Specialized health promotion programs are essential for older African Americans because of the
increased health risks that this population faces. Since 1983, we developed and provided
specialized health promotion programs to older rural minority populations in North Florida.
Using a modified Planned Approach to Community Health (P.A.T.C.H.) promotion development
model, these programs attempt to empower the local population to assess and pnoritize their
health needs and to improve their own level of health. From our experience evolved social and
public policy recommendations that encompass cultural acceptability, state and federal support
of local control and leadership, reinforced family structures, and access to services. The ultimate
goal of our recommendations was to lower disability and improve life expectancy.
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