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Papers by Patricia Wakimoto

Rutgers University Press eBooks, Dec 31, 2022

Community Organizing and Community Building for Health and Social Equity, 4th edition

Kendall Hunt Publishing Company, 2012

Stress Narratives of Honoring Parents, Finding Self, and Identity Development

worksite nutrition intervention program. Prev Chronic Dis [serial online] 2004 Oct [date cited]. ... more worksite nutrition intervention program. Prev Chronic Dis [serial online] 2004 Oct [date cited]. Available from: URL:

American Journal of Public Health, 2019

Journal of urban health : bulletin of the New York Academy of Medicine, Jan 9, 2018

In urban "food swamps" like San Francisco's Tenderloin, the absence of full-service... more In urban "food swamps" like San Francisco's Tenderloin, the absence of full-service grocery stores and plethora of corner stores saturated with tobacco, alcohol, and processed food contribute to high rates of chronic disease. We explore the genesis of the Tenderloin Healthy Corner Store Coalition, its relationship with health department and academic partners, and its contributions to the passage and implementation of a healthy retail ordinance through community-based participatory research (CBPR), capacity building, and advocacy. The healthy retail ordinance incentivizes small stores to increase space for healthy foods and decrease tobacco and alcohol availability. Through Yin's multi-method case study analysis, we examined the partnership's processes and contributions to the ordinance within the framework of Kingdon's three-stage policymaking model. We also assessed preliminary outcomes of the ordinance, including a 35% increase in produce sales and modera...

Preventing Chronic Disease, Jul 1, 2006

IntroductionThe Hispanic population is the most rapidly growing ethnic group in the United States... more IntroductionThe Hispanic population is the most rapidly growing ethnic group in the United States. Culturally appropriate and efficient strategies for dietary assessment for this population are currently lacking. To address this issue and promote a healthy diet for disease prevention, we developed screening tools to assess the fruit, vegetable, and fat intake of Mexican Americans.MethodsBrief screening tools (screeners) were developed based on national data on Mexican Americans' dietary intake and were then modified after interviews and field testing. The screeners take less than 10 minutes to administer. A reliability study was conducted from June through September 2000, during which 93 Mexican Americans (39 men, 54 women) completed the screeners twice, 1 month apart. The mean age of the study participants was 36.5 years (range 18–71 years), and 91.4% had been born in Mexico.ResultsCorrelations between the first and second administration of the screeners were r = 0.64 for fruits and vegetables and r = 0.85 for dietary fat contributors. In addition, estimates of fruit and vegetable consumption frequency were similar to statewide estimates for Hispanics in California. Reproducibility of reported use of vitamin supplements at least once per week was high; 84% were classified in the same way both times (P < .001).ConclusionThe screening tools provide a reliable assessment of selected dietary factors among Mexican Americans. The tools can be scored immediately to provide feedback to respondents. They may be useful in situations requiring easily administered and economical assessment tools, such as in large-scale studies or in community situations.

The Faseb Journal, Mar 1, 2007

Nutrition education programs face linguistic and cultural challenges in effectively reaching low-... more Nutrition education programs face linguistic and cultural challenges in effectively reaching low-literacy immigrant populations. Studies show that visual materials and bilingual audiovisual resources that are culturally responsive and literacy appropriate help participants acquire the knowledge, skills, attitudes and behavior necessary for nutritional well-being. This multistate project examined the efficacy of visual handouts and brief video clips to communicate nutrition education messages to Hmong communities participating in the Expanded Food and Nutrition Education Program (EFNEP) in California, Minnesota, and Wisconsin. Formative evaluation efforts via focus groups and informational interviews demonstrated the need to develop tools that encourage food resource management skills like planning ahead and using store ads, and that address how to increase consumption of vegetables and calcium rich foods. Three video clips were produced with Hmong community members and nutrition edu...

Community health workers were integral contributors to a study that tested the application of an ... more Community health workers were integral contributors to a study that tested the application of an evaluation instrument that measures positive behavior changes for the California Expanded Food and Nutrition Education Program (EFNEP). This instrument, known as the Food Behavior Checklist (FBC), had not been previously evaluated for use with culturally unique subpopulations. Here we evaluated the utility and cultural appropriateness of the FBC questions for the Hmong population in the California Central Valley. Community health workers were trained to assess the effectiveness and cultural responsiveness of an adaptation of the Healthy Families EFNEP Curriculum, a series of interactive lessons aimed to improve nutrition and increase physical activity in limited resource families. This study revealed a major challenge in the Hmong population's ability to understand certain cognitive concepts, including the concepts of regularly scheduled exercise, of planning ahead by making shopping...

Advocacy for the cause of sustaining public health programs, including federal assistance program... more Advocacy for the cause of sustaining public health programs, including federal assistance programs that benefit families with limited resources, is an essential and critical activity. Harnessing the power of audiovisual media is an effective method for conveying salient information to targeted key stakeholders and for shaping public opinion on critical public health issues. The brief, 3 minute video, Creating Healthy Families and Communities in California was produced as an advocacy tool to be used in a variety of settings, including face to face meetings, for community outreach purposes, and for web-based communication. The purpose was to capture the essence of the USDA-funded California Expanded Food and Nutrition Education Program (CA EFNEP), including the goals, philosophy, components of peer-education and reasons for success. CA EFNEP extends research-based knowledge into community practice in the areas of nutrition, meal planning, food budgeting and food safety. The viewers of...

The Hmong is a minority group with one of the highest rates of poverty. Hmong have an oral tradit... more The Hmong is a minority group with one of the highest rates of poverty. Hmong have an oral tradition; hence, many do not read or write Hmong or English. The Hmong are in need of culturally appropriate education and tools to deliver effective messages regarding food shopping. The aims of this research project were to 1) identify issues in acquiring nutritious, reasonably-priced foods acceptable to the Hmong and 2) to develop and evaluate a related educational tool to address these issues. Knowledge encompassing meal planning, purchasing healthy foods and saving money was assessed for Hmong (n=34) in Sacramento County. Data served as baseline information for the content of the intervention tool. A brief video, Plan, Shop, Save! was produced, evaluated, and integrated into a series of nutrition education lessons (USDA Expanded Food and Nutrition Education Program) in Butte County. Pre- and post- food behavior checklists were used for the evaluation of behavior change. Questions include...

Ethnic minorities continue to be affected by preventable and manageable chronic diseases like dia... more Ethnic minorities continue to be affected by preventable and manageable chronic diseases like diabetes, at disproportionate rates. Cultural and language barriers are common issues preventing successful intervention. The active and appropriate use of medical interpreters can assist in meeting the needs of the client. The aims were to 1) identify cultural and language barriers to effective diabetes management and 2) identify the challenges obstructing effective communication between health providers, interpreters, and Hmong patients. Focus groups were conducted in the Central Valley, CA. Participants (n=62) included Hmong health interpreters, young Hmong adults and community members. Informant interviews (n= 8) included clinicians and practitioners working with immigrant Hmong and other Southeast Asian groups. Knowledge and experiences encompassing the disease process, prevention, and management were assessed. Key informants were asked to address issues including experiences and chall...