Tailoring Healthy Eating and Physical Activity for African American Men

描述（由申请人提供）：尽管对少数民族健康需求的关注日益增加，但与白人男性、白人女性和非洲裔美国女性相比，非洲裔美国男性患与不健康饮食和缺乏体育活动相关的许多疾病的发病率和死亡率更高。不幸的是，我们对非裔美国人健康的了解，包括在以健康饮食和体育活动为目标时考虑文化的策略，主要是基于对非裔美国女性进行的项目。这是一个重大的限制，因为有充分证据表明，饮食健康和身体活动方面的性别差异突出了性别作为健康行为决定因素的相关性。因此，如果我们要充分解决非洲裔美国男子的健康需求，在制定和实施增加其健康饮食和体育活动的战略时必须考虑文化和性别。这项建议的目的是开发和测试性别、文化和上下文相关的信息，这些信息将用于未来基于网络的量身定制的干预措施，以增加非裔美国人的健康饮食和体育活动。量身定制的干预——即针对非裔美国人个体的独特偏好、兴趣和背景进行的干预——可能比针对非裔美国人群体的干预更有吸引力，因为它可能被认为与个人更相关。此外，通过解决多种健康行为——健康饮食和体育活动——这项研究反映了这样一个事实，即大多数美国成年人从事两种或两种以上的不健康行为，这使他们面临慢性病、残疾和过早死亡的最大风险。解决多种行为改变增加了本研究在现实世界中的适用性，并增加了发现健康行为的共同机制和健康行为改变的独特机制的机会。我们提出的研究包括三个阶段：(1)形成性研究，以完善我们对健康饮食和体育活动的性别、文化和环境决定因素的理解；(2)制定量身定制的健康信息，以促进非裔美国男性的健康饮食和体育活动；(3)测试和完善这些信息，以产生一组信息，供将来使用，量身定制的健康促进干预措施，以促进非裔美国人的健康饮食和体育活动。完成后，我们将很好地为一项随机对照试验实施R01，以测试定制信息在基于网络的干预中改善非裔美国男性健康饮食和体育活动的功效。

DESCRIPTION (provided by applicant): Despite increased attention to minority health needs, African American men have higher rates of developing and dying from many diseases associated with unhealthy eating and physical inactivity when compared to white men, white women and African American women. Unfortunately, much of what we know about African American health, including strategies considering culture when targeting healthy eating and physical activity, is based predominately on programs conducted with African American women. This is a significant limitation because well documented, gender-specific differences in dietary health and physical activity highlight the relevance of gender as a determinant of health behavior. Thus, if we are to adequately address the health needs of African American men, both culture and gender must be considered when developing and implementing strategies to increase their healthy eating and physical activity. The aim of this proposal is to develop and test gendered, culturally and contextually relevant messages that will be used in a future, web- based tailored intervention to increase healthy eating and physical activity in African American men. A tailored intervention - that is, an intervention customized to the unique preferences, interests and contexts of individual African American men - may be more engaging than an intervention targeted to African American men as a population group in part, because it may be deemed more personally relevant. In addition, by addressing multiple health behaviors - healthy eating and physical activity - this study reflects the fact that most U.S. adults engage in 2 or more unhealthy behaviors, which puts them at the greatest risks for chronic disease, disability, and premature death. Addressing multiple behavior changes increases the real-world applicability of this research and enhances the chances to uncover common mechanisms of health behavior and unique mechanisms for health behavior change. Our proposed study includes 3 phases: (1) formative research to refine our understanding of gendered, cultural and environmental determinants of healthy eating and physical activity; (2) develop tailored health messages to promote healthy eating and physical activity for African American men; and (3) test and refine the messages to yield a bank of messages for use in future, tailored health promotion interventions to promote healthy eating and physical activity for African American men. Upon completion, we will be well positioned to implement an R01 for a randomized controlled trial to test the efficacy of the tailored messages in a web-based intervention to improve African American men's healthy eating and physical activity.