Impact of Baltimore Healthy Eating Zones: An Environmental Intervention to Improve Diet Among African American Youth

Ahyoung Shin, Pamela Surkan, Anastasia J. Coutinho, Sonali R. Suratkar, Rebecca K. Campbell, Megan Rowan, Sangita Sharma, Lauren A. Dennisuk, Micaela Karlsen, Anthony Gass, Joel Gittelsohn

Research output: Contribution to journalArticle

Abstract

This study assessed the impact of a youth-targeted multilevel nutrition intervention in Baltimore City. The study used a clustered randomized design in which 7 recreation centers and 21 corner stores received interventions and 7 additional recreation centers served as comparison. The 8-month intervention aimed to increase availability and selection of healthful foods through nutrition promotion and education using point-of purchase materials such as posters and flyers in stores and interactive sessions such as taste test and cooking demonstrations. Two hundred forty-two youth–caregiver dyads residing in low-income areas of Baltimore City recruited from recreation centers were surveyed at baseline using detailed instruments that contained questions about food-related psychosocial indicators (behavioral intentions, self-efficacy, outcome expectancies, and knowledge), healthful food purchasing and preparation methods, and anthropometric measures (height and weight). The Baltimore Healthy Eating Zones intervention was associated with reductions in youth body mass index percentile (p =.04). In subgroup analyses among overweight and obese girls, body mass index for age percentile decreased significantly in girls assigned to the intervention group (p =.03) and in girls with high exposure to the intervention (p =.013), as opposed to those in comparison or lower exposure groups. Intervention youth significantly improved food-related outcome expectancies (p =.02) and knowledge (p

Original languageEnglish (US)
Pages (from-to)97-105
Number of pages9
JournalHealth Education and Behavior
Volume42
DOIs
StatePublished - Apr 4 2015

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Recreation
Baltimore
African Americans
Diet
Food
Body Mass Index
Food Preferences
Posters
Cooking
Self Efficacy
Education
Weights and Measures
Healthy Diet

Keywords

  • adolescent health
  • African American youth; childhood obesity
  • community-based research
  • corner store intervention
  • social cognitive theory

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Impact of Baltimore Healthy Eating Zones : An Environmental Intervention to Improve Diet Among African American Youth. / Shin, Ahyoung; Surkan, Pamela; Coutinho, Anastasia J.; Suratkar, Sonali R.; Campbell, Rebecca K.; Rowan, Megan; Sharma, Sangita; Dennisuk, Lauren A.; Karlsen, Micaela; Gass, Anthony; Gittelsohn, Joel.

In: Health Education and Behavior, Vol. 42, 04.04.2015, p. 97-105.

Research output: Contribution to journalArticle

Shin, Ahyoung ; Surkan, Pamela ; Coutinho, Anastasia J. ; Suratkar, Sonali R. ; Campbell, Rebecca K. ; Rowan, Megan ; Sharma, Sangita ; Dennisuk, Lauren A. ; Karlsen, Micaela ; Gass, Anthony ; Gittelsohn, Joel. / Impact of Baltimore Healthy Eating Zones : An Environmental Intervention to Improve Diet Among African American Youth. In: Health Education and Behavior. 2015 ; Vol. 42. pp. 97-105.
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