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Related Experiment Videos

Multi-level support for physical activity and healthy eating.

Sheana Bull1, Elizabeth Eakin, Marina Reeves

  • 1Associate Professor, Health Outcomes, University of Colorado, Aurora, 80045, USA. sheana.bull@uchsc.edu

Journal of Advanced Nursing
|May 26, 2006
PubMed
Summary

Social and community support significantly improved physical activity and diet in low-income Latinos with chronic conditions. Interventions should address multiple support levels for better health outcomes.

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Area of Science:

  • Public Health
  • Health Behavior
  • Chronic Illness Management

Background:

  • Latinos in the U.S. experience disproportionately higher rates of chronic illness, lower physical activity, and nutritional deficiencies compared to white populations.
  • Health disparities are prevalent in low-income, immigrant, and aboriginal communities globally.
  • Social-ecological models emphasize the role of social and community support in shaping health behaviors.

Purpose of the Study:

  • To evaluate the relationship between social and community support and physical activity and dietary behaviors.
  • To examine these relationships within a low-income, primarily Latino population with multiple chronic conditions.

Main Methods:

  • A baseline assessment of 200 patients from a U.S. health clinic serving a low-income, Latino population.

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  • Participants were enrolled in a randomized controlled trial (Resources for Health) for chronic illness self-management.
  • Data collected included self-reported physical activity, dietary behavior, multi-level support, and demographics.

    • Main Results:

    • Multi-level support (family, individual, healthcare provider) was significantly associated with meeting physical activity guidelines and improved dietary behaviors.
    • Female gender and multiple chronic conditions were also linked to better dietary behaviors.
    • These factors explained 20% of the variance in dietary behavior.

    Conclusions:

    • Findings support a social-ecological approach for promoting healthy behaviors in this population.
    • Interventions should target multiple levels of support to enhance physical activity and diet.
    • Nurses are well-positioned to support low-income, aboriginal, and immigrant patients with chronic conditions.