Yoo Byung-Kwang, Hasebe Takuya, Kim Minchul, Sasaki Tomoko, Styne Dennis M
Department of Public Health Sciences, School of Medicine, University of California, One Shields Ave., Medical Sciences 1C, Davis, CA 95616, USA.
1766 Crittenden Rd., Rochester, NY 14623, USA.
Prev Med Rep. 2017 Mar 29;6:286-293. doi: 10.1016/j.pmedr.2017.03.020. eCollection 2017 Jun.
Reversing the obesity epidemic has been a persistent global public health challenge, particularly among low socioeconomic status populations and racial/ethnic minorities. We developed a novel concept of community-based incentives to approach this problem in such communities. Applying this concept, we proposed a school intervention to promote obesity prevention in the U.S. We conducted a pilot survey to explore attitudes towards this future intervention. The survey was collected as a nonprobability sample (N = 137 school-aged children (5-12 years)) in northern California in July 2013. We implemented multivariable logistic regression analyses where the dependent variable indicated the intention to participate in the future intervention. The covariates included the body mass index (BMI) based weight categories, demographics, and others. We found that the future intervention is expected to motivate generally-high-risk populations (such as children and parents who have never joined a past health-improvement program compared to those who have completed a past health-improvement program (the odds-ratio (OR) = 5.84, p < 0.05) and children with an obese/overweight parent (OR = 2.72, p < 0.05 compared to those without one)) to participate in future obesity-prevention activities. Our analyses also showed that some subgroups of high-risk populations, such as Hispanic children (OR = 0.27, p < 0.05) and children eligible for a free or reduced price meal program (OR = 0.37, p < 0.06), remain difficult to reach and need an intensive outreach activity for the future intervention. The survey indicated high interest in the future school intervention among high-risk parents who have never joined a past health-improvement program or are obese/overweight. These findings will help design and implement a future intervention.
扭转肥胖流行趋势一直是一项长期存在的全球公共卫生挑战，在社会经济地位较低的人群以及种族/族裔少数群体中尤为如此。我们提出了一种基于社区激励措施的全新理念，以应对此类社区中的这一问题。应用这一理念，我们提出了一项在美国学校开展的预防肥胖干预措施。我们进行了一项试点调查，以探究对这一未来干预措施的态度。该调查于2013年7月在加利福尼亚州北部以非概率抽样的方式收集（N = 137名学龄儿童（5 - 12岁））。我们进行了多变量逻辑回归分析，其中因变量表示参与未来干预措施的意愿。协变量包括基于体重指数（BMI）的体重类别、人口统计学特征及其他因素。我们发现，未来的干预措施预计会促使一般高风险人群（例如与那些已完成过去健康改善项目的人群相比，从未参加过过去健康改善项目的儿童和家长（优势比（OR） = 5.84，p < 0.05）以及父母一方肥胖/超重的儿童（与父母均非肥胖/超重的儿童相比，OR = 2.72，p < 0.05））参与未来的肥胖预防活动。我们的分析还表明，一些高风险人群亚组，如西班牙裔儿童（OR = 0.27，p < 0.05）以及符合免费或减价膳食计划条件的儿童（OR = 0.37，p < 0.06），仍然难以触及，未来干预措施需要开展强化的外展活动。该调查表明，从未参加过过去健康改善项目或肥胖/超重的高风险家长对未来学校干预措施兴趣浓厚。这些研究结果将有助于设计和实施未来的干预措施。
