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      Church-based interventions to address obesity among African Americans and Latinos in the United States: a systematic review.

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          Abstract

          Multilevel church-based interventions may help address racial/ethnic disparities in obesity in the United States since churches are often trusted institutions in vulnerable communities. These types of interventions affect at least two levels of socio-ecological influence which could mean an intervention that targets individual congregants as well as the congregation as a whole. However, the extent to which such interventions are developed using a collaborative partnership approach and are effective with diverse racial/ethnic populations is unclear, and these crucial features of well-designed community-based interventions.

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          Most cited references63

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          Review of community-based research: assessing partnership approaches to improve public health.

          Community-based research in public health focuses on social, structural, and physical environmental inequities through active involvement of community members, organizational representatives, and researchers in all aspects of the research process. Partners contribute their expertise to enhance understanding of a given phenomenon and to integrate the knowledge gained with action to benefit the community involved. This review provides a synthesis of key principles of community-based research, examines its place within the context of different scientific paradigms, discusses rationales for its use, and explores major challenges and facilitating factors and their implications for conducting effective community-based research aimed at improving the public's health.
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            Prevalence of Obesity Among Adults and Youth: United States, 2015-2016.

            Obesity is associated with serious health risks. Monitoring obesity prevalence is relevant for public health programs that focus on reducing or preventing obesity. Between 2003–2004 and 2013–2014, there were no significant changes in childhood obesity prevalence, but adults showed an increasing trend. This report provides the most recent national estimates from 2015–2016 on obesity prevalence by sex, age, and race and Hispanic origin, and overall estimates from 1999–2000 through 2015–2016.
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              Church-based health promotion interventions: evidence and lessons learned.

              Church-based health promotion (CBHP) interventions can reach broad populations and have great potential for reducing health disparities. From a socioecological perspective, churches and other religious organizations can influence members' behaviors at multiple levels of change. Formative research is essential to determine appropriate strategies and messages for diverse groups and denominations. A collaborative partnership approach utilizing principles of community-based participatory research, and involving churches in program design and delivery, is essential for recruitment, participation, and sustainability. For African Americans, health interventions that incorporate spiritual and cultural contextualization have been effective. Evidence indicates that CBHP programs have produced significant impacts on a variety of health behaviors. Key elements of CBHP are described with illustrations from the authors' research projects.
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                Author and article information

                Journal
                Nutr Rev
                Nutrition reviews
                Oxford University Press (OUP)
                1753-4887
                0029-6643
                April 01 2020
                : 78
                : 4
                Affiliations
                [1 ] CUNY Graduate School of Public Health and Health Policy, New York, New York, USA.
                [2 ] Department of Public Health, School of Social Sciences, Humanities and Arts, University of California, Merced, Merced, California, USA.
                [3 ] RAND Corporation, Santa Monica, California, USA.
                [4 ] Department of Medicine, University of California, San Francisco, San Francisco, California, USA.
                Article
                5572203
                10.1093/nutrit/nuz046
                31539069
                171b77d7-2062-4320-bdcb-2b5411d8f668
                History

                Latinos,African Americans,church-based interventions,obesity prevention

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