Marilyn A Winkleby
Biographic Data
| ID | 73444 |
|---|---|
| NAME | Marilyn A Winkleby |
| GIVEN NAMES | Marilyn A |
| FAMILY NAME | Winkleby |
| SIGNATURE | WINKLEBY M A |
| AFFILIATIONS | Stanford University |
| VERIFIED | No |
| TOTAL WORKS | 37 |
| TOTAL CITATIONS | 425 |
| AUTHOR COUNT | 37 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1987 |
| LATEST PUBLICATION YEAR | 2016 |
| H-INDEX | 10 |
Social disparities in dietary habits among women: Geographic Research on Wellbeing (GROW) Study
Objective Relationships among race/ethnicity, individual socio-economic status (SES), neighbourhood SES and acculturation are complex. We sought to answer whether: (i) race/ethnicity, individual SES and neighbourhood SES have independent effects on women’s fruit and vegetable consumption (FVC); (ii) SES modifies the effects of race/ethnicity on FVC; and (iii) nativity modifies the effect of Latina ethnicity on FVC. Design Cross-sectional surveys …
Transnational research partnerships: Leveraging big data to enhance US health
In the current era of big data and small research budgets, new strategies are needed for more cost-effective leveraging of big data to enhance our nation's health. One strategy is to promote transnational partnerships to tap into the rich, extensive databases available in other countries, particularly in Europe. The National Institutes of Health (NIH) has increasingly recognised that new collaborations that bring together multiple data sources wi…
Beyond Health Equity: Achieving Wellness Within American Indian and Alaska Native Communities
AffiliationsValarie Blue Bird Jernigan and Alicia L. Salvatore are with the College of Public Health, University of Oklahoma Health Sciences Center, Tulsa. Michael Peercy and Bobby Saunkeah are with the Health Services Division, Chickasaw Nation of Oklahoma, Ada. Dannielle Branam and David Wharton are with the Health Services Division, Choctaw Nation of Oklahoma, Talihina. Marilyn Winkleby is with the Stanford Prevention Research Center, Stanford…
A Metabolic–Epidemiological Microsimulation Model to Estimate the Changes in Energy Intake and Physical Activity Necessary to Meet the Healthy People 2020 Obesity Objective
Objectives. We combined a metabolic and an epidemiological model of obesity to estimate changes in calorie intake and physical activity necessary to achieve the Healthy People 2020 objective of reducing adult obesity prevalence from 33.9% to 30.5%. Methods. We used the National Health and Nutrition Examination Survey (1999–2010) to construct and validate a microsimulation model of the US population aged 10 years and older, for 2010 to 2020. Resul…
Signal Detection Analysis of Factors Associated With Diabetes Among Semirural Mexican American Adults
Signal detection analysis was used to evaluate a combination of sociodemographic, acculturation, mental health, health care, and chronic disease risk factors potentially associated with diabetes in a sample of 4,505 semirural Mexican American adults. Overall, 8.9% of adults had been diagnosed with diabetes. The analysis resulted in 12 mutually exclusive groups, with diabetes prevalence ranging from 1.8% to 44.1%. Three groups were at the highest …
Differences in neighborhood accessibility to health-related resources: A nationwide comparison between deprived and affluent neighborhoods in Sweden
Changing Patterns in Health Behaviors and Risk Factors Related to Cardiovascular Disease Among American Indians and Alaska Natives
Objectives. We assessed changes in cardiovascular disease–related health outcomes and risk factors among American Indians and Alaska Natives by age and gender. Methods. We used cross-sectional data from the 1995 to 1996 and the 2005 to 2006 Behavioral Risk Factor Surveillance System. The respondents were 2548 American Indian and Alaska Native women and men aged 18 years or older in 1995–1996 and 11 104 women and men in 2005–2006. We analyzed the …
Predictors of trying to lose weight among overweight and obese Mexican-Americans: A signal detection analysis
Objective Signal detection analysis, a form of recursive partitioning, was used to identify combinations of sociodemographic and acculturation factors that predict trying to lose weight in a community-based sample of 957 overweight and obese Mexican-American adults (ages 18–69 years). Design Data were pooled from the 2004 and 2006 Behavioral Risk Factor Surveillance System conducted in a low-income, semi-rural community in California. Results Ove…
Changes in neighbourhood food store environment, food behaviour and body mass index, 1981–1990
