Demographics

- 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 al (2012) Am J Prev MedPurnell 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

2-1-1 service requests

Kreuter MW (2012) Am J Prev Med

RentAbusiv

e partne

r

Child behavi

or 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.

- 2-1-1 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 referral1-month follow-up (n=772)

Verbal referral Tailored reminder Navigator

18

24

34

Perc

ent

40

30

20

10

0

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

Changedbehavior

-.139*

-.175

.434**

.000

.328**

1 month 4 months

R

Smoke-free homes studyEmory + UNC, Texas-Houston, Wash U

Full household smoking ban 3-month follow-up (n=500)

Intervention Control

23.5

13

Perc

ent

25

20

15

10

5

0

P < .003

In-home monitoring (3-mo FU; n=98)Nicotine concentration (µg/m3)

Mea

n

4.0

3.0

2.0

1.0

0

P < .004

Full ban No full ban

0.88

3.66