Department of Health Promotion and Behavioral Sciences, School of Public Health, University of Texas Health Science Center at Houston (UTHealth), Houston, TX.
Division of Clinical and Translational Sciences, Department of Internal Medicine, McGovern Medical School at UTHealth, Houston, TX.
J Nutr Educ Behav. 2017 Nov-Dec;49(10):801-809.e1. doi: 10.1016/j.jneb.2017.06.008. Epub 2017 Aug 14.
To evaluate a community-wide campaign, Tu Salud ¡Si Cuenta! (TSSC), in improving eating behaviors and anthropometric outcomes in Hispanic border communities.
A quasi-experimental study with matched intervention and comparison communities. Cross-sectional assessments with randomly sampled adults, examined by actual exposure and site (unexposed intervention, exposed intervention, and unexposed comparison).
Predominately Mexican Americans located in Brownsville, TX (intervention) and Laredo, TX (control).
The TSSC campaign included television and radio segments, community health worker discussions, and newsletters delivered in Brownsville from 2005 to 2010.
Healthy and unhealthy eating indices and average hip and waist circumferences.
Univariable and multivariable regression models.
The sample (n = 799; 400 comparison and 399 intervention) was 98% of Mexican origin; 54% had completed grade 9 or higher. Exposure to any TSSC component was associated with a lower rate of unhealthy food consumption. Compared with the unexposed intervention group, the exposed intervention for the newsletter had a higher rate of healthy eating (adjusted rate ratio = 1.18; P < .01). Compared with the unexposed intervention, the exposed intervention for the community health worker discussion had a smaller hip circumference (adjusted mean difference = -5.77 cm; P < .05) and a smaller waist circumference (adjusted mean difference = -5.25 cm; P < .05).
This study provides evidence for the use of community-wide campaigns for nutrition and obesity-related outcomes in Hispanic communities.
评估 Tu Salud ¡Si Cuenta!（TSSC）这一全社区范围的活动，以改善西班牙裔边境社区的饮食行为和人体测量学结果。
一项具有匹配干预和对照社区的准实验研究。对来自布朗斯维尔得克萨斯州（干预组）和拉雷多得克萨斯州（对照组）的随机抽样成年人进行横断面评估，根据实际暴露和地点进行检查（未暴露于干预组、暴露于干预组和未暴露于对照组）。
以墨西哥裔美国人为主的人群，位于得克萨斯州布朗斯维尔（干预组）和拉雷多（对照组）。
TSSC 运动包括电视和广播节目、社区卫生工作者讨论以及 2005 年至 2010 年在布朗斯维尔发放的通讯。
健康和不健康的饮食指数以及平均臀围和腰围。
单变量和多变量回归模型。
该样本（n=799；400 名对照组和 399 名干预组）中 98%为墨西哥裔；54%完成了 9 年级或更高年级的学业。接触任何 TSSC 组成部分与不健康食品消费的比率较低相关。与未暴露于干预组相比，暴露于干预组的通讯报纸更有利于健康饮食（调整后的比率比=1.18；P<0.01）。与未暴露于干预组相比，暴露于干预组的社区卫生工作者讨论组的臀围更小（调整后的平均差异=-5.77cm；P<0.05），腰围更小（调整后的平均差异=-5.25cm；P<0.05）。
本研究为在西班牙裔社区中使用全社区范围的运动来改善营养和肥胖相关结果提供了证据。
