A community-based multilevel intervention for smoking, physical activity and diet: short-term findings from the Community Interventions for Health programme in Hangzhou, China

Lv, Jun; Liu, Qingmin; Ren, Yanjun; He, Pingping; Wang, Shengfeng; Gao, Fang; Li, Liming

doi:10.1136/jech-2013-203356

Cited by 26 publications

(48 citation statements)

References 20 publications

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“…20–22 Furthermore, the newsletters’ association with healthy food consumption, which was not seen with other components, may be attributable to the ability to return to this reference material, as opposed to the fleeting nature of TV and radio segments. Unlike some other multi-component media campaigns with impacts on only unhealthy foods, 13, 14, 24 at least 1 TSSC component was associated with higher rates of healthy eating. This outcome was not surprising and is similar to a few other multi-component studies with mass media, often accompanied by print materials, that have increased healthy food consumption generally 12 or fruit and vegetable consumption specifically.…”

Section: Discussioncontrasting

confidence: 63%

Tu Salud ¡Sí Cuenta! Your Health Matters! A Community-wide Campaign in a Hispanic Border Community in Texas

Heredia

Lee

Mitchell-Bennett

et al. 2017

Journal of Nutrition Education and Behavior

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Objective To evaluate a community-wide campaign, Tu Salud ¡Si Cuenta! (TSSC), in improving eating behaviors and anthropometric outcomes in Hispanic border communities. Design A quasi-experimental study with matched intervention and comparison communities. Cross-sectional assessments with randomly sampled adults, examined by actual exposure and site (Unexposed Intervention, Exposed Intervention, Unexposed Comparison). Setting/Participants Predominately Mexican-Americans located in Brownsville, TX (intervention) and Laredo, TX (control). Intervention TSSC included TV and radio segments, community health worker (CHW) discussions, and newsletters delivered in Brownsville from 2005–2010. Main outcome measures Healthy and unhealthy eating indices and average hip and waist circumferences. Analysis Univariable and multivariable regression models. Results Sample (N=799; 400 comparison, 399 intervention) was 98% Mexican origin, and 54% completed grade 9 or higher. Exposure to any TSSC component was associated with a lower rate of unhealthy food consumption. As compared to the Unexposed Intervention group, the Exposed Intervention for the newsletter had a higher rate of healthy eating (adjusted rate ratio (RR) = 1.18, p<0.01). As compared to the Unexposed Intervention, the Exposed Intervention for the CHW discussion had a smaller hip circumference (adjusted mean difference=−5.77 cm, p<.05) and a smaller waist circumference (adjusted mean difference=−5.25 cm, p<.05). Conclusions and Implications This study provides evidence for the use of community-wide campaigns for nutrition and obesity-related outcomes in Hispanic communities.

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Section: Discussioncontrasting

confidence: 63%

Tu Salud ¡Sí Cuenta! Your Health Matters! A Community-wide Campaign in a Hispanic Border Community in Texas

Heredia

Lee

Mitchell-Bennett

et al. 2017

Journal of Nutrition Education and Behavior

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“…There is increasing interest in integrated and coordinated programs that intervene in multiple community settings/institutions (the community environment) at the same time [15,16,17,18,19,20,21,22] and involve policy and systems changes. Such programs tend to target multiple settings such as schools, parks, health clinics, supermarkets, corner-stores, restaurants, and worksites simultaneously—and do so in a coordinated manner to create greater intensity, effect, and sustainable systems change.…”

Section: Introductionmentioning

confidence: 99%

Multi-Level, Multi-Component Approaches to Community Based Interventions for Healthy Living—A Three Case Comparison

Mikkelsen

Novotny

Gittelsohn

2016

IJERPH

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There is increasing interest in integrated and coordinated programs that intervene in multiple community settings/institutions at the same time and involve policy and system changes. The purpose of the paper is to analyse three comparable cases of Multi Level, Multi Component intervention programs (ML-MC) from across the world in order to give recommendations for research, policy and practice in this field. Through the comparison of three cases: Health and Local Community (SoL-program), Children’s Healthy Living (CHL) and B’More Healthy Communities for Kids (BHCK), this paper examines the potential of ML-MC community-based public health nutrition interventions to create sustainable change. The paper proposes methodology, guidelines and directions for future research through analysis and examination strengths and weaknesses in the programs. Similarities are that they engage and commit local stakeholders in a structured approach to integrate intervention components in order to create dose and intensity. In that way, they all make provisions for post intervention impact sustainability. All programs target the child and family members’ knowledge, attitudes, behavior, the policy level, and the environmental level. The study illustrates the diversity in communities as well as diversity in terms of which and how sites and settings such as schools, kindergartens, community groups and grocery stores became involved in the programs. Programs are also different in terms of involvement of media stakeholders. The comparison of the three cases suggests that there is a need to build collaboration and partnerships from the beginning, plan for sufficient intensity/dose, emphasize/create consistency across levels and components of the intervention, build synchronization across levels, and plan for sustainability.

