Impact of Baltimore Healthy Eating Zones: An Environmental Intervention to Improve Diet among African American Youth

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Autor/inn/en	Shin, Ahyoung; Surkan, Pamela J.; Coutinho, Anastasia J.; Suratkar, Sonali R.; Campbell, Rebecca K.; Rowan, Megan; Sharma, Sangita; Dennisuk, Lauren A.; Karlsen, Micaela; Gass, Anthony; Gittelsohn, Joel
Titel	Impact of Baltimore Healthy Eating Zones: An Environmental Intervention to Improve Diet among African American Youth
Quelle	In: Health Education & Behavior, 42 (2015) 1, S.97 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198115571362
Schlagwörter	Urban Areas; Nutrition Instruction; Intervention; Recreational Facilities; Retailing; Food; Health Promotion; Health Education; Printed Materials; Demonstrations (Educational); Youth Programs; Low Income Groups; Family Programs; Behavior; Intention; Self Efficacy; Expectation; Knowledge Level; Purchasing; Cooking Instruction; Body Height; Body Weight; Body Composition; Program Effectiveness; Females; Comparative Analysis; Obesity; Questionnaires; Eating Habits; Statistical Analysis; Gender Differences; Child Health; Regression (Statistics); Maryland + Suchen Sie Ihr Suchwort? Urban area; Stadtregion; Nutrition education; Ernährungserziehung; Freizeiteinrichtung; Warenwirtschaft; Lebensmittel; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Demonstrationsexperiment; Demonstrationsmodell; Demonstrationsunterricht; Jugendsofortprogramm; Family program; Familienprogramm; Self-efficacy; Selbstwirksamkeit; Expectancy; Erwartung; Wissensbasis; Beschaffungswesen; Kauf; Körpergröße; Körpergewicht; Weibliches Geschlecht; Adipositas; Fragebogen; Ernährungsgewohnheit; Essgewohnheit; Statistische Analyse; Geschlechterkonflikt; Regression; Regressionsanalyse
Abstract	This study assessed the impact of a youth-targeted multilevel nutrition intervention in Baltimore City. The study used a clustered randomized design in which 7 recreation centers and 21 corner stores received interventions and 7 additional recreation centers served as comparison. The 8-month intervention aimed to increase availability and selection of healthful foods through nutrition promotion and education using point-of purchase materials such as posters and flyers in stores and interactive sessions such as taste test and cooking demonstrations. Two hundred forty-two youth--caregiver dyads residing in low-income areas of Baltimore City recruited from recreation centers were surveyed at baseline using detailed instruments that contained questions about food-related psychosocial indicators (behavioral intentions, self-efficacy, outcome expectancies, and knowledge), healthful food purchasing and preparation methods, and anthropometric measures (height and weight). The Baltimore Healthy Eating Zones intervention was associated with reductions in youth body mass index percentile (p = 0.04). In subgroup analyses among overweight and obese girls, body mass index for age percentile decreased significantly in girls assigned to the intervention group (p = 0.03) and in girls with high exposure to the intervention (p = 0.013), as opposed to those in comparison or lower exposure groups. Intervention youth significantly improved food-related outcome expectancies (p = 0 .02) and knowledge (p < 0.001). The study results suggest that the Baltimore Healthy Eating Zones multilevel intervention had a modest impact in reducing overweight or obesity among already overweight low-income African American youth living in an environment where healthful foods are less available. Additional studies are needed to determine the relative impact of health communications and environmental interventions in this population, both alone and in combination. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01