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Clinical Trial
. 2005 Jul;95(7):1200-5.
doi: 10.2105/AJPH.2004.038695. Epub 2005 Jun 2.

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

Karen M Emmons  1 , Ann M Stoddard, Robert Fletcher, Caitlin Gutheil, Elizabeth Gonzalez Suarez, Rebecca Lobb, Jane Weeks, Judy Anne Bigby
Affiliations
Clinical Trial

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

Karen M Emmons et al. Am J Public Health. 2005 Jul.

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.

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References

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