Background: Chronic disease is the leading cause of death and disability in the United States. Seven out of ten people die each year from chronic diseases such as obesity and diabetes (CDC, 2017). Almost half of all US adults suffer from one or more chronic diseases (CDC, 2017). Poor and minority populations have an even greater incidence of chronic disease, display worse health behaviors (poor diet, lack of exercise) and have worse health outcomes for chronic disease than the rest of the population. Eating more fruits and vegetables and getting an adequate amount of exercise can reduce the morbidity and mortality associated with chronic disease. However, health behaviors are influenced by the interaction of environmental and personal factors. These factors can affect a person’s ability to maintain healthy behaviors long-term. Faith-Based Interventions (FBI) have built in social structures that reinforce long-term healthy behaviors and can therefore address some of the environmental factors that contribute to the progression and severity of chronic disease.
Methods: A longitudinal study was conducted using a sample of participants who completed the Faith In Prevention (FIP), (an evidence based obesity program) intervention 24 to 30 months ago. A Binary logistic regression was used to identify which factors predict long-term health behavior maintenance.
Results: Social factors were found to be a statistically significant predictor of maintaining long-term health behaviors for dual and diet only maintainers. Social factors were not found to be predictive of maintaining long-term health behaviors for physical activity maintainers.
Conclusion: The results of this study shed light on the ability of social factors to buffer the ill effects of environmental and personal factors known to negatively impact health behaviors. This study can support policy decisions designed to increase long-term health behaviors maintenance and alleviate chronic disease.
|Commitee:||Hornsby, Nashon, Richards, Karin, Hud, Zarinah|
|School:||University of the Sciences in Philadelphia|
|School Location:||United States -- Pennsylvania|
|Source:||DAI-B 81/2(E), Dissertation Abstracts International|
|Subjects:||Health care management, Behavioral psychology|
|Keywords:||Chronic disease, Faith based interventions, Health behaviors, Health outcome, Long term, Predictors of health behaviors|
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