HEALTH PROMOTION FOR OLDER RURAL AFRICAN-AMERICANS - IMPLICATIONS FOR SOCIAL AND PUBLIC-POLICY

Specialized health promotion programs are essential for older African Americans because of the increased health risks that this population faces. Since 1983, we developed and provided specialized health promotion programs to older rural minority populations in North Florida. Using a modified Planned Approach to Community Health (P.A.T.C.H.) promotion development model, these programs attempt to empower the local population to assess and prioritize their health needs and to improve their own level of health. From our experience evolved social and public policy recommendations that encompass cultural acceptability, state and federal support of local control and leadership, reinforced family structures, and access to services. The ultimate goal of our recommendations was to lower disability and improve life expectancy.