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Article ; Online: Effects of a Faith-Based Obesity Intervention on African American and Latino Adults' Children.

Perez, Lilian G / Flόrez, Karen R / Seelam, Rachana / Williams, Malcolm V / Derose, Kathryn P

Community health equity research & policy

2024 , Page(s) 2752535X241235992

Abstract: Background: Faith-based interventions are promising for promoting healthy behaviors among adults, but their ripple effects on participants' children are unknown. This study is one of the first to assess the effects of a faith-based multilevel obesity ... ...

Abstract	Background: Faith-based interventions are promising for promoting healthy behaviors among adults, but their ripple effects on participants' children are unknown. This study is one of the first to assess the effects of a faith-based multilevel obesity intervention on adult participants' children. Methods: We analyzed quantitative data from a cluster randomized controlled trial with two African American and two Latino churches in South Los Angeles, California, which invited adult participants to enroll one child (5-17 years) in a sub-study. At baseline and 6-7 months follow-up, parents completed a child health survey, which included the family nutrition and physical activity screening tool, and child height and weight were measured ( Results: Results from linear regression models showed children of intervention participants, compared to control, had significantly better dietary patterns at follow-up. Conclusions: Findings suggest the health benefits of a faith-based multilevel obesity intervention for adults can extend to children and may help address obesity disparities.
Language	English
Publishing date	2024-02-26
Publishing country	United States
Document type	Journal Article
ISSN	2752-5368
ISSN (online)	2752-5368
DOI	10.1177/2752535X241235992
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Article ; Online: Homelessness and Food Insecurity During Emerging Adulthood: Associations With Changes in Behavioral and Physical Health Over a Two-Year Period.

Tucker, Joan S / Perez, Lilian G / Klein, David J / D'Amico, Elizabeth J

The Journal of adolescent health : official publication of the Society for Adolescent Medicine

2024 Volume 74, Issue 5, Page(s) 1006–1011

Abstract: Purpose: For emerging adults in the United States, economic instability is a widespread problem with implications for the successful transition to adulthood. This study examines how two indicators of economic instability, homelessness and food ... ...

Abstract	Purpose: For emerging adults in the United States, economic instability is a widespread problem with implications for the successful transition to adulthood. This study examines how two indicators of economic instability, homelessness and food insecurity, are associated with changes in health-related outcomes over a two-year period. Methods: The analytic sample (N = 2,182) completed online surveys in 2019-2020 (mean age 23 years) and 2021-2022 (mean age 25 years). Regression analyses were conducted for the full sample, as well as by sexual or gender diverse (SGD) identity (17.8% of sample identified as SGD) and race/ethnicity (76.3% identified as non-White). Results: At age 23, 8.2% of participants reported homelessness and 31.2% reported food insecurity. In the full sample, homelessness and food insecurity were associated with increased depression, anxiety, physical ailments, and drug problems two years later. A similar pattern emerged for those identifying as non-SGD. The only associations for SGD-identifying participants were food insecurity with increased anxiety, depression, and physical ailments. Racial/ethnic differences indicated that homelessness was associated with increased depression and anxiety among Hispanics, and physical ailments and drug consequences among Asians, but fewer drug problems among Whites. Food insecurity was associated with increased depression in all racial/ethnic groups, anxiety among Hispanics and Asians, physical ailments among Whites and Asians, and drug problems among Asians. Discussion: Homelessness and food insecurity predicted worse health outcomes during the transition to adulthood, with varying results across SGD and racial/ethnic subgroups. It is important for future research to continue examining long-term effects of economic instability on health disparities during this important developmental period.
MeSH term(s)	Adult ; Humans ; United States/epidemiology ; Young Adult ; Ethnicity ; Hispanic or Latino ; Anxiety ; Ill-Housed Persons ; Food Supply ; Food Insecurity
Language	English
Publishing date	2024-02-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	1063374-1
ISSN	1879-1972 ; 1054-139X
ISSN (online)	1879-1972
ISSN	1054-139X
DOI	10.1016/j.jadohealth.2023.12.007
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Article ; Online: Modifying Text Messages from a Faith-Based Physical Activity Intervention with Latino Adults in Response to the COVID-19 Pandemic.

Whitley, Margaret D / Perez, Lilian G / Castro, Gabriela / Larson, Anne / Derose, Kathryn P

Community health equity research & policy

2023 , Page(s) 2752535X221150009

Abstract: Background: Text messages are useful for health promotion and can be modified during public health emergencies.: Purpose: Describe how we developed and implemented a physical activity (PA) text messaging component within a faith-based intervention, ... ...

