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AJPH First Look, published online ahead of print May 30, 2007
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The Influence of Social Context on Changes in Fruit and Vegetable Consumption: Results of the Healthy Directions Studies

Glorian Sorensen, PhD, MPH, Anne M. Stoddard, ScD, Tamara Dubowitz, ScD, Elizabeth M. Barbeau, ScD, MPH, JudyAnn Bigby, MD, Karen M. Emmons, PhD, Lisa F. Berkman, PhD and Karen E. Peterson, ScD, RD

Glorian Sorensen, Elizabeth M. Barbeau, and Karen M. Emmons are with the Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, Mass, and the Department of Society, Human Development and Health, Harvard School of Public Health, Boston. Anne M. Stoddard is with the Center for Statistical Analysis and Research, New England Research Institutes, Watertown, Mass. Tamara Dubowitz is with the Center for Minority Health, University of Pittsburgh, Pittsburgh, Pa. At the time of this study, JudyAnn Bigby was with the Office for Women, Family and Community Programs, Brigham and Women’s Hospital, Boston, and the Department of Medicine, Harvard Medical School, Boston. Lisa F. Berkman is with the Department of Society, Human Development and Health, Harvard School of Public Health, Boston. Karen E. Peterson is with the Department of Nutrition, Harvard School of Public Health, Boston, and the Department of Society, Human Development and Health, Harvard School of Public Health, Boston.


Figure 1
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  		FIGURE 1—— The social contextual model of health behavior change used in the Healthy Directions Studies: health centers and small business, Boston, Mass, 1999–2003

Note. Dotted lines represent the impact of the intervention through the mediating mechanisms and on the health behavior outcomes. For information on the crosscutting role of culture, see reference 22.

 




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