Side Of Chicago Research Articles

Rhythms, dressage and pacemaking in South Side Chicago: examining the construction site of the Obama Presidential Center

ABSTRACT This article examines the effects of a major civil project, the Obama Presidential Center in Jackson Park on Chicago’s South Side, on the everyday rhythms of this part of the city. In particular, we examine the construction site of this center and its impact on the production of rhythms. We focus on the notion of “dressage” in Lefebvre’s Rhythmanalysis, suggesting a critical reading of this notion through the theory of pacemaker. Theorizing the interrelation between rhythms, dressage and pacemaking, our article investigates the interface of the built environment and everyday rhythms. We employ the chronoanalysis concept of the “pacemaker” to analyze the OPC construction site’s disruption and introduction of new rhythms which transform the park. The discussion provides reflections on how Lefebvre’s concept of dressage can be theoretically advanced through pacemaking and thereby made fruitful for empirical inquiry. The examination of the OPC construction site draws attention to how major infrastructural projects change the rhythms of urban spaces and can provide concrete perspectives on how capitalist urban redevelopment becomes manifest in people’s lived everyday experiences and routines.

Abstract 17255: Local Gunfire Exposure is Associated With Acutely Increased Blood Pressure on the South Side of Chicago

Hypertension is a leading risk factor for cardiovascular disease, which is especially prevalent among minority urban patients. Our group and others have previously shown that socio-environmental factors such as crime and poverty raise cardiovascular risk. However, the acute effects of local urban gunfire on patients’ blood pressure are unknown. We hypothesized that local gunfire in our South Side Chicago community was temporally associated with an acute rise in blood pressure for nearby patients. We performed a retrospective cohort study including 7,564 patients aged 18-104 who completed two or more outpatient clinic visits within 1 year at our academic tertiary-care center on the South Side of Chicago. We included 41,554 pre-pandemic clinic visits and recorded the blood pressure for each visit. Local gunfire was measured using ShotSpotter®, a network of microphones installed throughout the South Side of Chicago, which locates gunshots using auditory triangulation. Datasets of gunfire incidents are publically available from ShotSpotter® including date/time and geolocation of incidents. We focused on incidents that occurred within 1 km of each patient’s address and between two clinic visit dates (33 days, on average). Our primary outcome was the change in systolic blood pressure between the two clinic appointments. We excluded patients whose antihypertensive regimen was changed at the first appointment. Next, we utilized a multivariate regression model to assess the relationship between incidents of gunfire and seasonally-adjusted changes in blood pressure. Between-visit gunshot exposure ranged from 1 to 1,793 per patient. We found that each incident of gunfire was associated with a statistically significant acute increase in systolic blood pressure (0.0033 mmHg increase per gunfire incident [0.0022, 0.0044], p<0.0001). Results were similar regardless of whether total round count or total gunfire incidents were considered. In this study of urban patients, incidence of gunfire within 1 km of a patient’s address was associated with an acute rise in blood pressure over approximately 1 month. These findings implicate the adverse impact of local gunfire exposure and environmental stress on blood pressure in adults on the South Side of Chicago.

Community engagement for early recognition and immediate action in stroke (CEERIAS): Pre and post COVID-19

Engagement science can help healthcare providers understand promising practices that address health disparities. The Community Engagement in Early Recognition and Immediate Action in Stroke (CEERIAS) study began in 2014 with the aim of improving health outcomes related to stroke and addressing racial inequities among at-risk South Side Chicago neighbourhoods by engaging community members called ‘Stroke Promoters’ in designing and implementing a stroke preparedness programme. Launched in 2020, Phase II (2CEERIAS) furthered this aim by developing a replicable virtual platform for the programme in response to challenges prompted by the COVID-19 pandemic. The CEERIAS community engagement programme results provided meaningful data to South Side Chicago communities; nearly 40,000 ‘Pact to Act FAST’ pledges were collected over 11 months, and although early hospital arrival and emergency medical services (EMS) usage for confirmed stroke did not increase overall, early arrivals for suspected stroke increased significantly for men, younger people and black community members along with EMS usage for suspected stroke. The 2CEERIAS virtual programme collected nearly 3,800 new pledges in a 90-day window during the onset of the COVID-19 pandemic. The engagement of trusted nonclinical laypeople during both phases of the CEERIAS study demonstrates that community engagement can positively influence clinical outcomes and increase reach and sustainability for such efforts. The use of engagement science can also generate a deep sense of co-creation among community members, and the ‘social contract’ approach can effect behavioural change. The virtual adaption reinforced important engagement science principles for interventions aimed at eliminating stroke disparities. To this day, eight years after research support ended for the CEERIAS programme, community members trained as ‘Stroke Promoters’ remain connected to the researchers and continue to educate family and neighbours about stroke preparedness.