Abstract	Background: Text messages are useful for health promotion and can be modified during public health emergencies. Purpose: Describe how we developed and implemented a physical activity (PA) text messaging component within a faith-based intervention, modified the text message content in response to the COVID-19 pandemic and evaluated participants' perceptions of the modified text messages. Research design and study sample: PA promotion text messages were delivered to predominately Spanish-speaking, churchgoing Latino adults ( Data collection and analysis: We analyzed quantitative and qualitative survey data to gauge participants' experiences with the text messages. Results: COVID-19 related text messages were a feasible, acceptable addition to a PA intervention for a sample of Latinos. Conclusions: Throughout the pandemic, the messages enabled continued communication and support for PA and protection from COVID-19 in a population at high-risk of health inequities.
Language	English
Publishing date	2023-01-18
Publishing country	United States
Document type	Journal Article
ISSN	2752-5368
ISSN (online)	2752-5368
DOI	10.1177/2752535X221150009
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Article ; Online: Lessons From an Implementation Evaluation of a Real-World Multi-City Initiative to Address COVID-19 Vaccination Inequities.

Perez, Lilian G / Williams, Malcolm V / Dopp, Alex R / Ringel, Jeanne S / Faherty, Laura J

Community health equity research & policy

2023 Volume 44, Issue 3, Page(s) 331–338

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Humans ; COVID-19 Vaccines/therapeutic use ; Cities ; Pandemics ; COVID-19/epidemiology ; Vaccination
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2023-07-14
Publishing country	United States
Document type	Journal Article
ISSN	2752-5368
ISSN (online)	2752-5368
DOI	10.1177/2752535X231189434
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Article ; Online: Big Data Needs and Challenges to Advance Research on Racial and Ethnic Inequities in Maternal and Child Health.

Perez, Lilian G / Peet, Evan D / Vegetabile, Brian / Shih, Regina A

Women's health issues : official publication of the Jacobs Institute of Women's Health

2021 Volume 32, Issue 2, Page(s) 90–94

MeSH term(s)	Big Data ; Child ; Child Health ; Ethnicity ; Humans ; Racial Groups ; United States
Language	English
Publishing date	2021-12-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	1085396-0
ISSN	1878-4321 ; 1049-3867
ISSN (online)	1878-4321
ISSN	1049-3867
DOI	10.1016/j.whi.2021.11.003
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Article ; Online: Movement behaviors associated with mental health among US military service members.

Perez, Lilian G / Dong, Lu / Beckman, Robin / Meadows, Sarah O

Military psychology : the official journal of the Division of Military Psychology, American Psychological Association

2021 Volume 34, Issue 2, Page(s) 211–223

Abstract: Compared to the general adult population, military service members experience an excess burden of mental health problems (e.g., posttraumatic stress disorder, PTSD). Physical activity, screen time, and sleep (i.e., movement behaviors) are independently ... ...

Abstract	Compared to the general adult population, military service members experience an excess burden of mental health problems (e.g., posttraumatic stress disorder, PTSD). Physical activity, screen time, and sleep (i.e., movement behaviors) are independently associated with mental health, but their combined effects are poorly understood, particularly in military populations. We analyzed data from active component service members in the national 2018 Health Related Behaviors Survey (N = 17,166). Weighted gender-stratified logistic regression models examined the associations of meeting recommended/healthy levels of moderate-to vigorous physical activity (MVPA), screen time, and sleep duration - separately and in combination (none, some, all) - with PTSD, suicide ideation, and serious psychological distress. In both men and women, meeting sleep recommendations was associated with reduced odds of each outcome. Meeting MVPA recommendations was associated with lower odds of serious psychological distress only in men (OR = 0.76, 95% CI: 0.58-1.00). No/low screen time was associated with lower odds of suicide ideation only in women (OR = 0.66, 95% CI: 0.45-0.95). The odds of all three outcomes were lower in those who reported some or all (vs. none) recommended/healthy movement behaviors, with the lowest odds found in the "all" group, suggesting a possible dose-response relationship. Findings can help inform multiple behavior change interventions to improve service members' psychological fitness and military readiness.
Language	English
Publishing date	2021-11-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	2021130-2
ISSN	1532-7876 ; 0899-5605
ISSN (online)	1532-7876
ISSN	0899-5605
DOI	10.1080/08995605.2021.1987084
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Article ; Online: Unpacking disparities in substance-related outcomes among racial, ethnic, sexual, and gender minoritized groups during adolescence and emerging adulthood.