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“…Como aborda Mesquita et al 24 , este resultado pode ocorrer uma vez que, aqueles que possuem o hábito de fumar tendem a apresentar uma capacidade para a prática de atividade física menor do que os que nunca fumaram, possivelmente devido à baixa aptidão cardiorrespiratória destes indivíduos, dificultando a prática em diferentes intensidades. É relevante destacar ainda que em geral, os hábitos mais saudáveis de vida, como praticar AF e não fumar, tendem a se agregar nos mesmos indivíduos, observando que o oposto também é verdadeiro 25,26 .…”

Section: Resultsunclassified

Atividade física e fatores associados em jovens alistados nas forças armadas da Grande Florianópolis

Martignago

Pazin

Soares

et al. 2016

Rev Bras Ativ Saude

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ResumoInvestigar o nível de atividade física (AF) e fatores associados de jovens alistados nas forças armadas da Grande Florianópolis, no ano de 2014. A amostra foi composta por 2503 jovens acima de 18 anos da grande Florianópolis, Santa Catarina, Brasil alistados nas forças armadas. O nível de atividade física foi mensurado por meio de questionário IPAQ versão longa sessão lazer e exercício, auto aplicado e considerado fisicamente ativo se ≥ 150 minutos/semana. As variáveis dependentes foram: escolaridade, trabalho, classe econômica, Índice de Massa Corporal (massa corporal e estatura) e estado de saúde, cor da pele e tabagismo. A razão de prevalência foi utilizada como medida de associação, estimada por meio da regressão de Poisson com nível de significância < 0,05. Foi observado que a maior parte dos participantes eram insuficientemente ativos considerando a prática de AF atual de 72% (70,24 -73,76). Considerando a razão de prevalência bruta, os fatores diretamente associados à prática de AF são: estar estudando, ter peso normal, auto percepção de saúde positiva, proximidade de local para a prática de AF. Os fatores inversamente associados a prática de AF são: Fumar e ser insuficientemente ativo na AF pregressa. Na análise da razão de prevalência ajustada, possuir condição de saúde positiva foi diretamente associada a prática de AF, ser insuficientemente ativo na AF pregressa e ser fumante foram inversamente associadas a prática de AF. Identificou-se no presente estudo que os fatores associados à prática de AF foram a percepção de saúde e a prática de AF pregressa. AbstractInvestigate the level of physical activity (PA) and associated factors of young people enlisted in the armed forces of Florianópolis, in 2014. The sample consisted of 2503 young people over 18 years of Florianopolis, Santa Catarina, Brazil enlisted in the military. The level of physical activity was measured by IPAQ long version leisure session and exercise, self-applied, were considered physically active if ≥ 150 minutes / week. The dependent variables were: education, employment, economic status, body mass index (body weight and height) and health status, skin color and smoking. The prevalence ratio was used as a measure of association, estimated by Poisson regression with significance level <0.05. It was observed that most participants were insufficiently active considering the current PA practice, 72% (70.24 -73.76). Considering the prevalence ratio, the factors directly associated with the practice of PA are to be studying, have normal weight, self-perception of positive health, local proximity to PA practice. The inversely associated factors with PA practice are: Smoking and being insufficiently active in the past PA. In the seasonally adjusted prevalence ratio, have positive health condition was directly associated with PA practice, be insufficiently active in the past PA and be smokers were inversely associated with PA practice. It was identified in this study that the factors associated with PA practice were the perception of health...

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A community-based multilevel intervention for smoking, physical activity and diet: short-term findings from the Community Interventions for Health programme in Hangzhou, China

Cited by 26 publications

References 20 publications

Tu Salud ¡Sí Cuenta! Your Health Matters! A Community-wide Campaign in a Hispanic Border Community in Texas

Tu Salud ¡Sí Cuenta! Your Health Matters! A Community-wide Campaign in a Hispanic Border Community in Texas

Multi-Level, Multi-Component Approaches to Community Based Interventions for Healthy Living—A Three Case Comparison

Atividade física e fatores associados em jovens alistados nas forças armadas da Grande Florianópolis

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