Journal ArticleJ Am Coll Health · July 14, 2025
Objective: This study of collegiate peer mental health support programs aims to inform future program development. Participants: We conducted a systematic internet search of 776 institutional affiliates of the American College Health Association to identif ...
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Journal ArticleHypertension · February 2025
BACKGROUND: Dietary Approaches to Stop Hypertension (DASH) is a recommended first-line treatment for adults with hypertension, yet adherence to DASH is low. To evaluate the efficacy of a digital health intervention (DHI), compared with attention control, o ...
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Journal ArticleJ Med Internet Res · March 28, 2024
BACKGROUND: The prevalence of obesity and its associated comorbidities continue to rise in the United States. Populations who are uninsured and from racial and ethnic minority groups continue to be disproportionately affected. These populations also experi ...
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Journal ArticleFront Med (Lausanne) · 2024
INTRODUCTION: Clinician implicit racial bias (IB) may lead to lower quality care and adverse health outcomes for Black patients. Educational efforts to train clinicians to mitigate IB vary widely and have insufficient evidence of impact. We developed and p ...
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Journal ArticleDigit Health · 2024
INTRODUCTION: Clinical trials often enroll nonrepresentative participant samples, limiting generalizability of trial findings. The current analysis explores the influences of remote recruitment and screening protocols on participation in a digital health i ...
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Journal ArticleBMC public health · April 2023
BackgroundClinical trial implementation continues to shift toward pragmatic design, with the goal of increasing future adoption in clinical practice. Yet, few pragmatic trials within clinical settings have qualitatively assessed stakeholder input, ...
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Journal ArticleJ Ren Nutr · January 2023
OBJECTIVE: The Dietary Approaches to Stop Hypertension (DASH) eating plan improves hypertension in Black individuals and is associated with favorable chronic kidney disease (CKD) outcomes. Yet, adherence to DASH is low among US adults in general, particula ...
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Journal ArticleJournal of clinical and translational science · January 2023
IntroductionPragmatic trials are needed to establish evidence-based obesity treatment in primary care settings, particularly in community health centers (CHCs) that serve populations at heightened risk of obesity. Recruiting a representative trial ...
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Journal ArticleNutrients · January 2023
Many mothers are vulnerable to poor diet quality, particularly those living in low-income households. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides nutrient-rich foods through its benefits packages, but many WIC ...
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Journal ArticleJ Cardiovasc Nurs · September 2022
BACKGROUND: The Dietary Approaches to Stop Hypertension eating plan is an evidence-based treatment of hypertension; however, adherence to the Dietary Approaches to Stop Hypertension is low. To improve adherence to the Dietary Approaches to Stop Hypertensio ...
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Journal ArticleTranslational behavioral medicine · May 2022
Climate change poses serious threats to public health and is exacerbating health inequities. Policy changes are essential to mitigate climate change impacts on human and planetary health. The purpose was to describe recommendations by the Policy and Advoca ...
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Journal ArticleTranslational behavioral medicine · May 2022
Climate change is the greatest threat to global health in human history. It has been declared a public health emergency by the World Health Organization and leading researchers from academic institutions around the globe. Structural racism disproportionate ...
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Journal ArticleSupport Care Cancer · December 2021
PURPOSE: Cancer survivors are often sedentary. Self-monitoring may promote physical activity through self-activation. We conducted a pilot trial to evaluate whether wearable activity tracker with personalized text message feedback would increase physical a ...
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Journal ArticleJMIR research protocols · December 2021
BackgroundChildren in the United States eat too few fruits, vegetables, and whole grains and too many energy-dense foods; these dietary behaviors are associated with increased risk of obesity. Maternal diet plays a key role in shaping children's d ...
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Journal ArticleJMIR research protocols · November 2021
BackgroundWeight bias internalization, also known as weight self-stigma, is a serious health concern for individuals with higher body weight. Weight bias internalization is associated with the greater avoidance of health care and health-promoting ...
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Journal ArticleContemp Clin Trials · October 2021
INTRODUCTION: Over 100 million adults in the United States have hypertension. The DASH (Dietary Approaches to Stop Hypertension) eating pattern is an evidence-based first-line treatment option for hypertension; however, adherence to the DASH eating pattern ...
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Journal ArticleObesity (Silver Spring, Md.) · March 2021
ObjectiveSelf-monitoring is a core component of behavioral obesity treatment, but it is unknown how digital health has been used for self-monitoring, what engagement rates are achieved in these interventions, and how self-monitoring and weight los ...
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Journal ArticleTransl Behav Med · February 11, 2021
Evidence-based behavioral weight loss treatment is under-utilized. To increase initiation of treatment, we developed a single-session, online, primary care-based intervention ("mobilization tool"). We evaluated the mobilization tool's acceptability for pri ...
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Journal ArticleJMIR Res Protoc · January 18, 2021
BACKGROUND: Effective weight loss interventions exist, yet few can be scaled up for wide dissemination. Further, none has been fully delivered via text message. We used the multiphase optimization strategy (MOST) to develop multicomponent interventions tha ...
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Journal ArticleHealth Equity · 2021
Purpose: We explored the association between perception of care, as measured by the Interpersonal Processes of Care (IPC) survey, and patient-level factors, including (1) Trust in physicians; (2) Perceived empathy; (3) Stereotype threat; (4) Perceived ever ...
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Journal ArticleJMIR Mhealth Uhealth · December 7, 2020
BACKGROUND: Over 100 million individuals have high blood pressure, and more than half of them are women. The Dietary Approaches to Stop Hypertension (DASH) dietary pattern is a proven lifestyle approach to lower blood pressure, yet population-level adheren ...
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Journal ArticleObesity (Silver Spring) · November 2020
OBJECTIVE: This study aimed to compare weight collected at clinics and recorded in the electronic health record (EHR) with primary study-collected trial weights to assess the validity of using EHR data in future pragmatic weight loss or weight gain prevent ...
