Maximizing Quality of Life

201 - Maximizing Quality of Life: Social Determinants of Health and Health Promotion

Tuesday, July 17
10:30 AM - 11:45 AM
Location: Diplomat Room-Lobby Level

Heather Hartline-Grafton, BS, MPH, DrPH, RD-Screen & Intervene: Addressing Food Insecurity Among Older Adults
Chintan Bhatt, MBBS, MPH-Factors Influencing Healthy Aging in the US
Chintan Bhatt, MBBS, MPH-Oral Health Problems in Older Mexican Americans
Elena Bastida, MS, PhD-Becoming Agents of Family Health Promotion: Mexican American Grandparents Increase Self-Efficacy, Educate Grandchildren and Improve Physical Health

Many social determinants of health and health promotion influence the ability of older adults to maximize their quality of life. Food insecurity is a reality for millions of older adults that has serious implications for their health, and ability to live independently. Health care providers and systems are well-positioned to address food insecurity among older adults and connect them to food and nutrition resources. Another factor that influences overall health and quality of life is oral health. The relationship between oral diseases and systemic diseases is bidirectional and several systemic diseases have oral manifestations.

The session will begin with a presentation about a free, on-line, Hunger Vital Sign™ screening tool used to screen patients 50 years and older for food insecurity. The tool and full course were developed by the Food Research & Action Center and AARP Foundation for health care providers and other community-based practitioners. Information will be provided on how to connect at-risk individuals to the Supplemental Nutrition Assistance Program (SNAP), other nutrition resources, and community partners. The presentation will discuss special considerations when addressing food insecurity among older adults and review free, downloadable resources available through the course, including posters and charts for use in clinical settings.

After examining food insecurity, the session will present information about a determinant of health and health promotion in many families – grandparents. Cultural stereotypes of grandparents often portray them as indulging, spoiling and overfeeding their grandchildren. These stereotypes are more pronounced for ethnic grandparents. Research from The Beyond Sabor Intervention Parent Study will be presented. Beyond Sabor (the Spanish word for “flavor”) is a NIH funded community-based lifestyle modification program designed to control weight gain and the progression of diabetes. The study population were Mexican Americans living in food desert neighborhoods. Findings will describe the capacity of grandparent to learn, adapt, change behaviors and construct new family roles, with concomitant improvements to their physical health.

The session will end with an examination of factors influencing healthy aging and oral health problems in older Mexican Americans as shown in longitudinal data from the Border Epidemiological Study of Aging (BESA). The connection between overall oral health problems and bleeding gums to social and other physical determinants of health will be discussed.

Learning Objectives:

Heather Hartline-Grafton, BS, MPH, DrPH, RD

Senior Nutrition Policy & Research Analyst
Food Research & Action Center (FRAC)

Dr. Heather Hartline-Grafton is a senior nutrition policy and research analyst at the Food Research & Action Center (FRAC). Her work primarily focuses on obesity, dietary quality, and health among low-income and food-insecure children and families, with emphasis on how the federal nutrition programs improve health, nutrition, and well-being. She also is actively involved in FRAC’s work on addressing food insecurity in health care settings. Dr. Hartline-Grafton, who joined FRAC in January 2009, is a Registered Dietitian and holds honors bachelors’ degrees in nutritional sciences and dietetics from the University of Delaware, an M.P.H. in nutrition from the University of North Carolina, and a Dr.PH. in community health sciences from Tulane University.


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Chintan B. Bhatt, MBBS, MPH

Doctoral Candidate
Department of Health Promotion, Florida International University

Chintan Bhatt is a doctoral candidate for the Ph.D. in Public Health with a concentration in Health Promotion and Disease Prevention. He holds an MD and MPH in Epidemiology. His areas of concentration are Maternal and Child Health, HIV/AIDS and Population Aging.


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Elena Bastida, MS, PhD

Professor and Chair
Department of Health Promotion, Florida International University

Dr. Elena Bastida’s research focuses on aging, the life course, health disparities, religion, population and community health. She led the 12-year National Institutes of Health (NIH) supported Border Epidemiologic Study on Aging (BESA) and, with continuous NIH support, conducted research on religion and aging, and community based participatory research on obesity and diabetes. Though, substantively, her research topics have varied, she has maintained her focus on Latino populations and health disparities. Both her teaching and her mentoring have received statewide and national recognition with two national role model awards and most recently, the University Graduate School Mentorship Award and the Florida McKnight Foundation Mentor Award. In 2009, she received the Public Health Hero Award from Research America. Dr. Bastida is the past president of the Population Research Committee of the International Sociological Association. Her research has been published in the American Journal of Public Health, The Gerontologist, The Journal of Gerontology, Health Economics, Journal of Scientific Study of Religion, Diabetes Care among others.


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Hugh H. Tilson, MD, DrPH, FACPM

Adjunct Professor
UNC Gillings School of Global Public Health

Hugh Tilson's career spans over fifty years as a Preventive Medicine physician, fifteen years each in government public health and the multinational pharmaceutical industry and over twenty years advising and consulting with both as a public health academic. He served as local public health director in Portland, Oregon and Bath, Maine and State public health director in North Carolina, and remains active in the alumni affairs of the national associations for City/County Public Health (NACCHO) and State and Territorial Health Officials (ASTHO). He served as President of the American College of Preventive Medicine (ACPM) and remains active in ACPM national policy and practice affairs. He has widely published research on prescription drug and vaccine safety (pharmacoepidemiology) and public health services and systems (PHSSR).


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201 - Maximizing Quality of Life: Social Determinants of Health and Health Promotion

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