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Cancer Prevention Among Working Class, Multiethnic Adults

Results of the Healthy Directions–Health Centers Study

Bibliographic Data

ID11035656
AuthorsKaren M Emmons (0000-0002-0685-6446, Karen M. Emmons is with the Dana-Farber Cancer Institute and the Harvard School of Public Health, Boston, Mass. At the time of the study, Anne M. Stoddard was with the University of Massachusetts, Amherst. Robert Fletcher is with Harvard Medical School, Boston, Mass. Caitlin Gutheil and Elizabeth Gonzalez Suarez are with the Dana-Farber Cancer Institute. Rebecca Lobb is with Harvard Medical School, Division of Ambulatory Care and Prevention. Jane Weeks is with the Dana-Farber Cancer Institute and Harvard...), Ann M Stoddard (Karen M. Emmons is with the Dana-Farber Cancer Institute and the Harvard School of Public Health, Boston, Mass. At the time of the study, Anne M. Stoddard was with the University of Massachusetts, Amherst. Robert Fletcher is with Harvard Medical School, Boston, Mass. Caitlin Gutheil and Elizabeth Gonzalez Suarez are with the Dana-Farber Cancer Institute. Rebecca Lobb is with Harvard Medical School, Division of Ambulatory Care and Prevention. Jane Weeks is with the Dana-Farber Cancer Institute and Harvard...), Robert H Fletcher (Dana-Farber Cancer Institute), Robert Fletcher (Karen M. Emmons is with the Dana-Farber Cancer Institute and the Harvard School of Public Health, Boston, Mass. At the time of the study, Anne M. Stoddard was with the University of Massachusetts, Amherst. Robert Fletcher is with Harvard Medical School, Boston, Mass. Caitlin Gutheil and Elizabeth Gonzalez Suarez are with the Dana-Farber Cancer Institute. Rebecca Lobb is with Harvard Medical School, Division of Ambulatory Care and Prevention. Jane Weeks is with the Dana-Farber Cancer Institute and Harvard...), Caitlin Gutheil (Karen M. Emmons is with the Dana-Farber Cancer Institute and the Harvard School of Public Health, Boston, Mass. At the time of the study, Anne M. Stoddard was with the University of Massachusetts, Amherst. Robert Fletcher is with Harvard Medical School, Boston, Mass. Caitlin Gutheil and Elizabeth Gonzalez Suarez are with the Dana-Farber Cancer Institute. Rebecca Lobb is with Harvard Medical School, Division of Ambulatory Care and Prevention. Jane Weeks is with the Dana-Farber Cancer Institute and Harvard...), Elizabeth Gonzalez Suarez (Karen M. Emmons is with the Dana-Farber Cancer Institute and the Harvard School of Public Health, Boston, Mass. At the time of the study, Anne M. Stoddard was with the University of Massachusetts, Amherst. Robert Fletcher is with Harvard Medical School, Boston, Mass. Caitlin Gutheil and Elizabeth Gonzalez Suarez are with the Dana-Farber Cancer Institute. Rebecca Lobb is with Harvard Medical School, Division of Ambulatory Care and Prevention. Jane Weeks is with the Dana-Farber Cancer Institute and Harvard...), Rebecca Lobb (0000-0003-3503-0675, Karen M. Emmons is with the Dana-Farber Cancer Institute and the Harvard School of Public Health, Boston, Mass. At the time of the study, Anne M. Stoddard was with the University of Massachusetts, Amherst. Robert Fletcher is with Harvard Medical School, Boston, Mass. Caitlin Gutheil and Elizabeth Gonzalez Suarez are with the Dana-Farber Cancer Institute. Rebecca Lobb is with Harvard Medical School, Division of Ambulatory Care and Prevention. Jane Weeks is with the Dana-Farber Cancer Institute and Harvard...), Jane Weeks (Karen M. Emmons is with the Dana-Farber Cancer Institute and the Harvard School of Public Health, Boston, Mass. At the time of the study, Anne M. Stoddard was with the University of Massachusetts, Amherst. Robert Fletcher is with Harvard Medical School, Boston, Mass. Caitlin Gutheil and Elizabeth Gonzalez Suarez are with the Dana-Farber Cancer Institute. Rebecca Lobb is with Harvard Medical School, Division of Ambulatory Care and Prevention. Jane Weeks is with the Dana-Farber Cancer Institute and Harvard...), Judy Anne Bigby (Karen M. Emmons is with the Dana-Farber Cancer Institute and the Harvard School of Public Health, Boston, Mass. At the time of the study, Anne M. Stoddard was with the University of Massachusetts, Amherst. Robert Fletcher is with Harvard Medical School, Boston, Mass. Caitlin Gutheil and Elizabeth Gonzalez Suarez are with the Dana-Farber Cancer Institute. Rebecca Lobb is with Harvard Medical School, Division of Ambulatory Care and Prevention. Jane Weeks is with the Dana-Farber Cancer Institute and Harvard...)
Year2005
Volume95
Issue7
Pages1200-1205
Publication date2005-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2004.038695
PMID15933240
PMCIDPMC1449340
OpenAlexW2103653221
LanguageEN
Citations received15
References cited32

Objectives. We analyzed outcomes from a study that examined social-contextual factors in cancer prevention interventions for working class, multiethnic populations. Methods. Ten community health centers were randomized to intervention or to control. Patients who resided in low-income, multiethnic neighborhoods were eligible; the intervention targeted fruit and vegetable consumption, red meat consumption, multivitamin intake, and physical activity. Outcomes were measured at 8 months. Results. The intervention led to significant increases in fruit and vegetable consumption and multivitamin intake and reductions in red meat consumption; no change was found in physical activity levels. The intervention effect was not changed when contextual variables that may function as confounders or effect modifiers (e.g., gender, education, race/ethnicity, respondent and parents’ country of birth, and poverty status) were included in the analyses. Conclusions. The intervention led to significant improvements in health behaviors among a working class, multiethnic population, regardless of race/ ethnicity and socioeconomic status. Interventions that respond to the social context of working class individuals across racial/ethnic categories hold promise for improving cancer-related risk behaviors

Context (archaeology) · Environmental health · Ethnic group · Geography · Health equity · Intervention (counseling) · Population · Psychological intervention · Public health · Social class · Socioeconomic status · Demography · Global Cancer Incidence and Screening · Medicine · Nutritional Studies and Diet · Smoking Behavior and Cessation · Gerontology

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Unique citing works15
Citations per year0,71
Citation span2005 - 2026 (22)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 15
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