Tag Archives: Community Health

Midlands Community Health Workers have reached vulnerable populations during the COVID-19 response

Early in the COVID-19 response, the Midlands Region recognized the need to get messaging out to sometimes hard-to-reach, vulnerable populations such as the elderly, Hispanic, migrant camps, homeless, African-American and Native American. In order to better serve this need, the first Community Health Workers (CHW) came on board in May.   

A CHW is someone who has an intimate knowledge of the community and its people as well as a trusted member of that community.   

“Not only do I engulf myself into my community, but I also can make a positive impact for people,” Layla Zarif said. “I love that my job lets me spend more time in a county that I am so in love with.”   

That relationship allows the CHW to reach those who may not be reached in other ways and to become a liaison between these populations and community resources, including DHEC and other health agencies.   

“I love being a CHW because I enjoy helping people, relationship building, community collaboration and helping to connect people with resources and access to care,” Hazel Lowman said.  

While the CHW’s were hired for COVID response, they are quickly becoming an integral part of the outreach efforts in the Midlands.

They are promoting testing sites and sharing COVID-19 materials and information with businesses, organizations and individuals. They are also participating in community events and developing relationships at an individual level.   

To better help them build the trust that is essential to their jobs, they also share other important information in addition to COVID. They have been involved with food box giveaways, promoting the Census, assisting with WIC and medical appointments and many others. 

From their interactions, the region has learned of additional languages that materials should be translated into and how to integrate services into specific populations or neighborhoods, to name a few.   

“I became a CHW when I saw that our communities, states, country and entire world was in desperate need of trustworthy education and guidance to take control of health advocacy in the midst of a pandemic,” Katherine Brown said. “Now I can see that even without a pandemic our communities need passionate CHWs who are here for the people to help guide individuals and families to a healthier life.”   

Taylor Houser sees herself as part of a team addressing the needs of the communities that she serves.    

“Being a Community Health Worker allows me to play my part in bettering the lives of those around me and better myself through continuous education and exposure to new ideas and information,” she said. 

The CHW’s in the Midlands have become an important part of the Community Systems Team, collaborating with the core team and the outreach team on a seamless approach to this work.  Each part of the team has its own role, but all work together toward an overall goal of reaching the greatest number of people. 

CHW’s enter the field for many reasons, but the overarching quality is a strong desire to serve others.   

“Simply put, there is more happiness in giving than in receiving and showing compassion to the least of these my brothers as a Good Samaritan provides riches that money cannot buy,” Bruce Wright said.   

South Carolina Health at a Glance: Chronic Disease and Risk Factors (Part 1)

Our next installment of the 2018 Live Healthy State Health Assessment summaries covers chronic disease and risk factors. Because this section lists many chronic diseases that affect South Carolina, we will summarize in three sections. Check out our previous posts:  overview of the reportSouth Carolina demographicsleading causes of death and hospitalizationcross-cutting, access to healthcare, and maternal and infant health.

Key Findings

Obesity

  • South Carolina had the 12th highest adult obesity rate in the nation in 2016.
  • In 2016, the prevalence of obesity among non-Hispanic Blacks was 42.8% and was higher compared to non-Hispanic Whites (30.2%).
  • The prevalence of obesity was higher in adults with an annual household income less than $15,000 (40.8%) than among those with income $50,000 and higher (28.4%).

Prediabetes

Prediabetes, sometimes called “borderline diabetes” is a condition in which someone has a blood sugar (glucose) level above normal but not yet in the diabetes range. People with prediabetes are more likely to develop type 2 diabetes, heart disease, or experience a stroke. Without lifestyle changes to improve their health, 15% to 30% of people with prediabetes will develop type 2 diabetes within five years.

  • The prevalence of adults in South Carolina diagnosed with prediabetes increased from 6.7% in 2011 to 9.4% in 2016.
  • In 2016, the prevalence of prediabetes was higher in non-Hispanic Blacks (12.5%) compared to non-Hispanic Whites (8.5%).
  • The prevalence of prediabetes was higher in those with a disability (14.7%) than those without a disability (6.9%).

Diabetes

SC Adults with Diabetes_assessment

  • From 2011 to 2016, South Carolina adults with diabetes have remained higher than the median range of the United States.
  • The prevalence of diabetes was higher among adults aged 65 or older than among those under age 65.
  • In 2016, the prevalence of diabetes was higher in non-Hispanic Blacks (16.9%) than in non-Hispanic Whites (11.7%).

 

Hypertension

SC Adults with hypertension_assessment

Hypertension, commonly known as “high blood pressure,” is often called the silent killer because, apart from extreme cases, it has no symptoms. Nearly one in three United States adults have high blood pressure.

  • More than one-third (39.3%) of adults in South Carolina had hypertension in 2016.
  • Seventeen counties had a prevalence of hypertension higher than the state average at 38.7%.
  • In 2016, the prevalence of hypertension increased with age.

 

Arthritis

Arthritis is the term used to describe more than 100 diseases and conditions that affect joints, the tissues that surround the join, and other connective tissue.

  • The percentage of South Carolina adults who have been told they have arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia increased from 27.9% in 2011 to 30.1% in 2016. The median percentage of arthritis was 25.8% in the United States in 2016.
  • Over 57% of adults ages 65 years or older reported having arthritis in 2016.
  • The prevalence among disabled adults (56.2%) was three times higher than those adults who were not disabled (16.8%).

Heart Disease

About 610,000 Americans die each year from heart disease. Heart disease is the leading cause of death and disability in the United States.

SC heart disease deaths_assessment

  • South Carolina had a lower death rate compared to the United States (94.3 per 100,000) and met the Healthy People 2020 goal of 103.4 coronary heart disease deaths per 100,000 population in 2016.
  • Men (123.3 per 100,000) had a higher death rate than women (57.6 per 100,000) in 2016.
  • Non-Hispanic Blacks (96.0 per 100,000) experienced a higher death rate than non-Hispanic Whites (85.7 per 100,000).

 

Stroke

SC Stroke Deaths_assessment

Stroke was the fifth leading cause of death in the United States in 2016, and is a leading cause of serious, long-term disability in the United States. About 795,000 people in the United States have a stroke each year.

  • In 2016, South Carolina had the sixth highest stroke death rate in the nation and is part of the “Stroke Belt,” a group of Southeastern states with high death rates.
  • Stroke was the fifth leading cause of death in South Carolina, resulting in 2,627 deaths in 2016.
  • Stroke resulted in 16,484 hospitalizations in South Carolina in 2016, with charges of more than $952 million.

In our next section, we will summarize nutrition, physical activity, and cigarette smoking in South Carolina adults. For more detailed information about chronic diseases and risk factors that affect our state, visit https://www.livehealthysc.com/uploads/1/2/2/3/122303641/chronic_disease_and_risk_factors_sc_sha.pdf.