Objective This paper examines trends in the neighbourhood food store environment (defined by the number and geographic density of food stores of each type in a neighbourhood), and in food consumption behaviour and overweight risk of 5779 men and women. Design The study used data gathered by the Stanford Heart Disease Prevention Program in four cross-sectional surveys conducted from 1981 to 1990. Setting Four mid-sized cities in agricultural regio…
Inequities in CHD Incidence and Case Fatality by Neighborhood Deprivation
Contribution of neighbourhood socioeconomic status and physical activity resources to physical activity among women
INTRODUCTION: Residence in a deprived neighbourhood is associated with lower rates of physical activity. Little is known about the manifestation of deprivation that mediates this relationship. This study aimed to investigate whether access to physical activity resources mediated the relationship between neighbourhood socioeconomic status and physical activity among women. METHOD: Individual data from women participating in the Stanford Heart Dise…
Socioeconomic and food-related physical characteristics of the neighbourhood environment are associated with body mass index
Objective: To determine whether socioeconomic and food-related physical characteristics of the neighbourhood are associated with body mass index (BMI; kg/m 2 ) independently of individual-level sociodemographic and behavioural characteristics. Design and methods: Observational study using (1) individual-level data previously gathered in five cross-sectional surveys conducted by the Stanford Heart Disease Prevention Program between 1979 and 1990 a…
Effect of Cross-Level Interaction Between Individual and Neighborhood Socioeconomic Status on Adult Mortality Rates
Objective. We examined whether the influence of neighborhood-level socioeconomic status (SES) on mortality differed by individual-level SES. Methods. We used a population-based, mortality follow-up study of 4476 women and 3721 men, who were predominately non-HIspanic White and aged 25–74 years at baseline, from 82 neighborhoods in 4 California cities. Participants were surveyed between 1979 and 1990, and were followed until December 31, 2002 (114…
Neighbourhood deprivation and alcohol consumption: Does the availability of alcohol play a role?
BACKGROUND: Previous studies suggest that the physical availability of alcohol may mediate the association between neighbourhood-level material deprivation and alcohol consumption. This study tests the relationships between neighbourhood-level deprivation, alcohol availability, and individual-level alcohol consumption using a multilevel analysis. METHODS: Data are from cross-sectional surveys conducted between 1979 and 1990 as part of the Stanfor…
Ten-Year Changes in Cancer-Related Health Behaviors and Screening Practices among Latino Women and Men in California
These findings highlight the need for interventions and policies that improve knowledge, preventive care, and social environments to sustain improvements and address areas of special need in cancer prevention for Latinos, especially related to obesity and colorectal screening
Effects of neighbourhood socioeconomic status and convenience store concentration on individual level smoking
Objectives: To assess the effects of neighbourhood level socioeconomic status (SES) and convenience store concentration on individual level smoking, after consideration of individual level characteristics. Design: Individual sociodemographic characteristics and smoking were obtained from five cross sectional surveys (1979–1990). Participants’ addresses were geocoded and linked with census data for measuring neighbourhood SES and with telephone ye…
Influence of individual and neighbourhood socioeconomic status on mortality among black, Mexican-American, and white women and men in the United States
Study objectives: This study examines the influence of individual and neighbourhood socioeconomic status (SES) on mortality among black, Mexican-American, and white women and men in the US. The authors had three study objectives. Firstly, they examined mortality rates by both individual level SES (measured by income, education, and occupational/employment status) and neighbourhood level SES (index of neighbourhood income/wealth, educational attai…
Aids Knowledge among Latinos: Findings from a Community and Agricultural Labor Camp Survey
