ArticleDiabetes care2015
Socioeconomic Disparities in Weight and Behavioral Outcomes Among American Indian and Alaska Native Participants of a Translational Lifestyle Intervention Project.
Article in Diabetes care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Effect of a postpartum lifestyle intervention among rural women with prior gestational diabetes mellitus from different socioeconomic backgrounds: evidence from a randomized controlled trial in rural China.BMC public health · 2026Trial
- Educational Attainment and the Effect of Intensive Blood Pressure Reduction: A Post Hoc Analysis of the SPRINT Study.Journal of the American Heart Association · 2025Trial
- Racial/ethnic and socioeconomic disparities in weight outcomes, cardiovascular events, and mortality in the look AHEAD trial.Diabetes research and clinical practice · 2022Trial
- Impact of Technology-Based Intervention for Improving Self-Management Behaviors in Black Adults with Poor Cardiovascular Health: A Randomized Control Trial.International journal of environmental research and public health · 2021Trial
- The effects of financial incentives on diabetes prevention program attendance and weight loss among low-income patients: the We Can Prevent Diabetes cluster-randomized controlled trial.BMC public health · 2020Trial
- Trial
- Health Disparities in Obesity Treatment Outcomes, Access, and Utilization.Current obesity reports · 2025Review
- Delivering the National Diabetes Prevention Program: Assessment of Retention, Physical Activity, and Weight Loss Outcomes by Participant Characteristics and Delivery Modes.Journal of diabetes research · 2024Article
- Advancing Diabetes Prevention and Control in American Indians and Alaska Natives.Annual review of public health · 2022Review
- Multi-level Diabetes Prevention and Treatment Interventions for Native People in the USA and Canada: a Scoping Review.Current diabetes reports · 2021Article
- A Scoping Review of the Use of Indigenous Food Sovereignty Principles for Intervention and Future Directions.Current developments in nutrition · 2021Article
- An online diabetes nutrition education programme for American Indian and Alaska Native adults with type 2 diabetes: perspectives from key stakeholders.Public health nutrition · 2021Article
- The Reach of an Urban Hospital System-Based Diabetes Prevention Program: Patient Engagement and Weight Loss Characteristics.The Diabetes educator · 2019Article
- Characterizing the local food environment and grocery-store decision making among a large American Indian community in the north-central USA: qualitative results from the Healthy Foods Healthy Families Feasibility Study.Public health nutrition · 2019Article
- Socioeconomic Position Disparities in Cardiovascular Health Before and After the Examination of Mechanisms of Exercise-Induced Weight Compensation Randomized Controlled Trial.Health equity · 2019Article
- Neighborhood characteristics and lifestyle intervention outcomes: Results from the Special Diabetes Program for Indians.Preventive medicine · 2018Article
- Review
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo investigate possible socioeconomic disparities in weight and behavioral outcomes among American Indian and Alaska Native (AI/AN) participants in a translational diabetes prevention project. RESEARCH DESIGN AND
methodsWe analyzed data from the Special Diabetes Program for Indians Diabetes Prevention (SDPI-DP) Program, an evidence-based lifestyle intervention to prevent diabetes in 36 AI/AN grantee sites. A total of 2,553 participants started the 16-session Lifestyle Balance Curriculum between 1 January 2006 and 31 July 2008. Linear mixed models were used to evaluate the relationships of participant and staff socioeconomic characteristics with weight and behavioral outcomes at the end of the curriculum.
resultsA strong, graded association existed between lower household income and less BMI reduction, which remained significant after adjusting for other socioeconomic characteristics. Compared with others, participants with annual income <$15,000 also had less improvement in physical activity and unhealthy food consumption in bivariate models, but the relationships were only marginally significant in multivariate regressions. Furthermore, grantee sites with fewer professionally prepared staff were less successful at improving participant BMI and healthy food consumption than the other sites. The strong association between income and BMI reduction was reduced by 20-30% in the models with changes in diet variables but was unrelated to changes in physical activity.
conclusionsSignificant socioeconomic disparities exist in weight outcomes of lifestyle intervention at both participant and site staff levels. Helping low-income participants choose more affordable healthy foods and increasing the proportion of professionally trained staff might be practical ways to maximize the effectiveness of lifestyle interventions implemented in "real-world" settings.
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