Gathering Spaces When No One Can Gather: Art and Community Third Places in the Age of Covid-19

What do art and community spaces look like when no one can use them to gather? Academic research into neighbourhoods and urban art scenes have focused on the power of such spaces to bring people together. Using the framework of Oldenburg's notion of 'third places', sociologists have recognized the importance of places like art galleries, bars, restaurants, coff ee shops, and anywhere else people gather in providing a physical site of orientation outside work and the home for people to be together and communities to amalgamate. While there have always been critiques of such places and their role in urban space, e.g.their part in gentri fication and potential displacement, positive accounts of their role in neighbourhood life have typically focused on their ability to draw people together, so a situation like the current pandemic – when such gatherings are forestalled – raises an obvious question about their current utility. Using two case studies on the South Side of Chicago, this paper leverages interview data with merchants involved with sociallyengaged commercial spaces to examine some of the ways that community spaces in Chicago shifted in light of the pandemic. The article concludes with policy and theoretical considerations based on these case studies, extrapolating lessons beyond the South Side of Chicago. Speci fically, it suggests that in addition to off ering limited versions of their traditional facilitation of physical co-presence, art and community third places can also leverage their importance in social networks to help distribute information and resources.

The impact of participation in a mindfulness-based intervention on posttraumatic stress symptomatology among Black women: A pilot study.

Objective: Women, racial/ethnic minorities, and socioeconomically disadvantaged groups experience trauma and PTSD at a rate of up to four times the U.S. national average. The aim of the present study is to assess the association between participation in a mindfulness-based intervention delivered in a community health center and posttraumatic stress symptoms among socioeconomically disadvantaged, Black women with trauma histories. We hypothesized that participants would experience a significant reduction in trauma symptom severity from pre- to post-intervention. Method: Women were recruited from a community health center on the South Side of Chicago, Illinois. Participants completed self-report measures of trauma symptoms, mindfulness, depression, and stress. Pre/postintervention differences in symptom severity were analyzed with paired sample t tests and independent sample t tests. Results: A total of 36 women with trauma symptom data were assessed. There was a significant reduction of trauma symptom severity from baseline to end of treatment. A minority of participants endorsed slightly higher symptomatology at the end of treatment. Women whose trauma symptom severity increased were less symptomatic overall to begin treatment; they had significantly lower trauma and depressive symptom severity at baseline. Conclusions: Socioeconomically disadvantaged, Black women with moderate to severe trauma symptoms benefited from a mindfulness-based intervention delivered in a community health care setting. While some women with mild trauma symptoms may have become more aware of their symptoms through an intervention designed to increase awareness of thoughts and feelings, most women experienced a decrease in trauma symptom severity. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Partnering With African American Faith-Based Communities to Support Dementia Caregivers

African Americans (AA) are twice as likely to develop Alzheimer’s Disease as Caucasians. Historically, houses of faith have been a center of the AA community and a trusted source of information and support. Based on these facts, as well as community needs, the SHARE Network (a Geriatrics Workforce Enhancement Program on the South Side of Chicago) in partnership with faith-based community leaders, created an opportunity for community members to train to become resource experts on Alzheimer’s Disease & Related Dementias (ADRD) and create sustainable caregiver support groups (CSGs). The resulting initiative, Dementia Resource Champions, is a train-the-trainer style health education initiative piloted in 2018, and subsequently expanded and modified due to COVID. Participants receive instruction on stress reduction, ADRD, and community resources. They discuss how to structure CSGs to meet community needs. Results of this initiative include development of five brand-new CSGs with faith communities on Chicago’s South Side.

