STEER

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STEER

• South Texas Environmental Education and Research
• April 2008
• Jacquia Fenderson, Katarzyna Alderman, Bonnie
  Burlingham, Darci Eswein, and Chioma Ndubisi

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Objectives

• Impression of lectures
• Personal Impact
• Future Practices/ Directions

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Addressing Obesity in South Texas

• Obesity in South Texas
• Need to address obesity as a multi-level problem
• Social-Ecological Model

• S-E Model in action
• CATCH program
• Salud! Si Cuenta

Photographs courtesy of Celia Roberts
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Prevalence of Overweight among US Children and
Adolescents
Source National Health and Nutrition Examination
Surveys, CDC
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Addressing Obesity in South Texas

• CATCH and Salud! Si Cuenta based on the
  Social-Cognitive Theory
• - observational learning
• - triage between individual,
• behavior and environment
• - within the Social-Ecological model of health
  
• Effectiveness of CATCH
• - Main Trial (1991-94)
• - Brownsville
• elementary schools (2004-08)

Photographs courtesy of Celia Roberts
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Addressing Obesity in South Texas

• Lessons learned
• Health education CAN work! But
• it has to be comprehensive, multi-level
• Has to be paralleled with the changes in policy
  and infrastructure
• Works in childrens education.
• May not apply to other age groups

Photographs courtesy of Celia Roberts
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Colonias
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Visiting Green Valley Farms
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Colonias Versus Homelessness

• How sad to be born here, live here all your life,
  die here, and not know what it is like to be an
  AmericanColonia Resident, TX
• In answer to What were you feeling without a
  stable home?
• I was depressed. It was depressing, and I drank
  so I wouldnt be scared being out there. Its
  hard to be out there when youre homeless, cause
  youre around a lot of people that do the same
  thing you do. I kept applying for housing
  everywhere, but nobody ever called and it was
  hard to get, to talk to anybody if you dont have
  an address, (laugh) you know? You know, you work
  something out here and there and you dont even
  get time to pick up your mail and if you dont
  pick it up in time they send it back. It was
  like a circleMainly I lost my self respect and I
  lost caring for anything--Homeless woman in
  Seattle, WA.

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HIV/AIDS

• Lecture by Dr. Joseph McCormick
• Disproved the current myths about the origin of
  HIV/AIDS
• Discussed how culture and urbanization has lead
  to the increased rate of HIV infection worldwide.
  

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HIV/AIDS

• Better informed HIV/AIDS educator
• Reinforced the importance of establishing
  effective HIV/AIDS programs targeted towards
  young women

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HIV/AIDS

• Personal impact of the lecture and program

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Holy Family Birthing Center

• Provides a safe alternative
• Continuity of care during the entire birthing
  process
• Less time constraints than Obstetricians
• Techniques to augment pain
• Labor is less invasive

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Holy Family Birthing Center

• Personal Impact

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Holy Family Birthing Center

• Group office visiting
• Incorporation of Family
• Awareness of differences
• Babies deliver themselves

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Tropical Medicine and Infectious Disease
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Tropical Medicine and Infectious Disease

• Directly impacts the overall health of many, and
  is often overlooked/ignored due to other diseases
• These afflictions are not going away
• Working internationally or traveling tropical
  medicine and infectious disease are important

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Tropical Medicine and Infectious Disease

• Working with underserved and/or displaced peoples
• The effect on population health
• Being culturally aware and sensitive
• I will hopefully never be bored and always have
  work

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Thank You

• Patsy Bortoni, Dr. Enrique Escobedo, Dr. Noe
  Garza, Roger Perales, The RAHC, Adam Trevino, Dr.
  Adela Valdez, Dr. Leonel Vela

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Hasta luego!