Evidence map›Paper›PMID 27357203›Full record

ArticleHealth promotion practice2017

Do Neighborhood Demographics Modify Walking Group Intervention Effectiveness in Urban Neighborhoods?

Amy J Schulz, Graciela B Mentz, Jamila Kwarteng, Barbara A Israel, Cindy Gamboa, Sharon L Sand, Causandra Gaines, Angela G Reyes, Zachary Rowe

Abstract read
In one paragraph

Article in Health promotion practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Walking Engagement in Mexican Americans Who Participated in a Community-Wide Step Challenge in El Paso, TX.International journal of environmental research and public health · 2021
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Amy J Schulz1 University of Michigan School of Public Health, Ann Arbor, MI, USA.
Graciela B Mentz1 University of Michigan School of Public Health, Ann Arbor, MI, USA.
Jamila Kwarteng2 Medical College of Wisconsin, Milwaukee, WI, USA.
Barbara A Israel1 University of Michigan School of Public Health, Ann Arbor, MI, USA.
Cindy Gamboa1 University of Michigan School of Public Health, Ann Arbor, MI, USA.
Sharon L Sand1 University of Michigan School of Public Health, Ann Arbor, MI, USA.
Causandra Gaines3 Little Scholars Child Development Center, Detroit, MI, USA.
Angela G Reyes4 Detroit Hispanic Development Corporation, Detroit, MI, USA.
Zachary Rowe5 Friends of Parkside, Detroit, MI, USA.

Funding

Strategic Vision & Impact on Environmental HealthP30ES017885 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Dana Dolinoy · 2011 to 2026
$21.3M
HEP Community Approaches to Cardiovascular Health: Pathways to Heart HealthR24MD001619 · NIMHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ISRAEL, BARBARA ANNE, SCHULZ, AMY J · 2005 to 2015
$7.3M
Community Action to Promote Healthy EnvironmentsR01ES032389 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BATTERMAN, STUART A, SCHULZ, AMY J · 2021 to 2025
$3.0M
NIEHS NIH HHS P30 ES017885NIEHS NIH HHS R01 ES032389NIMHD NIH HHS R24 MD001619
6 · The paper itself

Abstract

objectivesWe assessed the effects of neighborhood composition on effectiveness of the Walk Your Heart to Health (WYHH) intervention in promoting physical activity and reducing cardiovascular risk (CVR) in low-to-moderate-income, predominantly non-Latino Black (NLB) and Latino communities.

methodMultilevel models assessed modifying effects of neighborhood composition on (1) WYHH adherence/participation at 8 weeks and 32 weeks, (2) associations between participation and steps, and (3) associations between steps and CVR.

resultsApproximately 90% of participants were women. Neither neighborhood poverty nor racial composition modified intervention participation at 8 weeks. At 32 weeks, residents of high percentage-NLB neighborhoods that also had high poverty rates had reduced participation. Neighborhood composition did not modify associations between participation and steps or between steps and CVR. Neighborhood percentage poverty and NLB were positively associated with CVR.

conclusionPositive associations between participation in the WYHH program and physical activity, and CVR did not differ by neighborhood composition. Efforts to address challenges to long-term participation are warranted for residents of racially segregated, high-poverty neighborhoods. Residents of racially segregated neighborhoods with high concentrations of poverty experience disproportionately high risk for cardiovascular disease and can benefit from interventions such as WYHH that increase physical activity and reduce CVR.

Indexed as

community-based participatory researchcommunity health promotershealth inequitieswalking groups

Identifiers

PMID27357203
PMCPMC9254165

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.