TY - JOUR
T1 - Urban Minority Community Safety and its Impact on Physical Activity
T2 - The Center for Promoting Health and Health Equity-Racial and Ethnic Approaches to Community Health (CPHHE-REACH) Initiative
AU - Kosoko-Lasaki, Omofolasade
AU - Ekúndayò, Olúgbémiga T.
AU - Smith, Jeffrey
AU - Ochuba, Olivia
AU - Hayashi, Gavin
AU - Sanders, Raheem
AU - Brown, Richard
AU - Stone, John R.
N1 - Funding Information:
This project was supported through funding by and cooperation with the Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, Racial and Ethnic Approaches to Community Health (REACH) Program , Grant Number: 1U58DP005842-01, FAIN: U58DP005842 . Project funding years of support: October 1, 2014—September 30, 2018.
Funding Information:
As previously detailed, in 2014, Creighton University's Department of Health and Sciences Multicultural and Community Affairs (HS-MACA) through its office of Center for Promoting Health and Health Equity (CPHHE) was awarded a (3) three-year Racial and Ethnic Approaches to Community Health (Basic) Cooperative Agreement from the Center for Disease Control and Prevention (CDC). The agreement involves the creation of a new model for African Americans in Omaha Nebraska for reducing cardiovascular health disparities and its risk factors. CPHHE-REACH is a collaborative agreement with community-based agencies in the African-American community of Omaha (Douglas County), Nebraska to educate, develop, and implement policy, systems, and environmental (PSE) improvements that are conducive to healthier lifestyle choices that reduce or ameliorate chronic diseases.This project was supported through funding by and cooperation with the Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, Racial and Ethnic Approaches to Community Health (REACH) Program, Grant Number: 1U58DP005842-01, FAIN: U58DP005842. Project funding years of support: October 1, 2014—September 30, 2018. The CDC did not review the study design, collection, analysis or interpretation of the data and did not participate in the writing of the report and the decision to submit this article for publication. The authors also acknowledge the collaboration of Creighton University Center for Promoting Health and Health Equity (CPHHE) and the Office of Health Sciences-Multicultural and Community Affairs (HS-MACA) and community partners who were engaged from the planning stage through implementation monitoring, assessment, and evaluation. The REACH Omaha project would not have been possible without the collaboration and engagement of Charles Drew Health Center, Douglas County Health Department, Doris Lassiter LLC, Omaha Housing Authority, Omaha Faith-Based Organizations, Urban League of Nebraska, and Creighton University School of Medicine.
Publisher Copyright:
© 2019 The Authors
PY - 2019/6
Y1 - 2019/6
N2 - Background/Purpose: Daily physical activity is known to improve personal health and well-being and can often be influenced by one's living environment. A qualitative secondary data analysis of a focus group study, performed by the Creighton University Center for Promoting Health and Health Equity (CPHHE) – Racial and Ethnic Approaches to Community Health (REACH), assesses behavioral changes in individuals who participated in newly established physical activities in faith-based organizations, local residential towers, and the local community health center. Method: Applying thematic analysis within the Health Belief Model framework, the investigators further investigated the relationships between its constructs and levels of physical activity in urban minority neighborhoods. Results: Results indicated that residents who perceived their neighborhoods as unsafe had a negative attitude toward physical activity. In contrast, building social relationships and camaraderie that enhanced social cohesion were major themes that increased participants' self-efficacy, resulting in positive changes in health behavior. Conclusion: Community partnerships had a positive impact on motivating individuals to live healthier lifestyles. An interesting concept was that of community efficacy, which reflects the community's confidence in its ability to generate behavioral changes in individuals.
AB - Background/Purpose: Daily physical activity is known to improve personal health and well-being and can often be influenced by one's living environment. A qualitative secondary data analysis of a focus group study, performed by the Creighton University Center for Promoting Health and Health Equity (CPHHE) – Racial and Ethnic Approaches to Community Health (REACH), assesses behavioral changes in individuals who participated in newly established physical activities in faith-based organizations, local residential towers, and the local community health center. Method: Applying thematic analysis within the Health Belief Model framework, the investigators further investigated the relationships between its constructs and levels of physical activity in urban minority neighborhoods. Results: Results indicated that residents who perceived their neighborhoods as unsafe had a negative attitude toward physical activity. In contrast, building social relationships and camaraderie that enhanced social cohesion were major themes that increased participants' self-efficacy, resulting in positive changes in health behavior. Conclusion: Community partnerships had a positive impact on motivating individuals to live healthier lifestyles. An interesting concept was that of community efficacy, which reflects the community's confidence in its ability to generate behavioral changes in individuals.
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U2 - 10.1016/j.jnma.2019.01.001
DO - 10.1016/j.jnma.2019.01.001
M3 - Article
C2 - 30711288
AN - SCOPUS:85060761576
VL - 111
SP - 334
EP - 344
JO - Journal of the National Medical Association
JF - Journal of the National Medical Association
SN - 1943-4693
IS - 3
ER -