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Journal Articles

  1. LH McNeill, M Coeling, E Puleo, EG Suarez, GG Bennett, KM Emmons, Colorectal cancer prevention for low-income, sociodemographically-diverse adults in public housing: baseline findings of a randomized controlled trial., BMC public health, vol. 9 no. 3 (2009), pp. 353, ISSN 1471-2458 [doi]
    (last updated on 2011/12/28)

    Abstract:
    BACKGROUND: This paper presents the study design, intervention components, and baseline data from Open Doors to Health, a study designed to address social contextual factors in colorectal cancer (CRC) prevention for low-income, racial/ethnic minority populations. METHODS: A cluster randomized design with 12 housing sites as the primary sampling units was used: 6 sites were assigned to a "Peer-led plus Screening Access" (PL) condition, and 6 were assigned to "Screening Access only" (SCR) condition. Study-related outcomes were CRC screening, physical activity (measured as mean steps/day), and multivitamin use. RESULTS: At baseline (unweighted sample size = 1554), two-thirds self-reported that they were current with screening recommendations for CRC (corrected for medical records validation, prevalence was 52%), with half having received a colonoscopy (54%); 96% had health insurance. Mean steps per day was 5648 (se mean = 224), and on average 28% of the sample reported regular multivitamin use. Residents reported high levels of social support [mean = 4.40 (se = .03)] and moderately extensive social networks [mean = 2.66 (se = .02)]. CONCLUSIONS: Few studies have conducted community-based studies in public housing communities; these data suggest areas for improvement and future opportunities for intervention development and dissemination. Findings from the randomized trial will determine the effectiveness of the intervention on our health-related outcomes as well as inform future avenues of research.

    Keywords:
    Adult • African Americans • Aged • Body Mass Index* • Boston • Cluster Analysis • European Continental Ancestry Group • Female • Health Status Disparities • Health Surveys • Hispanic Americans • Humans • Male • Middle Aged • Obesity • Poverty • Prejudice* • Public Housing • Sex Factors • diagnosis • epidemiology • ethnology* • statistics & numerical data • statistics & numerical data*


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