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Journal ArticleAnn Glob Health · October 6, 2020
BACKGROUND: Traumatic brain injury (TBI) is a life-altering condition, and delays to care can significantly impact outcomes. In Uganda, where nurse shortages are prevalent, patients' family members are the primary caretakers of these patients and play an i ...
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ConferenceJournal of behavioral medicine · June 2020
Self-monitoring is the strongest predictor of success in lifestyle interventions for obesity. In this secondary analysis of the GoalTracker trial, we describe outcomes of consistently self-monitoring in a standalone weight loss intervention. The 12-week in ...
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Journal ArticleChild Obes · March 2020
Background: Previous studies show inconsistent relations between child care and obesity, but few assessed longitudinal associations during infancy and even fewer included racially diverse children. We examined associations of time infants spent in child ca ...
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Journal ArticleEthnicity & disease · January 2020
ObjectivesThe metabolic syndrome (MetS) refers to a cluster of interrelated physiological characteristics that are associated with an increased risk of cardiovascular disease and diabetes. While the clinical usefulness of the MetS has been the sub ...
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Journal ArticleContemporary clinical trials · December 2019
BackgroundObesity affects African American women more than any other group in the US. Pregnancy represents a critical life stage of heightened vulnerability for new or persistent obesity, yet few interventions have been effective in reducing exces ...
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Journal ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association · December 2019
To optimize digital health interventions, intervention creators must determine what intervention dose will produce the most substantial health behavior change-the dose-response relationship-while minimizing harms or burden. In this article we present impor ...
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Journal ArticleTransl Behav Med · November 25, 2019
The multiphase optimization strategy (MOST) is an increasingly popular framework to prepare, optimize, and evaluate multicomponent behavioral health interventions. Within this framework, it is common to use a factorial trial to assemble an optimized multic ...
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Journal ArticleJournal of general internal medicine · June 2019
BackgroundPrimary care-based digital health weight loss interventions offer promise for addressing obesity in underserved populations.ObjectivesTo determine if primary care providers' weight counseling is associated with weight change dur ...
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Journal ArticleObesity science & practice · June 2019
ObjectiveEarly weight loss is a strong predictor of longer-term and clinically meaningful weight loss but has not been studied in the context of mobile health ('mHealth') interventions.MethodsGoalTracker was a randomized trial among adult ...
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Journal ArticleBMC Public Health · May 17, 2019
BACKGROUND: For patients with obesity who are not ready for or experience barriers to weight loss, clinical practice guidelines recommend provider counseling on preventing further weight gain as a first-line treatment approach. Unfortunately, evidence-base ...
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Journal ArticleJ Med Internet Res · May 17, 2019
BACKGROUND: Obesity is one of the largest drivers of health care spending but nearly half of the population with obesity demonstrate suboptimal readiness for weight loss treatment. Black women are disproportionately likely to have both obesity and limited ...
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Journal ArticleJMIR Public Health Surveill · April 2, 2019
BACKGROUND: Traditional methods for recruiting and maintaining contact with participants in cohort studies include print-based correspondence, which can be unidirectional, labor intensive, and slow. Leveraging technology can substantially enhance communica ...
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Journal ArticleJ Acad Nutr Diet · April 2019
BACKGROUND: Obesity treatment focuses primarily on reducing overall caloric intake with limited focus on improving diet quality. The Dietary Approaches to Stop Hypertension (DASH) dietary pattern is effective in managing hypertension and other chronic cond ...
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Journal ArticleJMIR Mhealth Uhealth · February 13, 2019
BACKGROUND: Providing financial incentives has gained popularity as a strategy to promote weight loss, but questions remain about how best to utilize them. A promising mobile health strategy provides users with near-real-time financial incentives based on ...
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Journal ArticleJMIR mHealth and uHealth · February 2019
BackgroundSelf-monitoring of dietary intake is a valuable component of behavioral weight loss treatment; however, it declines quickly, thereby resulting in suboptimal treatment outcomes.ObjectiveThis study aimed to examine a novel behavio ...
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Journal ArticleDigit Health · 2019
BACKGROUND: Development and uptake of digital health technologies benefit from cross-sectoral efforts from academia and industry. Our study aims to identify the barriers and facilitators associated with academia-industry collaborations in digital health in ...
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Journal ArticleJ Med Internet Res · December 20, 2018
BACKGROUND: The prevalence of childhood obesity continues to increase, and clinic-based treatment options have failed to demonstrate effectiveness. One of the strongest predictors of child weight is parent weight. Parental treatment for weight loss may ind ...
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Journal ArticleAm J Prev Med · December 2018
INTRODUCTION: Obesity treatment is less successful for socioeconomically disadvantaged populations, particularly when delivered in primary care. Digital health strategies can extend the reach of clinical obesity treatments to care settings serving patients ...
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Journal ArticleJMIR Mhealth Uhealth · October 18, 2018
BACKGROUND: Understanding how engagement in mobile health (mHealth) weight loss interventions relates to weight change may help develop effective intervention strategies. OBJECTIVE: This study aims to examine the (1) patterns of participant engagement over ...
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Journal ArticleObesity (Silver Spring, Md.) · September 2018
ObjectiveLittle work has explored the effect of weight-related terms on treatment initiation; only one study has investigated weight-related terms and the psychological constructs associated with treatment uptake. The present study examines the ef ...
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Journal ArticleBMC Public Health · July 11, 2018
BACKGROUND: Evidence-based behavioral weight loss interventions are under-utilized. To inform efforts to increase uptake of these interventions, it is important to understand the perspectives of adults with obesity regarding barriers and facilitators of we ...
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Journal ArticleJournal of Black Psychology · May 1, 2018
The present study examined if high levels of religious attendance (ORG), private religious activity (NOR), or intrinsic religiosity (SUB) buffer cardiovascular responses to active speech and anger recall lab stressors alone and by John Henryism Active Copi ...
