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Psychosocial Factors Associated With Youth Involvement in Community Activities Promoting Heart Health

Department of Public Health Sciences, The Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1063; phone: (336) 716-9556; fax: (336) 716-7554; daltman{at}rc.phs.bgsm.edu

Ellen Feighery, MS, RN

Stanford Center for Research in Disease Prevention at Stanford University School of Medicine

Thomas N. Robinson, MD, MPH

Department of pediatrics at Stanford University School of Medicine and an American Heart Association Clinician-Scientist

K. Farish Haydel

Department of Medicine, Stanford University School of Medicine

Laura Strausberg, MEd

Stanford Center for Research in Disease Prevention, Stanford University School of Medicine

Kate Lorig, RN, DrPH

Stanford University School of Medicine; Stanford Patient Education Research Center

Joel D. Killen, PhD

Department of Medicine, Stanford University School of Medicine

This study examined factors that influence youth participation in heart disease prevention activities asmong 2,609 ninth graders in six inner-city public high schools. Constructs derived from social cognitive, empowerment, and community development theories informed the conceptual framework employed. Study participants were diverse with respect to gender, ethnicity, parent education, acculturation, and academic achievement. Perceived incentive value, self-efficacy, outcome expectancies, sense of community, and perceived policy control were all significantly associated with participation in community activities promoting heart health. In multivariate analyses, perceived incentive value, defined as the extent to which participants valued a heart-healthy environment, was most strongly associated with community participation, accounting for 11.9% of the total variance. These findings have implications for designing school curricula and after-school and community programs targeting adolescents' involvement in health advocacy activities.

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