Second, key differences in the two clinic populations’ age, education, and the services sought by clients likely contributed to some selection bias in each community. Third, socioeconomic status was not easily established for both samples, as the two regional assessment instruments (surveys) did not directly ask
about participant income. Other sources of information were used to establish low socioeconomic status in WV and LA County. In WV, to receive services, all WIC clients must have incomes which fell at or below 185% of the U.S. Poverty www.selleckchem.com/products/Cyclopamine.html Income Guidelines. In LA County, participants provided zip codes to verify their region of residence and answered questions about employment status, education, and usage of need-based public services. The present
case studies of rural WV and urban LA County represent unique snapshots of subpopulations targeted by the national CPPW program administered by the CDC (Bunnell et al., 2012). Results of the studies confirmed the need to invest in these regions, which contained high prevalence of overweight and obesity. Coupled to other system-level or multi-sector interventions, the range of nutrition interventions in WV and LA County (e.g., WIC health education; workplace breastfeeding accommodations; healthy food procurement practices; and public education) offer potentially meaningful opportunities to facilitate better food selections among low-income women and their families. These data Panobinostat chemical structure provide invaluable insights on how these and other STK38 obesity prevention strategies can be tailored and refined to address the needs of this important segment of the population — a group that can have an enormous impact not only on what food they choose for themselves, but, more importantly, for their families. Collectively, these subpopulation health data served as an important
guide for further planning of obesity prevention efforts in both communities; in many cases, these efforts became a part of the subsequent Community Transformation Grants portfolio. The authors report no financial disclosures or conflicts of interest. The authors would like to thank the staff in the following agencies and organizations for their support and contributions to this article: CPPW-West Virginia (Principal Investigator Joe Barker); the West Virginia Bureau for Public Health and the Mid-Ohio Valley Health Department; Los Angeles County Department of Public Health (Lisa V. Smith, Jennifer Piron, and Mirna Ponce); RTI International (Allie Lieberman and Jonathan Blitstein); and the CPPW Manuscript Writing Workshop sponsored by ICF International (Kathleen Whitten, Tesfayi Gebreselassie). The project was supported in part by cooperative agreements from the Centers for Disease Control and Prevention (#3U58DP002429-01S1, West Virginia and #3U58DP002485-01S1, Los Angeles County).