地域保健指導員主導の健康プログラムがラテン系女性の健康改善に有望性 (Promotora-led health program shows promise for rural Latina women)

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2026-06-09 カリフォルニア大学リバーサイド校(UCR)

米国の University of California, Riverside の研究チームは、地域住民の健康支援員(プロモトーラ)が主導する健康プログラムが、農村部に住むラティーナ女性の健康改善に有望な効果を示すことを報告した。プロモトーラは地域社会に根差した保健教育者として活動し、参加者に対して健康知識の提供、生活習慣改善の支援、医療サービスへのアクセス促進などを行う。研究では、このコミュニティ主導型プログラムへの参加によって、健康行動や疾病予防に関する意識向上、身体活動の増加、健康指標の改善が認められた。特に、医療資源へのアクセスが限られる農村地域や社会的弱者層において、文化的背景を共有する支援者による介入が効果的であることが示された。研究成果は、健康格差の縮小や地域保健活動の強化に向けた実践的なモデルとして期待されている。

<関連情報>

農村部の砂漠地帯に住む低所得のラテン系女性とメキシコ先住民を対象とした、食生活とライフスタイル行動変容介入の実現可能性:パイロット無作為化比較試験 The Feasibility of a Dietary and Lifestyle Behaviour Change Intervention among Low-income Latinas and Indigenous Mexicans in Rural Desert Communities: A Pilot Randomized Controlled Trial

Ann Marie Cheney,Jacqueline Moreira,Yameng Ge,Michael Guzman Hernandez,Andrea Gonzalez,Ashley Moran and Shaokui Ge
Public Health Nutrition  Published:01 June 2026
DOI:https://doi.org/10.1017/S1368980026102729

Abstract

Objective:

This article reports on the feasibility, acceptability of a trial design, and results of ¡Coma, Muévase y Viva!, an adapted version of the Eat, Move, Live! Curriculum, a 10-week diet and lifestyle change intervention for low-income Latina and Indigenous Mexican women in rural Inland Southern California.

Design:

A pilot randomized intervention and wait-list controlled parallel trial.

Settings:

Latina and Indigenous Mexican women participated in ¡Coma, Muévase y Viva!, the adapted version of the curriculum customized for Spanish speakers with a focus on health literacy, cultural norms and values, and delivered by community health workers/promotoras.

Participants:

Participants were randomized into the intervention (n=19) or wait-list control (n=16). Most were Latino (88%), mothers (75%), and foreign born (87%).

Results:

The adapted intervention was feasible and acceptable with 87.5% of participants retained at three months. The intervention was delivered with high fidelity. Intervention compared to control participants reported success with predetermined prioritized goals (OR=0.25, 95% CI: 0.06-0.99, p=0.03), showed a greater likelihood of cooking healthier food (OR=4.87, 95% CI: 1.04-22.90, p=0.05), enjoyment of cooking healthy meals (OR=3.94, 95% CI: 0.87-17.92, p=0.08), and doing physical activities (OR=5.30, 95% CI: 1.16-24.24, p=0.03). Healthy eating and physical activity as primary outcomes indicated the intervention group was more likely to eat healthy and be active (OR=2.08, 95% CI: 1.12 ∼ 3.89, p=0.02).

Conclusion:

The adapted intervention was feasible and acceptable and indicated an effect on dietary and lifestyle behavior change with significant changes in meeting desired goals and engaging in healthy eating and physical activity.

医療・健康
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