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Journal ArticleTranslational behavioral medicine · March 2018
Research is rapidly extending its focus to develop and evaluate weight management interventions that incorporate eHealth technologies. Comparative effectiveness of eHealth interventions is partly limited by the extensive heterogeneity in intervention desig ...
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Journal ArticleContemp Clin Trials · February 2018
The obesity epidemic has negative physical, psychological, and financial consequences. Despite the existence of effective behavioral weight loss interventions, many individuals do not achieve adequate weight loss, and most regain lost weight in the year fo ...
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Journal ArticleChild Obes · January 2018
BACKGROUND: Text messages improve health outcomes for adults engaged in weight management. Little is known about whether text messaging parents of children enrolled in obesity treatment will improve child health. METHODS: We conducted a 2-group randomized ...
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Journal ArticleTranslational behavioral medicine · December 2017
Government policy affects virtually every topic of interest to health behavior researchers, from research funding to reimbursement for clinical services to application of evidence to impact health outcomes. This paper provides a 6-year update on the expans ...
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Journal ArticleJMIR mHealth and uHealth · December 2017
Commercial mobile apps for health behavior change are flourishing in the marketplace, but little evidence exists to support their use. This paper summarizes methods for evaluating the content, usability, and efficacy of commercially available health apps. ...
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Journal ArticleMatern Child Nutr · October 2017
Parents demonstrate an important influence on adolescent obesity and dietary behavior; yet, family-based obesity interventions continue to exhibit limited success among adolescents. To further inform family-based approaches for adolescent obesity treatment ...
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Journal ArticleThe international journal of behavioral nutrition and physical activity · October 2017
BackgroundRates of physical inactivity are high among Black women living in the United States with overweight or obesity, especially those living in the rural South. This study was conducted to determine if an efficacious weight gain prevention in ...
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Journal ArticleAm J Prev Med · September 2017
INTRODUCTION: This study sought to determine the effect of a 2-year, multicomponent health intervention (Spirited Life) targeting metabolic syndrome and stress simultaneously. DESIGN: An RCT using a three-cohort multiple baseline design was conducted in 20 ...
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Journal ArticlePreventive medicine reports · September 2017
Efforts to prevent postpartum weight retention in extant clinical trials of African American women have proven exceedingly challenging. The primary purpose of this pilot study was to determine whether a behavioral intervention implemented in early pregnanc ...
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Journal ArticleAnn Behav Med · August 2017
BACKGROUND: Obesity and poor sleep are highly prevalent among Black women. PURPOSE: We examined whether a weight gain prevention intervention improved sleep among Black women. METHODS: We conducted a randomized trial comparing a 12-month weight gain preven ...
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Journal ArticleTranslational behavioral medicine · June 2017
Given the increasing interest in expanding obesity prevention efforts to cover community-based programs, we examined whether individuals would access a YMCA for physical activity promotion. We provided a no-cost 12-month YMCA membership to socioeconomicall ...
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Journal ArticleBMJ Open · February 8, 2017
PURPOSE: Childcare has been associated with obesity in children in cross-sectional and longitudinal studies, although some observed no association. Few studies have focused on care during infancy, a period when children may be especially vulnerable. PARTIC ...
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Journal ArticleWomen & health · February 2017
In the United States, Black adolescents have the highest prevalence of pediatric obesity and overweight among girls. While Black girls are disproportionately affected, the reasons for this health disparity remain unclear. The authors conducted a systematic ...
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Journal ArticleGenetics in medicine : official journal of the American College of Medical Genetics · May 2016
PurposeEmerging evidence suggests that attributing one's weight to genetics may contribute to the adoption of obesogenic behaviors. We investigated whether weight-related genetic attributions were associated with weight change during a weight gain ...
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Journal ArticleNicotine Tob Res · May 2016
INTRODUCTION: Cigarette smoking is a leading cause of preventable mortality. Mobile technologies, including text messaging, provide opportunities to promote quitting. Many text messaging-based cessation interventions contain content created by experts. How ...
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Journal ArticleJ Am Med Inform Assoc · May 2016
Although mobile health (mHealth) devices offer a unique opportunity to capture patient health data remotely, it is unclear whether patients will consistently use multiple devices simultaneously and/or if chronic disease affects adherence. Three healthy and ...
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Journal ArticleContemp Clin Trials · May 2016
INTRODUCTION: Obesity continues to disproportionately affect medically vulnerable populations. Digital health interventions may be effective for delivering obesity treatment in low-resource primary care settings. METHODS: Track is a 12-month randomized con ...
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Journal ArticleObesity (Silver Spring, Md.) · January 2016
ObjectiveEvidence is lacking regarding effective weight control treatments in pregnancy for ethnic minority women with obesity. This study evaluated whether a technology-based behavioral intervention could decrease the proportion of African Americ ...
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Journal ArticleJournal of health communication · January 2016
In the United States, 90 million adults have low health literacy. An important public health challenge is developing obesity treatment interventions suitable for those with low health literacy. The objective of this study was to examine differences in soci ...
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Journal ArticleClin Trials · December 2015
BACKGROUND/AIMS: The obesity epidemic has spread to young adults, and obesity is a significant risk factor for cardiovascular disease. The prominence and increasing functionality of mobile phones may provide an opportunity to deliver longitudinal and scala ...
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Journal ArticleObesity (Silver Spring) · November 2015
OBJECTIVE: To determine the effect on weight of two mobile technology-based (mHealth) behavioral weight loss interventions in young adults. METHODS: Randomized, controlled comparative effectiveness trial in 18- to 35-year-olds with BMI ≥ 25 kg/m(2) (overwe ...
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Journal ArticleJournal of immigrant and minority health · June 2015
This study examined the relationship between race and Hispanic ethnicity, maternal and child nativity, country of origin and asthma among 2,558 non-Hispanic white and Hispanic children across 65 Los Angeles neighborhoods. A series of two-level multilevel m ...
