title: Baseline assessment of the health status and health behaviors of African Americans participating in the activities-for-life program: a community-based health intervention program.
abstract: Obesity is a serious problem in the United States and is associated with hypertension, diabetes, and other health problems such as heart disease and some forms of cancer. There is a higher prevalence of being overweight among African American adults than among their Caucasian counterparts. The objective of this study was to assess baseline health behaviors and health status (hypertension, body mass indices, cholesterol and blood sugar levels) of African Americans participating in a community-based health education and physical fitness program. The sample consisted of 1.34 African American adults (30% males) from a low-income urban area in the Midwest. A health survey was administered to assess their health behaviors and previously diagnosed health problems. Additional data was obtained from health screenings to obtain current information on height, weight, and blood sugar, blood pressure and cholesterol levels. In addition to the sample being markedly overweight and obese (30% and 60% respectively), the results of the health screenings indicated a disproportionate number of participants (62%) with hypertension; 74% of the male participants had high blood pressure. Moreover, the self-reported data suggested that the participants had poor eating habits, sedentary lifestyles, and previously diagnosed health conditions (hypertension, diabetes, and high cholesterol levels) that were comparable to the results of their health screenings. These findings suggest that culturally-relevant, community-based programs that incorporate both nutritionl education and physical fitness are needed in order to educate and motivate participants to decrease behaviors that put them at risk for obesity and other health related problems.
authors.affiliation: Department of Preventive Medicine and Public Health, University of Kansas School of Medicine-Wichita, KS 67214-3199, USA. apaschal@kumc.edu
authors.forename: Angelia M
authors.initials: AM
authors.lastname: Paschal
authors.forename: Rhonda K
authors.initials: RK
authors.lastname: Lewis
authors.forename: Arneatha
authors.initials: A
authors.lastname: Martin
authors.forename: Donna
authors.initials: D
authors.lastname: Dennis-Shipp
authors.forename: Donna Sanders
authors.initials: DS
authors.lastname: Simpson
mesh_terms: D000328:Adult; D001741:Black or African American; D000368:Aged; D003153:Community Health Services / Q000458:organization & administration*; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000458:organization & administration*; D006305:Health Status Indicators; D006801:Humans; D007615:Kansas; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology*; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D014505:Urban Population