The authors assessed knowledge about AIDS and its modes of transmission in Latino adults from northern California via a survey administered in 2000 to 461 women and 356 men from a community sample and 188 men from a labor camp sample. The majority of respondents viewed AIDS as a serious problem in their community. Knowledge about how AIDS is transmitted varied from accurate beliefs about the virus being transmitted by biomedical modes to inaccura…
Chewing Tobacco: Who Uses and Who Quits? Findings From NHANES III, 1988–1994
Objectives. This study identified mutually exclusive groups of men at high and low risk for use of chewing tobacco and for quitting. Methods. Analyses used a national sample of 1340 non-Hispanic Black, 1358 Mexican American, and 1673 non-Hispanic White men, aged 25 to 64, who participated in the National Health and Nutrition Examination Survey III from 1988 to 1994. Signal detection analysis was used to delineate high- and low-risk subgroups; sur…
Cardiovascular risk factors in Mexican American adults: A transcultural analysis of NHANES III, 1988-1994
OBJECTIVES: This study examined the extent to which cardiovascular disease risk factors differ among subgroups of Mexican Americans living in the United States. METHODS: Using data from a national sample (1988-1994) of 1387 Mexican American women and 1404 Mexican American men, aged 25 to 64 years, we examined an estimate of coronary heart disease mortality risk and 5 primary cardiovascular disease risk factors: systolic blood pressure, body mass …
Ethnic and Socioeconomic Differences in Cardiovascular Disease Risk Factors: Findings for Women From the Third National Health and Nutrition Examination Survey, 1988-1994
CONTEXT: Cardiovascular disease (CVD) risk factors are higher among ethnic minority women than among white women in the United States. However, because ethnic minority women are disproportionately poor, socioeconomic status (SES) may substantially explain these risk factor differences. OBJECTIVE: To determine whether differences in CVD risk factors by ethnicity could be attributed to differences in SES. DESIGN: Third National Health and Nutrition…
Concerns and Misconceptions about Cardiovascular Disease Risk Factors: A Focus Group Evaluation with Low-Income Hispanic Women
Fivefocus groups were conducted with Hispanic women (primarily of Mexican American heritage) from low-income neighborhoods in San Jose, California, to learn about their knowledge of cardiovascular disease (CVD) riskfactors, the relative importance of risk factors, and ideas about effective CVD risk-reduction programs. Despite language barriers and economic disadvantages, women were highly aware of heart disease and described it as a health priori…
Do we ask too much from community-level interventions or from intervention researchers
Do we ask too much from community-level interventions or from intervention researchers? H C Kraemer, and M A WinklebyCopyRight https://doi.org/10.2105/AJPH.87.10.1727 Published Online: October 07, 2011
The Stanford Nutrition Action Program: A dietary fat intervention for low-literacy adults
OBJECTIVES: This study was undertaken to test the effectiveness of the Stanford Nutrition Action Program, an experimental trial to reduce dietary fat intake among low-literacy, low-income adults. METHODS: Twenty-four paired adult education classes (351 participants, 85% women, mean age = 31 years) were randomly assigned to receive a newly developed dietary fat curriculum (the Stanford Nutrition Action Program) or an existing general nutrition cur…
The long-term effects of a cardiovascular disease prevention trial: The Stanford Five-City Project
OBJECTIVES: This study examined long-term effects of a health-education intervention trial to reduce the risk of cardiovascular disease. METHODS: Surveys were conducted in California in two treatment and two control cities at baseline (1979/1980), after the 6-year intervention (1985/1986), and 3 years later at follow-up (1989/1990). Net treatment/control differences in risk-factor change were assessed for women and men 25 to 74 years of age. RESU…
Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease
BACKGROUND. Socioeconomic status (SES) is usually measured by determining education, income, occupation, or a composite of these dimensions. Although education is the most commonly used measure of SES in epidemiological studies, no investigators in the United States have conducted an empirical analysis quantifying the relative impact of each separate dimension of SES on risk factors for disease. METHODS. Using data on 2380 participants from the S…
Effects of neighbourhood socioeconomic status and convenience store concentration on individual level smoking