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Journal ArticleChild Obes · June 2015
BACKGROUND: Community-based interventions are promising approaches to obesity prevention, but few studies have prospectively evaluated them. The aim of this study was to evaluate a natural experiment—a community intervention designed to promote active livi ...
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Journal ArticleScientific reports · June 2015
The link between African-Americans' disproportionate rates of diabetes, obesity and vitamin D deficiency may be marked by C-peptide as an indicator of insulin secretion. We hypothesize that vitamin D supplementation will increase C-peptide, a marker of ins ...
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Journal ArticleJournal of the Academy of Nutrition and Dietetics · April 2015
BackgroundDaily weighing is emerging as the recommended self-weighing frequency for weight loss. This is likely because it improves adoption of weight control behaviors.ObjectiveTo examine whether weighing every day is associated with gre ...
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Journal ArticleNutrition & diabetes · January 2015
BackgroundAfrican-Americans have higher rates of obesity-associated chronic diseases. Serum 25-hydroxyvitamin D (25(OH)D) shows an inverse association with obesity status. We investigated whether vitamin D supplementation changes body mass index ( ...
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Journal ArticlePloS one · January 2015
BackgroundWhile eHealth approaches hold promise for improving the reach and cost-effectiveness of behavior change interventions, they have been challenged by declining participant engagement over time, particularly for self-monitoring behaviors. T ...
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Journal ArticleJournal of health communication · January 2015
Text messaging is a promising means of intervening on an array of health issues among varied populations, but little has been published about the development of such interventions. The authors describe the development and implementation of an interactive t ...
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Journal ArticleBMC nutrition · January 2015
BackgroundResponse of parathyroid hormone (PTH) to vitamin D supplementation is determined by the baseline PTH level and change in vitamin D status. Conflicting reports in Blacks exist on the PTH response to vitamin D to supplementation.Method ...
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Journal ArticleJournal of nutrition education and behavior · November 2014
ObjectiveTo examine the feasibility, acceptability, and initial efficacy of a technology-based weight loss intervention for urban, low-income mothers.MethodsEighteen obese, ethnic minority, socioeconomically disadvantaged mothers in the f ...
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Journal ArticlePatient Educ Couns · November 2014
OBJECTIVES: Excessive gestational weight gain (GWG) puts women and children at risk of obesity. We piloted an SMS-texting intervention to promote healthy GWG among overweight and obese women. METHODS: We recruited 35 women and randomized them in a 2:1 fash ...
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Journal ArticleJournal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · November 2014
ProblemLittle is known about how adolescent mothers use social media and the Internet, especially to access health information.MethodsIn this cross-sectional, descriptive study, adolescent mothers were recruited from an academic medical c ...
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Journal ArticleObesity reviews : an official journal of the International Association for the Study of Obesity · October 2014
Electronic health (eHealth) interventions have demonstrated efficacy for weight management. However, little is known about their efficacy among racial/ethnic minority populations, in whom there is a disproportionate prevalence of obesity. This systematic r ...
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Journal ArticleObesity reviews : an official journal of the International Association for the Study of Obesity · October 2014
When compared with men of other racial or ethnic groups, African American men are more likely to experience adverse health conditions. The systematic review objectives were to (i) determine the current evidence base concerning African American men's respon ...
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Journal ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · September 2014
BackgroundBlack men exhibit a high prevalence of vitamin D deficiency as well as a higher incidence of prostate cancer and higher mortality rates from prostate cancer than Whites. There are few data about the effect of vitamin D3 (cholecalciferol) ...
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Journal ArticleAmerican journal of public health · September 2014
ObjectivesWe evaluated the effect of a weight gain prevention intervention (Shape Program) on depression among socioeconomically disadvantaged overweight and obese Black women.MethodsBetween 2009 and 2012, we conducted a randomized trial ...
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Journal ArticleThe American journal of medicine · August 2014
IntroductionHydrochlorothiazide, an effective antihypertensive medication commonly prescribed to blacks, decreases urinary calcium excretion. Blacks have significantly higher rates of hypertension and lower levels of 25-hydroxyvitamin D. Thus, the ...
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Journal ArticleJournal of urban health : bulletin of the New York Academy of Medicine · August 2014
Although racial/ethnic, socioeconomic, and neighborhood factors have been linked to asthma, and the association between indoor allergens and asthma is well documented, few studies have examined the relationship between these factors and indoor allergens. W ...
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Journal ArticlePreventive medicine · July 2014
ObjectiveTo evaluate the effectiveness of the Healthy Directions 2 (HD2) intervention in the primary care setting.MethodsHD2 was a cluster randomized trial (conducted 3/09-11/11). The primary sampling unit was provider (n=33), with second ...
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Journal ArticleObesity (Silver Spring) · May 2014
OBJECTIVE: The impact of a text messaging-assisted lifestyle weight loss intervention on weight change among overweight adults in Beijing was examined. METHODS: It was a 6-month randomized two arm clinical trial. The control group received a brief advice s ...
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Journal ArticleJournal of medical Internet research · April 2014
BackgroundeHealth interventions are effective for weight control and have the potential for broad reach. Little is known about the use of interactive voice response (IVR) technology for self-monitoring in weight control interventions, particularly ...
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Journal ArticleThe American journal of clinical nutrition · March 2014
BackgroundAssociation studies have suggested that lower circulating 25-hydroxyvitamin D [25(OH)D] in African Americans may partially underlie higher rates of cardiovascular disease and cancer in this population. Nonetheless, the relation between v ...
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Journal ArticleContemp Clin Trials · March 2014
BACKGROUND: The obesity epidemic has spread to young adults, leading to significant public health implications later in adulthood. Intervention in early adulthood may be an effective public health strategy for reducing the long-term health impact of the ep ...
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Journal ArticleJournal of epidemiology and global health · March 2014
Studies have generally shown a positive association between socioeconomic status (SES) and obesity in low-income countries, but few have tested this relationship in the Middle East where obesity prevalence is extraordinarily high and the nutrition profile ...
