Pre-recorded presentations that can be accessed at any time Live interactive discussions to reflect on the course content and share questions

A brief history of public health, including the impact of vaccines

How psychological, social, and environmental factors influence health

About COVID-19 testing and treatment in Michigan

How to promote critical elements of a healthy society

How communities can support public health

For more information, contact: Dr. Robey Champine champi74@msu.edu

The MSU Division of Public Health focuses on population health from the College of Human Medicineâ&#x20AC;&#x2122;s Flint campus. Spartans work side-by-side with community partners and health care providers to encourage healthy behaviors, mitigate chronic diseases, identify environmental health risks, and examine the social factors that influence community health. Established in March 2015 with the support of the Flint community, Hurley Medical Center, McLaren Flint, Ascension Genesys Hospital, and the Charles Stewart Mott Foundation.

COME SEE US AT A P H A BO O T H #2 3 2 5 publichealth.msu.edu mph.msu.edu

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Michigan State University APHA 2020 Booklet

Articles inside

Michigan State University Division of Public Health in Flint

FREE Course: Promoting Public Health in MI in the Face of COVID-19

Online Master of Public Health Program

Welcome from Wayne R. McCullough

Pediatric Public Health Fellowship

Flint Registry: A Resource for the Community

Health Promotion Film: Water-FIT

$72 Million in External Funding

MPH Information Session

Public Health in a Dual Pandemic Panel

Congratulations Dr. Mona Hanna-Attisha

Welcome from Debra Furr-Holden