Reach and representativeness of ethnic minority women in the Health Is Power Study: a longitudinal analysis

Lee, Rebecca E.; Reese-Smith, Jacqueline; Mama, Scherezade K.; Medina, Ashley V.; Wolfe, Kristin L.; Estabrooks, Paul A.

doi:10.1007/s13142-016-0385-9

Cited by 11 publications

(8 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After women were recruited, they completed a run in procedure as described below to avoid assigning women to groups who might be more likely to drop out, resulting in a sample of 310 women assigned to groups. A total of 198 women completed post-intervention measures, representing 64% of those assigned, which compares favorably to other studies of ethnic minority women (Lee et al, 2016). Of these, 132 had complete data on all measures, and these cases were used for analyses.…”

Section: Methodsmentioning

confidence: 49%

See 1 more Smart Citation

The impact of religiosity on dietary habits and physical activity in minority women participating in the Health is Power (HIP) study

Ansari¹,

Soltero²,

Lorenzo³

et al. 2017

Preventive Medicine Reports

Self Cite

View full text Add to dashboard Cite

African American (AA) and Hispanic/Latina (HL) women report lower rates of physical activity (PA) and poorer dietary habits compared to their white counterparts. Religiosity can act as a protective factor for health; however, the relationship between religiosity, PA, and diet is unclear. This study aimed to investigate the influence of religiosity on PA and fruit and vegetable (FV) and fat consumption in minority women. Health is Power (HIP) was a 6-month intervention where participants (AA: 63%; HL: 37%) were randomized to a PA or FV group. Questionnaires assessed religiosity at baseline and PA, FV and fat consumption at baseline and post-intervention. Hierarchical linear regression models were used to investigate religiosity as a predictor of change in PA, FV and fat, while controlling for demographics. AA women had significantly higher religiosity scores (M = 44.15, SD = 10.66) compared to H/L women (M = 35.11, SD = 12.82; t(251) = 5.86, p < 0.001). Across both groups, PA increased by 15%, FV intake increased by 27%, and consumption of calories by fat decreased by 5%. Religiosity was not a significant predictor of PA or diet (p < 0.05). The results of this study found no association between religiosity and change in PA and diet. More longitudinal studies are needed to explore the role of religiosity in the health of minority women.

show abstract

Section: Methodsmentioning

confidence: 49%

“…HIP was implemented in Houston and Austin, Texas from 2006 to 2008. Women were recruited using a variety of strategies including face-to face announcements at community meetings and events, advertisements in local media (Lee et al, 2016). Participants were randomly assigned to a PA group or vegetable and fruit comparison group.…”

Section: Methodsmentioning

confidence: 99%

The impact of religiosity on dietary habits and physical activity in minority women participating in the Health is Power (HIP) study

Ansari¹,

Soltero²,

Lorenzo³

et al. 2017

Preventive Medicine Reports

Self Cite

View full text Add to dashboard Cite

show abstract

“…Moreover, there were no significant differences by recruitment method or city, but overall participants were overrepresented by higher educated, wealthier, and older women (50,57). Future research on recruitment strategies to address disparities and equity would be appropriate (50,57).…”

Section: Reachmentioning

confidence: 89%

“…Additionally, the intervention effectively enrolled the population prioritized for these programming services–in this case low-income Latinos. This is a key component of “Reach” from the RE-AIM Framework which is not regularly or accurately reported in Community based interventions, and when it is, there is evidence that the prioritized groups are over or under-represented ( 50 , 57 ). For example, in one worksite wellness intervention, employees from higher income households, with higher education levels and health literacy proficiency were significantly more likely to participate in the program ( p < 0.01) ( 58 ).…”

Section: Discussionmentioning

confidence: 99%

Scaling a Community-Wide Campaign Intervention to Manage Hypertension and Weight Loss

Reininger¹,

Mitchell-Bennett²,

Lee

et al. 2021

Front. Med.

