Fruit and vegetable consumption and prevention of cancer: the Black Churches United for Better Health project.
American Journal of Public HealthPublished 1 September 1999Open access
Marci K. Campbell, W Demark-Wahnefried, M Symons, W D Kalsbeek, Janice M. Dodds, A Cowan
Citations346
SJR quartileQ1
SJR score1.93
SNIP1.60
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The project was a successful model for achieving dietary change among rural African Americans and the largest increases were observed among people 66 years or older and those with education beyond high school.
Abstract
OBJECTIVES: This study assessed the effects of the Black Churches United for Better Health project on increasing fruit and vegetable consumption among rural African American church members in North Carolina. METHODS: Ten counties comprising 50 churches were pair matched and randomly assigned to either intervention or delayed intervention (no program until after the follow-up survey) conditions. A multicomponent intervention was conducted over approximately 20 months. A total of 2519 adults (77.3% response rate) completed both the baseline and 2-year follow-up interviews. RESULTS: The 2 study groups consumed similar amounts of fruits and vegetables at baseline. AT the 2-year follow-up, the intervention group consumed 0.85 (SE = 0.12) servings more than the delayed intervention group (P < .0001). The largest increases were observed among people 66 years or older (1 serving), those with education beyond high school (0.92 servings), those widowed or divorced (0.96 servings), and those attending church frequently (1.3 servings). The last improvement occurred among those aged 18 to 37 years and those who were single. CONCLUSIONS: The project was a successful model for achieving dietary change among rural African Americans.
Keywords
Social SciencesDecision SciencesHealth Professions
American PsychologistIn search of how people change: Applications to addictive behaviors.
8,587 Citations1992James O. Prochaska, Carlo C. DiClemente +1 more
JNCI Journal of the National Cancer InstituteThe Causes of Cancer: Quantitative Estimates of Avoidable Risks of Cancer in the United States Today
3,909 Citations1981Richard Doll, Richard Peto
Evidence that the various common types of cancer are largely avoidable diseases is reviewed and suggests that, apart from cancer of the respiratory tract, the types ofcancer that are currently common are not peculiarly modern diseases and are likely to depend chiefly on some long-established factor(s).
The Causes of Cancer: Quantitative Estimates of Avoidable Risks of Cancer in the United States Today
3,518 Citations1983Richard Peto
Nutrition and CancerFruit, vegetables, and cancer prevention: A review of the epidemiological evidence
3,250 Citations1992Gladys Block, Blossom H. Patterson +1 more
It would appear that major public health benefits could be achieved by substantially increasing consumption of fruit and vegetable consumption, and in particular in cancers of the esophagus, oral cavity, and larynx, for which 28 of 29 studies were significant.
American Journal of EpidemiologyA DATA-BASED APPROACH TO DIET QUESTIONNAIRE DESIGN AND TESTING
2,169 Citations1986Gladys Block, Anne M. Hartman +4 more
A self-administered diet history questionnaire has been developed for epidemiologic and clinical use and yielded correlations of r greater than 0.70 with the more detailed method, which produced mean values comparable to national data.
Journal of the American Dietetic AssociationVegetables, Fruit, and Cancer Prevention
2,117 Citations1996Kristi A. Steinmetz, John D. Potter
The evidence for a protective effect of greater vegetable and fruit consumption is consistent for cancers of the stomach, esophagus, lung, oral cavity and pharynx, endometrium, pancreas, and colon, and the types of vegetables or fruit that most often appear to be protective against cancer are raw vegetables.
CA A Cancer Journal for CliniciansCancer statistics, 1997
2,026 Citations1997Paul Park, T. Tong +2 more
American Journal of Public HealthFrequent attendance at religious services and mortality over 28 years.
693 Citations1997William J. Strawbridge, Richard. D. Cohen +2 more
Lower mortality rates for frequent religious attenders are partly explained by improved health practices, increased social contacts, and more stable marriages occurring in conjunction with attendance.
American Journal of Public HealthImproving dietary behavior: the effectiveness of tailored messages in primary care settings.
667 Citations1994Marci K. Campbell, Brenda M. DeVellis +4 more
Tailored nutrition messages are effective in promoting dietary fat reduction for disease prevention and individually computer-tailored messages designed to decrease fat intake and increase fruit and vegetable intake are tested.
Annals of MedicineDietary Factors and Risk of Colon Cancer
330 Citations1994E. Giovannucci, Walter C. Willett
The combined effect of these dietary factors, as well as modifiable non-dietary factors such as cigarette smoking, suggest that the majority of cases of colon cancer are preventable.
American Journal of EpidemiologyAssociations of Race/Ethnicity, Education, and Dietary Intervention with the Validity and Reliability of a Food Frequency Questionnaire: The Women's Health Trial Feasibility Study in Minority Populations
298 Citations1997Alan R. Kristal, Ziding Feng +3 more
Health Education QuarterlySocial Networks and Social Support: Implications for Natural Helper and Community Level Interventions
292 Citations1985Barbara A. Israel
This article highlights several network characteristics which are often found to be related to physical and mental health status and suggests how these network characteristics can be applied to the two program strategies which involve interventions at the network and community level.
