Promoting Behavior Change Among Working-Class, Multiethnic Workers: Results of the Healthy Directions--Small Business Study

We examined the efficacy of a cancer prevention intervention designed to improve health behaviors among working-class, multiethnic populations employed in small manufacturing businesses. Worksites were randomly assigned to an intervention or minimal-intervention control condition. The intervention t...

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Bibliographic Details
Published in:American journal of public health (1971) 2005-08, Vol.95 (8), p.1389-1395
Main Authors: Sorensen, Glorian, Barbeau, Elizabeth, Stoddard, Anne M, Hunt, Mary Kay, Kaphingst, Kimberly, Wallace, Lorraine
Format: Article
Language:English
Subjects:
Adult
Behavior
Biological and medical sciences
Cancer
Disease prevention
Employees
Ethnicity
Exercise
Female
Fruits
Health behavior
Health Behavior - ethnology
Health care
Health promotion
Health Promotion - organization & administration
Humans
Intervention
Literacy
Male
Medical sciences
Minority & ethnic groups
Miscellaneous
Motor Activity
Multiracial people
Neoplasms - epidemiology
Neoplasms - ethnology
Neoplasms - prevention & control
Noncitizens
Nutritional Status
Occupational hazards
Occupational health
Occupational Health Services - organization & administration
Organizational change
Participation
Population
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Research and Practice
Risk Assessment
Small business
Social Class
United States - epidemiology
Workers
Working class
Workplace
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Summary:We examined the efficacy of a cancer prevention intervention designed to improve health behaviors among working-class, multiethnic populations employed in small manufacturing businesses. Worksites were randomly assigned to an intervention or minimal-intervention control condition. The intervention targeted fruit and vegetable consumption, red meat consumption, multivitamin use, and physical activity. Employees in the intervention group showed greater improvements for every outcome compared with employees in the control group. Differences in improvement were statistically significant for multivitamin use and physical activity. Intervention effects were larger among workers than among managers for fruit and vegetable consumption and for physical activity. The social-context model holds promise for reducing disparities in health behaviors. Further research is needed to improve the effectiveness of the intervention.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2004.038745