Community based interventions can reduce the risk and overall mortality and morbidity of diseases such as coronary heart disease (CHD) and cancer. They are especially important for African Americans, who are at increased risk for a wide range of negative health conditions, including obesity and obesity related diseases. This pilot study will develop more efficient methods for analysis of longitudinal studies using generalized estimating equation methodology. It will strengthen our foundation for a full research program to improve understanding from longitudinal studies in diverse populations, through improved analytic techniques. Our primary aims are to: (1) To develop more efficient and informative methods for analysis in longitudinal studies and community-based interventions, by developing guidelines for selecting the most appropriate correlation structure when implementing generalized estimating equations (GEE) and GEE based methodology. (2) To apply our methods in analyses of several studies in African-American Populations at the University of Pennsylvania, to further refine and tailor their development to the characteristics of data for diverse populations and to answer new questions that our methods make possible. (3) To compare and contrast our approaches with methods based on random effects models, via simulations and data analyses.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Comprehensive Center (P60)
Project #
1P60MD000209-01
Application #
6696652
Study Section
Special Emphasis Panel (ZMD1)
Project Start
2002-09-30
Project End
2007-09-29
Budget Start
Budget End
Support Year
1
Fiscal Year
2002
Total Cost
Indirect Cost
Name
University of Pennsylvania
Department
Type
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Kumanyika, Shiriki K; Morales, Knashawn H; Allison, Kelly C et al. (2018) Two-Year Results of Think Health! ¡Vive Saludable!: A Primary Care Weight-Management Trial. Obesity (Silver Spring) 26:1412-1421
Huang, Shirley H; Parks, Elizabeth P; Kumanyika, Shiriki K et al. (2012) Child-feeding practices among Chinese-American and non-Hispanic white caregivers. Appetite 58:922-7
Parks, Elizabeth P; Kumanyika, Shiriki; Moore, Reneé H et al. (2012) Influence of stress in parents on child obesity and related behaviors. Pediatrics 130:e1096-104
Kumanyika, Shiriki K; Fassbender, Jennifer E; Sarwer, David B et al. (2012) One-year results of the Think Health! study of weight management in primary care practices. Obesity (Silver Spring) 20:1249-57
Kumanyika, Shiriki; Fassbender, Jennifer; Phipps, Etienne et al. (2011) Design, recruitment and start up of a primary care weight loss trial targeting African American and Hispanic adults. Contemp Clin Trials 32:215-24
Kranz, Sibylle; Mitchell, Diane C; Smiciklas-Wright, Helen et al. (2009) Consumption of recommended food groups among children from medically underserved communities. J Am Diet Assoc 109:702-7
Wright, Tracey B; Shults, Justine; Leonard, Mary B et al. (2009) Hypovitaminosis D is associated with greater body mass index and disease activity in pediatric systemic lupus erythematosus. J Pediatr 155:260-5
Hillier, Amy; Cole, Brian L; Smith, Tony E et al. (2009) Clustering of unhealthy outdoor advertisements around child-serving institutions: a comparison of three cities. Health Place 15:935-45
Grier, Sonya A; Kumanyika, Shiriki K (2008) The context for choice: health implications of targeted food and beverage marketing to African Americans. Am J Public Health 98:1616-29
Magge, Sheela N; O'Neill, Kristen L; Shults, Justine et al. (2008) Leptin levels among prepubertal children with Down syndrome compared with their siblings. J Pediatr 152:321-6

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