Minority Health Archive

Population-based interventions engaging communities of color in healthy eating and active living: a review.

Yancey, Antronette K and Kumanyika, Shiriki K and Ponce, Ninez A and McCarthy, William J and Fielding, Jonathan E and Leslie, Joanne P and Akbar, Jabar (2004) Population-based interventions engaging communities of color in healthy eating and active living: a review. Preventing chronic disease, 1 (1). A09. ISSN 1545-1151

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    INTRODUCTION: The U.S. obesity epidemic is escalating, particularly among communities of color. Obesity control efforts have shifted away from individual-level approaches toward population-based approaches that address socio-cultural, political, economic, and physical environmental factors. Few data exist for ethnic minority groups. This article reviews studies of population-based interventions targeting communities of color or including sufficient samples to permit ethnic-specific analyses. METHODS: Inclusion criteria were established, an electronic database search conducted, and non-electronically catalogued studies retrieved. Findings were aggregated for earlier (early 1970s to early 1990s) and later (mid-1990s to present) interventions. RESULTS: The search yielded 23 ethnically inclusive intervention studies published between January 1970 and May 2003. Several characteristics of inclusive interventions were consistent with characteristics of community-level interventions among predominantly white European-American samples: use of non-interpersonal channels for information dissemination directed at broad spheres of influence (e.g., mass media), promotion of physical activity, and incorporation of social marketing principles. Ethnically inclusive studies, however, also placed greater emphasis on involving communities and building coalitions from study inception; targeting captive audiences; mobilizing social networks; and tailoring culturally specific messages and messengers. Inclusive studies also focused more on community than individual norms. Later studies used "upstream" approaches more than earlier studies. Fewer than half of the inclusive studies presented outcome evaluation data. Statistically significant effects were few and modest, but several studies demonstrated better outcomes among ethnic minority than white participants sampled. CONCLUSION: The best data available speak more about how to engage and retain people of color in these interventions than about how to create and sustain weight loss, regular engagement in physical activity, or improved diet. Advocacy should be directed at increasing the visibility and budget priority of interventions, particularly at the state and local levels.

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    Item Type: Article
    Uncontrolled Keywords: obesity,
    Subjects: Health > Policy
    Health > Public Health > Chronic Illness & Diseases > Obesity
    Practice > interventions
    Government Publications > US Department of Health and Human Services > Centers for Disease Control
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    Depositing User: Users 141 not found.
    Date Deposited: 16 Aug 2011 13:02
    Last Modified: 16 Aug 2011 13:02
    Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/3076

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