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Promoting behavior change among working-class, multiethnic workers: Results of the healthy directions - Small business study

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  • Sorensen, G.
  • Barbeau, E.
  • Stoddard, A.M.
  • Hunt, M.K.
  • Kaphingst, K.
  • Wallace, L.

Abstract

Objectives. We examined the efficacy of a cancer prevention intervention designed to improve health behaviors among working-class, multiethnic populations employed in small manufacturing businesses. Methods. Worksites were randomly assigned to an intervention or minimal-intervention control condition. The intervention targeted fruit and vegetable consumption, red meat consumption, multivitamin use, and physical activity. Results. Employees in the intervention group showed greater improvements for every outcome compared with employees in the control group. Differences in improvement were statistically significant for multivitamin use and physical activity. Intervention effects were larger among workers than among managers for fruit and vegetable consumption and for physical activity. Conclusions. The social-context model holds promise for reducing disparities in health behaviors. Further research is needed to improve the effectiveness of the intervention.

Suggested Citation

  • Sorensen, G. & Barbeau, E. & Stoddard, A.M. & Hunt, M.K. & Kaphingst, K. & Wallace, L., 2005. "Promoting behavior change among working-class, multiethnic workers: Results of the healthy directions - Small business study," American Journal of Public Health, American Public Health Association, vol. 95(8), pages 1389-1395.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.038745_3
    DOI: 10.2105/AJPH.2004.038745
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    Cited by:

    1. Devine, Carol M. & Jastran, Margaret & Jabs, Jennifer & Wethington, Elaine & Farell, Tracy J. & Bisogni, Carole A., 2006. ""A lot of sacrifices:" Work-family spillover and the food choice coping strategies of low-wage employed parents," Social Science & Medicine, Elsevier, vol. 63(10), pages 2591-2603, November.
    2. Simona Buscemi & Antonella Plaia, 2020. "Model selection in linear mixed-effect models," AStA Advances in Statistical Analysis, Springer;German Statistical Society, vol. 104(4), pages 529-575, December.
    3. Glorian Sorensen & Eve M Nagler & Pratibha Pawar & Prakash C Gupta & Mangesh S Pednekar & Gregory R Wagner, 2017. "Lost in translation: The challenge of adapting integrated approaches for worker health and safety for low- and middle-income countries," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-25, August.
    4. Nelson, Candace C. & Sapp, Amy & Berkman, Lisa F. & Li, Yi & Sorensen, Glorian, 2011. "Allocation of household responsibilities influences change in dietary behavior," Social Science & Medicine, Elsevier, vol. 73(10), pages 1517-1524.
    5. Louisa Ming Yan Chung & Joanne Wai Yee Chung & Albert P. C. Chan, 2019. "Building Healthy Eating Knowledge and Behavior: An Evaluation of Nutrition Education in a Skill Training Course for Construction Apprentices," IJERPH, MDPI, vol. 16(23), pages 1-14, December.
    6. David M. Murray & Jonathan L. Blitstein & Peter J. Hannan & William R. Shadish, 2012. "Increasing the Degrees of Freedom in Future Group Randomized Trials," Evaluation Review, , vol. 36(6), pages 430-448, December.
    7. Kontos, Emily Z. & Emmons, Karen M. & Puleo, Elaine & Viswanath, K., 2011. "Determinants and beliefs of health information mavens among a lower-socioeconomic position and minority population," Social Science & Medicine, Elsevier, vol. 73(1), pages 22-32, July.
    8. Dixon, Marlene A., 2009. "From Their Perspective: A Qualitative Examination of Physical Activity and Sport Programming for Working Mothers," Sport Management Review, Elsevier, vol. 12(1), pages 34-48, February.

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