Citation

Mayfield-Johnson S, Fastring D, Le D, Nguyen J. Sustainability (Basel) 2020; 12(9): e3892.

Copyright

(Copyright © 2020, MDPI: Multidisciplinary Digital Publishing Institute)

DOI

10.3390/su12093892

PMID

32714606 PMCID

Abstract

BACKGROUND: Resiliency is the ability to prepare for, recover from, and adapt to stressors from adverse events. Social vulnerabilities (limited access to resources, political power, and representation; lack of social capital; aspects of the built environment; health inequities; and being in certain demographic categories) can impact resiliency. The Vietnamese population living along the Mississippi Gulf Coast is a community that has unique social vulnerabilities that impact their ability to be resilient to adverse events.

Objectives: The purpose of this project was to address social vulnerability by implementing and evaluating a volunteer Community Health Advisor (CHA) project to enhance community resiliency in this community.

Methods: A program implemented over 8 three-hour sessions was adapted from the Community Health Advisor Network curriculum that focused on healthy eating, preventing chronic conditions (hyperlipidemia, Diabetes, hypertension, cancer, poor mental health). Topics also included leadership and capacity development skills.

Results: Participants (n=22) ranged from 35-84 years of age. Most were female (63.6%), married (45.5%), unemployed (63.6%), had annual incomes of <$10,000, and had high school diplomas (68.2%). Community concerns were crime (50.0%), volunteerism (40.0%), language barriers (35.0%), and food insecurity (30.0%). Approximately 75% had experienced war trauma and/or refugee camps, and 10% had experienced domestic violence. Scores on the Community Health Advisor Core Competency Assessment increased from pre-test to post-test (t=-5.962, df=11, p<0.0001), as did SF-8 scores (t=5.759, df=17, p<0.0001).

Conclusion: Strategies to reduce vulnerabilities in the Vietnamese community should include developing interventions that address health risks and strengths and focus on root causes of vulnerability.

Language: en

Keywords

Vulnerability; Vietnamese; Resilience; Community Health Advisor