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Journal ArticleHealth education & behavior : the official publication of the Society for Public Health Education · February 2014
BackgroundMany U.S. adults have multiple behavioral risk factors, and effective, scalable interventions are needed to promote population-level health. In the health care setting, interventions are often provided in print, although accessible to ne ...
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Journal ArticleCancer prevention research (Philadelphia, Pa.) · February 2014
African Americans have a disproportionate burden of inflammation-associated chronic diseases such as cancer and lower circulating levels of 25-hydroxyvitamin D [25(OH)D]. The effect of vitamin D3 (cholecalciferol) supplementation on inflammatory markers is ...
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Journal ArticleAmerican journal of preventive medicine · January 2014
BackgroundDespite evidence that daily self-weighing is an effective strategy for weight control, concerns remain regarding the potential for negative psychological consequences.PurposeThe goal of the study was to examine the impact of a d ...
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Journal ArticlePloS one · January 2014
BackgroundResearch examining the impact of neighborhoods on asthma has shown an increased interest in the role of the psychosocial environment. We examined the associations between various measures of neighborhood safety, individual and family cha ...
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Journal ArticleWomen & health · January 2014
Increasing physical activity among low-income African American women is an important target for addressing racial and economic disparities in chronic conditions and related risk factors. While barriers to physical activity for women have been examined empi ...
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Journal ArticleJournal of general internal medicine · December 2013
BackgroundThe U.S. Preventive Services Task Force has released new guidelines on obesity, urging primary care physicians to provide obese patients with intensive, multi-component behavioral interventions. However, there are few studies of weight l ...
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Journal ArticleJournal of medical Internet research · November 2013
BackgroundDaily self-monitoring of diet and physical activity behaviors is a strong predictor of weight loss success. Text messaging holds promise as a viable self-monitoring modality, particularly among racial/ethnic minority populations.Obje ...
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Journal ArticleJAMA Intern Med · October 28, 2013
IMPORTANCE: Few weight loss treatments produce clinically meaningful weight loss outcomes among black women, particularly in the primary care setting. New weight management strategies are necessary for this population. Weight gain prevention might be an ef ...
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Journal ArticleTranslational Behavioral Medicine · September 1, 2013
The field of behavioral science has produced myriad data on health behavior change strategies and leveraged such data into effective human-delivered interventions to improve health. Unfortunately, the impact of traditional health behavior change interventi ...
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Journal ArticleObesity (Silver Spring, Md.) · September 2013
ObjectiveTo examine the impact of a weight loss intervention that focused on daily self-weighing for self-monitoring as compared to a delayed control group among 91 overweight adults.Design and methodsThe 6-month intervention included a c ...
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Journal ArticleContemp Clin Trials · July 2013
Obesity has spread to all segments of the U.S. population. Young adults, aged 18-35 years, are rarely represented in clinical weight loss trials. We conducted a qualitative study to identify factors that may facilitate recruitment of young adults into a we ...
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Journal ArticleContemp Clin Trials · July 2013
Clergy suffer from high rates of obesity, chronic disease, and depression, and simultaneously underestimate the toll these take on their daily functioning. Health interventions are needed for clergy and may be tailored to their occupational context and the ...
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Journal ArticleTranslational behavioral medicine · June 2013
BackgroundWhile health inequities are well documented, and there are helpful frameworks to understand health disparities, implementation frameworks are also needed to focus the design, evaluation and reporting on interventions targeting population ...
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Journal ArticleHypertension (Dallas, Tex. : 1979) · April 2013
Blacks have significantly higher rates of hypertension than whites, and lower circulating levels of 25-hydroxyvitamin D. There are few data about the effect of vitamin D3 (cholecalciferol) supplementation on blood pressure in blacks. During 2 winters from ...
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Journal ArticleBMC public health · March 2013
BackgroundObesity and hypertension and their associated health complications disproportionately affect communities of color and people of lower socioeconomic status. Recruitment and retention of these populations in research trials, and retention ...
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Journal ArticleObesity (Silver Spring, Md.) · January 2013
ObjectiveBetween 31 and 35% of the college-aged population is overweight or obese, yet few weight loss trials for this population have been conducted. This study examined the feasibility, acceptability, and initial efficacy of a technology-based 8 ...
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Journal ArticleObesity · 2013
Objective: Between 31 and 35% of the college-aged population is overweight or obese, yet few weight loss trials for this population have been conducted. This study examined the feasibility, acceptability, and initial efficacy of a technology-based 8-week w ...
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Journal ArticlePloS one · January 2013
ObjectiveOffering calories on restaurant websites might be particularly important for consumer meal planning, but the availability of and ease of accessing this information are unknown.MethodsWe assessed websites for the top 100 U.S. chai ...
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Journal ArticleObesity · 2013
Objective To examine the impact of a weight loss intervention that focused on daily self-weighing for self-monitoring as compared to a delayed control group among 91 overweight adults. Design and Methods The 6-month intervention included a cellular-connect ...
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Journal ArticlePloS one · January 2013
ObjectivesTo date, limited and inconsistent evidence exists regarding racial discrimination and risk of cardiovascular disease (CVD).MethodsCross-sectional observational study of 1005 US-born non-Hispanic black (n = 504) and white (n = 50 ...
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Journal ArticleJournal of Aging Research · October 29, 2012
Background. We examined cross-sectional relationships of social resources with health behaviors in adults ages 1893 years. Methods. Baseline data from a 2009 risk behavior intervention trial were used to measure social resources, physical activity, and fru ...
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Journal ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · October 2012
IntroductionPsychosocial stress is a significant risk factor for smoking, and Blacks experience higher levels of psychosocial stress relative to other racial/ethnic groups. Limited research has comprehensively examined psychosocial stressors in re ...
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Journal ArticleCancer causes & control : CCC · September 2012
BackgroundAs part of the Harvard Cancer Prevention Program Project, we sought to address disparities reflected in social class and race/ethnicity by developing and testing a behavioral intervention model that targeted fruit and vegetable consumpti ...