African-American Race Predicts 1-Year Cognitive Decline Among Adults Without Moderate Dementia

Previous literature shows conflicting conclusions about the association between race and cognitive decline, particularly in early impairment. In this study, we aimed to test whether race predicted 1-year change in Montreal Cognitive Assessment (MoCA) score among older adults without moderate-severe dementia. We secondarily explored whether multimorbidity, polypharmacy, depressed mood, antidepressant use, body composition, or frailty changed the association. We analyzed data (n=122) from predominantly African American (AfA, 78.7%) community-dwelling older adults from the south side of Chicago. Participants underwent baseline and 1-year MoCA testing. Age, gender, race, education, monthly income, co-morbidities (Charlson Comorbidity Index), medication use (<5 vs ≥5), depression (PHQ-2), proportion lean mass (DEXA), and the frailty phenotype (range 0-5) were collected at baseline. In a multivariate linear model, we regressed 1-year MoCA score on baseline MoCA score, race, and demographics and then evaluated the impact of each covariate added separately to the model on the race-cognition relationship. The mean MoCA score at baseline was 25.2+/-0.2 (range 18-30) and 41.0% of participants experienced ≥1 point MoCA decline at 1 year. After adjusting for demographics, AfAs experienced a greater 1-year MoCA decline (β= -1.3, p=0.04) compared to other races. The effect size was unchanged after adjusting for multimorbidity and polypharmacy (β= -1.3, p=0.04), attenuated slightly after adjusting for frailty (β= -1.2, p=0.06), depressed mood (β= -1.2, p=0.05), lean mass (β= -1.2, p=0.04), and attenuated notably after adjusting for antidepressant use (β= -1.0, p=0.11). Findings support the need to further explore racial differences in cognitive decline and potentially related anti-depressant underuse.

Rush@Home: Home-Based Primary Care Focused on Underserved Communities and Health Equity

Homebound patients are often medically complex and are among those in greatest need of care and services. This is especially true for those that reside in underserved communities, where they face the added risk stemming from scarce community resources. Often these patients are only able to access health care for emergencies, which is ineffective and high cost. Rush@Home is a home-based primary care program that exemplifies the Age-Friendly Health System mission with a focus on the 4Ms, incorporating navigation and social work. Patients reflect the West Side of Chicago, with 80% of patients identifying as Black and/or Latino. During the first two years, Rush@Home demonstrated better care at a lower cost with readmission rates decreased by 11.8%, hospitalizations by 17.5%, length of stay by 8.7%, ED visits by 17.9%, and missed appointments by 72%. This presentation will highlight outcomes and discuss key issues in home-based primary care.

Because the movement, it’s never done

Abstract The South Side Community Art Center (SSCAC) is a cultural hub, meeting place, and gallery on the South Side of Chicago. The only surviving Works Progress Administration (WPA) community art center, it functions as a space for African American art, intergenerational dialogue, and as an institution for community education in the arts. In this interview with Natalie Battles, artist, activist, and former employee at the SSCAC, we learn about the center’s history and its connections with social and cultural movements, her work there, and what it is like to be a young artist involved with a long-standing institution of African American art.

A retrospective analysis of high sensitivity cardiac troponin-T ranges in non-myocardial infarction emergency department visits

IntroductionCurrent evidence suggests that high sensitivity cardiac troponin-T (hs-cTnT) values differ based on sex, race, age, and kidney function. However, most studies examining the relationship of hs-cTnT and these individual factors are in healthy participants, leading to difficulty in interpreting hs-cTnT values in the Emergency Department (ED) setting. We seek to examine the relationship between hs-cTnT values and sex, race, age, and kidney function in a contemporary, urban academic setting.MethodsED visits from June 2018 through April 2019 with at least 1 hs-cTnT and no diagnosis of acute myocardial infarction (AMI) at an academic medical center in the south side of Chicago were retrospectively analyzed. Median hs-cTnT values were stratified by sex (male or female), race (African American or Caucasian), age, estimated glomerular filtration rate (eGFR), and stage of chronic kidney disease.Results 9679 encounters, representing 7989 distinct patients, were included for analysis (age 58 ± 18 years, 59% female, 85% black). Males had significantly higher median hs-cTnT values than females (16 [8–34] vs. 9 [6–22] ng/L, p < 0.001), African Americans had a significantly lower median value than Caucasians (10 [6–24] vs. 15 [6–29] ng/L, p < 0.001), and those with atrial fibrillation (27 [16–48] vs. 9 [6–19] ng/L, p < 0.001) and heart failure (28 [14–48] vs. 8 [6–15] ng/L, p < 0.001) had higher median values than those without. Median hs-cTnT values increased significantly with increased age and decreased eGFR. All relationships continued to be significant even after multivariable regression of sex, age, race, eGFR, presence of atrial fibrillation, and presence of heart failure (p < 0.01).ConclusionsAnalysis of hs-cTnT in non-AMI patients during ED encounters showed that males have higher values than females, African Americans have lower values than Caucasians, those with atrial fibrillation and heart failure have higher values than those without, and that older age and lower eGFR were associated with higher median values.

