271341 Factors Affecting Border Hispanics' Physical Activity Status and Improvements in a Chronic Diseases Prevention Program

Wednesday, October 31, 2012 : 11:06 AM - 11:18 AM

Xiaohui Wang, PhD , Department of Mathematics, The University of Texas-Pan American, Edinburg, TX
Lu Xu , Mathematics Department, University of Texas Pan-American, Edinburg, TX
Suad F. Ghaddar, PhD , South Texas Border Health Disparities Center, The University of Texas-Pan American, Edinburg, TX
Cynthia J. Brown, PhD , Department of Economics and Finance, University of Texas-Pan American, Edinburg, TX
José A. Pagán, PhD , Department of Health Management and Policy, University of North Texas Health Science Center at Fort Worth, Fort Worth, TX
Objectives. Physical activity (PA) is a modifiable factor in improving risk factors of chronic diseases. Our former research results showed that within a relative short period, PA improvements had a stronger effect on weight reduction and glycemic successes than dietary habits improvements. This study examined factors related to PA improvement in Alliance for a Healthy Border (AHB), a chronic disease prevention program through 12 federally qualified community health centers serving primarily Hispanics in communities along the U.S.-Mexico border. Methods. Logistic regression was performed to examine factors associated with baseline PA status (meet Healthy People 2010 PA recommendations). PA improvement was categorized as failure, low success, and high success. Multinomial regression was used to examine the determinants of PA improvements at program-end and post-six-month. Factors include socio-demographic, baseline health condition factors, and participant's determination of doing PA. Results. 80.6% of participants did not meet PA recommendation at baseline. Factors that associated with baseline PA status were age, employment status, health status, BMI, hypertension, cardiovascular disease and determination of doing PA. Factors significantly affected PA improvements not only include the above factors, but also include gender, birth country, income, insurance, smoking status, limits by problems, and number of children at home. Conclusions. The AHB programs demonstrated success in improving PA for the border Hispanic population. It is not surprising that a person's determination of doing PA was significantly associated with both his/her baseline PA status and PA improvements. This population is in critical need for effective educational programs to improve their PA.

Learning Areas:
Biostatistics, economics
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs

Learning Objectives:
Assess the determines of success in PA improvement for a prevention education program with various practices Identify effective and culture-sensitive educational prevention practices for border Hispanic population

Keywords: Hispanic, Physical Activity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I hold an Ph.D. degree in Statistics and currently working as Assistant Professor at the Math Department at the University of Texas Pan-America (UTPA). I have been the Director of Statistical Consulting Center at UTPA since 2008. I have jointly worked (and am still working) on multiple public health related research projects and published papers.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.