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Journal ArticlePreventive medicine · August 2012
ObjectivePrompting may promote engagement with behavior change interventions. Prompts can be delivered inexpensively via automated voice response (AVR) reminders or short message service (SMS) text messages. We examined the association between par ...
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Journal ArticleJournal of medical Internet research · July 2012
BackgroundSelf-monitoring is a key behavior change mechanism associated with sustained health behavior change. Although Web-based interventions can offer user-friendly approaches for self-monitoring, engagement with these tools is suboptimal. Incr ...
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Journal ArticleBMC Public Health · June 15, 2012
BACKGROUND: Nearly 60% of black women are obese. Despite their increased risk of obesity and associated chronic diseases, black women have been underrepresented in clinical trials of weight loss interventions, particularly those conducted in the primary ca ...
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Journal ArticleArch Pediatr Adolesc Med · June 1, 2012
OBJECTIVE: To test how genomic loci identified in genome-wide association studies influence the development of obesity. DESIGN: A 38-year prospective longitudinal study of a representative birth cohort. SETTING: The Dunedin Multidisciplinary Health and Dev ...
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Journal ArticleHealth services research · June 2012
ObjectivesTo characterize Practice-Based Opportunities for Weight Reduction (POWER) trials along the pragmatic-explanatory continuum.SettingsThe POWER trials consist of three individual studies that target obesity treatment in primary car ...
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Journal ArticleInternational journal of health geographics · April 2012
BackgroundBuilt environment features of neighborhoods may be related to obesity among adolescents and potentially related to obesity-related health disparities. The purpose of this study was to investigate spatial relationships between various bui ...
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Journal ArticleArchives of internal medicine · April 2012
BackgroundFew evidence-based weight loss treatment options exist for medically vulnerable patients in the primary care setting.MethodsWe conducted a 2-arm, 24-month randomized effectiveness trial in 3 Boston community health centers (from ...
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Journal ArticleAmerican journal of health behavior · March 2012
ObjectivesTo examine whether agreement between self-reported and accelerometer-measured physical activity varies by BMI category in a low-income black sample.MethodsParticipants completed a questionnaire and wore an accelerometer for 4-6 ...
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Journal ArticleHealth & place · March 2012
Evidence of a link between green space and obesity has increased in the developed world, but few studies have been conducted in the developing world. Our study tests whether availability of neighborhood green space is associated with BMI among adults in Ca ...
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Journal ArticlePloS one · December 2011
BACKGROUND: To date, research on racial discrimination and health typically has employed explicit self-report measures, despite their potentially being affected by what people are able and willing to say. We accordingly employed an Implicit Association Tes ...
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Journal ArticleAmerican journal of public health · November 2011
ObjectivesWe sought to examine the association between structural, functional, and normative social factors and physical activity among urban, low-income, racially/ethnically diverse adults.MethodsWe conducted a baseline cross-sectional s ...
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Journal ArticleJournal of physical activity & health · September 2011
BackgroundRacial differences in psychological determinants of exercise exist between non-Hispanic blacks (blacks) and non-Hispanic whites (whites). To date, no study has examined racial differences in the psychological responses during and after e ...
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Journal ArticleGeospatial health · May 2011
Geocoding, the process of matching addresses to geographic coordinates, is a necessary first step when using geographical information systems (GIS) technology. However, different geocoding methodologies can result in different geographic coordinates. The o ...
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Journal ArticleDu Bois Review · April 15, 2011
The assessment of multiracial status in U.S. health research is fraught with challenges that limit our ability to enumerate and study this population. This paper reconceptualizes the assessment of multiracial status through the development of a model with ...
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Journal ArticleSocial science & medicine (1982) · April 2011
This study examined the association between area-level education and BMI among adults in Cairo, Egypt. A sample of 3993 households including 1990 men and 2003 women were analyzed from the 2007 Cairo Urban Inequity Study, a study which aimed to identify pot ...
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Journal ArticleThe international journal of behavioral nutrition and physical activity · March 2011
BackgroundWeight misperception might preclude the adoption of healthful weight-related attitudes and behaviors among overweight and obese individuals, yet limited research exists in this area. We examined associations between weight misperception ...
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Journal ArticleThe international journal of behavioral nutrition and physical activity · October 2010
BackgroundPhysical activity self-report instruments in the US have largely been developed for and validated in White samples. Despite calls to validate existing instruments in more diverse samples, relatively few instruments have been validated in ...
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Journal ArticleClin Trials · August 2010
The challenges of the organizational design include the complex decision-making process, the extent of potential data pooling, time intensive efforts to standardize reports, and the additional responsibilities of the DSMB to monitor three distinct protocol ...
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Journal ArticleCancer · April 2010
BackgroundRacial disparities in lung cancer have been described well in the literature; however, little is known about perceptions of lung cancer in the general population and whether these perceptions differ by race.MethodsData were obta ...
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Journal ArticleObesity (Silver Spring, Md.) · February 2010
Evidence is lacking regarding effective and sustainable weight loss approaches for use in the primary care setting. We conducted a 12-week randomized controlled trial to evaluate the short-term efficacy of a web-based weight loss intervention among 101 pri ...
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Journal ArticleJournal of the National Medical Association · February 2010
Few studies have examined traits or behaviors that may predispose some African Americans to poor cardiovascular health outcomes. While several models of personality exist, the 5-factor model (FFM) is arguably the best representation of personality and prov ...
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Journal ArticleInternational journal of health services : planning, administration, evaluation · January 2010
This study investigated the distribution of demographic characteristics, the prevalence of discrimination based on sexuality, gender, and race, and relationships with psychological distress among 178 working-class sexual minorities (i.e., who identified as ...
