The Central California Regional Obesity Prevention Program: Changing Nutrition and Physical Activity Environments in California's Heartland

Schwarte, Liz; Samuels, Sarah E.; Capitman, John A.; Ruwe, Mathilda; Boyle, Maria; Flores, George R.

doi:10.2105/ajph.2010.203588

Cited by 34 publications

(56 citation statements)

References 3 publications

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“…[22][23][24] Due to their predominantly agricultural and mostly seasonal employment as well as other contextual circumstances, they have unique health care needs and face unique barriers in accessing health services. 20,32 Thus, the effect of language concordance may be particularly important for improving health for this subgroup of Latinos.…”

Section: Discussionmentioning

confidence: 99%

Language Concordance, Interpersonal Care, and Diabetes Self-Care in Rural Latino Patients

et al. 2014

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BACKGROUND: Interpersonal care (IPC) is increasingly emphasize d as h ealth care systems focus on implementing patient-centered care. Language barriers may be a particularly important influence on IPC ratings among rural Spanish-speaking Latinos. OBJECTIVE: To examine the associations between provider Spanish fluency and Spanish-speaking patients' ratings of IPC and between patient-provider language concordance and patient engagement in diabetes selfcare activities. DESIGN: Cross-sectional survey combined with chart reviews. SETTING/PARTICIPANTS: Two hundred fifty Latino adults with diabetes receiving care at safety-net community health centers in two rural California counties. MAIN MEASURES: Using a validated questionnaire, we assessed patient ratings of IPC in three areas: communication, decision-making, and interpersonal style. Patientprovider language concordance was measured by physician self-reported fluency in Spanish. We measured participation in diabetes self-care activities by patient selfreport. The survey response rate was 68 %. KEY RESULTS: Patients with language-concordant providers had more favorable IPC ratings (20 % to 41 % of language-discordant patients had optimal scores for IPC scales vs. 35 % to 69 % of language-concordant patients, p<0.05), except with respect to discrimination. Patients with language-concordant providers reported higher levels of participation in diabetic foot care (1.4 days vs. 0.7 days per week, p value 0.01) compared to patients with language discordance. There was no association between language concordance and participation in other self-care activities. CONCLUSION: This study provides evidence that language concordance is independently associated with high IPC scores in rural Latino adults with diabetes. Moreover, this study suggests that language concordance may contribute to improved participation diabetes self-care activities.

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Section: Discussionmentioning

confidence: 99%

Language Concordance, Interpersonal Care, and Diabetes Self-Care in Rural Latino Patients

et al. 2014

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“…[29] One of these counties ranks worst in the state for obesity prevalence and in the bottom five for overweight, participation in physical activity, and consumption of fruits or vegetables. [30, 31] The region has one of the highest diabetes prevalence rates in this state [32] and patients with diabetes from this region have a high risk for poor diabetes outcomes. [33, 34] …”

Section: Methodsmentioning

confidence: 99%

Neighborhood Perceptions and Health-Related Outcomes Among Latinos with Diabetes from a Rural Agricultural Community

Moreno¹,

Morales

Jaimes

et al. 2014

J Community Health

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Little is known about how neighborhood perceptions are related to diabetes outcomes among Latinos living in rural agricultural communities. Our objective was to examine the association between perceived neighborhood problems and diabetes outcomes. This is a cross-sectional survey study with medical record reviews of a random sample of 250 adult Latinos with type 2 diabetes. The predictor was a rating of patient ratings of neighborhood problems (crime, trash and litter, lighting at night, and access to exercise facilities, transportation, and supermarkets). The primary outcomes were the control of three intermediate outcomes (LDL-c <100 mg/dl, AlC < 9.0%, and blood pressure (BP) < 140/80 mmHg), and body mass index (BMI) < 30 kg/m2. Secondary outcomes were participation in self-care activities (physical activity, healthy eating, medication adherence, foot checks, and glucose checks). We used regression analysis and adjusted for age, gender, education, income, years with diabetes, insulin use, depressive symptoms, and co-morbidities. Forty-eight percent of patients perceived at least one neighborhood problem and out of the six problem areas, crime was most commonly perceived as a problem. Perception of neighborhood problems was independently associated with not having a BP < 140/80 (Adjusted odds ratio [AOR]= 0.45; 95% CI: 0.22, 0.92), and BMI < 30 (AOR=0.43; 95% CI: 0.24, 0.77), after controlling for covariates. Receipt of recommended processes of care was not associated with perception of neighborhood. Perception of neighborhood problems among low-income rural Latinos with diabetes was independently associated with a higher BMI and BP.

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“…Structural barriers to exercise may be easier to overcome than those related to food choices. Researchers have documented how neighborhood level resources like church and community organization-based exercise programs (e.g., Yanek, Becker, Moy, Gittelsohn, & Koffman, 2001) and local walking groups (Schwarte et al, 2010) can help residents overcome constraints to exercise, like busy streets or unsafe parks, in neighborhoods like Greater Crenshaw.…”

Section: Discussionmentioning

confidence: 99%

Communication Resources for Obesity Prevention Among African American and Latino Residents in an Urban Neighborhood

Wilkin

Katz

Ball‐Rokeach

et al. 2015

Journal of Health Communication

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African Americans and Latinos are at disproportionately high risk for obesity and for the chronic conditions and diseases associated with it. This study uses communication infrastructure theory to explore how connections to neighborhood communication resources and communication with family members can affect residents' regular exercise and healthy eating behaviors-two of the most direct strategies for achieving or maintaining a healthy weight. Regression analyses revealed that connections to the neighborhood storytelling network and family interaction predicted residents' regular exercise and that family interaction had the strongest effect on the likelihood of exercising regularly. Family interaction was the only independent variable that predicted residents' daily intake of fruits and vegetables. Implications of these findings for community health programs and theory development are discussed.

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The Central California Regional Obesity Prevention Program: Changing Nutrition and Physical Activity Environments in California's Heartland

Cited by 34 publications

References 3 publications

Language Concordance, Interpersonal Care, and Diabetes Self-Care in Rural Latino Patients

Language Concordance, Interpersonal Care, and Diabetes Self-Care in Rural Latino Patients

Neighborhood Perceptions and Health-Related Outcomes Among Latinos with Diabetes from a Rural Agricultural Community

Communication Resources for Obesity Prevention Among African American and Latino Residents in an Urban Neighborhood

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