Deferral and the Dream

Deferral and the Dream

Rethinking “Disinvestment”: Historical geographies of predatory property relations on Chicago’s South Side

As vacancy in Rust Belt cities becomes a focal point of planning and policy efforts, Chicago planners and private institutions attribute it to “disinvestment” and seek to remove barriers to real estate investment in order to unlock the market’s purported ability to bring land to “productive use.” Drawing on findings from an analysis of nearly 10,000 postwar property records in the South Side Chicago neighborhood of Englewood, this article demonstrates that vacancy stems not from disinvestment but from predatory and hyperextractive investments in housing that derive economic feasibility and legal sanction from property’s historical articulation with race. I argue that racial regimes of ownership are endemic to the operation of real estate markets and function as central modalities for the appropriation of ground rent. As an analytical lens into the political economy of land, racial regimes of ownership expand urban geographers’ capacity to address the mechanisms that mobilize difference to accommodate capital’s circulation and, more broadly, to account for the racial logics that configure the terrain of contemporary land struggles.

Becoming Me: Journey from the ‘South’

The rallying cry of “Black Lives Matter” that reverberated all through the U.S. after the George Floyd murder case brought to light the reality that racism is a living reality in the American soil. It is no legend of the past. It is not a bygone history. Therein lies the significance of the inspiring memoir by the former First Lady of the United States. Michelle Obama’s Becoming is more than a memoir. It is a social document that faithfully portrays the ground reality of ‘Being Black’ and ‘Becoming Black' in a “White Society”. In her memoir, while recounting her rise from modest origins to the closest this country has to nobility, Michelle is taking the readers on an intimate tour of everyday African-American life. Her book illustrates how all Americans must part with the idea of post-racial society, the quaint notion that race and racism are relics of the United States’ long-ago past. In the memoir, she establishes that prejudice is so woven into the fabric of America that it won’t be gone in her lifetime, or even longer. The article“Becoming Me: Journey from the ‘South” traces the early stages of her life as a “striver”, residing in the ‘South’ side of Chicago, identified with the city’s African American population

Age-Friendly Community Education: Fostering Health Behavior Change in a Medically Underserved Community

The University of Chicago GWEP, SHARE Network (Supporting Healthy Aging Resources and Education), is located on the South Side of Chicago, an urban medically underserved community. SHARE Network partners with a variety of community based organizations (CBOs) to support Age Friendly care through an Age Friendly Community Education Curriculum. In a one year period, 28 events were held in 13 CBO sites. Each of these events addressed the 4Ms of Age Friendly care with a specific content focus on Mentation (5 events), Mobility (5), Medications (4), and What Matters (10), and 4 events focused on multiple domains. There were 458 attendees, 290 completed surveys (63% response rate). Eighty-eight percent of participants planned to make a healthy behavior change after participation. Age Friendly Community Education can complement health system transformation to lead to health behavior change for community-dwelling older adults in medically underserved communities.

A Community-Engaged Stroke Preparedness Intervention in Chicago.

BackgroundWe evaluated a community‐engaged stroke preparedness intervention that aimed to increase early hospital arrival and emergency medical services (EMS) utilization among patients with stroke in the South Side of Chicago, Illinois.Methods and ResultsWe compared change in early hospital arrival (<3 hours from symptom onset) and EMS utilization before and after our intervention among patients with confirmed ischemic stroke at an intervention hospital on the South Side of Chicago with concurrent data from 6 hospitals in nonintervention communities on the North Side of Chicago and 17 hospitals in St Louis, Missouri. We assessed EMS utilization for suspected stroke secondarily, using geospatial information systems analysis of Chicago ambulance transports before and after our intervention. Among 21 497 patients with confirmed ischemic stroke across all sites, early arrival rates at the intervention hospital increased by 0.5% per month (95% CI, −0.2% to 1.2%) after intervention compared with the preintervention period but were not different from North Side Chicago hospitals (difference of −0.3% per month [95% CI, −0.12% to 0.06%]) or St Louis hospitals (difference of 0.7% per month [95% CI, −0.1% to 1.4%]). EMS utilization at the intervention hospital decreased by 0.8% per month (95% CI, −1.7% to 0.2%) but was not different from North Side Chicago hospitals (difference of 0.004% per month [95% CI, −1.1% to 1.1%]) or St Louis hospitals (difference of −0.7% per month [95% CI, −1.7% to 0.3%]). EMS utilization for suspected stroke increased in the areas surrounding the intervention hospital (odds ratio [OR], 1.4; 95% CI, 1.2–1.6) and in the South Side (OR, 1.2; 95% CI, 1.1–1.3), but not in the North Side (OR, 1.0; 95% CI, 0.9–1.1).ConclusionsFollowing a community stroke preparedness intervention, early hospital arrival and EMS utilization for confirmed ischemic stroke did not increase. However, ambulance transports for suspected stroke increased in the intervention community compared with other regions.RegistrationURL: https://www.clini​caltr​ials.gov; Unique identifier: NCT02301299.