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Journal ArticleAmerican journal of preventive medicine · December 2009
BackgroundAlthough discrimination has been identified as a potential determinant of existing racial/ethnic health disparities, no studies have investigated whether racial discrimination contributes to disparities in physical activity.Purpose
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Journal ArticleObesity (Silver Spring, Md.) · November 2009
Adverse psychosocial exposures may partially drive the high rates of obesity among blacks. The objective of this study was to prospectively examine the relationship between perceived psychosocial stress and percent change in BMI among adult black men and w ...
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Journal ArticleMedicine and science in sports and exercise · October 2009
PurposeTo examine whether knowledge of the 1995 Centers for Disease Control and Prevention (CDC) and the American College of Sports Medicine (ACSM) national physical activity recommendations varies by sociodemographic, behavioral, and communicatio ...
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Journal ArticleResearch quarterly for exercise and sport · September 2009
The purpose of this study was to evaluate the influence of the location (ankle, hip, wrist) where an activity monitor (AM) is worn and of the minimum bout duration (BD) on physical activity (PA) variables during free-living monitoring. Study 1 participants ...
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Journal ArticleBMC public health · September 2009
BackgroundThis paper presents the study design, intervention components, and baseline data from Open Doors to Health, a study designed to address social contextual factors in colorectal cancer (CRC) prevention for low-income, racial/ethnic minorit ...
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Journal ArticleHealth affairs (Project Hope) · January 2009
We examined the prevalence of colorectal cancer (CRC) screening in a low-income, racial/ethnic minority sample, among whom 97 percent had health insurance that covered CRC screening. This is a model for examining the impact of health insurance on racial/et ...
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Journal ArticleAnnual review of public health · January 2009
The Internet increasingly serves as a platform for the delivery of public health interventions. The efficacy of Internet interventions has been demonstrated across a wide range of conditions. Much more work remains, however, to enhance the potential for br ...
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Journal ArticleEthnicity & disease · January 2009
BackgroundResearch on the association between self-reported racial or gender discrimination and body mass index (BMI) has been limited and inconclusive to date, particularly among lower-income populations.ObjectivesThe aim of the current ...
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Journal ArticleCancer causes & control : CCC · December 2008
Colorectal cancer (CRC) screening rates in the US are suboptimal, particularly among lower income and racial/ethnically diverse groups. If specific populations have limited awareness of screening when they reach age 50, there may be delays in screening ado ...
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Journal ArticleAmerican journal of health behavior · November 2008
ObjectiveTo determine whether self-reported discretionary time was associated with physical activity and uptake of a physical activity promotion intervention in a multi-ethnic urban sample.MethodsWe examined the association of self-report ...
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Journal ArticleJournal of epidemiology and community health · November 2008
Study objectiveTo examine history of alcohol abuse/dependence disorder in relation to unfair treatment, racial/ethnic discrimination, and ethnic identification among Asian Americans.DesignWeighted multivariate analyses of cross-sectional ...
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Journal ArticleJournal of physical activity & health · September 2008
BackgroundThe International Physical Activity Questionnaire-Short Form (IPAQ-S) has been evaluated against accelerometer-determined physical activity measures in small homogenous samples of adults in the United States. There is limited information ...
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Journal ArticleJournal of immigrant and minority health · August 2008
Blacks in the United States bear the greatest disease burden associated with cigarette smoking. Previous studies have shown that the rapidly increasing population of foreign-born Blacks has lower smoking rates compared to their native-born counterparts. Ho ...
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Journal ArticleAnnals of epidemiology · July 2008
PurposeProstate cancer (CaP) is disproportionately prevalent among black, compared to white, men. Additionally, men with a family history of CaP have 75% to 80% higher risk of CaP. Therefore we examined racial variation in the association of famil ...
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Journal ArticleJ Natl Med Assoc · March 2008
Blacks experience disproportionately elevated rates of tobacco-related morbidity and mortality. Blacks experience delayed smoking initiation relative to other racial/ethnic groups, highlighting the importance of examining smoking correlates occurring in la ...
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Journal ArticleAmerican journal of public health · March 2008
ObjectivesWe examined the relations of self-report of general unfair treatment and self-report of race/ethnicity-specific discrimination with current smoking among Asian Americans. We investigated whether ethnic identification moderated either ass ...
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Journal ArticleJournal of physical activity & health · March 2008
BackgroundThe interrelations between various physical activity domains have received little empirical attention in the United States. Of particular interest, given the potential applicability to traditionally underserved communities, is the nature ...
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Journal ArticleNeuropsychiatr Dis Treat · December 2007
Traditionally, neuropsychological deficits due to Sickle Cell Disease (SCD) have been understudied in adults. We have begun to suspect, however, that symptomatic and asymptomatic Cerebrovascular Events (CVE) may account for an alarming number of deficits i ...
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Journal ArticleJournal of medical Internet research · December 2007
BackgroundAs advances in computer access continue to be made, there is a need to better understand the challenges of increasing access for racial/ethnic minorities, particularly among those with lower incomes. Larger social contextual factors, suc ...
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Journal ArticleHealth Psychol · November 2007
OBJECTIVE: Recent research suggests that past exposure to discrimination may influence perceptions of, and physiological responses to, new challenges. The authors examined how race and trait levels of hostility and optimism interact with past exposure to d ...
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Journal ArticlePLoS medicine · October 2007
BackgroundDespite its health benefits, physical inactivity is pervasive, particularly among those living in lower-income urban communities. In such settings, neighborhood safety may impact willingness to be regularly physically active. We examined ...
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Journal ArticleJournal of medical Internet research · October 2007
BackgroundDespite the increasing penetration of the Internet and amount of online health information, there are significant barriers that limit its widespread adoption as a source of health information. One is the "digital divide," with people of ...
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Journal ArticlePreventing chronic disease · July 2007
IntroductionUsing the Internet to promote behavior change is becoming more desirable as Internet use continues to increase among diverse audiences. Yet we know very little about whether this medium is useful or about different strategies to encour ...
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Journal ArticleBMC public health · July 2007
BackgroundDevelopment of effective behavioral interventions to promote weight control and physical activity among diverse, underserved populations is a public health priority. Community focused wellness organizations, such as YMCAs, could provide ...
