title: Collective efficacy and obesity-related health behaviors in a community sample of African Americans.
abstract: The social environment is important to body mass index and obesity. However, it is unknown if perceptions of the social environment are associated with obesity-related behaviors in populations at greatest risk for being overweight or obese. We evaluated the relationship between collective efficacy and diet and physical activity in a community-based sample of African American adults who were residents in an urban area. Data were collected as part of an academic-community partnership from November 2009 to 2011. We evaluated whether participants met the recommended guidelines for diet and physical activity based on collective efficacy and their sociodemographic background, health care variables, and self-efficacy in a community-based sample of African American adults (n = 338) who were residents in the Philadelphia, PA metropolitan area. Overall, many participants did not meet the recommended guidelines for fruit and vegetable intake or physical activity. The likelihood of meeting the recommended guidelines for fruit intake increased with greater levels of collective efficacy (OR 1.56, 95 % CI 1.18, 2.07, p = 0.002) and self-efficacy for diet (OR 1.56, 95 % CI 1.19, 2.04, p = 0.001). Collective efficacy was not associated with physical activity and the positive association between collective efficacy and vegetable intake was not statistically significant (OR 1.25, 95 % CI 0.94, 1.65, p = 0.12). It is important to determine the most effective methods and settings for improving diet and physical activity behaviors in urban African Americans. Enhancing collective efficacy may be important to improving adherence to recommended guidelines for obesity-related health behaviors.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Hollings Cancer Center, Medical University of South Carolina, 68 President Street, Suite BE103, Charleston, SC, 29425, USA, hughesha@musc.edu.
authors.forename: Chanita Hughes
authors.initials: CH
authors.lastname: Halbert
authors.forename: Scarlett
authors.initials: S
authors.lastname: Bellamy
authors.forename: Vanessa
authors.initials: V
authors.lastname: Briggs
authors.forename: Marjorie
authors.initials: M
authors.lastname: Bowman
authors.forename: Ernestine
authors.initials: E
authors.lastname: Delmoor
authors.forename: Shiriki
authors.initials: S
authors.lastname: Kumanyika
authors.forename: Rodney
authors.initials: R
authors.lastname: Rogers
authors.forename: Joseph
authors.initials: J
authors.lastname: Purnell
authors.forename: Benita
authors.initials: B
authors.lastname: Weathers
authors.forename: Jerry C
authors.initials: JC
authors.lastname: Johnson
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000368:Aged; D015992:Body Mass Index; D004032:Diet; D015444:Exercise; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000208:ethnology*; D020377:Self Efficacy; D012931:Social Environment; D012959:Socioeconomic Factors; D055815:Young Adult
references.citation: J Community Health. 2010 Dec;35(6):602-8
references.pmid: 20574777
references.citation: Am J Public Health. 2010 Apr;100(4):631-5
references.pmid: 20167885
references.citation: Med Sci Sports Exerc. 2006 Sep;38(9):1682-91
references.pmid: 16960531
references.citation: Rural Remote Health. 2011;11(1):1634
references.pmid: 21299335
references.citation: Am J Prev Med. 2009 Dec;37(6):475-80
references.pmid: 19944911
references.citation: Prev Chronic Dis. 2012;9:E17
references.pmid: 22172184
references.citation: Soc Sci Med. 2006 Feb;62(3):769-78
references.pmid: 16039767
references.citation: Ann Behav Med. 2006 Feb;31(1):36-44
references.pmid: 16472037
references.citation: PLoS One. 2011 Jan 18;6(1):e14550
references.pmid: 21267450
references.citation: JAMA. 2010 Jan 20;303(3):235-41
references.pmid: 20071471
references.citation: Soc Sci Med. 2003 Apr;56(8):1797-805
references.pmid: 12639596
references.citation: Arch Intern Med. 2012 Apr 9;172(7):565-74
references.pmid: 22412073
references.citation: Prev Med. 1995 Nov;24(6):546-52
references.pmid: 8610076
references.citation: Prev Med. 2010 Jan;50 Suppl 1:S9-12
references.pmid: 19850067
references.citation: J Womens Health (Larchmt). 2006 Jun;15(5):569-83
references.pmid: 16796484
references.citation: J Am Diet Assoc. 2010 May;110(5):746-52
references.pmid: 20430136
references.citation: J Natl Med Assoc. 2010 May;102(5):396-402
references.pmid: 20533774
references.citation: Health Educ Res. 2010 Feb;25(1):6-13
references.pmid: 19875730
references.citation: J Womens Health (Larchmt). 2006 May;15(4):412-29
references.pmid: 16724889
references.citation: N Engl J Med. 2005 Nov 17;353(20):2111-20
references.pmid: 16291981
references.citation: JAMA. 2009 Aug 12;302(6):683-5
references.pmid: 19671911
references.citation: Am J Public Health. 2011 Nov;101(11):2087-92
references.pmid: 21330592
references.citation: Health Educ Behav. 2011 Jun;38(3):282-92
references.pmid: 21511955
references.citation: Obes Res. 2003 Oct;11(10):1168-77
references.pmid: 14569041
references.citation: J Health Psychol. 2012 Apr;17(3):371-8
references.pmid: 21844135
references.citation: Science. 1997 Aug 15;277(5328):918-24
references.pmid: 9252316
references.citation: Health Place. 2008 Jun;14(2):198-208
references.pmid: 17644395
references.citation: J Health Commun. 2010;15 Suppl 3:60-77
references.pmid: 21154084
references.citation: Arch Intern Med. 2009 Oct 26;169(19):1795-804
references.pmid: 19858438
references.citation: J Phys Act Health. 2007 Oct;4(4):381-96
references.pmid: 18209230
references.citation: Am J Prev Med. 2011 May;40(5):522-9
references.pmid: 21496751
references.citation: Am J Prev Med. 2008 Jun;34(6):535-543
references.pmid: 18471592
references.citation: Am J Public Health. 2001 Oct;91(10):1686-93
references.pmid: 11574336
references.citation: Obesity (Silver Spring). 2012 Jun;20(6):1249-57
references.pmid: 22051940
references.citation: Ann N Y Acad Sci. 1999;896:120-30
references.pmid: 10681893
references.citation: Am J Public Health. 2009 Feb;99(2):237-44
references.pmid: 19059844
references.citation: J Am Diet Assoc. 2006 Jun;106(6):841-9
references.pmid: 16720125
references.citation: Harv Bus Rev. 2001 Jun;79(6):86-93, 147
references.pmid: 11408980
references.citation: Public Health Nutr. 2012 Jun;15(6):1124-9
references.pmid: 22348332
references.citation: Soc Sci Med. 2006 Aug;63(4):1011-22
references.pmid: 16650513
references.citation: Am J Health Behav. 2007 Nov-Dec;31(6):643-56
references.pmid: 17691877