Community-generated recommendations regarding the urban nutrition and tobacco environments: a photo-elicitation study in Philadelphia.
Community-generated recommendations regarding the urban nutrition and tobacco environments: a photo-elicitation study in Philadelphia.
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DOI：
10.5888/pcd10.120204
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发表时间：
2013-06-13
影响因子：
5.5
通讯作者：
Cannuscio CC
中科院分区：
文献类型：
--
作者：
FitzGerald EA;Frasso R;Dean LT;Johnson TE;Solomon S;Bugos E;Mallya G;Cannuscio CC
超重、肥胖和吸烟是导致残疾、疾病和死亡的主要可预防原因。2010年，25%的费城成年人吸烟，66%的人超重或肥胖。为了解决这些健康威胁，费城公共卫生部发起了“让费城健康”计划，这是一项旨在改善城市营养、体育活动和烟草环境的倡议。这项评估的目的是确定居民对健康威胁的看法以及改变当地食品和烟草环境的机会。参与者（N = 48）拍摄照片，以记录他们对费城的食品和烟草环境的关注，并参加了照片启发式采访。我们对照片和采访记录进行了编码，并确定了关键主题。与会者提议的营养干预措施比烟草干预措施多4倍。参与者自发地表达了与健康行为生态模型一致的多层次变革的必要性，包括政策（鼓励健康购买的食品援助计划规定）、当地和学校环境（更健康的街角商店库存和学校膳食）以及个人知识和行为（更健康的食品购买）。参与者经常要求采访者提示讨论烟草，他们建议的干预措施包括改变广告（当地环境问题）和卷烟税（政策问题）。与会者非常熟悉营养和体育活动与健康的相关性以及多层次干预的必要性。他们的反应表明社区愿意变革。相比之下，与会者对烟草的评论较为有限，表明预防和控制烟草使用被视为不太突出的公共卫生问题。
Overweight, obesity, and tobacco use are major preventable causes of disability, disease, and death. In 2010, 25% of Philadelphia adults smoked, and 66% were overweight or obese. To address these health threats, the Philadelphia Department of Public Health launched Get Healthy Philly, an initiative to improve the city’s nutrition, physical activity, and tobacco environments. The objective of this assessment was to identify residents’ perspectives on threats to health and opportunities for change in the local food and tobacco environments. Participants (N = 48) took photographs to document their concerns regarding Philadelphia’s food and tobacco environments and participated in photo-elicitation interviews. We coded photographs and interview transcripts and identified key themes. Participants proposed interventions for nutrition 4 times more often than for tobacco. Participants spontaneously articulated the need for multilevel change consistent with the ecological model of health behavior, including changes to policies (food assistance program provisions to encourage healthful purchases), local and school environments (more healthful corner store inventories and school meals), and individual knowledge and behavior (healthier food purchases). Participants often required interviewer prompting to discuss tobacco, and they suggested interventions including changes in advertising (a local environmental concern) and cigarette taxes (a policy concern). Participants were well versed in the relevance to health of nutrition and physical activity and the need for multilevel interventions. Their responses suggested community readiness for change. In contrast, participants’ more limited comments regarding tobacco suggested that prevention and control of tobacco use were perceived as less salient public health concerns.
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基于社区的参与性研究：从儿童环境健康和疾病预防研究中心汲取的教训。
影响因子：
10.4
作者：
Israel, Barbara A;Parker, Edith A;Rowe, Zachary;Salvatore, Alicia;Minkler, Meredith;Lopez, Jesus;Butz, Arlene;Mosley, Adrian;Coates, Lucretia;Lambert, George;Potito, Paul A;Brenner, Barbara;Rivera, Maribel;Romero, Harry;Thompson, Beti;Coronado, Gloria;Halstead, Sandy
通讯作者：
Halstead, Sandy
DOI：
10.1177/0148607111415110
发表时间：
2011-09-01
期刊：
JPEN. Journal of parenteral and enteral nutrition
影响因子：
--
作者：
Hurt, Ryan T;Frazier, Thomas H;Kaplan, Lee M
通讯作者：
Kaplan, Lee M
影响因子：
12.7
作者：
Lawlor, DA;Frankel, S;Smith, GD
通讯作者：
Smith, GD
影响因子：
12.7
作者：
Metzler, MM;Higgins, DL;Softley, D
通讯作者：
Softley, D
影响因子：
12.7
作者：
Alamar, Benjamin;Glantz, Stanton A.
通讯作者：
Glantz, Stanton A.