Grant R Sunada, Kathleen B Digre, Louisa A Stark, France Davis, Valentine Mukundente, Eruera Napia, Ana Sanchez-Birkhead, O Fahina Tavake-Pasi, Heather Brown, Stephen C Alder, Karen Gieseker, Nan Hu, Yelena Wu, Sara E Simonsen
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引用次数: 0
摘要
研究目的本研究评估了高强度与低强度社区健康指导和健康行为如何与一年内抑郁筛查结果的变化相关联：本研究分析了为 485 名犹他州有色人种妇女实施的为期 12 个月的肥胖相关社区保健员（CHW）项目中收集的二手数据。每季度记录一次抑郁筛查（患者健康问卷-2 得分 ³3）和自我报告的水果/蔬菜摄入量和体力活动量（FV/PA）。在多变量模型中评估了 FV/PA 与抑郁筛查随时间变化的关系：结果：抑郁筛查阳性率在 12 个月内有所下降（从 21.7% 降至 9.5%），不同研究组之间没有差异。总体而言，FV ³5次/天（AOR=1.5；95% CI 1.0-2.2）、任何PA（AOR=3.1；95% CI 1.5-6.4）和肌肉强化活动（AOR=1.13；95% CI 1.01-1.26）与抑郁筛查结果的改善相关：这些结果表明，在服务不足的社区中，在与肥胖相关的干预措施中解决和评估抑郁问题很有价值。
Obesity-Preventive Behaviors and Improvements in Depression among Diverse Utah Women Receiving Coaching from Community Health Workers.
Objectives: This study evaluated how high versus low-intensity community wellness coaching and health behaviors were associated with changes in depression screen results over one year.
Methods: This was an analysis of secondary data collected in a 12-month obesity-related community health worker (CHW) program for 485 Utah women of color. Depression screen (Patient Health Questionnaire-2 score ³3) and self-reported fruit/vegetable consumption and physical activity (FV/PA) were recorded quarterly. Associations between FV/PA and changes in depression screen over time were evaluated in multivariable models.
Results: Positive depression screen prevalence declined over 12 months (21.7% to 9.5%) with no difference between study arms. Overall, FV ³5 times/day (AOR=1.5; 95% CI 1.0-2.2), any PA (AOR=3.1; 95% CI 1.5-6.4), and muscle strengthening activities (AOR=1.13; 95% CI 1.01-1.26) were associated with improved depression screen results over time.
Conclusion: These results indicate value in addressing and evaluating depression in obesity-related interventions in underserved communities.
期刊介绍：
The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.
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