Effects of Promoting Health Among Teens on Dietary, Physical Activity and Substance Use Knowledge and Behaviors for African American Adolescents.
Effects of Promoting Health Among Teens on Dietary, Physical Activity and Substance Use Knowledge and Behaviors for African American Adolescents.
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DOI：
10.1080/19325037.2013.798218
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发表时间：
2013-01-01
影响因子：
1
通讯作者：
Annang L
中科院分区：
文献类型：
--
作者：
Kerr JC;Valois RF;Farber NB;Vanable PA;Diclemente RJ;Salazar L;Brown LK;Carey MP;Romer D;Stanton B;Jemmott JB 3rd;Jemmott LS;Spencer AM;Annang L
非裔美国人患心血管疾病和癌症的比例过高。健康促进干预措施有望减少健康差距。促进青少年健康（PHAT）是一个简短的，文化量身定制的健康教育干预，以减少非裔美国人心血管疾病和癌症的风险。本研究评估了美国东部四个城市14至17岁非裔美国青少年PHAT的效果。采用随机对照设计（N = 1,654）来确定PHAT参与者与性健康促进对照组之间在健康知识、饮食、身体活动和物质使用行为方面的差异。在基线、干预后3个月、6个月和12个月收集数据。使用生长曲线模型来检测PHAT组和对照组参与者在健康知识、饮食行为、身体活动和物质使用方面的差异。与对照组参与者相比，PHAT参与者的知识收获显著增加，但行为变化不大。PHAT是一种很有希望的干预措施，可以增加非裔美国青年的知识和解决选定的健康行为。未来实施PHAT的尝试应继续强调知识建设，同时增加干预剂量和调整干预时间。
African Americans are disproportionately affected by cardiovascular disease and cancer. Health promotion interventions hold promise for reducing health disparities. Promoting Health Among Teens (PHAT) is a brief, culturally tailored health education intervention to decrease cardiovascular disease and cancer risk for African Americans. This study evaluated the effects of PHAT for African American adolescents ages 14 to 17 in four eastern cities in the USA. A randomized controlled design (N = 1,654) was used to determine differences in health knowledge, diet, physical activity, and substance use behaviors between PHAT participants and a sexual health promotion control group. Data were collected at baseline, three, six, and twelve months post intervention. Growth curve modeling was used to detect differences in health knowledge, dietary behaviors, physical activity, and substance use between PHAT and control group participants. PHAT participants had significantly greater knowledge gains but modest behavior changes compared to control group participants. PHAT is a promising intervention to increase knowledge and address selected health behaviors in African American youth. Future attempts to execute PHAT should continue its emphasis on knowledge building while increasing intervention dosage and modifying length of time for intervention sessions.