Objectives: To assess the effects of neighbourhood level socioeconomic status (SES) and convenience store concentration on individual level smoking, after consideration of individual level characteristics. Design: Individual sociodemographic characteristics and smoking were obtained from five cross sectional surveys (1979–1990). Participants’ addresses were geocoded and linked with census data for measuring neighbourhood SES and with telephone ye…
Socioeconomic and food-related physical characteristics of the neighbourhood environment are associated with body mass index
Objective: To determine whether socioeconomic and food-related physical characteristics of the neighbourhood are associated with body mass index (BMI; kg/m 2 ) independently of individual-level sociodemographic and behavioural characteristics. Design and methods: Observational study using (1) individual-level data previously gathered in five cross-sectional surveys conducted by the Stanford Heart Disease Prevention Program between 1979 and 1990 a…
Cardiovascular risk factors in Mexican American adults: A transcultural analysis of NHANES III, 1988-1994
OBJECTIVES: This study examined the extent to which cardiovascular disease risk factors differ among subgroups of Mexican Americans living in the United States. METHODS: Using data from a national sample (1988-1994) of 1387 Mexican American women and 1404 Mexican American men, aged 25 to 64 years, we examined an estimate of coronary heart disease mortality risk and 5 primary cardiovascular disease risk factors: systolic blood pressure, body mass …
Influence of individual and neighbourhood socioeconomic status on mortality among black, Mexican-American, and white women and men in the United States
Study objectives: This study examines the influence of individual and neighbourhood socioeconomic status (SES) on mortality among black, Mexican-American, and white women and men in the US. The authors had three study objectives. Firstly, they examined mortality rates by both individual level SES (measured by income, education, and occupational/employment status) and neighbourhood level SES (index of neighbourhood income/wealth, educational attai…
Effect of Cross-Level Interaction Between Individual and Neighborhood Socioeconomic Status on Adult Mortality Rates
Objective. We examined whether the influence of neighborhood-level socioeconomic status (SES) on mortality differed by individual-level SES. Methods. We used a population-based, mortality follow-up study of 4476 women and 3721 men, who were predominately non-HIspanic White and aged 25–74 years at baseline, from 82 neighborhoods in 4 California cities. Participants were surveyed between 1979 and 1990, and were followed until December 31, 2002 (114…
Job strain and prevalence of hypertension in a biracial population of urban bus drivers
OBJECTIVES. In this study we tested the association between occupational stress--as measured by job demands, decision latitude, and job strain--and hypertension in a population of 1396 Black and White bus drivers. METHODS. Height, weight, blood pressure, and medical history were assessed by physical exam. Drivers completed a questionnaire assessing their work schedules, personal habits, and self-perceptions about job demands and decision latitude…
The medical origins of homelessness
In 1989 through 1990, we conducted a cross-sectional survey of 1437 homeless adults in northern California (98% response rate). Prevalences of alcohol abuse, illegal drug use, and psychiatric hospitalization when adults first became homeless were 15% to 33% lower than prevalences following homelessness. The largest differences between the homeless and a comparison group of 3122 nonhomeless adults were for psychiatric hospitalization (odds ratios …
A community-based heart disease intervention: Predictors of change
OBJECTIVES. This paper presents a prospective examination of sociodemographic, psychosocial, and physiologic characteristics associated with positive change in cardiovascular disease risk factors during a 6-year multiple risk factor intervention study. METHODS. Data are presented on 221 women and 190 men (aged 25 through 74 years) who participated in four cohort surveys (1979 through 1985). A signal detection model was used to identify baseline v…
Changing Patterns in Health Behaviors and Risk Factors Related to Cardiovascular Disease Among American Indians and Alaska Natives
