Cancer prevention for working class, multi-ethnic populations through health centers: the healthy directions study
Cancer prevention for working class, multi-ethnic populations through health centers: the healthy directions study
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DOI：
10.1023/a:1026375408862
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发表时间：
2003-10-01
影响因子：
2.3
通讯作者：
Fletcher, R
中科院分区：
文献类型：
--
作者：
Emmons, KM;Stoddard, AM;Fletcher, R
背景资料：本文介绍了健康指导-健康中心（HC）的研究设计和基线数据，该研究旨在解决工人阶级、多民族人群癌症预防干预措施中的社会背景因素。本研究是哈佛癌症预防项目的一部分。方法：10个社区HC配对，并随机分配到干预或对照组。居住在低收入，多民族社区的患者被确定并接触参与。这项研究针对水果和蔬菜消费，红肉消费，多种维生素摄入和体育活动。干预组成部分包括：（1）参与者的临床医生在预定的常规护理访视中对研究进行简短的当面认可;（2）与健康顾问进行初步的当面咨询;（3）四次后续电话咨询;（4）多次邮寄定制材料;（5）与当地社区的相关活动联系。15%的样本吸烟，86%的人报告每天吃少于五份水果和蔬菜，50%的人报告吃超过推荐量的红肉，40%的人没有达到推荐的体力活动水平，63%的人没有每天服用多种维生素。虽然整体社会支持是高的，参与者报告的目标预防行为的社会规范水平低。其他社会背景介质和修改factors reported.Conclusions：通过研究社会背景因素和健康行为之间的关系，它可能是可能的，以提高干预措施的有效性，旨在减少社会不平等的风险行为。
Background: This paper presents the study design and baseline data from Healthy Directions-Health Centers (HCs), a study designed to address social contextual factors in cancer prevention interventions for working class, multiethnic populations. This study is part of the Harvard Cancer Prevention Program Project.Methods: Ten community HCs were paired and randomly assigned to intervention or control. Patients who resided in low income, multi-ethnic neighborhoods were identified and approached for participation. This study targeted fruit and vegetable consumption, red meat consumption, multi-vitamin intake, and physical activity. The intervention components consisted of: (1) a brief in-person study endorsement from the participant's clinician at a scheduled routine care visit; ( 2) an initial in-person counseling session with a health advisor; ( 3) four follow-up telephone counseling sessions; ( 4) multiple mailings of tailored materials; and ( 5) linkages to relevant activities in the local community.Results: Fifteen percent of the sample smoked, 86% reported eating fewer than five servings of fruits and vegetables per day, 50% reported eating more than the recommended amounts of red meat, 40% did not meet recommended physical activity levels, and 63% did not take a multi-vitamin on a daily basis. Although overall social support was high, participants reported low levels of social norms for the target prevention behaviors. Other social contextual mediators and modifying factors are reported.Conclusions: By examining the relationships between social contextual factors and health behaviors, it may be possible to enhance the effectiveness of interventions aimed at reducing social inequalities in risk behaviors.