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Journal ArticleObesity (Silver Spring, Md.) · June 2007
ObjectiveOur objective was to examine the associations of nativity, immigrant generation, and language acculturation with obesity among lower income black adult men and women.Research methods and proceduresData from 551 black adult men an ...
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Journal ArticleObesity (Silver Spring, Md.) · January 2007
ObjectiveThe elevated prevalence of obesity among U.S. blacks has been attributed to low socioeconomic position (SEP), despite inconsistent empirical findings. It is unclear whether low SEP at various lifecourse stages differentially influences ad ...
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Journal ArticleInternational Journal of Behavioral Nutrition and Physical Activity · November 12, 2006
Background: Obesity is disproportionately prevalent among many racial/ ethnic minority communities. The efficacy of weight control efforts in these groups may depend on individual's ability to accurately perceive their weight status. We examined whether ra ...
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Journal ArticleJ Natl Med Assoc · September 2006
For many years, we have known of deficits in our system of training mental health professionals, particularly in recognizing and integrating diversity. Recently, we have begun to understand that our literature must more authentically reflect the experience ...
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Journal ArticleAmerican journal of public health · September 2006
ObjectivesWe evaluated the association between television viewing and pedometer-determined physical activity among predominantly racial/ethnic minority residents of low-income housing in metropolitan Boston in 2005.MethodsWe used mixed mo ...
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Journal ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine · August 2006
BackgroundRacial/ethnic minorities report myriad barriers to regular leisure time physical activity (LTPA), including the stress and fatigue resulting from their occupational activities.PurposeWe sought to investigate whether an associati ...
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Journal ArticleHealth Psychol · May 2006
This study evaluated cardiovascular responses (CVR) to an active speech task with blatantly discriminatory (BRC) versus neutral (NRC) stimuli and an anger recall task in a sample of Black men (N = 73; age 18 to 47). Diastolic blood pressure scores were hig ...
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Journal ArticleJournal of the National Medical Association · April 2006
ObjectivesTo decompose sources of individual differences in coping as measured by John Henryism among African Americans.MethodsAnalyses described in this study are based on the pairwise responses from 180 pairs of same-sex, African-Americ ...
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Journal ArticleMedicine and science in sports and exercise · April 2006
PurposeWe sought to characterize pedometer-determined physical activity among a predominantly racial and ethnic minority sample of adults residing in low-income housing.MethodsData were collected from 433 participants at baseline in a ran ...
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Journal ArticleJ Natl Med Assoc · March 2006
There is increasing interest from a social learning perspective in understanding the role of parental factors on adult health behaviors and health outcomes. Our review revealed no studies, to date, that have evaluated the effects of parental substance abus ...
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Journal ArticleCancer causes & control : CCC · February 2006
ObjectiveTo investigate Blacks'views regarding the connections among overweight, exercise, and health.MethodsA national randomized telephone survey of 986 US Blacks, conducted between 6 July 2004 and 15 July 2004.ResultsThe major ...
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Journal ArticleAmerican journal of epidemiology · November 2005
The authors examined depressive symptoms and prospective incidence of colorectal cancer and distal colorectal adenomas in 81,612 women without prior cancer from the Nurses' Health Study; 400 cases of colorectal cancer and 680 distal colorectal adenomas acc ...
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Journal ArticlePreventing chronic disease · October 2005
IntroductionFew papers address the methodological challenges in recruiting participants for studies of cancer prevention interventions designed for multiracial and multiethnic working-class populations. This paper reports the results of the sample ...
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Journal ArticleAmerican journal of public health · February 2005
We examined the association between perceived racial/ethnic harassment and tobacco use in 2129 African American college students in North Carolina. Age-adjusted and multivariate analyses evaluated the effect of harassment on daily and less-than-daily tobac ...
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Journal ArticlePreventing Chronic Disease · January 1, 2005
Introduction Few papers address the methodological challenges in recruiting participants for studies of cancer prevention interventions designed for multiracial and multiethnic working-class populations. This paper reports the results of the sample selecti ...
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Journal ArticleInt J Behav Med · 2005
Sickle cell disease (SCD) is the most common genetic disorder of the blood. The disease produces significantly abnormal hemoglobin (Hgb) molecules in red blood cells (RBCs). The sickling of RBCs occurs when partially or totally deoxygenated Hgb molecules d ...
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Journal ArticleEthnicity & health · November 2004
ObjectiveTo explore the associations among ethnicity, educational attainment, and cortisol secretion.DesignParticipants include 63 white (n = 31) and African-American (n = 32) adult men and women. Subjects provided salivary cortisol sampl ...
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Journal ArticlePsychology and Health · June 1, 2004
The John Henryism (JH) hypothesis argues that prolonged high-effort coping with chronic psychosocial stressors may be associated with elevated risk for negative health outcomes among those without sufficient socioeconomic resources. Early JH studies found ...
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Journal ArticleAmerican Behavioral Scientist · March 1, 2004
The current study examined affective responses to ambiguous interpersonal interactions containing both ambiguous and overtly racist content. Participants included 74 African American males (ages 18-47), half of whom heard a depiction of a negative social i ...
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Journal ArticlePsychosom Med · 2004
OBJECTIVE: The John Henryism hypothesis proposes that a high level of John Henryism (JH: high-effort coping with psychosocial demands) is predictive of hypertension at low but not high socioeconomic status (SES). The objectives of the present study were to ...
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Journal ArticlePsychological reports · October 1999
The relation between gender-role percepts and academic goal-setting was explored. An inventory examining the aspects of masculinity that would facilitate or inhibit academic goal-setting was developed based on a literature review of how masculinity relates ...
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Journal ArticleJournal of Broadcasting and Electronic Media · January 1, 1998
An experiment investigated the effects of picture motion on individuals' emotional reactions to images. Participants in the study viewed moving and still versions of 27 different images extracted from a variety of film and television programs. Subjective m ...
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