Cancer prevention among working class, multiethnic adults: Results of the healthy directions - Health centers study
Cancer prevention among working class, multiethnic adults: Results of the healthy directions - Health centers study
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DOI：
10.2105/ajph.2004.038695
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发表时间：
2005-07-01
影响因子：
12.7
通讯作者：
Bigby, JA
中科院分区：
文献类型：
--
作者：
Emmons, KM;Stoddard, AM;Bigby, JA
目标.我们分析了一项研究的结果，该研究检查了工人阶级、多种族人群癌症预防干预中的社会背景因素。10个社区卫生中心被随机分为干预组和对照组。居住在低收入、多民族社区的患者符合条件;干预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。在8个月时测量结果。干预导致水果和蔬菜消费量和多种维生素摄入量显着增加，红肉消费量减少;身体活动水平没有变化。当可能作为混杂因素或效应修饰因子的背景变量（例如，性别、教育程度、种族/民族、受访者和父母的出生国以及贫困状况）。该干预措施导致工人阶级，多民族人口的健康行为显着改善，无论种族/民族和社会经济地位如何。针对不同种族/民族的工人阶级个体的社会背景进行干预，有望改善癌症相关的风险行为。
Objectives. We analyzed outcomes from a study that examined social-contextual factors in cancer prevention interventions for working class, multiethnic populations.Methods. Ten community health centers were randomized to intervention or to control. Patients who resided in low-income, multiethnic neighborhoods were eligible; the intervention targeted fruit and vegetable consumption, red meat consumption, multivitamin intake, and physical activity. Outcomes were measured at 8 months.Results. The intervention led to significant increases in fruit and vegetable consumption and multivitamin intake and reductions in red meat consumption; no change was found in physical activity levels. The intervention effect was not changed when contextual variables that may function as confounders or effect modifiers (e.g., gender, education, race/ethnicity, respondent and parents' country of birth, and poverty status) were included in the analyses.Conclusions. The intervention led to significant improvements in health behaviors among a working class, multiethnic population, regardless of race/ ethnicity and socioeconomic status. Interventions that respond to the social context of working class individuals across racial/ethnic categories hold promise for improving cancer-related risk behaviors.