Fruit and vegetable consumption and prevention of cancer: The Black Churches United for Better Health Project

Fruit and vegetable consumption and prevention of cancer: The Black Churches United for Better Health Project
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DOI:
10.2105/ajph.89.9.1390
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发表时间:
1999-09-01
影响因子:
12.7
通讯作者:
McClelland, JW
McClelland, JW
中科院分区:
医学2区
文献类型:
--
作者:
Campbell, MK;Demark-Wahnefried, W;McClelland, JW

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目标。这项研究评估了黑人教会联合促进健康项目对增加农村水果和蔬菜消费的影响。北卡罗来纳州的非裔美国教会成员。方法。由 50 个教会组成的 10 个县进行配对,并随机分配到干预或延迟干预(跟踪调查后才进行计划)条件。多成分干预进行了大约 20 个月。共有 2519 名成年人(77.3% 的回应率)完成了基线访谈和 2 年随访访谈。结果。两个研究组在基线时消耗的水果和蔬菜量相似。在 2 年随访中,干预组比延迟干预组多消耗了 0.85 份 (SE = 0.12) (P < .0001)。增幅最大的是 66 岁或以上的人(1 份)、受过高中以上教育的人(0.92 份)、丧偶或离婚的人(0.96 份)。以及经常去教堂的人(1.3 份)。改善最小的是 18 至 37 岁的人群和单身人群。结论。该项目是实现农村非裔美国人饮食改变的成功模式。
Objectives. This study assessed the effects of the Black Churches United for Better Health project on increasing fruit and vegetable consumption among rural. African American church members in North Carolina.Methods. Ten counties comprising 50 churches were pair matched and randomly assigned to either intervention or delayed intervention (no program until after the follow-up survey) conditions. A multicomponent intervention was conducted over approximately 20 months. A total of 2519 adults (77.3% response rate) completed both the baseline and 2-year follow-up interviews.Results. The 2 study groups consumed similar amounts of fruits and vegetables at baseline. At the 2-year follow-up, the intervention group consumed 0.85 (SE = 0.12) servings more than the delayed intervention group (P < .0001). The largest increases were observed among people 66 years or older(1 serving), those with education beyond high school (0.92 servings), those widowed or divorced (0.96 servings). and those attending church frequently(1.3 servings). The least improvement occurred among those aged 18 to 37 years and those who were single.Conclusions. The project was a successful model for achieving dietary change among rural African Americans.