Predominantly white, the area is characterized by high rates of unemployment, poverty, and chronic disease. Data collection took place from February-August, 2011, in two Women, Infants, and Children (WIC)4 clinics (USDA, 2011). These two sites were selected because they served the largest proportion of low-income residents in the region. In LA County, CPPW funded interventions for 9.8 million adults and children countywide. LA County is largely urban with a land area of 4058 square miles and a population density of 2419 persons per square mile. The population is racially and ethnically diverse.
LA County is similar to WV in that its northwest and south-central regions have high rates of poverty and chronic disease (Los Angeles County Department of Public Health (LACDPH), 2011 and U.S. Census Bureau (QF-L), 2012b). Data were collected from http://www.selleckchem.com/products/gsk-j4-hcl.html February–April, 2011 in five Birinapant in vivo public health centers operated by the Los Angeles County Department of Public Health (LACDPH).5 These centers provide a range of services (e.g., immunizations,
treatment of tuberculosis and sexually transmitted diseases, community programming, and other public/social services) to low-income residents. We selected them because they are located within the most impoverished areas of the county. WV participants (total n = 630; women with children ages 0–5 years, n = 553) were recruited from the waiting rooms of the two selected WIC clinics. To be eligible, they had to
meet the following criteria: 1) demonstrated interest in the project; 2) be at least 18 years of age; 3) read and spoke English; 4) lived in one of six county jurisdictions in WV; 5) not be pregnant; 6) be at least eight weeks postpartum; and 7) agreed to return for follow-up visits (i.e., at three and six months post-initial encounter). All WIC clients those had incomes that fell at or below 185% of the U.S. Poverty Income Guidelines (USDA, 2003). In LA County, low-income participants (total n = 720; women, n = 408) were recruited from the waiting rooms of five large public health centers using a Modulators systematic approach to selection, accounting (when feasible) for each center’s clientele volume, time of day, variation in the types of services provided, and variation in clinic flow on the specified recruitment days. Trained staff utilized multi-stage, systematic procedures on pre-specified days of the survey period to recruit and enroll eligible participants. To be eligible, LA County participants had to meet the following criteria: 1) be at least 18 years of age; 2) spoke English or Spanish; 3) be a client (patient) of the health center; 4) not be pregnant; and 5) agreed to complete a battery of anthropometric and self-administered assessments on a scheduled weekend day at a designated center location. Standardized recruitment and measurement protocols were used in both communities.