Adherence
Modifying the built environment to improve walkability, increasing access to affordable healthy foods, and restricting tobacco availability can reduce adverse cardiovascular risk behaviors in high-risk Aboriginal communities.
For community leaders and health advocates in high-risk areas, focus on changing the environment rather than just educating individuals. Improve walkability (safe streets, facilities), ensure affordable healthy food is available locally, and implement strict controls on tobacco access, especially for youth. Individual willpower is insufficient when the environment is hostile to health.
Modification of these contextual factors described here may reduce adverse health behaviours in the community.
Why this rating
The study is a cross-sectional pilot with a small sample size (n=63) and relies on self-reported perceptions rather than objective behavioral or clinical outcome measures.
Source
Contextual determinants of health behaviours in an aboriginal community in Canada: pilot project
PAMELA LAYA JOSEPH et al. · BMC Public Health · 2012
DOI 10.1186/1471-2458-12-952
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