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Los Angeles, CA, United States

Gase L.N.,530 Wilshire Boulevard | Barragan N.C.,530 Wilshire Boulevard | Robles B.,530 Wilshire Boulevard | Leighs M.,530 Wilshire Boulevard | And 2 more authors.
American Journal of Health Promotion | Year: 2015

Purpose. To assess the impact of the Choose Less, Weigh Less portion size health marketing campaign. Design. A mixed-methods, cross-sectional evaluation. Setting. A quantitative Internet panel survey was administered through an online sampling vendor and qualitative interviews were conducted by street intercept. Subjects. The panel survey included 796 participants, weighted to represent Los Angeles County. Street intercept interviews were conducted with 50 other participants. Intervention. The Choose Less, Weigh Less campaign included print media on transit shelters, bus and rail cars, and billboards; radio and online advertising; and Web site content and social media outreach. Measures. The panel survey measured self-reported campaign exposure and outcomes, including knowledge of recommended daily calorie limits, attitudes toward portion sizes, and intent to reduce calories and portion size. Intercept interviews assessed campaign appeal, clarity, and utility. Analysis. Weighted survey data were analyzed using logistic regression to assess the association between campaign exposure and outcomes. Interview data were analyzed for themes. Results. The campaign reached 19.7% of the Los Angeles County population. Significant differences were seen for 2 of the 10 outcomes assessed. Participants who saw the campaign were more likely than those who did not to report fast-food portion sizes as being too large (adjusted odds ratio [Adj. OR]: 1.89; 95% confidence interval [CI]: 1.16, 3.07) and intention to choose a smaller portion (Adj. OR: 1.99; 95% CI: 1.20, 3.31). Qualitative data revealed three themes about appeal, clarity, and utility. Conclusion. Health marketing efforts targeting portion size can have relatively broad reach and limited but positive impacts on consumer attitudes and intent to select smaller portions. Copyright © 2015 by American Journal of Health Promotion, Inc.

Robles B.,530 Wilshire Boulevard | Kuo T.,530 Wilshire Boulevard | Kuo T.,University of California at Los Angeles | Leighs M.,530 Wilshire Boulevard | Simon P.,530 Wilshire Boulevard
American Journal of Public Health | Year: 2014

Recent federal initiatives have used estimates of population reach as a proxymetric for intervention impact, in part to inform resource allocation and programmatic decisions about competing priorities in the community. However, in spite of its utility, population reach as a singular metric of intervention impact may be insufficient for guiding multifaceted program decisions. A more comprehensive, validated approach to measure or forecast dose may complement reach estimates to inform decision makers about optimal ways to use limited resources.

Cummings P.L.,530 Wilshire Boulevard | Kuo T.,530 Wilshire Boulevard | Javanbakht M.,University of California at Los Angeles | Sorvillo F.,University of California at Los Angeles
American Journal of Tropical Medicine and Hygiene | Year: 2014

Few studies have quantified toxoplasmosis mortality, associated medical conditions, and productivity losses in the United States. We examined national multiple cause of death data and estimated productivity losses caused by toxoplasmosis during 2000-2010. A matched case-control analysis examined associations between comorbid medical conditions and toxoplasmosis deaths. In total, 789 toxoplasmosis deaths were identified during the 11-year study period. Blacks and Hispanics had the highest toxoplasmosis mortality compared with whites. Several medical conditions were associated with toxoplasmosis deaths, including human immunodeficiency virus (HIV), lymphoma, leukemia, and connective tissue disorders. The number of toxoplasmosis deaths with an HIV codiagnosis declined from 2000 to 2010; the numbers without such a codiagnosis remained static. Cumulative disease-related productivity losses for the 11-year period were nearly $815 million. Although toxoplasmosis mortality has declined in the last decade, the infection remains costly and is an important cause of preventable death among non-HIV subgroups. Copyright © 2014 by The American Society of Tropical Medicine and Hygiene.

Robles B.,530 Wilshire Boulevard | Smith L.V.,Office of Health Assessment and Epidemiology | Smith L.V.,University of California at Los Angeles | Ponce M.,530 Wilshire Boulevard | And 3 more authors.
Journal of Obesity | Year: 2014

Although US obesity prevention efforts have begun to implement a variety of system and environmental change strategies to address the underlying socioecological barriers to healthy eating, factors which can impede or facilitate community acceptance of such interventions are often poorly understood. This is due, in part, to the paucity of subpopulation health data that are available to help guide local planning and decision-making. We contribute to this gap in practice by examining area-specific health data for a population targeted by federally funded nutrition interventions in Los Angeles County. Using data from a local health assessment that collected information on sociodemographics, self-reported health behaviors, and objectively measured height, weight, and blood pressure for a subset of low-income adults (n = 720), we compared health risks and predictors of healthy eating across at-risk groups using multivariable modeling analyses. Our main findings indicate being a woman and having high self-efficacy in reading Nutrition Facts labels were strong predictors of healthy eating (P<0.05). These findings suggest that intervening with women may help increase the reach of these nutrition interventions, and that improving self-efficacy in healthy eating through public education and/or by other means can help prime at-risk groups to accept and take advantage of these food environment changes. © 2014 Brenda Robles et al.

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