Abstract A128: Building sustainable partnerships between cancer centers and safety net community hospitals to increase access to and quality of cancer care

Abstract Background: Cervical cancer outcomes are influenced by race, socioeconomic status and region. African American women have the highest mortality rate from cervical cancer and Hispanic and American Indian/Alaska Native women have the highest cervical cancer incidence rates among racial/ethnic groups. Disparities in cervical cancer can be greatly improved by increasing access to and awareness of Pap screening and HPV vaccination among vulnerable populations. Safety net and community hospitals offer broader opportunities to reach at-risk individuals, however these hospitals face many challenges that mirror those of the patients they serve, including: decreased access to innovative research and treatment, decreased access to the full range of specialty care, and funding challenges. Public-Public partnerships between academic medical centers, cancer centers and private service organizations that extend to safety net and community hospitals can increase cervical cancer screening rates among individuals at greatest risk. Methods: The Loretto Hospital and Norwegian American Hospital serve communities that suffer the highest cervical cancer mortality rates in Chicago. Funded by the Bristol Myers Squibb Foundation, the University of Illinois Cancer Center partnered with these two community hospitals located on the west sides of Chicago to increase cervical cancer screening rates through clinical and community patient navigation. Evidence based methods such as small media interventions, client reminders, and one-on-one education will also be used to increase screening awareness and education. The evidence-based, implementation science program is guided by the RE-AIM framework. Reach, adoption and sustainability will be maximized through the integration of community hubs that comprise faith-, community-, school-based organizations and policy makers. Results: The project is a three year project. Now in its pre-implementation phase, the program is currently piloting data instrumentation and implementation processes. Preliminary results will be presented at the meeting. The Partnership development phase has been achieved and Full implementation will begin August 2019. Conclusion: It is expected that building partnerships between large academic medical centers, cancer centers and community hospitals will increase the capacity of community hospitals to offer quality screening and specialized care to community members and increase access to cervical cancer screening and education among at-risk populations ultimately decreasing cervical cancer disparities among underserved populations in the University of Illinois Cancer Center catchment. Citation Format: Vida Henderson, Jessica Madrigal, Jeanette Gonzalez, Erica Martinez, Katherine Tossas-Milligan, Patricia Doykos, Karriem Watson, Robert Winn. Building sustainable partnerships between cancer centers and safety net community hospitals to increase access to and quality of cancer care [abstract]. In: Proceedings of the Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2019 Sep 20-23; San Francisco, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl_2):Abstract nr A128.

The Southern Side of Chicago: Arnold R. Hirsch and the Renewal of Southern Urban History

This essay maintains that Arnold R. Hirsch’s Making the Second Ghetto: Race and Housing in Chicago must be viewed as critical to the evolution of Southern history. The author shows how Hirsch’s handling of white anxiety, racial terrorism, and state actions in the preservation of racial segregation helped move Southern historians to adopt a comparative and structural approach to racial politics and metropolitan life. It also encouraged them to abandon interpretive frameworks that treated the South as exceptional, thus proving critical to the development of “Sunbelt” urban history. The fact of Hirsch’s own residing in the South and his collaborations with Southern historians during the publication of Making the Second Ghetto offers additional context to explain the book’s resonance in Southern historiography.

In the Shadow of the Second Ghetto

This essay offers a personal reflection on the significance of Arnold Hirsch’s Making the Second Ghetto. Drawing on her personal experiences going to school with African American students and traveling through the black South Side of Chicago in the 1970s and 1980s, the author argues that reading Hirsch’s work confirmed the segregation and economic inequality she witnessed as a child. She concludes that the story Hirsch narrated helped explain the origins of the urban crisis and inspired her own research on the history of Mexican American and Puerto Rican barrios in the city.