Objectives. We assessed changes in cardiovascular disease–related health outcomes and risk factors among American Indians and Alaska Natives by age and gender. Methods. We used cross-sectional data from the 1995 to 1996 and the 2005 to 2006 Behavioral Risk Factor Surveillance System. The respondents were 2548 American Indian and Alaska Native women and men aged 18 years or older in 1995–1996 and 11 104 women and men in 2005–2006. We analyzed the …
Contribution of neighbourhood socioeconomic status and physical activity resources to physical activity among women
INTRODUCTION: Residence in a deprived neighbourhood is associated with lower rates of physical activity. Little is known about the manifestation of deprivation that mediates this relationship. This study aimed to investigate whether access to physical activity resources mediated the relationship between neighbourhood socioeconomic status and physical activity among women. METHOD: Individual data from women participating in the Stanford Heart Dise…
Beyond Health Equity: Achieving Wellness Within American Indian and Alaska Native Communities
AffiliationsValarie Blue Bird Jernigan and Alicia L. Salvatore are with the College of Public Health, University of Oklahoma Health Sciences Center, Tulsa. Michael Peercy and Bobby Saunkeah are with the Health Services Division, Chickasaw Nation of Oklahoma, Ada. Dannielle Branam and David Wharton are with the Health Services Division, Choctaw Nation of Oklahoma, Talihina. Marilyn Winkleby is with the Stanford Prevention Research Center, Stanford…
Primary prevention: A new look at basic concepts
The long-term effects of a cardiovascular disease prevention trial: The Stanford Five-City Project
OBJECTIVES: This study examined long-term effects of a health-education intervention trial to reduce the risk of cardiovascular disease. METHODS: Surveys were conducted in California in two treatment and two control cities at baseline (1979/1980), after the 6-year intervention (1985/1986), and 3 years later at follow-up (1989/1990). Net treatment/control differences in risk-factor change were assessed for women and men 25 to 74 years of age. RESU…
Differences in neighborhood accessibility to health-related resources: A nationwide comparison between deprived and affluent neighborhoods in Sweden
Concerns and Misconceptions about Cardiovascular Disease Risk Factors: A Focus Group Evaluation with Low-Income Hispanic Women
Fivefocus groups were conducted with Hispanic women (primarily of Mexican American heritage) from low-income neighborhoods in San Jose, California, to learn about their knowledge of cardiovascular disease (CVD) riskfactors, the relative importance of risk factors, and ideas about effective CVD risk-reduction programs. Despite language barriers and economic disadvantages, women were highly aware of heart disease and described it as a health priori…
The Stanford Nutrition Action Program: A dietary fat intervention for low-literacy adults
OBJECTIVES: This study was undertaken to test the effectiveness of the Stanford Nutrition Action Program, an experimental trial to reduce dietary fat intake among low-literacy, low-income adults. METHODS: Twenty-four paired adult education classes (351 participants, 85% women, mean age = 31 years) were randomly assigned to receive a newly developed dietary fat curriculum (the Stanford Nutrition Action Program) or an existing general nutrition cur…
Cardiovascular disease risk factors: Improvements in knowledge and behavior in the 1980s
This study surveyed 4158 adults residing in two control cities of the Stanford Five-City Project. Analysis of five cross-sectional surveys (conducted in 1979 through 1990) demonstrated improvements in respondents' general cardiovascular disease risk factor knowledge and behaviors. Cholesterol-related knowledge and behavior showed particularly marked improvements
Comparability of Self-Reported Hispanic Ethnicity and Spanish Surname Coding
Few empirical analyses have assessed the concordance between self-reported Hispanic ethnicity and ethnicity obtained from Spanish surname coding programs. Using data from 4,918 Hispanic and non-Hispanic individuals, aged 12-74, who participated in cross-sectional surveys conducted in Northern California during 1979-1980 and 1989-1990, The authors e-xamined agreement between self-reported and surname-coded ethnicity. Of self-reportedHispanics, 84.…
A Metabolic–Epidemiological Microsimulation Model to Estimate the Changes in Energy Intake and Physical Activity Necessary to Meet the Healthy People 2020 Obesity Objective
