- 86% women - 53% child < 18 in home - 68% < $15,000 - 27% < H.S. education - 45% out of work - 41% no health insurance Demographics Kreuter MW, et.

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Presentation transcript:

- 86% women - 53% child < 18 in home - 68% < $15, % < H.S. education - 45% out of work - 41% no health insurance Demographics Kreuter MW, et al (2012) Am J Prev Med Purnell J, et al. (2012) J Hlth Care Poor Underserved. Eddens K, et al. (2011) J Soc Serv Res.

- 77% bills - 42% home and family - 9% employment - 8% health - 6% housing - 10% other service requests Kreuter MW (2012) Am J Prev Med

Rent Abusive partner Child behavior Sick parent

- colonoscopy - mammogram - HPV (self) - HPV (daughter) - Pap test - quitting smoking - smoke-free home Cancer control survey of callers

- 69% need at least one - 39% need two or more - 16% need three or more Cancer control needs Purnell J, et al. (2012) J Hlth Care Poor Underserved.

callers have significant cancer risks - These can be quickly identified though screening - When offered prevention referrals, many accept - Callers think it’s an appropriate role for 2-1-1s What we learned

What we still needed to learn - Will callers act on health referrals? - Will referrals lead to preventive health behaviors?

R

Contacted any referral 1-month follow-up (n=772) Percent Kreuter MW, et al. (2012) Am J Prev Med.

Got mammogram or Pap test 4-month follow-up (n=429) * p <.05; ** p <.01 Navigation Tailoring Contacted referral Changed behavior -.139* ** ** 1 month4 months

R Smoke-free homes study Emory + UNC, Texas-Houston, Wash U

Full household smoking ban 3-month follow-up (n=500) Percent P <.003

In-home monitoring (3-mo FU; n=98) Nicotine concentration (µg/m 3 ) Mean P <.004