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Schulz AJ, Mentz GB, Kwarteng J, et al. Do Neighborhood Demographics Modify Walking Group Intervention Effectiveness in Urban Neighborhoods?. Health Promot Pract. 2016;18(1):62-74doi: 10.1177/1524839916655081.
Schulz, A. J., Mentz, G. B., Kwarteng, J., Israel, B. A., Gamboa, C., Sand, S. L., Gaines, C., Reyes, A. G., & Rowe, Z. (2017). Do Neighborhood Demographics Modify Walking Group Intervention Effectiveness in Urban Neighborhoods?. Health promotion practice, 18(1), 62-74. https://doi.org/10.1177/1524839916655081
Schulz, Amy J, et al. "Do Neighborhood Demographics Modify Walking Group Intervention Effectiveness in Urban Neighborhoods?." Health promotion practice vol. 18,1 (2017): 62-74. doi: https://doi.org/10.1177/1524839916655081
Schulz AJ, Mentz GB, Kwarteng J, Israel BA, Gamboa C, Sand SL, Gaines C, Reyes AG, Rowe Z. Do Neighborhood Demographics Modify Walking Group Intervention Effectiveness in Urban Neighborhoods?. Health Promot Pract. 2017 Jan;18(1):62-74. doi: 10.1177/1524839916655081. Epub 2016 Jul 09. PMID: 27357203.
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Health Promot Pract. 2017 Jan;18(1):62-74. doi: 10.1177/1524839916655081. Epub 2016 Jul 09.

Do Neighborhood Demographics Modify Walking Group Intervention Effectiveness in Urban Neighborhoods?.

Health promotion practice

Amy J Schulz, Graciela B Mentz, Jamila Kwarteng, Barbara A Israel, Cindy Gamboa, Sharon L Sand, Causandra Gaines, Angela G Reyes, Zachary Rowe

Affiliations

  1. 1 University of Michigan School of Public Health, Ann Arbor, MI, USA.
  2. 2 Medical College of Wisconsin, Milwaukee, WI, USA.
  3. 3 Little Scholars Child Development Center, Detroit, MI, USA.
  4. 4 Detroit Hispanic Development Corporation, Detroit, MI, USA.
  5. 5 Friends of Parkside, Detroit, MI, USA.

PMID: 27357203 DOI: 10.1177/1524839916655081

Abstract

OBJECTIVES: We assessed the effects of neighborhood composition on effectiveness of the Walk Your Heart to Health (WYHH) intervention in promoting physical activity and reducing cardiovascular risk (CVR) in low-to-moderate-income, predominantly non-Latino Black (NLB) and Latino communities.

METHOD: Multilevel models assessed modifying effects of neighborhood composition on (1) WYHH adherence/participation at 8 weeks and 32 weeks, (2) associations between participation and steps, and (3) associations between steps and CVR.

RESULTS: Approximately 90% of participants were women. Neither neighborhood poverty nor racial composition modified intervention participation at 8 weeks. At 32 weeks, residents of high percentage-NLB neighborhoods that also had high poverty rates had reduced participation. Neighborhood composition did not modify associations between participation and steps or between steps and CVR. Neighborhood percentage poverty and NLB were positively associated with CVR.

CONCLUSION: Positive associations between participation in the WYHH program and physical activity, and CVR did not differ by neighborhood composition. Efforts to address challenges to long-term participation are warranted for residents of racially segregated, high-poverty neighborhoods. Residents of racially segregated neighborhoods with high concentrations of poverty experience disproportionately high risk for cardiovascular disease and can benefit from interventions such as WYHH that increase physical activity and reduce CVR.

Keywords: community health promoters; community-based participatory research; health inequities; walking groups

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