Objectives. We combined a metabolic and an epidemiological model of obesity to estimate changes in calorie intake and physical activity necessary to achieve the Healthy People 2020 objective of reducing adult obesity prevalence from 33.9% to 30.5%. Methods. We used the National Health and Nutrition Examination Survey (1999–2010) to construct and validate a microsimulation model of the US population aged 10 years and older, for 2010 to 2020. Resul…
Ten-Year Changes in Cancer-Related Health Behaviors and Screening Practices among Latino Women and Men in California
These findings highlight the need for interventions and policies that improve knowledge, preventive care, and social environments to sustain improvements and address areas of special need in cancer prevention for Latinos, especially related to obesity and colorectal screening
Chewing Tobacco: Who Uses and Who Quits? Findings From NHANES III, 1988–1994
Objectives. This study identified mutually exclusive groups of men at high and low risk for use of chewing tobacco and for quitting. Methods. Analyses used a national sample of 1340 non-Hispanic Black, 1358 Mexican American, and 1673 non-Hispanic White men, aged 25 to 64, who participated in the National Health and Nutrition Examination Survey III from 1988 to 1994. Signal detection analysis was used to delineate high- and low-risk subgroups; sur…
Dietary Intake Patterns and Acculturation Levels of Hispanic Immigrant Men: A Pilot Study
Dietary intake and acculturation were investigated in a nonrandom, cross-sectional study of 106 Hispanic men of Mexican or Central American heritage (1990-1991). The purpose was to profile dietary intake patterns, identify post-migration dietary changes, and determine the contribution of traditional Hispanic foods to the diet. Mean intake levels for all nutrients were at or above 100% of the U.S. Recommended Daily Allowances. Relative to consumpt…
Primary prevention: A new look at basic concepts
Social class disparities in risk factors for disease: Eight-year prevalence patterns by level of education
The medical origins of homelessness
In 1989 through 1990, we conducted a cross-sectional survey of 1437 homeless adults in northern California (98% response rate). Prevalences of alcohol abuse, illegal drug use, and psychiatric hospitalization when adults first became homeless were 15% to 33% lower than prevalences following homelessness. The largest differences between the homeless and a comparison group of 3122 nonhomeless adults were for psychiatric hospitalization (odds ratios …
Job strain and prevalence of hypertension in a biracial population of urban bus drivers
OBJECTIVES. In this study we tested the association between occupational stress--as measured by job demands, decision latitude, and job strain--and hypertension in a population of 1396 Black and White bus drivers. METHODS. Height, weight, blood pressure, and medical history were assessed by physical exam. Drivers completed a questionnaire assessing their work schedules, personal habits, and self-perceptions about job demands and decision latitude…
Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease
BACKGROUND. Socioeconomic status (SES) is usually measured by determining education, income, occupation, or a composite of these dimensions. Although education is the most commonly used measure of SES in epidemiological studies, no investigators in the United States have conducted an empirical analysis quantifying the relative impact of each separate dimension of SES on risk factors for disease. METHODS. Using data on 2380 participants from the S…
Comparability of Self-Reported Hispanic Ethnicity and Spanish Surname Coding
Few empirical analyses have assessed the concordance between self-reported Hispanic ethnicity and ethnicity obtained from Spanish surname coding programs. Using data from 4,918 Hispanic and non-Hispanic individuals, aged 12-74, who participated in cross-sectional surveys conducted in Northern California during 1979-1980 and 1989-1990, The authors e-xamined agreement between self-reported and surname-coded ethnicity. Of self-reportedHispanics, 84.…
Sociodemographic and Health-Related Risk Factors Among African-American, Caucasian and Hispanic Homeless Men: A Comparative Study
Data from a 1989-1990 cross-sectional survey of homeless adults in California were stratified by ethnicity to examine whether adverse childhood events and adult medical disorders preceding homelessness differed between 269 African-American, 599 Caucasian, 201 foreign-born Hispanic, and 136 native-born Hispanic men. Although African-Americans were overrepresented (21%) compared with their presence in local (3%) and state (7%) populations, within t…
Study of Hypertension in Urban Bus Drivers Questioned: 4. Albright and Winkleby Respond to Li
