title: Reduced Disparity in Vegetable Consumption in 16 Disadvantaged Black Communities: A Successful 5-Year Community-Based Participatory Intervention.
abstract: BACKGROUND
  Data on large scale community-level interventions on fruit and vegetable consumption targeting minority communities are lacking. This study examined whether a multicommunity intervention decreased disparities in fruit and vegetable consumption.
  
  
  METHODS
  The Racial and Ethnic Approaches to Community Health (REACH) 2010 program was conducted among 16 black communities. Five-year trends (2001-2006) in self-reported fruit and vegetable consumption among the target population were compared with trends among white and black populations in 14 states where communities were located.
  
  
  RESULTS
  The geometric mean of combined fruit and vegetable consumption in the REACH communities increased 7.4 % (P0.001) but did not change among white and black populations in comparison states (P0.05). Increased consumption in REACH communities was higher in the lower quintiles of consumptions. The disparity in fruits and vegetables consumption between comparison white population and blacks in REACH communities decreased by 33 %-from 0.66 to 0.44 times per day. The target population of 1.2 million people consumed fruits and vegetables about 21.9 million additional times per year as a result of the REACH program.
  
  
  CONCLUSIONS
  This large community-based participatory intervention successfully reduced isparities in fruit and vegetable consumption between comparison white population and 16 disadvantaged black communities.
authors.affiliation: Division of Community Health, National Center for Chronic Disease Prevention and Health Promotion, 4770 Buford Hwy NE, MS F-81, Atlanta, GA 30341, USA.
authors.forename: Youlian
authors.initials: Y
authors.lastname: Liao
authors.affiliation: Division of Community Health, National Center for Chronic Disease Prevention and Health Promotion, 4770 Buford Hwy NE, MS F-81, Atlanta, GA 30341, USA.
authors.forename: Paul Z
authors.initials: PZ
authors.lastname: Siegel
authors.affiliation: Division of Notifiable Disease and Healthcare Information, Office of Surveillance, Epidemiology, and Laboratory Services, Atlanta, USA.
authors.forename: Hong
authors.initials: H
authors.lastname: Zhou
authors.affiliation: Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, USA.
authors.forename: Kirsten
authors.initials: K
authors.lastname: Grimm
authors.affiliation: Division of Community Health, National Center for Chronic Disease Prevention and Health Promotion, 4770 Buford Hwy NE, MS F-81, Atlanta, GA 30341, USA.
authors.forename: Rashid
authors.initials: R
authors.lastname: Njai
authors.affiliation: Division of Community Health, National Center for Chronic Disease Prevention and Health Promotion, 4770 Buford Hwy NE, MS F-81, Atlanta, GA 30341, USA.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Kent
authors.affiliation: Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, USA.
authors.forename: Wayne
authors.initials: W
authors.lastname: Giles
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D044383:Black People / Q000706:statistics & numerical data*; D055812:Community-Based Participatory Research; D004032:Diet / Q000208:ethnology*; D005260:Female; D005638:Fruit; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D057566:Self Report; D014675:Vegetables; D035862:Vulnerable Populations; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Blacks; Community intervention; Fruits; Health disparities; Vegetables