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Access to Resources for Substance Users in Harlem, New York City: Service Provider and Client Perspectives

Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York; Division of Epidemiology, Columbia University Mailman School of Public Health, New Yorksgalea{at}nyam.org

Stephanie H. Factor, MD, MPH

Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York; Division of Preventive and Analytic Methods, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, Georgia

Ann-Gel Palermo, MPH

Community Advisory Board, Center for Epidemiologic Studies, New York Academy of Medicine, New York; Institute for Medicare Practice, Mount Sinai School of Medicine, New York

Daniel Aaron, BA

Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York

Eric Canales

Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York; Community Advisory Board, Center for Epidemiologic Studies, New York Academy of Medicine, New York

David Vlahov, PhD

Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York; Division of Epidemiology, Columbia University Mailman School of Public Health, New York

The Urban Research Center (URC) in Harlem, New York City, is a collaboration of community members, service providers, and academics. A Community Advisory Board (CAB) meets regularly to formulate priorities for action and to direct research. A conceptual model of social determinants of health relevant to the Harlem community was developed. Early meetings of the CAB identified substance use as a health concern in the Harlem community. Access to social services was identified as a key social determinant that should guide research and intervention efforts of the URC. Surveys of service providers and of substance users were carried out to quantify availability of information and barriers to access. This article discusses the CAB process that led to the model of social determinants, development of surveys, and interpretation of results. The authors also discuss survey results and how the URC will use these results to develop interventions.

Health Education & Behavior, Vol. 29, No. 3, 296-311 (2002)
DOI: 10.1177/109019810202900303


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