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Tu Salud, ¡Si Cuenta!: Exposure to a community-wide campaign and its associations with physical activity and fruit and vegetable consumption among individuals of Mexican descent

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  • Reininger, Belinda M.
  • Mitchell-Bennett, Lisa
  • Lee, MinJae
  • Gowen, Rose Z.
  • Barroso, Cristina S.
  • Gay, Jennifer L.
  • Saldana, Mayra Vanessa

Abstract

Mexican Americans along the US-Mexico border have been found to be disproportionately affected by chronic diseases particularly related to lack of physical activity and healthful food choices. A community-wide campaign (CWC) is an evidence-based strategy to address these behaviors but with few examples of implementation in Mexican descent populations facing profound health disparities. We examined exposure to a CWC, titled Tu Salud ¡Sí Cuenta!, and its association with meeting the recommended minutes of moderate and vigorous physical activity weekly and consuming more portions of fruits and vegetables daily. A cross-sectional sample of 1438 Mexican descent participants was drawn from a city-wide, randomly-selected cohort interviewed between the years 2008 and 2012. Multivariable comparisons of participants exposed and not exposed to the CWC and meeting physical activity guidelines or their fruit and vegetable consumptions using mixed effects models were conducted. The community-wide campaign components included different forms of mass media and individually-focused components such as community health worker (CHW) home visits. After adjusting for gender, age, marital status, educational attainment, language preference, health insurance, and diabetes diagnosis, the strongest association was found between meeting physical activity guidelines and exposure to both CHW discussions and radio messages (adjusted OR = 3.83; 95% CI = [1.28, 6.21]; p = 0.0099). Participants who reported exposure to both radio and TV messages consumed more portions of fruits and vegetables than those who reported no exposure (adjusted RR = 1.30; 95% CI = [1.02, 1.66]; p = 0.0338). This study provides insights into the implementation and behavioral outcomes associated with exposure to a community-wide campaign, a potential model for addressing lifestyle modifications in populations affected by health disparities.

Suggested Citation

  • Reininger, Belinda M. & Mitchell-Bennett, Lisa & Lee, MinJae & Gowen, Rose Z. & Barroso, Cristina S. & Gay, Jennifer L. & Saldana, Mayra Vanessa, 2015. "Tu Salud, ¡Si Cuenta!: Exposure to a community-wide campaign and its associations with physical activity and fruit and vegetable consumption among individuals of Mexican descent," Social Science & Medicine, Elsevier, vol. 143(C), pages 98-106.
    • Handle: RePEc:eee:socmed:v:143:y:2015:i:c:p:98-106
    DOI: 10.1016/j.socscimed.2015.08.029
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    References listed on IDEAS

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    1. Sly, D.F. & Hopkins, R.S. & Trapido, E. & Ray, S., 2001. "Influence of a counteradvertising media campaign on initiation of smoking: The Florida "truth" campaign," American Journal of Public Health, American Public Health Association, vol. 91(2), pages 233-238.
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    Cited by:

    1. Paul Gerardo Yeh & Belinda M. Reininger & Lisa A. Mitchell-Bennett & Minjae Lee & Tianlin Xu & Amanda C. Davé & Soo Kyung Park & Alma G. Ochoa-Del Toro, 2022. "Evaluating the Dissemination and Implementation of a Community Health Worker-Based Community Wide Campaign to Improve Fruit and Vegetable Intake and Physical Activity among Latinos along the U.S.-Mexi," IJERPH, MDPI, vol. 19(8), pages 1-24, April.
    2. Hongfei Long & Wenting Huang & Pinpin Zheng & Jiang Li & Sha Tao & Shenglan Tang & Abu S. Abdullah, 2018. "Barriers and Facilitators of Engaging Community Health Workers in Non-Communicable Disease (NCD) Prevention and Control in China: A Systematic Review (2006–2016)," IJERPH, MDPI, vol. 15(11), pages 1-22, October.

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