Mangadu Thenral, Kelly Michael, Orezzoli Max C E, Gallegos Rebecca, Matharasi Pracheta
Department of Public Health Sciences, The University of Texas at El Paso, El Paso, TX, USA.
Health Promot Int. 2017 Dec 1;32(6):1001-1014. doi: 10.1093/heapro/daw025.
Minority communities such as those on the US-Mexico border are placed at disproportionate high risk for child and adult obesity, diabetes and cardiovascular diseases. A built environment characterized by an arid desert climate, lack of access to healthy foods, barriers to increasing physical activity, cultural and community norms which deter healthy eating and sustainable food production, shape obesity-related health disparities in these communities. Three pilot community gardens (implemented by two local governmental organizations and one community-based organization) were funded through the local Healthy Eating Active Living (HEAL) initiative in El Paso, Texas, and Las Cruces and Anthony, New Mexico (US-MX border communities with high obesity rates) in order to encourage healthy lifestyles among families in the region. A mixed-methods evaluation (n = 223) examined the implementation process, immediate outcomes and best practices of implementing and sustaining community gardens in these minority binational communities. In addition to nutrition-related outcomes, the potential for psychosocial outcomes from participating in community and school garden projects were observed. The best practices in relation to (i) assessing community norms related to growing food, (ii) increasing access to land and water for community/school gardening and (iii) enhancing social support for gardening are discussed. The implications of these best practices for obesity prevention and implementing community gardens in a minority US-MX border community characterized by cultural, geographical and socioeconomic barriers are examined.
少数族裔社区,比如美墨边境的那些社区,儿童和成人肥胖、糖尿病及心血管疾病的风险极高。这里的建筑环境以干旱的沙漠气候为特征,难以获取健康食品,增加身体活动存在障碍,文化和社区规范不利于健康饮食及可持续粮食生产,这些因素导致了这些社区与肥胖相关的健康差异。通过德克萨斯州埃尔帕索市以及新墨西哥州拉斯克鲁塞斯市和安东尼市(美墨边境肥胖率高的社区)的地方“健康饮食积极生活”(HEAL)倡议,资助了三个试点社区花园(由两个地方政府组织和一个社区组织实施),以鼓励该地区家庭养成健康的生活方式。一项混合方法评估(n = 223)考察了在这些少数族裔跨境社区实施和维持社区花园的实施过程、直接成果及最佳实践。除了与营养相关的成果外,还观察了参与社区和学校花园项目产生心理社会成果的可能性。讨论了与以下方面相关的最佳实践:(i)评估与种植食物相关的社区规范,(ii)增加社区/学校园艺的土地和水资源获取,以及(iii)加强对园艺的社会支持。研究了这些最佳实践对预防肥胖以及在一个以文化、地理和社会经济障碍为特征的美墨边境少数族裔社区实施社区花园的意义。