In:
Health Education & Behavior, SAGE Publications, Vol. 46, No. 3 ( 2019-06), p. 506-516
Abstract:
We investigated class clustering patterns of four behaviors—physical activity, fruit and vegetable (F & V) intake, smoking, and alcohol use—in a faith-based African American cohort. Guided by socio-ecological models, we also examined the psychosocial and neighborhood social environmental factors associated with the clustering patterns. Participants were 1,467 African American adults recruited from a mega church in the metropolitan Houston, TX, in 2008-2009. They completed a survey and health assessment. Latent class analysis and multinomial regression analysis were conducted. Results supported a three-class model: Class 1 was characterized by low physical activity, low F & V intake, and low substance use (smoking and alcohol use). Class 2 was characterized by high physical activity, low F & V intake, and mild drinking. Class 3 seemed to be the healthiest group, characterized by high physical activity, moderate-to-high F & V intake, and low substance use. The probabilities of being included in Classes 1, 2, and 3 were .33, .48, and .19, respectively. Participants in Class 1 (vs. Class 3) reported lower physical activity norm ( p 〈 .001) and higher smoking norm ( p = .002) and lower neighborhood social cohesion ( p = .031). Participants in Class 2 (vs. Class 3) reported higher cancer risk perception ( p 〈 .001), lower F & V norm ( p = .022), lower physical activity norm ( p 〈 .001), higher smoking norm ( p 〈 .001), and lower social cohesion ( p = .047). As health behaviors are clustered together, future interventions for African Americans may consider targeting multiple health behaviors instead of targeting a single health behavior. Interventions addressing social norm and neighborhood social cohesion may enhance multiple health behaviors engagement in this population.
Type of Medium:
Online Resource
ISSN:
1090-1981
,
1552-6127
DOI:
10.1177/1090198119826207
Language:
English
Publisher:
SAGE Publications
Publication Date:
2019
detail.hit.zdb_id:
2082564-X
