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Purpose. Self-help among African-Americans is that tradition of individual and group efforts aimed toward racial progress and defending against a hostile society. The purpose of this paper is to encourage African-Americans, regardless of income, to take personal responsibility for their health. This review discusses each side of the individual versus societal responsibility issue and provides a rationale for integrating these two perspectives. It argues that the tradition of community-based self-help among African-Americans is a mechanism for personal empowerment that can lead to collective action; it therefore has important implications for the improvement of African-American health. Search Methods. The search made use of a computer-based inquiry with self-help, community health empowerment, and African-American or blacks used as descriptors. We also used a computerized search by the last names of key authors writing in the area of minority health. The review was limited to references between 1964 and 1994. The review also relied on our own professional libraries. Finally, 15 knowledgeable individuals employed at universities around the country were queried about their work, focusing on this subject. They were asked about their perceptions of the issues pertinent to the role of personal and societal responsibility in modifying health behaviors of African-Americans. Summary of Important Points. Effective health behavior change strategies with black populations will require an integration of personal responsibility and advocacy for social systems change. The formation of effective self-help community-based coalition partnerships is a viable strategy for forging systemic changes to address the health disparity problem. Major Conclusions. The discussion concludes that blacks should hold themselves more personally responsible for solving their own problems while rejecting debilitating forms of extreme self-blame. Affiliation with self-help organizations and community coalitions for health empowerment is offered as a strategy for community infrastructure development with potential for improving quality of life.

"Community-Based Participatory Research (CBPR) has become the preferred model for conducting research in communities. Most scientists who conduct such research now recognize that working in partnership with the community is preferable, and more ethical, than conducting research on a community . As Surgeon General of the United States, I direct a number of programs aimed at encouraging Americans to avoid tobacco, engage in physical activity, consume more nutritious diets, and protect their health in other ways. We need more effective methods to persuade, motivate, and enable individuals and com

Shared decision making (SDM) has increas­ingly become appreciated as a method to enhance patient involvement in health care decisions, patient-provider communication, and patient-centered care. Compared with cancer, the literature on SDM for hyperten­sion is more limited. This is notable because hypertension is the leading risk factor for cardiovascular disease and both conditions disproportionately affect certain subgroups of patients. However, SDM holds prom­ise for improving health equity by better engaging patients in their health care. For example, many reasonable options exist for treating uncomplicated stage-1 hyperten­sion. These options include medication and/ or lifestyle changes such as healthy eating, physical activity, and weight management. Deciding on "the best" plan of action for hypertension management can be challeng­ing because patients have different goals and preferences for treatment. As hyper­tension management may be considered a preference-sensitive decision, adherence to treatment plans may be greater if those plans are concordant with patient prefer­ences. SDM can be implemented in a broad array of care contexts, from patient-provider dyads to interprofessional collaborations. In this article, we argue that SDM has the potential to advance health equity and improve clinical care. We also propose a process to evaluate whether SDM has occurred and suggest future directions for research.Ethn Dis. 2019;29(Suppl 1):97- 102; doi:10.18865/ed.29.S1.97.

The purpose of this paper is to suggest some factors counselors should consider in dealing with perceptions of vulnerability to HIV/AIDS among African American college-age males. For this study, perceived vulnerability to AIDS is a latent variable that refers to an individual's belief of their likelihood of contracting HIV when not using a condom. The objective of the study is to contribute to the knowledge needed by counselors, school educators, and health professionals to develop and implement effective educational programs and counseling interventions that are race and gender specific. In particular, programs that promote the use of AIDS risk-reduction practices among African American male, college-age adolescents. We acknowledge that any potent effort to prevent the spread of the disease among men in the African American community must: a) evaluate existing prevention strategies used with a similar population, b) utilize activities that focus on collective cultural experience, c) utilize activities that enhance communication and accent collective participation, d) utilize strategies that focus on acceptance of sexuality, e) focus on reccurring patterns of communication, f) base intervention on the current social and political climate, g) consider threats and belief in genocide as real, h) include messages which consistently emphasize the potential benefits and gains of community and i) consider racial/ethnic composition in the counselor-client relationship.

Intro -- Contents -- Dedication -- Foreword, by Valerie Montgomery Rice, MD -- Preface -- Acknowledgments -- 1. Introduction to the Morehouse School of Medicine Model -- 2. Social Accountability, Medical Education, and Public Health -- 3. Community-Based Participatory Research -- 4. Evolution of the Morehouse Model for Community Engagement -- 5. Engaging Micropolitan and Rural Communities in Health Promotion and Disease Prevention -- 6. Educational and Leadership Development-for Communities, by Communities -- 7. The Medical School of Tomorrow -- Appendixes -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W.

The elevated rates of HIV/AIDS among inmates are due in part to the high concentration of incarcerated persons with behavioral risk factors for HIV infection. Corrections, public health, and community-based organizations should partner to take full advantage of the opportunity to maximize effectiveness and efficiency in addressing HIV/AIDS in inmate populations. The purpose of this study is to document issues inhibiting collaboration, service delivery, and multisite evaluation as identified by members of the U.S. Centers for Disease Control and Prevention/Health Resources and Services Administration Corrections Demonstration Project (CDP). Examining the barriers (and identifying ways to resolve them) is important in developing and maintaining successful programs that ultimately benefit HIV-infected inmates and the communities to which they return.