Translating Obesity and Diabetes Prevention into the Worksite for Immigrant Popul

将肥胖和糖尿病预防转化为移民民众的工作场所

• 批准号: 8692386
• 负责人: Marc B Schenker
• 金额: $ 65.04万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-03-28 至 2019-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8692386
• 关键词: Absenteeism; Achievement; Adoption; Agriculture; Americas; Behavior; Behavioral; Berry; Blood Pressure; California; Cholesterol; Clinical; Collaborations; Complications of Diabetes Mellitus; Control Groups; Data; Development; Diabetes Mellitus; Diabetes prevention; Diet; Economics; Educational Background; Educational Intervention; Effectiveness; Effectiveness of Interventions; Employee; Ethnic Origin; Evaluation; Event; Face; Farming environment; General Population; Glycosylated hemoglobin A; Goals; Health; Health Benefit; Health Campaign; Health Services Accessibility; High Density Lipoprotein Cholesterol; Hispanics; Immigrant; Incidence; Industry; Injury; Intervention; Knowledge; Language; Latino; Life Style; Measures; Monitor; Non-Insulin-Dependent Diabetes Mellitus; Not Hispanic or Latino; Obesity; Outcome; Overweight; Participant; Physical activity; Pilot Projects; Population; Poverty; Prevalence; Prevention; Process; Productivity; Randomized; Relative (related person); Research Personnel; Risk Factors; Socioeconomic Status; Testing; Time; Translating; Translations; United States; Wages; Weight; Wellness Program; Work; Workplace; cost; cost effective; cost effectiveness; design; diabetes prevention program; diabetes risk; economic evaluation; ethnic minority population; experience; farm worker; follow-up; health care service utilization; improved; lifestyle factors; lifestyle intervention; literate; low socioeconomic status; mortality; obesity prevention; obesity risk; operation; primary outcome; programs; public health relevance; racial and ethnic; satisfaction; secondary outcome

DESCRIPTION (provided by applicant): Obesity and diabetes are serious health problems in the United States, with rapidly increasing prevalence and incidence over the last 10 years. National data document alarming increases in overweight and obesity, and among Latinos the prevalence is 78%, markedly higher than in the general population. An estimated 25.6 million people 20 years or older have diabetes in the U.S., with the greatest increases in prevalence among racial and ethnic minority populations, further complicated by disparities in socioeconomic status. Hispanics face a diabetes prevalence twice that of non-Hispanic whites and suffer higher rates of diabetes complications and mortality. Nationally, it is estimated that there are over 2.6 million hired farm workers in the U.S., and California is among the largest employers of these workers. In California, over 450,000 people are employed in agriculture, with more than two-thirds being of Latino ethnicity. Most are immigrants with low levels of education and many have Spanish as their only language. This population also faces issues with limited access to health care, compounded by poverty and low socioeconomic status. While intervention efforts have demonstrated that an intensive lifestyle approach promoting diet and physical activity can significantly reduce obesity and diabetes incidence, there continues to be a need for effective programs designed for underserved and immigrant populations - a sizeable proportion of the U.S. working population. The overall goal of this study is to validate the effectiveness of an obesity and diabetes intervention among low-literate immigrant farm workers. We propose that a lifestyle intervention delivered at the agricultural worksite will improve obesity and diabetes risk for employees and will prove to be cost effective for the employer. The collaboration of established investigators at UC Davis with Reiter Affiliated Companies (RAC, a large berry grower in California) and the Health Initiative of the Americas at UC Berkeley (experts in organizing health campaigns for underserved immigrant populations) creates a unique opportunity to achieve significant positive health outcomes through a total worker health approach. Our efforts will build upon two successful pilot studies conducted with RAC and will enable us to reach a larger number of people and evaluate the program's translation and sustainability potential. Successful achievement of the project goals will enable dissemination of the program to improve the health of workers via a cost effective and culturally-tailored obesity and diabetes risk factor intervention.

描述(申请人提供)：肥胖和糖尿病在美国是严重的健康问题，在过去10年中患病率和发病率迅速上升。国家数据显示，超重和肥胖的增长令人震惊，拉美裔美国人的超重和肥胖患病率为78%，明显高于普通人群。据估计，美国有2560万20岁或以上的人患有糖尿病，其中种族和少数民族人口的患病率增幅最大，社会经济地位的差异进一步加剧了这一问题。拉美裔美国人的糖尿病患病率是非西班牙裔白人的两倍，糖尿病并发症和死亡率也更高。在全国范围内，据估计，美国有超过260万名受雇农场工人，加州是这些工人的最大雇主之一。在加利福尼亚州，超过45万人受雇于农业，其中三分之二以上是拉丁裔。大多数是受教育程度较低的移民，许多人只有西班牙语。这些人口还面临获得医疗保健的机会有限的问题，再加上贫困和社会经济地位低。虽然干预努力表明，促进饮食和体育活动的密集生活方式可以显著降低肥胖症和糖尿病的发病率，但仍然需要为服务不足和移民人口--相当大比例的美国工作人口--设计有效的计划。这项研究的总体目标是在低文化移民农场工人中验证肥胖和糖尿病干预的有效性。我们建议，在农业工作场所提供的生活方式干预将改善员工的肥胖和糖尿病风险，并将证明对雇主来说是划算的。加州大学戴维斯分校的资深研究人员与瑞特关联公司(加州大型浆果种植商RAC)和加州大学伯克利分校的美洲健康倡议(为服务不足的移民人口组织健康运动的专家)的合作创造了一个独特的机会，通过全面工人健康方法实现重要的积极健康成果。我们的努力将建立在与RAC进行的两项成功的试点研究的基础上，并将使我们能够接触到更多的人，并评估该计划的翻译和可持续发展潜力。项目目标的成功实现将使该计划得以传播，通过具有成本效益的、为文化量身定做的肥胖和糖尿病风险因素干预来改善工人的健康。