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Zamarripa K, Crusan A, Roozen K, Godoy-Henderson C, Evans A. Strengthening the Voices of Hispanic/ Latine Immigrants Managing Chronic Disease: A Mixed Methods Approach to Understanding Perspectives of Health. Healthcare (Basel) 2024; 12:1519. [PMID: 39120222 PMCID: PMC11311751 DOI: 10.3390/healthcare12151519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2024] [Revised: 07/22/2024] [Accepted: 07/28/2024] [Indexed: 08/10/2024] Open
Abstract
Individuals who migrate from their home country face a variety of challenges while adapting to the culture in the United States. Immigrant communities are at a significantly higher risk for poor health outcomes; therefore, assessing healthcare treatment for diverse and resilient immigrant populations, including Hispanic/Latine communities, is crucial to preserving their health, culture, and spirit. A paucity of literature exists surrounding perceptions of well-being in immigrant, Hispanic/Latine adults managing chronic diseases. Past studies have shown a discrepancy between providers' and patients' perceptions of healthcare options for overall well-being. We aim to share varying perspectives found within our work geared towards improving the quality of life for Hispanic/Latine immigrants managing chronic disease, especially type 2 diabetes mellitus and hypertension. The primary objective of this article is to strengthen the understanding of intersections between social, physical, financial, and spiritual health within an (im)migrant Hispanic/Latine community using semi-structured ethnographic interviews. These interviews have highlighted community resilience, demonstrating that individuals can adapt to major life transitions while maintaining balance across dimensions of health. This knowledge could be implemented by actively listening to patient concerns regarding their health dimensions to improve individualized and patient-centric care.
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Affiliation(s)
- Kathy Zamarripa
- Department of Biology, Aging & Longevity, School of Arts, Humanities, and Sciences, St. Catherine University, St. Paul, MN 55105, USA;
| | - Ambria Crusan
- Department of Nutrition and Dietetics, St. Catherine University, St. Paul, MN 55105, USA
| | - Kerrie Roozen
- Department of Nutrition and Dietetics, St. Catherine University, St. Paul, MN 55105, USA
| | - Clara Godoy-Henderson
- Department of Health Services Research, Policy and Administration, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA
| | - Angela Evans
- Department of Nutrition and Dietetics, St. Catherine University, St. Paul, MN 55105, USA
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Howell CR, Juarez L, Agne AA, Nassel AF, Scarinci IC, Ayala GX, Cherrington AL. Assessing Hispanic/Latino and Non-Hispanic White Social Determinants of Obesity Among a Community Sample of Residents in the Rural Southeast US. J Immigr Minor Health 2022; 24:1469-1479. [PMID: 35174428 PMCID: PMC9980419 DOI: 10.1007/s10903-022-01334-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/24/2022] [Indexed: 02/01/2023]
Abstract
Employing an ecological approach, we sought to identify social determinants of obesity among Hispanics/Latinos and non-Hispanic whites living in the Southeast US. Data on social determinants of obesity (individual, family, community and cultural/contextual) were collected from 217 participants [106 Hispanics/Latinos; 111 non-Hispanic whites]; height and weight were objectively measured. We compared prevalence of overweight and obese between ethnic groups and BMI values within each group by social determinants. Hispanics had a 1.9-fold increase (OR 1.93, 95% CI: 1.05-3.55) in overweight prevalence compared to non-Hispanic whites after adjusting for age and gender. We found positive estimates between unfavorable family-level determinants and BMI among Hispanic/Latinos. In contrast, non-Hispanic whites who reported unfavorable neighborhood characteristics had higher BMI's. Findings highlight the need for targeted approaches for the prevention and control of obesity.
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Affiliation(s)
- Carrie R Howell
- Department of Medicine, Division of Preventive Medicine, University of Alabama at Birmingham, 638 Medical Towers, 1717 11th Avenue South, Birmingham, AL, 35205, USA.
