title: Reducing Health Risk Factors in Workplaces of Low and Middle-Income Countries.
abstract: OBJECTIVE
  To reduce risk factors in workplace settings in low- and middle-income countries.
  
  
  METHODS
  Workplace interventions were utilized as part of the Community Interventions for Health program, a nonrandomized, controlled study undertaken in three communities in China, India, and Mexico. Exactly, 45 industrial, 82 health and 101 school workplace settings with a target population of 15,726. Two independent cross-sectional surveys of workers were conducted at baseline and follow-up, after 18-24 months of intervention activities.
  
  
  METHODS
  Culturally appropriate interventions to reduce tobacco use, increase physical activity, and improve dietary intake were delivered in the intervention areas.
  
  
  RESULTS
  Exactly, 12,136 adults completed surveys at baseline, and 9,786 at follow-up. In the intervention group, the prevalence of tobacco use reduced significantly in men (-6.0%, p < .001) and the proportion eating five portions of fruit and vegetables daily increased (+6.9%, p < .001) compared with the control group. There were no significant differences between the groups for changes in physical activity or prevalence of overweight.
  
  
  CONCLUSIONS
  Workplace interventions improved risk factors in China, India, and Mexico.
authors: Healthcare, University of Leeds, Leeds, UK.
authors: Denis
authors: http://orcid.org/0000-0003-1787-8832
authors: D
authors: Anthony
authors: Oxford Centre for Diabetes, Endocrinology & Metabolism, University of Oxford, Oxford, UK.
authors: Pamela A
authors: PA
authors: Dyson
authors: School of Public Health, Peking University Health Science Center, Beijing, China.
authors: Jun
authors: J
authors: Lv
authors: Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
authors: Kavumpurathu R
authors: KR
authors: Thankappan
authors: Fundación Interamericana del Corazón México, Mexico City, Mexico.
authors: Maria Teresa
authors: MT
authors: Fernández
authors: Harris Manchester College, University of Oxford, Oxford, UK.|Oxford NIHR Biomedical Research Centre, Oxford, UK.
authors: David R
authors: DR
authors: Matthews
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D054521:Cultural Competency; D004032:Diet / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D005638:Fruit; D006293:Health Promotion / Q000379:methods*; D006306:Health Surveys; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009043:Motor Activity; D016272:Occupational Health; D050177:Overweight / Q000453:epidemiology / Q000517:prevention & control; D015995:Prevalence; D012307:Risk Factors; D064424:Tobacco Use / Q000453:epidemiology / Q000517:prevention & control*; D014675:Vegetables; D017132:Workplace / Q000706:statistics & numerical data; D055815:Young Adult
keywords: community interventions; diet; noncommunicable disease; obesity; physical activity; tobacco; workplace