TY - JOUR
T1 - Churches as targets for cardiovascular disease prevention
T2 - Comparison of genes, nutrition, exercise, wellness and spiritual growth (GoodNEWS) and Dallas County populations
AU - Powell-Wiley, Tiffany M.
AU - Banks-Richard, Kamakki
AU - Williams-King, Elicia
AU - Tong, Liyue
AU - Ayers, Colby R.
AU - de Lemos, James A
AU - Gimpel, Nora E
AU - Lee, Jenny J.
AU - Dehaven, Mark J.
N1 - Funding Information:
This work was supported by the National Heart, Lung and Blood Institute, National Institutes of Health [RO1 HL087768]. Funding support for the Dallas Heart Study was provided by the Donald W. Reynolds Foundation (Las Vegas, NV) and the United States Public Health Service General Clinical Research Center grant [#MO1-RR00633] from the National Institutes of Health/National Center Research Resources-Clinical Research. Funding support for Dr Powell-Wiley and Dr Banks-Richard was provided by the Ruth Kirschstein National Research Service Award from the National Institutes of Health [#2-T32-HL007360-31]. Dr Powell-Wiley is currently funded by the Division of Intramural Research (DIR) of the National Heart, Lung and Blood Institute (NHLBI) of the National Institutes of Health.
PY - 2013/3
Y1 - 2013/3
N2 - BackgroundWe compared cardiovascular (CV) risk factors (CVRFs) of community-based participatory research (CBPR) participants with the community population to better understand how CBPR participants relate to the population as a whole.MethodsGoodNEWS participants in 20 African-American churches in Dallas, Texas were compared with age/sex-matched African-Americans in the Dallas Heart Study (DHS), a probability-based sample of Dallas County residents. DHS characteristics were sample-weight adjusted to represent the Dallas County population.ResultsDespite having more education (college education: 75 versus 51%, P< 0.0001), GoodNEWS participants were more obese (mean body mass index: 34 versus 31 kg/m2, P< 0.001) and had more diabetes (23 versus 12%, P< 0.001) and hyperlipidemia (53 versus 14%, P< 0.001) compared with African-Americans in Dallas County. GoodNEWS participants had higher rates of treatment and control of most CVRFs (treated hyperlipidemia: 95 versus 64%, P< 0.001; controlled diabetes: 95 versus 21%, P< 0.001; controlled hypertension: 70 versus 52%, P= 0.003), were more physically active (233 versus 177 metabolic equivalent units-min/week, P< 0.0001) and less likely to smoke (10 versus 30%, P< 0.001).ConclusionsCompared with African-Americans in Dallas County, CBPR participants in church congregations were more educated, physically active and had more treatment and control of most CVRFs. Surprisingly, this motivated population had a greater obesity burden, identifying them as a prime target for CBPR-focused obesity treatment.
AB - BackgroundWe compared cardiovascular (CV) risk factors (CVRFs) of community-based participatory research (CBPR) participants with the community population to better understand how CBPR participants relate to the population as a whole.MethodsGoodNEWS participants in 20 African-American churches in Dallas, Texas were compared with age/sex-matched African-Americans in the Dallas Heart Study (DHS), a probability-based sample of Dallas County residents. DHS characteristics were sample-weight adjusted to represent the Dallas County population.ResultsDespite having more education (college education: 75 versus 51%, P< 0.0001), GoodNEWS participants were more obese (mean body mass index: 34 versus 31 kg/m2, P< 0.001) and had more diabetes (23 versus 12%, P< 0.001) and hyperlipidemia (53 versus 14%, P< 0.001) compared with African-Americans in Dallas County. GoodNEWS participants had higher rates of treatment and control of most CVRFs (treated hyperlipidemia: 95 versus 64%, P< 0.001; controlled diabetes: 95 versus 21%, P< 0.001; controlled hypertension: 70 versus 52%, P= 0.003), were more physically active (233 versus 177 metabolic equivalent units-min/week, P< 0.0001) and less likely to smoke (10 versus 30%, P< 0.001).ConclusionsCompared with African-Americans in Dallas County, CBPR participants in church congregations were more educated, physically active and had more treatment and control of most CVRFs. Surprisingly, this motivated population had a greater obesity burden, identifying them as a prime target for CBPR-focused obesity treatment.
KW - African-Americans
KW - cardiovascular risk factors
KW - community-based participatory research
KW - obesity
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U2 - 10.1093/pubmed/fds060
DO - 10.1093/pubmed/fds060
M3 - Article
C2 - 22811446
AN - SCOPUS:84874767419
SN - 1741-3842
VL - 35
SP - 99
EP - 106
JO - Journal of Public Health (United Kingdom)
JF - Journal of Public Health (United Kingdom)
IS - 1
ER -