Urban Minority Community Safety and its Impact on Physical Activity: The Center for Promoting Health and Health Equity-Racial and Ethnic Approaches to Community Health (CPHHE-REACH) Initiative

Kosoko-Lasaki, Omofolasade; Ekúndayò, Olúgbémiga T.; Smith, Jeffrey M.; Ochuba, Olivia; Hayashi, Gavin; R, Sanders; Brown, Richard E.; Stone, John

doi:10.1016/j.jnma.2019.01.001

Cited by 7 publications

(2 citation statements)

References 27 publications

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“… 57 , 58 , 59 Also, favorable features of the social environment may play an enabling role in the development of self‐efficacy, which is considered significant to facilitate engagement in healthy behaviors, such as physical activity. 59 , 60 …”

Section: Discussionmentioning

confidence: 99%

Effect of Social Environments on Cardiovascular Disease in the United States

Kim

Lee

Cubbin

2022

JAHA

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Background This study aims to examine the effect of time‐variant perceived neighborhood social cohesion, perceived neighborhood physical disorder, and local crime on cardiovascular disease (CVD) incidence from 2006 through 2016. Methods and Results We obtained data from the Health & Retirement Study. Respondents aged ≥50 years and with no recorded history of CVD until 2006 (N=8826) were included and followed for 10 years. Cox proportional hazards models were estimated with CVD incidence as an outcome variable and time‐variant social environment factors (perceived neighborhood social cohesion, perceived neighborhood physical disorder, and local crime) as exposures, after controlling for sociodemographic factors and CVD‐related risk/protective factors. Our results showed that perceived neighborhood social cohesion was associated with CVD among Black respondents, but not Hispanic and White respondents. Perceived neighborhood physical disorder and local crime rates were not associated with CVD incidence across all racial and ethnic groups. Conclusions The results demonstrate that perceptions of favorable social environments need to be considered to reduce CVD risk among Black adults. Further research is needed to identify different pathways through which living in favorable social environments benefits cardiovascular health by racial and ethnic groups.

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Section: Discussionmentioning

confidence: 99%

Effect of Social Environments on Cardiovascular Disease in the United States

Kim

Lee

Cubbin

2022

JAHA

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“…For instance, the REACH (Racial and Equity Approaches to Community Health) program has successfully integrated community participatory research into efforts to reduce disparities and increase physical activity. 36 Figure 2 -Potential level of impact of 3 strategies designed to create activity-friendly routes to everyday destinations with different levels of program intensity and investment in time and resources. Impact refers to population-level improvements in behavior (physical activity) and health.…”

Section: Prompts To Encourage Physical Activitymentioning

confidence: 99%

Delivering Physical Activity Strategies That Work: Active People, Healthy NationSM

Schmid¹,

Fulton²,

McMahon³

et al. 2021

Journal of Physical Activity and Health

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Active People, Healthy Nation SM is an initiative led by the US Centers for Disease Control and Prevention to improve the health of 27 million Americans by 2027 by increasing their level of physical activity. 1 An earlier commentary provided the rationale and an overall description of Active People, Healthy Nation SM . 2 A core goal of this initiative is to galvanize action across communities, government and nongovernmental organizations, and institutions to use a set of proven strategies to increase physical activity (Figure 1). Every Active People, Healthy Nation SM strategy can be designed to support equitable and inclusive access to opportunities for physical activity for all people, regardless of age, race, education, socioeconomic position, disability status, sexual orientation, or geographic location. And, as illustrated in Figure 1, equity and inclusive access are at the foundation of all of these approaches. When these strategies engage people at the local level, they can ensure that activities are community driven.The Centers for Disease Control and Prevention's Division of Nutrition, Physical Activity, and Obesity provides financial and technical support to help state and local health departments, land grant universities, and community organizations to improve physical activity levels in communities affected by health inequities.This commentary describes strategies that have been proven to increase physical activity and factors to consider when selecting strategies to match community needs. The strategies are based on evidenced-based recommendations in The Guide to Community Preventive Services (The Community Guide) and supported by a scientific report from the Physical Activity Guidelines Advisory Committee. 3,4 What Works: Strategies to Increase Physical ActivityThe Community Guide has 4 types of findings: recommend against, insufficient evidence, recommend with sufficient evidence, and recommend with strong evidence. Seven strategies recommended as having sufficient or strong evidence of effectiveness by the Community Guide are described next. Activity-Friendly Routes to Everyday DestinationsThis strategy uses built environment approaches to create or enhance community characteristics to make physical activity easier, more appealing, and more accessible. When implemented successfully, the result is routes such as sidewalks, walking and hiking

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