Study of Hypertension in Urban Bus Drivers Questioned 4. Albright and Winkleby Respond to Li Cheryl L. Albright, and Marilyn A. Winkleby Cheryl L. Albright CopyRight https://doi.org/10.2105/AJPH.83.4.601 Published Online: October 07, 2011
Winkleby and Colleagues Respond
Winkleby and Colleagues Respond Marilyn Winkleby, Darius E. Jatulis, and Erica Frank Mutee H. Abdeljaber, Arnold S. Monto, Robert L. Tilden, and Anthony Schork CopyRight https://doi.org/10.2105/AJPH.83.2.290 Published Online: October 07, 2011
Cardiovascular disease risk factors: Improvements in knowledge and behavior in the 1980s
This study surveyed 4158 adults residing in two control cities of the Stanford Five-City Project. Analysis of five cross-sectional surveys (conducted in 1979 through 1990) demonstrated improvements in respondents' general cardiovascular disease risk factor knowledge and behaviors. Cholesterol-related knowledge and behavior showed particularly marked improvements
A community-based heart disease intervention: Predictors of change
OBJECTIVES. This paper presents a prospective examination of sociodemographic, psychosocial, and physiologic characteristics associated with positive change in cardiovascular disease risk factors during a 6-year multiple risk factor intervention study. METHODS. Data are presented on 221 women and 190 men (aged 25 through 74 years) who participated in four cohort surveys (1979 through 1985). A signal detection model was used to identify baseline v…
Dietary Intake Patterns and Acculturation Levels of Hispanic Immigrant Men: A Pilot Study
Dietary intake and acculturation were investigated in a nonrandom, cross-sectional study of 106 Hispanic men of Mexican or Central American heritage (1990-1991). The purpose was to profile dietary intake patterns, identify post-migration dietary changes, and determine the contribution of traditional Hispanic foods to the diet. Mean intake levels for all nutrients were at or above 100% of the U.S. Recommended Daily Allowances. Relative to consumpt…
The long-term effects of a cardiovascular disease prevention trial: The Stanford Five-City Project
OBJECTIVES: This study examined long-term effects of a health-education intervention trial to reduce the risk of cardiovascular disease. METHODS: Surveys were conducted in California in two treatment and two control cities at baseline (1979/1980), after the 6-year intervention (1985/1986), and 3 years later at follow-up (1989/1990). Net treatment/control differences in risk-factor change were assessed for women and men 25 to 74 years of age. RESU…
Do we ask too much from community-level interventions or from intervention researchers
Do we ask too much from community-level interventions or from intervention researchers? H C Kraemer, and M A WinklebyCopyRight https://doi.org/10.2105/AJPH.87.10.1727 Published Online: October 07, 2011
The Stanford Nutrition Action Program: A dietary fat intervention for low-literacy adults
OBJECTIVES: This study was undertaken to test the effectiveness of the Stanford Nutrition Action Program, an experimental trial to reduce dietary fat intake among low-literacy, low-income adults. METHODS: Twenty-four paired adult education classes (351 participants, 85% women, mean age = 31 years) were randomly assigned to receive a newly developed dietary fat curriculum (the Stanford Nutrition Action Program) or an existing general nutrition cur…
Ethnic and Socioeconomic Differences in Cardiovascular Disease Risk Factors: Findings for Women From the Third National Health and Nutrition Examination Survey, 1988-1994
CONTEXT: Cardiovascular disease (CVD) risk factors are higher among ethnic minority women than among white women in the United States. However, because ethnic minority women are disproportionately poor, socioeconomic status (SES) may substantially explain these risk factor differences. OBJECTIVE: To determine whether differences in CVD risk factors by ethnicity could be attributed to differences in SES. DESIGN: Third National Health and Nutrition…
Concerns and Misconceptions about Cardiovascular Disease Risk Factors: A Focus Group Evaluation with Low-Income Hispanic Women
Fivefocus groups were conducted with Hispanic women (primarily of Mexican American heritage) from low-income neighborhoods in San Jose, California, to learn about their knowledge of cardiovascular disease (CVD) riskfactors, the relative importance of risk factors, and ideas about effective CVD risk-reduction programs. Despite language barriers and economic disadvantages, women were highly aware of heart disease and described it as a health priori…
