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1090198106288011v1
34/2/315    most recent
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This version was published on April 1, 2007
Health Education & Behavior, Vol. 34, No. 2, 315-334 (2007)
DOI: 10.1177/1090198106288011
© 2007 Society for Public Health Education

Social Influences, Social Context, and Health Behaviors Among Working-Class, Multi-Ethnic Adults

Karen M. Emmons, PhD

Harvard School of Public Health and Dana-Farber Cancer Institute, Center for Community-Based Research, Boston

Elizabeth M. Barbeau, ScD, MPH

Dana-Farber Cancer Institute and Harvard School of Public Health, Boston

Caitlin Gutheil, MS

Dana-Farber Cancer Institute, Boston

Jo Ellen Stryker, PhD

Dana-Farber Cancer Institute, Boston

Anne M. Stoddard, ScD

New England Research Institutes, Watertown, Massachusetts

Little research has explored the relationship between social influences (e.g., social networks, social support, social norms) and health as related to modifying factors that may contribute to health disparities. This is a cross-sectional analysis of fruit and vegetable intake and physical activity, using baseline data from two cancer prevention studies with working-class, multi-ethnic adults. Several social influence and social contextual variables were associated with fruit and vegetable intake and physical activity in both samples. Fruit and vegetable consumption was associated with social norms and social networks, although different contextual variables also were related to intake across the two samples. Physical activity was associated with social networks, social norms, and competing demands. By examining how key social influence and contextual mediating variables relate to health behaviors, we can learn more about the types of interventions that might be needed to promote sustained health behavior change in this population.

Key Words: disparities • social context • health behaviors


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