Natalia I Heredia1, MinJae Lee2, Lisa Mitchell-Bennett3, Belinda M Reininger3. 1. Department of Health Promotion and Behavioral Sciences, School of Public Health, University of Texas Health Science Center at Houston (UTHealth), Houston, TX. Electronic address: natalia.i.heredia@uth.tmc.edu. 2. Division of Clinical and Translational Sciences, Department of Internal Medicine, McGovern Medical School at UTHealth, Houston, TX. 3. Bownsville Regional Campus, UTHealth School of Public Health, Brownsville, TX.
Abstract
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, and unexposed comparison). SETTING AND PARTICIPANTS: Predominately Mexican Americans located in Brownsville, TX (intervention) and Laredo, TX (control). INTERVENTION: The TSSC campaign included television and radio segments, community health worker discussions, and newsletters delivered in Brownsville from 2005 to 2010. MAIN OUTCOME MEASURES: Healthy and unhealthy eating indices and average hip and waist circumferences. ANALYSIS: Univariable and multivariable regression models. RESULTS: The sample (n = 799; 400 comparison and 399 intervention) was 98% of Mexican origin; 54% had completed grade 9 or higher. Exposure to any TSSC component was associated with a lower rate of unhealthy food consumption. Compared with the unexposed intervention group, the exposed intervention for the newsletter had a higher rate of healthy eating (adjusted rate ratio = 1.18; P < .01). Compared with the unexposed intervention, the exposed intervention for the community health worker 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.
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, and unexposed comparison). SETTING AND PARTICIPANTS: Predominately Mexican Americans located in Brownsville, TX (intervention) and Laredo, TX (control). INTERVENTION: The TSSC campaign included television and radio segments, community health worker discussions, and newsletters delivered in Brownsville from 2005 to 2010. MAIN OUTCOME MEASURES: Healthy and unhealthy eating indices and average hip and waist circumferences. ANALYSIS: Univariable and multivariable regression models. RESULTS: The sample (n = 799; 400 comparison and 399 intervention) was 98% of Mexican origin; 54% had completed grade 9 or higher. Exposure to any TSSC component was associated with a lower rate of unhealthy food consumption. Compared with the unexposed intervention group, the exposed intervention for the newsletter had a higher rate of healthy eating (adjusted rate ratio = 1.18; P < .01). Compared with the unexposed intervention, the exposed intervention for the community health worker 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.
Authors: Belinda M Reininger; Mohammad H Rahbar; Minjae Lee; Zhongxue Chen; Sartaj R Alam; Jennifer Pope; Barbara Adams Journal: Soc Sci Med Date: 2013-02-11 Impact factor: 4.634
Authors: Belinda M Reininger; Lisa Mitchell-Bennett; MinJae Lee; Rose Z Gowen; Cristina S Barroso; Jennifer L Gay; Mayra Vanessa Saldana Journal: Soc Sci Med Date: 2015-08-17 Impact factor: 4.634
Authors: Belinda M Reininger; Jing Wang; Susan P Fisher-Hoch; Alycia Boutte; Kristina Vatcheva; Joseph B McCormick Journal: BMC Public Health Date: 2015-06-19 Impact factor: 3.295
Authors: Timothy J Walker; Natalia I Heredia; MinJae Lee; Susan T Laing; Susan P Fisher-Hoch; Joseph B McCormick; Belinda M Reininger Journal: BMC Public Health Date: 2019-02-06 Impact factor: 3.295
Authors: Belinda M Reininger; Lisa A Mitchell-Bennett; MinJae Lee; Paul G Yeh; Amanda C Davé; Soo Kyung Park; Tianlin Xu; Alma G Ochoa-Del Toro Journal: Front Med (Lausanne) Date: 2021-11-22
Authors: Paul Gerardo Yeh; Belinda M Reininger; Lisa A Mitchell-Bennett; Minjae Lee; Tianlin Xu; Amanda C Davé; Soo Kyung Park; Alma G Ochoa-Del Toro Journal: Int J Environ Res Public Health Date: 2022-04-08 Impact factor: 4.614