Educating Latinos for Better Resources, Outreach, and Nutrition Excellence (EL-BRONX)

The Educating Latinos for Better Resources, Outreach, and Nutrition Excellence (EL-BRONX) project is a unique community assessment aimed at understanding the health care needs, resources, and challenges of diabetic individuals and their family members. The goal of the project is to collect information on diabetes diagnosis, aspects of diabetic care, population demographics, and health care statistics in order to discover which Latino subgroups living in the South Bronx, New York are most affected by the diabetes epidemic.

Background
Diabetes has been identified as a primary health concern for Latinos living in New York City, and as such, a number of health initiatives throughout the city have been created to address this growing epidemic (Latino Federation 2005; NYCDOHMH 2003). Latinos living in the United States are twice as likely to not only have been diagnosed with Type 2 diabetes but to die from diabetes related complications (HHS—OMH 2009; US Census Bureau 2004). In addition, Latinos are more likely to develop risk factors for the disease such as obesity, general cardiovascular diseases, and impaired fasting glucose (NIDDK 2007). Approximately 27% of Latinos living in New York City are obese and have experienced a corresponding rise in diabetes cases from 2000 to 2004 (Van Wye and Kerker, 2008).

Project Aims
The project has been created to address the following:

  • Collect statistical information on diabetes—its distribution and characteristics—among the different Latino subgroups based on nationality, time in the US, geographic location, and acculturation
  • Identify what issues Latino diabetics and their family members face in managing the disease
  • Gauge the influence diabetics have on the lifestyle of their associated family members, as well as the affect of the family members on the diabetic
  • Learn if family members would be interested in making changes to their lifestyle to prevent the possible onset of diabetes

The collected data will be used to appropriately disseminate vital information on the diabetes epidemic among Latinos, while formulating the basis of family based community interventions addressing the needs and utilizing the resources of the target area of the South Bronx, New York.

Data Collection
Based out of Lincoln Medical and Mental Health Center (LMMHC) in the South Bronx the project's primary research partner is the hospital's research arm, the Lincoln Medical Center for Collaborative Community Research (LCCCR). The project interviewed 100 Latino diabetics and predisposed patients living in the South Bronx concerning their health care practices, attitudes and needs in relation to diabetes management and prevention. Many of the participants were members of the same family and also attended focus groups that were held discussing nutrition, health care, and exercise. This was done in a family orientated-social support context utilizing each participant's individual understanding of diabetes. The collected data will be used to appropriately disseminate vital information on the diabetes epidemic among Latinos living in the target area of the South Bronx.

Click here to read the full project summary.

Community Partnerships

Lincoln Medical and Mental Health Center for Collaborative Community Research (LMMHC-LCCCR) is an academic-community partnership committee which promotes public health, medical practice and research, health care, health education and training through a community-based participatory research (CBPR) approach. Based at Lincoln Medical and Mental Health Hospital Center this organization is the primary partner in the core LHI project EL-BRONX, where clinic patients and their families engage in the assessment of diabetes throughout their community.