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OBJECTIVE: To reduce risk factors in workplace settings in low- and middle-income countries. DESIGN AND SAMPLE: Workplace interventions were utilized as part of the Community Interventions for Health program, a nonrandomized, controlled study undertaken in three communities in China, India, and Mexico. Exactly, 45 industrial, 82 health and 101 school workplace settings with a target population of 15,726. Two independent cross-sectional surveys of workers were conducted at baseline and follow-up, after 18-24 months of intervention activities. MEASURES: Culturally appropriate interventions to reduce tobacco use, increase physical activity, and improve dietary intake were delivered in the intervention areas. RESULTS: Exactly, 12,136 adults completed surveys at baseline, and 9,786 at follow-up. In the intervention group, the prevalence of tobacco use reduced significantly in men (-6.0%, p < .001) and the proportion eating five portions of fruit and vegetables daily increased (+6.9%, p < .001) compared with the control group. There were no significant differences between the groups for changes in physical activity or prevalence of overweight. CONCLUSIONS: Workplace interventions improved risk factors in China, India, and Mexico.

Original publication




Journal article


Public Health Nurs

Publication Date





478 - 487


community interventions, diet, noncommunicable disease, obesity, physical activity, tobacco, workplace, Adolescent, Adult, China, Cross-Sectional Studies, Cultural Competency, Diet, Female, Follow-Up Studies, Fruit, Health Promotion, Health Surveys, Humans, India, Male, Mexico, Middle Aged, Motor Activity, Occupational Health, Overweight, Prevalence, Risk Factors, Tobacco Use, Vegetables, Workplace, Young Adult