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Preventing Chronic Disease

Rachel E Blaine, Rebecca L Franckle, Claudia Ganter, Jennifer Falbe, Catherine Giles, Shaniece Criss, Jo-Ann Kwass, Thomas Land, Steven L Gortmaker, Emmeline Chuang, Kirsten K Davison
INTRODUCTION: Although evidence-based interventions to prevent childhood obesity in school settings exist, few studies have identified factors that enhance school districts' capacity to undertake such efforts. We describe the implementation of a school-based intervention using classroom lessons based on existing "Eat Well and Keep Moving" and "Planet Health" behavior change interventions and schoolwide activities to target 5,144 children in 4th through 7th grade in 2 low-income school districts...
January 12, 2017: Preventing Chronic Disease
Thomas P O'Toole, Christopher B Roberts, Erin E Johnson
OBJECTIVE: We assessed findings from a food-insecurity screening of a national sample of Veterans Administration clinics for homeless and formerly homeless veterans. METHODS: We reviewed results from initial screenings administered at 6 Veterans Administration primary care clinics for the homeless and responses from clinic staff members interviewed about the screening program. RESULTS: A total of 270 patients were screened. The average age was 53 years, and most were male (93...
January 12, 2017: Preventing Chronic Disease
Diana Kachan, Henry Olano, Stacey L Tannenbaum, Debra W Annane, Ashwin Mehta, Kristopher L Arheart, Lora E Fleming, Xuan Yang, Laura A McClure, David J Lee
INTRODUCTION: Mindfulness-based practices can improve workers' health and reduce employers' costs by ameliorating the negative effect of stress on workers' health. We examined the prevalence of engagement in 4 mindfulness-based practices in the US workforce. METHODS: We used 2002, 2007, and 2012 National Health Interview Survey (NHIS) data for adults (aged ≥18 y, n = 85,004) to examine 12-month engagement in meditation, yoga, tai chi, and qigong among different groups of workers...
January 5, 2017: Preventing Chronic Disease
Nicholas A D Pitas, Austin G Barrett, Andrew J Mowen, Alan R Graefe, Geoffrey C Godbey, Christopher N Sciamanna
We examined the relationship between self-rated health and use of parks and recreation program participation by using logistic regression to analyze data from representative national surveys conducted in 1991 and 2015. Neither park use nor program participation were significantly related to self-rated health in 1991; however, both were significantly related in 2015. The growing relationship between use of parks and recreation programs and self-rated health during this period is likely the result of broad national health promotion efforts and provides support for funding of capital and operational expenses for park and recreation services...
January 5, 2017: Preventing Chronic Disease
Christiaan G Abildso, Samantha Shawley, Sherry Owens, Angela Dyer, Sean M Bulger, Dina L Jones, Emily M Jones, Emily Murphy, Melissa D Olfert, Eloise Elliott
BACKGROUND: The US National Physical Activity Plan (NPAP) was released in 2009 as a national strategic plan to increase physical activity (PA). The NPAP emphasized implementing state and local PA programs. Dissemination of information about NPAP has been limited, however. COMMUNITY CONTEXT: West Virginia is a predominantly rural state with high rates of chronic diseases associated with physical inactivity. In 2015 an evaluability assessment (EA) of the West Virginia Physical Activity Plan (WVPAP) was conducted, and community stakeholders were invited to participate in updating the plan...
December 29, 2016: Preventing Chronic Disease
Erica A Smith, Judy Lapinski, Judy Lichty-Hess, Kristi Pier
Federally Qualified Health Centers provide health care services to underserved communities and vulnerable populations. In Maryland, the burden of chronic disease is high among Federally Qualified Health Center patients. Electronic health records (EHRs) are becoming more widely used, and effective use of EHR data may improve chronic disease outcomes. This article describes the process of developing a data aggregation and analytics platform to support health centers in using population health data based on standardized clinical quality measures...
