Reduced Prevalence of Obesity in 14 Disadvantaged Black Communities in the United States: A Successful 4-Year Place-Based Participatory Intervention
Autor: | Paul Z. Siegel, Lucas G. Garraza, Ye Xu, Robert L. Stephens, Youlian Liao, Melissa Scardaville, Shaoman Yin, Tesfayi Gebreselassie |
---|---|
Rok vydání: | 2016 |
Předmět: |
Adult
Male Program evaluation Gerontology Adolescent Ethnic group Health Promotion Article Body Mass Index Behavioral Risk Factor Surveillance System Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors Prevalence Humans Medicine Obesity 030212 general & internal medicine Propensity Score Poverty Aged 030505 public health business.industry Public Health Environmental and Occupational Health Middle Aged medicine.disease United States Disadvantaged Black or African American Socioeconomic Factors Propensity score matching Community health Female 0305 other medical science business Body mass index Program Evaluation Demography |
Zdroj: | American Journal of Public Health. 106:1442-1448 |
ISSN: | 1541-0048 0090-0036 |
DOI: | 10.2105/ajph.2016.303253 |
Popis: | Objectives. To assess the impact of a large-scale place-based intervention on obesity prevalence in Black communities. Methods. The Racial and Ethnic Approaches to Community Health across the United States (REACH US) project was conducted in 14 predominantly Black communities in California, Illinois, Massachusetts, New York, Ohio, Pennsylvania, South Carolina, Virginia, Washington, and West Virginia. We measured trends from 2009 to 2012 in the prevalence of obesity. We used Behavioral Risk Factor Surveillance System data to compare these trends with trends among non-Hispanic Whites and non-Hispanic Blacks in the United States and in the 10 states where REACH communities were located, and with a propensity score–matched national sample of non-Hispanic Blacks. Results. The age-standardized prevalence of obesity decreased in REACH US communities (P = .045), but not in the comparison populations (P = .435 to P = .996). The relative change was −5.3% in REACH US communities versus +2.4% in propensity score–matched controls (P value for the difference = .031). The net effect on the reduction of obesity prevalence was about 1 percentage point per year for REACH. Conclusions. Obesity prevalence was reduced in 14 disadvantaged Black communities that participated in the REACH project. |
Databáze: | OpenAIRE |
Externí odkaz: |