View full text Add to dashboard Cite

Public health impacts can be achieved when evidence-based interventions are implemented to those most in need. Too often implementation never or slowly occurs. The community-wide campaign intervention Tu Salud ¡Si Cuenta! has evidence of improving health outcomes related to chronic disease among low-income, Latinos. Using the RE-AIM Framework, this study examined if the scaled-up version of the intervention is associated with improvements in hypertension and obesity in 12 locations. Each element of the RE-AIM framework was examined. For “Effectiveness,” we examined outcomes overall and by implementing location. We used linear and logistic regression to assess if exposure in the intervention was associated with improvement in hypertension and weight loss. Participants were stratified into “low exposure” (2–3 outreach visits) vs. “high exposure” (4–5 outreach visits). Based on the RE-AIM Framework, the intervention “reached” its intended population of low-income Latinos, demonstrated “effectiveness” in improving hypertension and obesity, was “adopted” at a high level in all but one site, was “implemented” with fidelity to the intervention model with moderate success across locations, and showed high “maintenance” over time. For effectiveness specifically, we found that out of 5,019 participants, 2,508 (50%) had a baseline hypertensive blood pressure (BP) reading. Of the 2,508, 1,245 (49.9%) recovered to normal blood pressure or pre-hypertension stage by last follow-up. After adjusting for baseline BP and potential confounders in multivariable linear regression models, the high exposure group had significantly more reduction in systolic BP (adjusted mean difference in % change = −0.96; p = 0.002) and diastolic BP (adjusted mean difference in % change = −1.61; p < 0.0001) compared to the low exposure group. After controlling for baseline weight and other confounders, the high exposure group had significantly greater decrease in weight compared to the low exposure group (adjusted mean difference in % change = −1.28; p < 0.0001). Results from the multivariable logistic regression models indicated that compared to the low exposure group the high exposure group was more likely to achieve a clinically significant minimum 5% weight loss [adjusted odds ratio (OR) = 2.97; p < 0.0001). This study contributes evidence that a Community-Wide Campaign model holds promise for addressing hypertension and obesity among low-income Latinos.

show abstract

“…Nevertheless, other studies have indicated that women are significantly more likely than men to drop out early from healthcare services [39]. Additionally, a study found that women who completed all stages of the research had a different profile than women who completed only the initial assessments [40]. Traditionally, women are more likely to internalize their emotions than men, while men are more likely to externalize them [41].…”

Section: Discussionmentioning

confidence: 99%

Untitled

2021

Int. J. Stats. Med. Res.

View full text Add to dashboard Cite

Background: Missing data constitutes a common phenomenon, especially, in questionnaire-based, population surveys or epidemiological studies, with the statistical power, the efficiency and the validity of the conducted analyses being significantly affected by the missing information. The aim of the present work was to investigate the sociodemographic, lifestyle and clinical determinants of low response rate in a self-rating multi-item scale, estimating the individuals' hostility and direction of hostility. Methods: 3042 apparently healthy volunteers residing in the Athens metropolitan area participated in the ATTICA epidemiological study [1514 (49.8%) were men [46 years old (SD= 13 years)] and 1528 (50.2%) were women [45 years old (SD= 14 years)]]. Hostility and Direction of Hostility was assessed with the Hostility and Direction of Hostility (HDHQ) scale. Binary logistic regression with backward model selection was used in order to identify the key demographic, clinical and lifestyle determinants of higher non-response rate in the HDHQ scale.Results: The vast majority of the participants (87.0%) had missing information in the HDHQ scale. Older age, lower educational level, poorer health status and unhealthy dietary habits, were found to be significant determinants of high nonresponse rate, while female participants were found to be more likely to have missing data in the items of the HDHQ scale. Conclusions:The present work augments prior evidence that higher non-response to health surveys is significantly affected by responders' background characteristics, while it gives rise to research towards unrevealed paths behind this claim.

show abstract

Reach and representativeness of ethnic minority women in the Health Is Power Study: a longitudinal analysis

Cited by 11 publications

References 44 publications

The impact of religiosity on dietary habits and physical activity in minority women participating in the Health is Power (HIP) study

The impact of religiosity on dietary habits and physical activity in minority women participating in the Health is Power (HIP) study

Scaling a Community-Wide Campaign Intervention to Manage Hypertension and Weight Loss

Untitled

Contact Info

Product

Resources

About