Population-based Interventions Engaging Communities of Color in Healthy Eating and Active Living: A Review
Population-based Interventions Engaging Communities of Color in Healthy Eating and Active Living: A Review
复制标题
以人口为基础的干预措施，让有色人种社区参与健康饮食和积极生活：综述
DOI：
10.13016/syxj-snha
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发表时间：
2003
影响因子：
5.5
通讯作者：
Jabar A. Akbar
中科院分区：
文献类型：
--
作者：
A. Yancey;S. Kumanyika;N. Ponce;W. McCarthy;J. Fielding;J. Leslie;Jabar A. Akbar
Introduction The U.S. obesity epidemic is escalating, particularly among communities of color. Obesity control efforts have shifted away from individual-level approaches toward population-based approaches that address socio-cultural, political, economic, and physical environmental factors. Few data exist for ethnic minority groups. This article reviews studies of population-based interventions targeting communities of color or including sufficient samples to permit ethnic-specific analyses. Methods Inclusion criteria were established, an electronic database search conducted, and non-electronically catalogued studies retrieved. Findings were aggregated for earlier (early 1970s to early 1990s) and later (mid-1990s to present) interventions. Results The search yielded 23 ethnically inclusive intervention studies published between January 1970 and May 2003. Several characteristics of inclusive interventions were consistent with characteristics of community-level interventions among predominantly white European-American samples: use of non-interpersonal channels for information dissemination directed at broad spheres of influence (e.g., mass media), promotion of physical activity, and incorporation of social marketing principles. Ethnically inclusive studies, however, also placed greater emphasis on involving communities and building coalitions from study inception; targeting captive audiences; mobilizing social networks; and tailoring culturally specific messages and messengers. Inclusive studies also focused more on community than individual norms. Later studies used "upstream" approaches more than earlier studies. Fewer than half of the inclusive studies presented outcome evaluation data. Statistically significant effects were few and modest, but several studies demonstrated better outcomes among ethnic minority than white participants sampled. Conclusion The best data available speak more about how to engage and retain people of color in these interventions than about how to create and sustain weight loss, regular engagement in physical activity, or improved diet. Advocacy should be directed at increasing the visibility and budget priority of interventions, particularly at the state and local levels.
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影响因子：
4.2
作者：
Jeffery, RW;Drewnowski, A;Hill, DR
通讯作者：
Hill, DR
影响因子：
120.7
作者：
Appel, LJ;Champagne, CM;Young, DR
通讯作者：
Young, DR
影响因子：
4.2
作者：
PROCHASKA, JO;VELICER, WF;ROSSI, SR
通讯作者：
ROSSI, SR
不同体重指数的非裔美国女性对健身促进研究的针对性招募策略的不同反应。
DOI：
--
发表时间：
2001
期刊：
Ethnicity & disease.
影响因子：
--
作者：
Yancey,AK;Miles,OL;McCarthy,WJ;Sandoval,G;Hill,J;Leslie,JJ;Harrison,GG
通讯作者：
Harrison,GG
维持社区活动的五阶段模型。
影响因子：
4.4
作者：
Rudd,RE;Goldberg,J;Dietz,W
通讯作者：
Dietz,W