Objectives. This study sought to determine whether a culturally relevant he
alth message would promote stair use in a predominantly Hispanic community.
Methods. Observations of stair, elevator, and escalator use were collected
over a 6-month period at 4 sites throughout the city of El Paso, Tex. The e
fficacy of individual and family health promotion signs was tested.
Results. Stair use increased in response to both individual and family prom
otion health messages, and use varied widely by intervention site.
Conclusions. These results underscore the importance of considering the phy
sical characteristics of the environments targeted for health promotion cam
paigns.