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Public Interest

For Latino communities, the obesity epidemic has reached a crisis, with many states and communities reporting Latino obesity at overwhelming proportions. During the months of September and October, we commemorate National Hispanic-Latino Heritage Month. This month, the Ethnicity and Health in America Series will be raising public awareness about mental health and obesity among Hispanic-Latinos. For Latino communities, the obesity epidemic has reached a crisis, with many states and communities reporting Latino obesity at overwhelming proportions. In 2009, the Center for Disease Control and Prevention (CDC) found that two-thirds of adults and nearly one in three children were overweight or obese. The CDC also reported Latinos as the minority group with the second-highest obesity prevalence in adults, with a staggering rate of 47.8 percent. In comparing overweight rates, which include obesity rates, Latinos surpassed the general population by ten percentage points. These statistics, coupled over the growing population of Latino/Hispanic Americans, the Ethnicity and Health in America Series is raising awareness about obesity among Latino populations.

We are featuring the work of Guadalupe X. Ayala, PhD, a professor of public health, associate dean for research in the College of Health and Human Services, and co-director of the San Diego Prevention Research Center at San Diego State University. Her work focuses on the development of family and community-based interventions to improve dietary behaviors, increase physical activity and promote diabetes control among Latinos. Most have resulted in improvements in health behaviors such as healthy eating and improvements in health status such as reductions in waist circumference. Ayala's work emphasizes the importance of involving the community in programs. She works with grocery stores and restaurants on obesity prevention programs and evaluates whether these programs promote healthier food shopping and eating at restaurants. Some of her recent research projects include “The Peers for Progress-funded Puentes hacia una major vida study,” “Entre Familia: Reflejos de Salud,” and “Familias Sanas y Activas.”

Selected Articles

Our Choice/Nuestra Opcion: The Imperial County, California, Childhood Obesity Research Demonstration Study (CA-CORD)

Read the Articleopens in new window (PDF, 213KB)

2015

Janette Angulo
Elva M. Arredondo
Guadalupe X. Ayala
Amy Binggeli-Vallarta
Emmeline Chuang
John P. Elder
Sheila Gahagan
Theodore G. Ganiats
Helina Hoyt
Leticia Ibarra
Ming Ji
Thomas L. McKenzie
Jamie Moody
Emily Schmied
Michelle Zive

A store-based intervention to increase fruit and vegetable consumption: El Valor de Nuestra Salud cluster randomized controlled trial

Read the Articleopens in new window (PDF, 495KB)

2014

Guadalupe X. Ayala
Barbara Baquero
George Belch
John P. Elder
Joel Gittelsohn
Laura Linnan
Joni Mayer
Julie L. Pickrel
Cheryl L. Rock
Jennifer Sanchez-Flack

Preface, by Guadalupe X. Ayala, PhD, MPH: My research team and I conducted a series of studies that describe approaches for promoting policy, system and environmental changes within families, organizations and communities to support healthy lifestyles. The first study published in Childhood Obesity (Ayala et al., 2015), describes the Our Choice/Nuestra Opcion study. It is one of three Childhood Obesity Research Demonstration (CA-CORD) studies funded by the Centers for Disease Control and Prevention in 2011 to test multisector, multilevel approaches to prevent and control childhood obesity. CA-CORD is translating evidence-based approaches for promoting fruit, vegetable and water consumption, physical activity and quality sleep within families, clinics, early care and education centers, school and in the community. 

The ultimate goal is to assist Children's Health Insurance Program–eligible children between 2 and 12 years of age to attain a healthy weight. An evaluation cohort of approximately 1,200 predominantly Mexican-origin children will determine whether the health care intervention plus system-wide changes result in reductions in children's risk for obesity over a two-year period compared with either alone or a control. The second study, El Valor de Nuestra Salud (The Value of our Health), published in Contemporary Clinical Trials (Ayala et al., 2014), describes a cluster randomized controlled trial in which 16 pair-matched Latino stores (i.e., tiendas) were randomized to either an intervention condition or a wait-list control condition. A two-month intervention is directed at tiendas, managers and employees followed by a four-month customer-directed food marketing campaign. The intervention involves social (e.g., employee trainings) and structural (e.g., infrastructure) environmental changes. Three hundred sixty-nine customers (approximately 23 per tienda) serve on an evaluation cohort and complete assessments (interviews and measurements of weight) at three time points: baseline, six-months post-baseline and 12-months post-baseline. The primary study outcome is customer-reported daily consumption of fruits and vegetables. Preliminary findings suggest that the intervention was most effective at improving fruit and vegetable intake among Latino male shoppers versus female shoppers. Innovative methods are needed to modify the environments in which behaviors are enacted in order to reduce health disparities.

Date created: 2015

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