Abstract TMP73: The Community Engagement for Early Recognition and Immediate Action in Stroke (CEERIAS) Study: Primary Results

Introduction: Early hospital arrival after stroke increases access to proven treatments and improves outcomes. We hypothesized that a community-engaged stroke preparedness intervention to overcome barriers to early activation of 9-1-1 would increase early hospital arrival and emergency medical services (EMS) use after stroke in high-risk neighborhoods in Chicago. Methods: We partnered with stakeholders in a South Side Chicago community with a high stroke incidence and in close proximity to a primary stroke center to develop a community stroke preparedness intervention. The intervention was delivered by “stroke promoters”, trained lay persons from the target neighborhood who utilized in-person discussions to overcome barriers and obtain stroke preparedness pledges as measured by “Pacts to Act FAST”. We applied an interrupted time-series analysis at the target hospital to study the effects of the intervention on EMS utilization and hospital arrival within 3 hours of symptom onset among patients with confirmed ischemic stroke. We compared these results to 6 North Side Chicago stroke centers and 17 St. Louis stroke centers as concurrent controls. Results: During a 12-month period, 242 stroke promoters distributed &gt;110,000 educational materials, participated in 167 community events, and registered 39,975 Pacts to Act FAST, reaching 19.4% of residents in the target South Side neighborhoods. Early arrival increased (0.5%/month post-intervention; p=0.124 for slope change) at the target hospital but was not different compared to North Side hospitals (p=0.560) or St. Louis hospitals (p=0.072). The effect on early arrival was significant among patients &lt;66 years old (0.8%/month increase; p=0.036), men (1.2%/month increase; p=0.026), and African-Americans (0.9%/month increase; p=0.037). No effect was observed on EMS use. Conclusions: Using a community-engaged approach to deliver a stroke preparedness intervention in Chicago, we observed a modest increase in early hospital arrival after confirmed stroke, which was more pronounced in younger, male, and African-Americans patients. Future efforts should consider improving message penetration and sustainability using novel personal approaches such as social media.

Abstract WP240: Community Engagement for Early Recognition and Immediate Action in Stroke (CEERIAS): Exploring Stroke Knowledge, Self-Efficacy, and Trust in the Healthcare System in Chicago

Introduction: In a segregated city like Chicago with distinct neighborhood characteristics, a discrepancy between neighborhoods in stroke knowledge, self-efficacy, and trust in the medical system could impact stroke outcomes. Methods: As part of a study which implemented a culturally-tailored stroke preparedness intervention targeting South (S) Side Chicago communities, individuals attending community health events were recruited in S neighborhoods and North (N) Side neighborhoods pre- and one-year post-intervention to assess stroke knowledge, self-efficacy, and trust. Independent stand-alone pre- and post-sample cohorts were purposefully recruited to match demographics. Survey outcomes included knowledge (assessed via Stroke Action Test, STAT), self-efficacy (Likert scale), trust (Health Care Trust Survey), and stress (Likert). Zip codes divided subjects into S/N neighborhoods. Two-sample t-tests compared cohorts, and interactions between race/ethnicity-time and neighborhood-time were tested, with multivariable linear regression when statistically (p&lt;0.05) significant. Results: We recruited 364 subjects pre-intervention (S=199, N=165) and 363 subjects post-intervention (S=198, N=165) who were well-matched in race/ethnicity, sex, and education, though the post-group was slightly younger (p=0.04). Unadjusted analysis revealed increases post-intervention in stroke knowledge (p=0.07), self-efficacy (p&lt;0.0001), trust (p&lt;0.0001), and stress scores (p&lt;0.0001). After adjusting for race/ethnicity, gender, and age, the N post-group had greater gains in knowledge (N: 4.0, p=0.02 vs. S: 0.7, p=0.69), self-efficacy (N: 2.3, p&lt;0.0001 vs. S: 0.7, p&lt;0.0001), trust (N: 0.8, p&lt;0.0001 vs. S: -0.1, p=0.20) and stress (N: -0.3, p&lt;0.0001 vs. S: -0.1, p=0.04). Conclusions: The observed gains in stroke knowledge, self-efficacy, trust, and stress, greater in the North Side of Chicago, could signal overall improved public health messaging around stroke recognition and treatment, but could also point to socioeconomic factors that may have disproportionately benefited North Side residents. Further focused research to understand neighborhood factors which influence stroke awareness and action is necessary.