American Journal of Public HealthUS adults' fruit and vegetable intakes, 1989 to 1991: a revised baseline for the Healthy People 2000 objective.
236 Citations1995S M Krebs-Smith, A. Cook +3 more
A need to develop strategies for overcoming barriers to eating fruits and vegetables is suggested, as only 32% of American adults' intakes met the Healthy People 2000 objective.
EpidemiologyEvaluation of a Brief Telephone Questionnaire to Estimate Fruit and Vegetable Consumption in Diverse Study Populations
231 Citations1993Mary K. Serdula, Ralph J. Coates +9 more
With the exception of Arizona, mean daily fruit and vegetable intakes measured by the telephone survey were similar to intakes estimated by multiple diet records or recalls and lower than those estimated by extensive food frequency questionnaires.
American Journal of Public HealthDoes religious observance promote health? mortality in secular vs religious kibbutzim in Israel.
227 Citations1996J. D. Kark, Galia Shemi +4 more
Belonging to a religious collective was associated with a strong protective effect not attributable to confounding by sociodemographic factors, and mechanisms mediating this effect may provide etiologic insights and leads for intervention.
American Journal of Health PromotionPsychosocial Factors Associated with Fruit and Vegetable Consumption
206 Citations1995Susan M. Krebs‐Smith, Jerianne Heimendinger +4 more
Of the factors studied, the most important in determining someone's fruit and vegetable intake were the number of servings they thought they should have in a day, whether they liked the taste, and whether they had been in the habit of eating many fruits and vegetables since childhood.
Nutrition and CancerConcentrations and plasma‐tissue‐diet relationships of carotenoids, retinoids, and tocopherols in humans
148 Citations1995Yei‐Mei Peng, Yeh‐Shan Peng +4 more
Lycopene was unique, because its concentration was not lower in smokers or higher in supplement users but was inversely associated with age, and the differences remained significant after adjustment for age, gender, and diet intake estimates.
Journal of the American Dietetic AssociationDietary Assessment Instruments are Susceptible to Intervention-associated Response Set Bias
140 Citations1998Alan R. Kristal, C. Holly A. Andrilla +3 more
Responses to standard dietary assessment instruments could be affected by a brief dietary intervention, and assessment of adherence to dietary change recommendations, when based on dietary self-report, can be overestimated as a result of response set biases.
American Journal of Health PromotionStages of Change and Psychosocial Correlates of Fruit and Vegetable Consumption among Rural African-American Church Members
113 Citations1998Marci K. Campbell, M. C. R. Symons +5 more
The findings support the applicability of the stages-of-change model to dietary change among rural African-Americans and the relationship between stage, self-efficacy, social support, and barriers supports using a multicomponent intervention strategy.
Health Education & BehaviorStages of Change for Increasing Fruit and Vegetable Consumption among Adults and Young Adults Participating in the National 5-a-Day for Better Health Community Studies
113 Citations1999Marci K. Campbell, Kim D. Reynolds +13 more
Fruit and vegetable consumption, self-efficacy, and knowledge of the 5-a-Day recommendation were positively associated with more advanced stages of change in all study sites, and women and those with college degrees were more likely to be in action/maintenance.
Cancer Causes & ControlThe University of Minnesota Cancer Prevention Research Unit vegetable and fruit classification scheme (United States)
83 Citations1995Stephanie Smith, Deborah R. Campbell +4 more
The V&F classification scheme presented here characterizes and quantifies V &F consumption for elucidating risk relationships, identifying chemopreventive compounds present in V & F, and facilitating identification of potential biomarkers of V&f intake.
Patient Education and CounselingVarying the message source in computer-tailored nutrition education
80 Citations1999Marci K. Campbell, Jay M. Bernhardt +5 more
Both bulletin groups increased fruit and vegetable consumption significantly compared to the control group; however, this difference could not be solely attributed to the tailored intervention which was part of a multi-component program.
Nutrition and CancerFruit and vegetable consumption of rural African Americans: Baseline survey results of the black churches united for better health 5 a day project
75 Citations1998Jacquelyn W. McClelland, Wendy Demark‐Wahnefried +3 more
Journal of the American Dietetic AssociationComparison of Dietary Assessment Measures in the Treatwell 5 a Day Worksite Study
37 Citations1998Mary K. Hunt, Anne Stoddard +4 more
NutritionAntioxidants in cardiovascular disease: Randomized trials
31 Citations1996J. Michael Gaziano
Journal of the American Dietetic AssociationAssessing Fruit and Vegetable Consumption in a 5 A Day Study Targeting Rural Blacks
31 Citations1996Marci K. Campbell, Barbara Polhamus +6 more
PubMedAwareness of cancer-related programs and services among rural African Americans.
12 Citations1998W Demark-Wahnefried, Jacquelyn W. McClelland +6 more
Reported family history of cancer was associated with a greater tendency believe that eating more fruits and vegetables can prevent disease and the need for efforts to reach the rural black community with culturally sensitive and stage appropriate cancer prevention messages.