December 29, 2016: Preventing Chronic Disease
Caitlin G Allen, J Nell Brownstein, Anamika Satsangi, Cam Escoffery
INTRODUCTION: Rates of hypertension control remain low among underserved populations in the United States; moreover, disparities in hypertension-related cardiovascular disease death are increasing. Community health workers (CHWs) can address barriers to hypertension control among underrepresented and diverse populations. We identify unique roles CHWs play in hypertension self-management and medication adherence. METHODS: In 2014, we conducted a mixed methods study with an online survey of 265 CHWs and 23 telephone interviews...
December 29, 2016: Preventing Chronic Disease
Rita Wakim, Matthew Ritchey, Jason Hockenberry, Michele Casper
Using 2012 data on fee-for-service Medicare claims, we documented regional and county variation in incremental standardized costs of heart disease (ie, comparing costs between beneficiaries with heart disease and beneficiaries without heart disease) by type of service (eg, inpatient, outpatient, post-acute care). Absolute incremental total costs varied by region. Although the largest absolute incremental total costs of heart disease were concentrated in southern and Appalachian counties, geographic patterns of costs varied by type of service...
December 29, 2016: Preventing Chronic Disease
Carolyn E Barlow, Kerem Shuval, Bijal A Balasubramanian, Darla E Kendzor, Nina B Radford, Laura F DeFina, Kelley Pettee Gabriel
INTRODUCTION: Objective estimates, based on waist-worn accelerometers, indicate that adults spend over half their day (55%) in sedentary behaviors. Our study examined the association between sitting time and cardiometabolic risk factors after adjustment for cardiorespiratory fitness (CRF). METHODS: A cross-sectional analysis was conducted with 4,486 men and 1,845 women who reported daily estimated sitting time, had measures for adiposity, blood lipids, glucose, and blood pressure, and underwent maximal stress testing...
December 29, 2016: Preventing Chronic Disease
(no author information available yet)
[This retracts the article DOI: 10.5888/pcd13.160044.].
December 23, 2016: Preventing Chronic Disease
Magaly Ramirez, Shinyi Wu, Elizabeth Beale
INTRODUCTION: Automated text messaging can deliver self-management education to activate self-care behaviors among people with diabetes. We demonstrated how a discrete-choice experiment was used to determine the features of a text-messaging intervention that are important to urban, low-income Latino patients with diabetes and that could support improvement in their physical activity behavior. METHODS: In a discrete-choice experiment from December 2014 through August 2015 we conducted a survey to elicit information on patient preferences for 5 features of a text-messaging intervention...
December 22, 2016: Preventing Chronic Disease
Stephen J Onufrak, Hatidza Zaganjor, Latetia V Moore, Susan Carlson, Joel Kimmons, Deborah Galuska
INTRODUCTION: The Institute of Medicine and Centers for Disease Control and Prevention have recommended that government agencies use nutrition standards for foods and beverages sold and provided at their facilities. In this study, we examine written nutrition standards for foods sold or served in local government buildings or worksites among US municipalities. METHODS: We used data from a 2014 national survey of 1,945 municipal governments serving populations of 1,000 or more to assess the presence of written nutrition standards, the food groups or nutrients addressed by standards, and the populations served by facilities where standards are applied...
December 22, 2016: Preventing Chronic Disease
Nicolaas P Pronk, Thomas E Kottke, Marcia Lowry, Abigail S Katz, Jason M Gallagher, Susan M Knudson, Sachin J Rauri, Juliana O Tillema
INTRODUCTION: We assessed and tracked perceptions of well-being among employees of member companies of HealthPartners, a nonprofit health care provider and health insurance company in Bloomington, Minnesota. The objective of our study was to determine the concordance between self-reported life satisfaction and a construct of subjective well-being that comprised 6 elements of well-being: emotional and mental health, social and interpersonal status, financial status, career status, physical health, and community support...
December 22, 2016: Preventing Chronic Disease
Betty T Izumi, Cara L Eckhardt, Dara P Wilson, Jennifer Cahill
INTRODUCTION: Cooking interventions may improve diet quality. Most cooking interventions are delivered in group settings. Home visiting programs may be an appropriate mechanism for delivering such interventions to low-income families with young children. We conducted a pilot study to test the feasibility of using a cooking intervention delivered by home visitors to improve attitudes and behaviors related to vegetable consumption by low-income parents with children enrolled in a home visiting program...
