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1.
Am J Public Health ; 107(6): 989-995, 2017 06.
Article in English | MEDLINE | ID: mdl-28426298

ABSTRACT

OBJECTIVES: To evaluate a mass media campaign to reduce the consumption of sugar-sweetened beverages (SSBs). METHODS: We disseminated messages emphasizing the health risks of SSBs through television, digital channels, and local organizations over 15 weeks in 2015-2016 in the Tri-Cities region of northeast Tennessee, southwest Virginia, and southeast Kentucky. We evaluated the campaign with pre- and post-telephone surveys of adults aged 18 to 45 years in the intervention area and by examining changes in beverage sales in the intervention and a matched comparison area in western Virginia. RESULTS: Fifty-four percent of postcampaign respondents recalled seeing a campaign advertisement. After the campaign, 53% of respondents believed SSBs were a cause of heart disease, and respondents were more likely postcampaign to consider SSBs a "big cause of diabetes" (75% vs 60%; P < .001). Compared with 12 months before, after the start of the campaign, SSB sales decreased 3.4%, including a 4.1% decrease in soda sales in the intervention area relative to the comparison area (P < .01). CONCLUSIONS: This brief media campaign on SSBs was followed by intended changes in beliefs and consumption. Public Health Implications. Additional media campaigns on SSBs should be attempted and evaluated.


Subject(s)
Beverages , Carbonated Beverages/adverse effects , Health Promotion , Mass Media , Sweetening Agents/adverse effects , Adolescent , Adult , Cross-Sectional Studies , Humans , Kentucky , Middle Aged , Nutrition Surveys , Rural Population , Tennessee , Virginia
3.
7.
MMWR Morb Mortal Wkly Rep ; 64(18): 491-4, 2015 May 15.
Article in English | MEDLINE | ID: mdl-25974633

ABSTRACT

From 2000 to 2011, the rate of unintentional drug poisoning (overdose) deaths involving opioid analgesics increased 435% in Staten Island, from 2.0 to 10.7 per 100,000 residents. During 2005-2011, disparities widened between Staten Island and the other four New York City (NYC) boroughs (Bronx, Brooklyn, Manhattan, and Queens); in 2011, the rate in Staten Island was 3.0-4.5 times higher than in the other boroughs. In response, the NYC Department of Health and Mental Hygiene (DOHMH) implemented a comprehensive five-part public health strategy, with both citywide and Staten Island-targeted efforts: 1) citywide opioid prescribing guidelines, 2) a data brief for local media highlighting Staten Island mortality and prescribing data, 3) Staten Island town hall meetings convened by the NYC commissioner of health and meetings with Staten Island stakeholders, 4) a Staten Island campaign to promote prescribing guidelines, and 5) citywide airing of public service announcements with additional airing in Staten Island. Concurrently, the New York state legislature enacted the Internet System for Tracking Over-Prescribing (I-STOP), a law requiring prescribers to review the state prescription monitoring system before prescribing controlled substances. This report describes a 29% decline in the opioid analgesic-involved overdose death rate in Staten Island from 2011 to 2013, while the rate did not change in the other four NYC boroughs, and compares opioid analgesic prescribing data for Staten Island with data for the other boroughs. Targeted public health interventions might be effective in lowering opioid analgesic-involved overdose mortality rates.


Subject(s)
Analgesics, Opioid/poisoning , Drug Overdose/mortality , Humans , New York City/epidemiology
8.
Am J Public Health ; 105(4): e61-4, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25713971

ABSTRACT

Studies have linked the consumption of sugary drinks to weight gain, obesity, and type 2 diabetes. Since 2006, New York City has taken several actions to reduce consumption. Nutrition standards limited sugary drinks served by city agencies. Mass media campaigns educated New Yorkers on the added sugars in sugary drinks and their health impact. Policy proposals included an excise tax, a restriction on use of Supplemental Nutrition Assistance Program benefits, and a cap on sugary drink portion sizes in food service establishments. These initiatives were accompanied by a 35% decrease in the number of New York City adults consuming one or more sugary drinks a day and a 27% decrease in public high school students doing so from 2007 to 2013.


Subject(s)
Beverages , Carbohydrates , Health Education/organization & administration , Nutrition Policy/legislation & jurisprudence , Food Assistance/legislation & jurisprudence , Humans , Mass Media , New York City , Social Marketing , Taxes
10.
Am J Public Health ; 104(9): 1579-83, 2014 Sep.
Article in English | MEDLINE | ID: mdl-25033123

ABSTRACT

After decades of increases, the prevalence of childhood obesity has declined in the past decade in New York City, as measured in children participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and public school students, with the greatest reductions occurring in the youngest children. Possible explanations were changes in demographics; WIC, day care, and school food policies; citywide obesity prevention policies, media messages; and family and community food consumption. Although the decreases cannot be attributed to any one cause, the most plausible explanation is changes in food consumption at home, prompted by media messages and reinforced by school and child care center policy changes. Continued media messages and policy changes are needed to sustain these improvements and extend them to other age groups.


Subject(s)
Food Assistance/statistics & numerical data , Pediatric Obesity/epidemiology , Adolescent , Body Mass Index , Breast Feeding/statistics & numerical data , Child , Child, Preschool , Diet , Exercise , Female , Humans , Male , New York City/epidemiology , Pediatric Obesity/ethnology , Population Dynamics , Prevalence , Racial Groups/statistics & numerical data , Schools
11.
Am J Public Health ; 104(12): 2409-16, 2014 Dec.
Article in English | MEDLINE | ID: mdl-24432875

ABSTRACT

OBJECTIVES: We estimated sodium intake, which is associated with elevated blood pressure, a major risk factor for cardiovascular disease, and assessed its association with related variables among New York City adults. METHODS: In 2010 we conducted a cross-sectional, population-based survey of 1656 adults, the Heart Follow-Up Study, that collected self-reported health information, measured blood pressure, and obtained sodium, potassium, and creatinine values from 24-hour urine collections. RESULTS: Mean daily sodium intake was 3239 milligrams per day; 81% of participants exceeded their recommended limit. Sodium intake was higher in non-Hispanic Blacks (3477 mg/d) and Hispanics (3395 mg/d) than in non-Hispanic Whites (3066 mg/d; both P < .05). Higher sodium intake was associated with higher blood pressure in adjusted models, and this association varied by race/ethnicity. CONCLUSIONS: Higher sodium intake among non-Hispanic Blacks and Hispanics than among Whites was not previously documented in population surveys relying on self-report. These results demonstrate the feasibility of 24-hour urine collection for the purposes of research, surveillance, and program evaluation.


Subject(s)
Hypertension/epidemiology , Sodium, Dietary/administration & dosage , Adolescent , Adult , Aged , Creatinine/urine , Cross-Sectional Studies , Female , Humans , Hypertension/ethnology , Hypertension/urine , Male , Middle Aged , New York City/epidemiology , Potassium/urine , Risk Factors , Sodium, Dietary/urine , Surveys and Questionnaires
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