D'Amico, Elizabeth J / Tucker, Joan S / Dunbar, Michael S / Perez, Lilian / Siconolfi, Daniel / Davis, Jordan P / Pedersen, Eric R / Rodriguez, Anthony

Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors

2023 Volume 37, Issue 5, Page(s) 651–656

Abstract: Objective: Alcohol and other drug (AOD) use increases substantially from adolescence to emerging adulthood, and recent longitudinal studies show disparities in AOD-related outcomes by racial and ethnic, as well as sexual and gender minority (SGM), ... ...

Abstract	Objective: Alcohol and other drug (AOD) use increases substantially from adolescence to emerging adulthood, and recent longitudinal studies show disparities in AOD-related outcomes by racial and ethnic, as well as sexual and gender minority (SGM), identities. Greater insight is needed into how individual, social, and environmental contexts interact and affect such disparities, as well as why disparate outcomes are found across different domains (e.g., social, educational, economic), even after accounting for intensity of use. This commentary addresses these important and timely issues. Method: We provide a brief overview of the literature, including our own team's work over the last 14 years, to identify and understand disparities in AOD-related outcomes during adolescence and emerging adulthood across individuals with different racial and ethnic, and sexual and gender, identities. We then discuss paths forward to advance research and build a stronger evidence base, leading to the development and identification of effective interventions that can help mitigate disparities among historically marginalized adolescents and emerging adults. Results: Existing research highlights the need for further longitudinal work in several areas, including addressing contextual factors at various levels (e.g., individual, social, environmental) that may contribute to outcomes for different groups of individuals, developing and testing culturally appropriate AOD-related services, giving greater consideration to intersectionality of multiple minority identities, and using novel statistical approaches to help improve the estimation of differences across smaller subgroups of individuals in existing cohorts. Conclusions: To inform prevention programming and policy for improving health and well-being of historically marginalized populations, it is important to continue our efforts to understand disparities in AOD-related outcomes using multidisciplinary, equity, and intersectionality lenses. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
MeSH term(s)	Adolescent ; Humans ; Educational Status ; Minority Groups ; Racial Groups ; Sexual and Gender Minorities ; Sexual Behavior ; Young Adult
Language	English
Publishing date	2023-07-31
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2101111-4
ISSN	1939-1501 ; 0893-164X
ISSN (online)	1939-1501
ISSN	0893-164X
DOI	10.1037/adb0000905
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Article ; Online: Neighborhood walkability, neighborhood social health, and self-selection among U.S. adults.

Carson, Jacob R / Conway, Terry L / Perez, Lilian G / Frank, Lawrence D / Saelens, Brian E / Cain, Kelli L / Sallis, James F

Health & place

2023 Volume 82, Page(s) 103036

Abstract: Objectives: Neighborhood walkability is favorably related to multiple physical health outcomes, but associations with social health are less clear. Present analyses examined how neighborhood walkability was related to neighborhood social health and ... ...

Abstract	Objectives: Neighborhood walkability is favorably related to multiple physical health outcomes, but associations with social health are less clear. Present analyses examined how neighborhood walkability was related to neighborhood social health and explored the potential confounding role of neighborhood self-selection. Methods: Cross-sectional data were analyzed for 1745 adults, ages 20-66, recruited from two US regions. We created a walkability index around each participant's home (1 km street network buffer) based on residential density, street intersection density, mixed land use, and retail floor area ratio. Neighborhood social health outcomes included reported social interactions with neighbors and sense of community. Two mixed model regressions were conducted for each outcome, with and without adjusting for walkability-related reasons for moving to the neighborhood (self-selection). Covariates included sex, age, socioeconomic status, white/nonwhite race/ethnicity, marital status, and time living in the neighborhood. Results: Neighborhood walkability was positively related to social interactions with neighbors, both without (b = 0.13, p < .001) and with adjustment for self-selection (b = 0.09, p = .008). Neighborhood walkability was positively associated with sense of community, but only before adjusting for self-selection (b = 0.02, p = .009). Conclusion: Neighborhood walkability may promote specific aspects of neighborhood social health, which together are beneficial for physical and mental health. These findings provide additional impetus for enhancing walkability of US communities.
MeSH term(s)	Humans ; Adult ; Exercise ; Walking ; Environment Design ; Cross-Sectional Studies ; Social Class ; Residence Characteristics
Language	English
Publishing date	2023-05-25
Publishing country	England
Document type	Journal Article
ZDB-ID	1262540-1
ISSN	1873-2054 ; 1353-8292
ISSN (online)	1873-2054
ISSN	1353-8292
DOI	10.1016/j.healthplace.2023.103036
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Article ; Online: Neighborhood Environment Perceptions among Latinos in the U.S.

