REDUCING CANCER-RELATED DIETARY RISK BEHAVIORS IN ADOLES

描述：国家营养调查表明，儿童和 青少年的饮食不符合推荐摄入量 水果和蔬菜的总摄入量超过推荐摄入量 胖的。这些饮食模式，是在童年时期学到的，并跟踪到 成年期，使我们的年轻人容易患上某些类型的癌症， 包括乳腺癌、结肠癌和胃癌。较低的人口数量 社会经济地位的人患这些癌症和其他癌症的几率更高。 这项研究建议实施两年制、多组成部分的校本 针对多种族、社会经济水平较低的学生的计划，他们 家庭及其学校环境以增加学生水果的摄入量 和蔬菜，减少总脂肪的卡路里摄入量。一个 随机社区试验设计将在两所学校的20所学校中进行 市中心的学区(明尼阿波利斯和圣保罗)被随机分配到 要么是干预，要么是计划延迟的情况。这些学校 招收数量不成比例的明尼苏达州少数民族儿童和 来自低社会经济背景的儿童。干预措施将是 在1997-1998和1998-1999学年实施 2004级的学生是六年级和七年级的学生。形成性 将进行评估以确定信息和干预 与文化相适应和相关的战略。干预 组成部分将包括1)解决饮食暗示的学校课程， 广告对食品选择的影响和健康食品的障碍 选择；2)家庭干预组件，旨在促进 学生和家长关于饮食选择的讨论，增加了家长 认识到家庭环境对青少年食物的影响 选择，并增加家庭中健康食物的选择 以及3)针对食物供应、食物提示的学校环境组成部分 以及学校环境中与食物相关的激励措施。

DESCRIPTION: National nutritional surveys indicate that children and adolescents are eating a diet that does not meet recommended intakes of fruits and vegetables and exceeds recommended intake of energy from total fat. These dietary patterns, that are learned in childhood and track into adulthood, predispose our youth for increased risk of some types of cancer, including breast, colon and stomach cancer. Populations that are of lower socioeconomic status have higher incidence rates of these and other cancers. This study proposes to implement a two-year, multi-component school-based program targeting multi-ethnic, lower socioeconomic students, their families, and their school environment to increase student intake of fruits and vegetables and to reduce their intake of calories form total fat. A randomized community trial design will be employed with 20 schools from two inner-city school districts (Minneapolis and St. Paul) being randomized to either the intervention or the delayed-program condition. These schools enroll a disproportionately large number of Minnesota minority children and children from low socioeconomic backgrounds. Interventions will be implemented in the academic years 1997-1998 and 1998-1999 when students from the Class of 2004 are in their sixth and seventh grade. Formative evaluation will be conducted to determine messages and intervention strategies that are culturally appropriate and relevant. Intervention components will be comprised of 1) school curricula addressing eating cues, the influence of advertising on food choices and barriers to healthful food choices; 2) a home intervention component designed to facilitate student-parent discussions regarding dietary choices, increase parental awareness of the influence of the home environment on adolescent food choices, and increase the availability of healthful food choices in the home and 3) a school environment component targeting food availability, food cues and food-related incentives in the school environment.