Cardiovascular risk factors in Mexican American adults: A transcultural analysis of NHANES III, 1988-1994
OBJECTIVES: This study examined the extent to which cardiovascular disease risk factors differ among subgroups of Mexican Americans living in the United States. METHODS: Using data from a national sample (1988-1994) of 1387 Mexican American women and 1404 Mexican American men, aged 25 to 64 years, we examined an estimate of coronary heart disease mortality risk and 5 primary cardiovascular disease risk factors: systolic blood pressure, body mass …
Chewing Tobacco: Who Uses and Who Quits? Findings From NHANES III, 1988–1994
Objectives. This study identified mutually exclusive groups of men at high and low risk for use of chewing tobacco and for quitting. Methods. Analyses used a national sample of 1340 non-Hispanic Black, 1358 Mexican American, and 1673 non-Hispanic White men, aged 25 to 64, who participated in the National Health and Nutrition Examination Survey III from 1988 to 1994. Signal detection analysis was used to delineate high- and low-risk subgroups; sur…
Influence of individual and neighbourhood socioeconomic status on mortality among black, Mexican-American, and white women and men in the United States
Study objectives: This study examines the influence of individual and neighbourhood socioeconomic status (SES) on mortality among black, Mexican-American, and white women and men in the US. The authors had three study objectives. Firstly, they examined mortality rates by both individual level SES (measured by income, education, and occupational/employment status) and neighbourhood level SES (index of neighbourhood income/wealth, educational attai…
Aids Knowledge among Latinos: Findings from a Community and Agricultural Labor Camp Survey
The authors assessed knowledge about AIDS and its modes of transmission in Latino adults from northern California via a survey administered in 2000 to 461 women and 356 men from a community sample and 188 men from a labor camp sample. The majority of respondents viewed AIDS as a serious problem in their community. Knowledge about how AIDS is transmitted varied from accurate beliefs about the virus being transmitted by biomedical modes to inaccura…
Neighbourhood deprivation and alcohol consumption: Does the availability of alcohol play a role?
BACKGROUND: Previous studies suggest that the physical availability of alcohol may mediate the association between neighbourhood-level material deprivation and alcohol consumption. This study tests the relationships between neighbourhood-level deprivation, alcohol availability, and individual-level alcohol consumption using a multilevel analysis. METHODS: Data are from cross-sectional surveys conducted between 1979 and 1990 as part of the Stanfor…
Ten-Year Changes in Cancer-Related Health Behaviors and Screening Practices among Latino Women and Men in California
These findings highlight the need for interventions and policies that improve knowledge, preventive care, and social environments to sustain improvements and address areas of special need in cancer prevention for Latinos, especially related to obesity and colorectal screening
Effects of neighbourhood socioeconomic status and convenience store concentration on individual level smoking
Objectives: To assess the effects of neighbourhood level socioeconomic status (SES) and convenience store concentration on individual level smoking, after consideration of individual level characteristics. Design: Individual sociodemographic characteristics and smoking were obtained from five cross sectional surveys (1979–1990). Participants’ addresses were geocoded and linked with census data for measuring neighbourhood SES and with telephone ye…
Effect of Cross-Level Interaction Between Individual and Neighborhood Socioeconomic Status on Adult Mortality Rates
Objective. We examined whether the influence of neighborhood-level socioeconomic status (SES) on mortality differed by individual-level SES. Methods. We used a population-based, mortality follow-up study of 4476 women and 3721 men, who were predominately non-HIspanic White and aged 25–74 years at baseline, from 82 neighborhoods in 4 California cities. Participants were surveyed between 1979 and 1990, and were followed until December 31, 2002 (114…
Medicine (36 works) · Environmental health (30 works) · Demography (27 works) · Gerontology (27 works) · Gerontology (21 works) · Population (17 works) · Sociology (12 works) · Internal Medicine (11 works) · Health disparities and outcomes (10 works) · Ethnic group (9 works)