Cancer prevention among working class, multiethnic adults: results of the healthy directions-health centers study.

Abstract:

OBJECTIVES:We analyzed outcomes from a study that examined social-contextual factors in cancer prevention interventions for working class, multiethnic populations. METHODS:Ten community health centers were randomized to intervention or to control. Patients who resided in low-income, multiethnic neighborhoods were eligible; the intervention targeted fruit and vegetable consumption, red meat consumption, multivitamin intake, and physical activity. Outcomes were measured at 8 months. RESULTS:The intervention led to significant increases in fruit and vegetable consumption and multivitamin intake and reductions in red meat consumption; no change was found in physical activity levels. The intervention effect was not changed when contextual variables that may function as confounders or effect modifiers (e.g., gender, education, race/ethnicity, respondent and parents' country of birth, and poverty status) were included in the analyses. CONCLUSIONS:The intervention led to significant improvements in health behaviors among a working class, multiethnic population, regardless of race/ ethnicity and socioeconomic status. Interventions that respond to the social context of working class individuals across racial/ethnic categories hold promise for improving cancer-related risk behaviors.

journal_name

Am J Public Health

authors

Emmons KM,Stoddard AM,Fletcher R,Gutheil C,Suarez EG,Lobb R,Weeks J,Bigby JA

doi

10.2105/AJPH.2004.038695

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

1200-5

issue

7

eissn

0090-0036

issn

1541-0048

pii

AJPH.2004.038695

journal_volume

95

pub_type

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