December 22, 2016: Preventing Chronic Disease
Kimberly H Nguyen, Van T Tong, Kristy L Marynak, Brian A King
INTRODUCTION: Research suggests aerosol from electronic vapor products (EVPs) has fewer harmful constituents than conventional cigarette smoke. Even so, EVPs and other nicotine-containing products are not safe to use during pregnancy. We examined perceptions among US adults regarding harm in using EVPs rather than smoking cigarettes during pregnancy. METHODS: Data came from the 2015 Styles Survey, an Internet panel survey of a sample of US adults aged 18 years or older (N = 4,127)...
December 22, 2016: Preventing Chronic Disease
Rodney P Joseph, Jay E Maddock
We reviewed prominent audit tools used to assess the physical environment of parks and their potential to promote physical activity. To accomplish this, we manually searched the Active Living Research website ( for published observational audit tools that evaluate the physical environment of parks, and we reviewed park audit tools used in studies included in a systematic review of observational park-based physical activity studies. We identified 5 observational audit tools for review: Bedimo-Rung Assessment Tool-Direct Observation (BRAT-DO), Community Park Audit Tool (CPAT), Environmental Assessment of Public Recreation Spaces (EAPRS) tool, Physical Activity Resource Assessment (PARA), and Quality of Public Open Space Tool (POST)...
December 15, 2016: Preventing Chronic Disease
Melanie Nadeau, Anne Walaszek, David G Perdue, Kristine L Rhodes, Donald Haverkamp, Jean Forster
INTRODUCTION: The epidemiology of colorectal cancer, including incidence, mortality, age of onset, stage of diagnosis, and screening, varies regionally among American Indians. The objective of the Improving Northern Plains American Indian Colorectal Cancer Screening study was to improve understanding of colorectal cancer screening among health care providers serving Northern Plains American Indians. METHODS: Data were collected, in person, from a sample of 145 health care providers at 27 health clinics across the Northern Plains from May 2011 through September 2012...
December 15, 2016: Preventing Chronic Disease
S Morgan Hughey, Andrew T Kaczynski, Morgan N Clennin, Julian A Reed
We examined associations between adults' use of a prominent rail-trail and their weight status and self-rated health. In 2014, a random-digit-dial survey of Greenville County, South Carolina, residents (n = 639) was used to collect data on trail use, height and weight, self-rated health, and demographics. Trail users were half as likely to be overweight or obese as trail nonusers (odds ratio [OR] = 0.56; 95% confidence interval [CI], 0.33-0.95). Similarly, trail users were significantly more likely to report high self-rated health than were trail nonusers (OR = 1...
December 15, 2016: Preventing Chronic Disease
Caitlin L Merlo, Shannon Michael, Nancy D Brener, Edward Coffield, Beverly S Kingsley, Deena Zytnick, Heidi Blanck
INTRODUCTION: Foods and beverages marketed in schools are typically of poor nutritional value. School districts may adopt policies and practices to restrict marketing of unhealthful foods and to promote healthful choices. Students' exposure to marketing practices differ by school demographics, but these differences have not yet been examined by district characteristics. METHODS: We analyzed data from the 2012 School Health Policies and Practices Study to examine how food and beverage marketing and promotion policies and practices varied by district characteristics such as metropolitan status, size, and percentage of non-Hispanic white students...
December 15, 2016: Preventing Chronic Disease
Zulema Valdez, A Susana Ramírez, Erendira Estrada, Kathleen Grassi, Stephanie Nathan
INTRODUCTION: Attention has focused on the food environment as a result of the growing concern with obesity rates among Latinos in rural areas. Researchers have observed associations between a lack of physical access to affordable produce in areas where supermarkets and grocery stores are limited and poor dietary intake and obesity; these associations are high in rural, low-resource neighborhoods with a high population of Latino residents. We aimed to engage residents of low-resource, Latino-majority neighborhoods in discussions of food access in a rural yet agricultural community setting, which is typically described as a "food desert...
December 15, 2016: Preventing Chronic Disease
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