Perez, Lilian G / Ruiz, John M / Berrigan, David

International journal of environmental research and public health

2019 Volume 16, Issue 17

Abstract: In the U.S., immigrants and racial/ethnic minorities (e.g., Latinos) often report unfavorable neighborhood environments, which may hinder physical activity (PA). Among Latinos, PA levels are disproportionately lower in foreign-born, female, older, and ... ...

Abstract	In the U.S., immigrants and racial/ethnic minorities (e.g., Latinos) often report unfavorable neighborhood environments, which may hinder physical activity (PA). Among Latinos, PA levels are disproportionately lower in foreign-born, female, older, and low-education individuals. It is unclear whether these subgroups, including those from multiple disadvantaged backgrounds (e.g., low education, foreign-born), perceive worse neighborhood environments for PA. This cross-sectional study aimed to examine differences in neighborhood environment perceptions among Latinos in the 2015 National Health Interview Survey (
MeSH term(s)	Adolescent ; Adult ; Age Factors ; Aged ; Cross-Sectional Studies ; Educational Status ; Emigrants and Immigrants/psychology ; Emigrants and Immigrants/statistics & numerical data ; Exercise/psychology ; Female ; Hispanic Americans/psychology ; Hispanic Americans/statistics & numerical data ; Humans ; Logistic Models ; Male ; Middle Aged ; Residence Characteristics ; Self Report ; Transportation ; United States ; Walking ; Young Adult
Language	English
Publishing date	2019-08-23
Publishing country	Switzerland
Document type	Journal Article
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph16173062
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Article ; Online: Late Adolescent Predictors of Homelessness and Food Insecurity During Emerging Adulthood.

Tucker, Joan S / Davis, Jordan P / Perez, Lilian G / Klein, David J / D'Amico, Elizabeth J

The Journal of adolescent health : official publication of the Society for Adolescent Medicine

2021 Volume 70, Issue 5, Page(s) 736–742

Abstract: Purpose: Economic instability is a significant and growing problem among emerging adults in the U.S. This study identifies adolescent factors across multiple levels of influence that predict homelessness and food insecurity 5 years later.: Methods: ... ...

Abstract	Purpose: Economic instability is a significant and growing problem among emerging adults in the U.S. This study identifies adolescent factors across multiple levels of influence that predict homelessness and food insecurity 5 years later. Methods: The analytic sample (n = 2,110) completed a survey in 2015-2016 (mean age 17) that assessed a range of demographic, behavioral health, family, peer, academic, and neighborhood factors, and a follow-up survey in 2019-2020 (mean age 23) that assessed past-year homelessness and food insecurity. Logistic regression analyses were conducted for the full sample, and by race/ethnicity. Results: At follow-up, 7.5% of participants reported homelessness, and 29.3% reported food insecurity. Multivariate analyses indicated that only adverse childhood experiences and weaker academic orientation predicted both outcomes. Future homelessness was additionally predicted by greater exposure to substance using peers during adolescence. Identifying as Hispanic, lower maternal education, and greater neighborhood disorganization were risk factors for future food insecurity, and living with both biological parents and better mental health were protective factors. Race/ethnicity stratified models showed variations in multilevel predictors of both outcomes, except for adverse childhood experiences, which were significant across all subgroups. Conclusions: Adverse childhood experiences and weaker academic orientation emerged as the most robust predictors of economic instability in emerging adulthood. However, a range of other modifiable multilevel predictors in adolescence were identified that were unique to homelessness or food insecurity and that varied by race/ethnicity. Results suggest the need for multilevel approaches early in life to reduce risk of economic instability during emerging adulthood.
MeSH term(s)	Adolescent ; Adult ; Food Insecurity ; Food Supply ; Ill-Housed Persons ; Humans ; Longitudinal Studies ; Parents ; Risk Factors ; Young Adult
Language	English
Publishing date	2021-12-10
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1063374-1
ISSN	1879-1972 ; 1054-139X
ISSN (online)	1879-1972
ISSN	1054-139X
DOI	10.1016/j.jadohealth.2021.10.035
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