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Chronic Disease – Related Behaviors and Health Among African Americans and Hispanics in the REACH Detroit 2010 Communities, Michigan, and the United States

University of Michigan School of Social Work in Ann Arbor, Michigan

Brandy R. Sinco, BS, MS

University of Michigan School of Social Work in Ann Arbor, Michigan

Ann Rafferty, PhD

Michigan Department of Community Health, Bureau of Epidemiology in Lansing, Michigan

Michael S. Spencer, MSW, PhD

University of Michigan School of Social Work in Ann Arbor, Michigan

Gloria Palmisano, BS, MA

REACH Detroit Partnership in Detroit, Michigan

Earl E. Watt, PhD

Department of Community Health in Lansing, Michigan

Michele Heisler, MPA, MD

Veterans Affairs Center for Practice Management & Outcomes Research; VA Ann Arbor Healthcare System; Department of Internal Medicine, Michigan Diabetes Research and Training Center, University of Michigan School of Medicine; Ann Arbor, Michigan

Objectives: To compare chronic disease risk factors and their correlates for African American and Hispanic residents of REACH Detroit, Michigan, and the United States. Method: Behavioral Risk Factor Survey data from 2001-2003 were used for comparisons and regression models. Results: Several chronic disease risk factors were more prevalent among REACH Detroit residents than their Michigan and U.S. counterparts. In REACH Detroit, greater fruit and vegetable consumption was associated with more than high school education and older age among Hispanics, and meeting exercise guidelines and older age among African Americans. Less than high school education, smoking, and male gender were associated with lower consumption among African Americans. Greater physical activity was associated with younger age, male gender, and more fruit and vegetable consumption among African Americans, and unemployment among Hispanics. Conclusions: Surveillance of health behaviors in high-risk communities contributes to planning interventions and policies for reducing racial and ethnic disparities.

Key Words: African American • Hispanic/Latino • disparities • physical activity • fruit and vegetable consumption • diabetes • chronic disease • Behavioral Risk Factor Survey • REACH 2010

Health Promotion Practice, Vol. 7, No. 3 suppl, 256S-264S (2006)
DOI: 10.1177/1524839906289353


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