Translating Obesity and Diabetes Prevention into the Worksite for Immigrant Popul

描述（由申请人提供）：肥胖和糖尿病在美国是严重的健康问题，在过去的10年里患病率和发病率迅速上升。国家数据显示，超重和肥胖的增加令人震惊，拉丁美洲人的患病率为78%，明显高于一般人群。在美国，估计有2560万20岁以上的人患有糖尿病，其中种族和少数民族人群的患病率增幅最大，社会经济地位的差异进一步加剧了糖尿病的发病率。西班牙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260万的农场工人，加州是这些工人最大的雇主之一。在加州，超过45万人从事农业，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，许多人的唯一语言是西班牙语。这一人口还面临获得保健的机会有限的问题，加上贫穷和低社会经济地位。虽然干预工作已经证明，促进饮食和体育活动的密集生活方式方法可以显著减少肥胖和糖尿病的发病率，但仍然需要为服务不足和移民人群设计有效的计划-美国工作人口的相当大比例。本研究的总体目标是验证低文化移民农场工人的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肥胖和糖尿病的风险，并将证明对雇主来说是具有成本效益的。加州大学戴维斯分校的研究人员与瑞特附属公司（RAC，加州的一家大型浆果种植者）和加州大学伯克利分校的美洲健康倡议组织（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，通过全面的工人健康方法实现显著的积极健康成果。我们的努力将建立在与RAC进行的两次成功的试点研究的基础上，这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性潜力。项目目标的成功实现将使该方案得以传播，通过具有成本效益和文化针对性的肥胖和糖尿病风险因素干预来改善工人的健康。

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.