| | - Lucia Juarez
- Department of Medicine, Division of Preventive Medicine, University of Alabama at Birmingham, 638 Medical Towers, 1717 11th Avenue South, Birmingham, AL, 35205, USA
| | - April A Agne
- Department of Medicine, Division of Preventive Medicine, University of Alabama at Birmingham, 638 Medical Towers, 1717 11th Avenue South, Birmingham, AL, 35205, USA
| | - Ariann F Nassel
- School of Public Health, University of Alabama at Birmingham, 1665 University Blvd, Birmingham, AL, 35233, USA
| | - Isabel C Scarinci
- Department of Medicine, Division of Preventive Medicine, University of Alabama at Birmingham, 638 Medical Towers, 1717 11th Avenue South, Birmingham, AL, 35205, USA
| | - Guadalupe X Ayala
- School of Public Health, San Diego State University, San Diego, CA, USA
| | - Andrea L Cherrington
- Department of Medicine, Division of Preventive Medicine, University of Alabama at Birmingham, 638 Medical Towers, 1717 11th Avenue South, Birmingham, AL, 35205, USA
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Sanchez-Johnsen L, Dykema-Engblade A, Rosas CE, Calderon L, Rademaker A, Nava M, Hassan C. Mexican and Puerto Rican Men's Preferences Regarding a Healthy Eating, Physical Activity and Body Image Intervention. Nutrients 2022; 14:4634. [PMID: 36364897 PMCID: PMC9654900 DOI: 10.3390/nu14214634] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 10/18/2022] [Accepted: 10/26/2022] [Indexed: 01/28/2024] Open
Abstract
This study examined the logistical, practical, and cultural preferences of Latinos regarding the design of a healthy eating, physical activity, and body image intervention. Puerto Rican and Mexican men (n = 203) completed an interview as part of an NIH-funded study. Overall, 66.5% preferred the intervention to be in Spanish only or both Spanish and English; 88.67% said it was moderately, very or extremely important for the intervention leader to be bilingual; and 66.01% considered it moderately to extremely important for the leader to be Hispanic or Latino. Most participants (83.74%) reported they would be willing to attend an intervention that met twice per week and 74.38% said they would be willing to attend an intervention that met for 1.5 to 2 h, twice weekly. Overall, the majority said they would be moderately to extremely interested in attending an exercise program if it consisted of aerobics with Latin or salsa movements (74.88%) and if it consisted of aerobics with Latin or salsa music (70.44%). Some participants were moderately to extremely interested in attending an intervention if it included dichos (Latino sayings) (65.02%) and cuentos (folktales or stories) (69.46%). The findings have implications for lifestyle and body image interventions aimed at preventing cardiometabolic diseases.
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Affiliation(s)
- Lisa Sanchez-Johnsen
- Department of Family and Preventive Medicine, Rush University Medical Center, 1645 West Jackson Blvd, Suite 302, Chicago, IL 60612, USA
- Department of Psychology, University of Illinois at Chicago, 1007 W Harrison St., Chicago, IL 60607, USA
| | - Amanda Dykema-Engblade
- Department of Psychology, Northeastern Illinois University, 5500 North St. Louis Ave, Chicago, IL 60625, USA
| | - Carlos E. Rosas
- Department of Family and Preventive Medicine, Rush University Medical Center, 1645 West Jackson Blvd, Suite 302, Chicago, IL 60612, USA
- Department of Psychology, University of Illinois at Chicago, 1007 W Harrison St., Chicago, IL 60607, USA
| | - Leonilda Calderon
- Puerto Rican Cultural Center, 2628 W. Division St., Chicago, IL 60612, USA
| | - Alfred Rademaker
- Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, 680 N Lake Shore Drive, Suite #1400, Chicago, IL 60611, USA
| | - Magdalena Nava
- Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, 625 N. Michigan Ave Suite #1100, Chicago, IL 60601, USA
| | - Chandra Hassan
- Department of Surgery, University of Illinois at Chicago, 840 South Wood Street (MC 958), Chicago, IL 60612, USA
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Qualitative Exploration of Family Influences on Physical Activity in Hispanic Families. J Phys Act Health 2022; 19:89-98. [PMID: 35061997 PMCID: PMC8900669 DOI: 10.1123/jpah.2021-0301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 10/27/2021] [Accepted: 11/23/2021] [Indexed: 12/15/2022]
Abstract
BACKGROUND Limited information exists on how the family unit aids or impedes physical activity (PA) engagement within Hispanic populations. This qualitative study explored family-level influences on PA in dyads of adult Hispanic family members (eg, parent-adult child, siblings, spouses). METHODS In-person interviews and brief surveys were conducted together with 20 dyads lasting 1.5 hours each. Two researchers coded and analyzed text using thematic analysis in NVivo (version 11.0). They resolved discrepancies through consensus and used matrix coding analysis to examine themes by participants' demographics. RESULTS The participants were mainly women (70%), from Mexico (61.5%), and they reported low levels of acculturation (87.5%). Themed facilitators for PA included "verbal encouragement," "help with responsibilities," "exercising with someone," and "exercising to appease children." Themed challenges included "lack of support," "challenges posed by children," "sedentary behaviors," and "competing responsibilities." Women more so than men described family-level challenges and facilitators, and dyads where both study partners were physically active provided more positive partner interaction descriptions for PA support than other dyads. CONCLUSIONS This study suggests that leveraging family support may be an important approach to promote and sustain PA, and that family-focused interventions should integrate communication-building strategies to facilitate family members' ability to solicit support from each other.
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Perez O, Beltran A, Isbell T, Galdamez-Calderon E, Baranowski T, Morgan PJ, O'Connor TM. Papás Saludables, Niños Saludables: Perspectives From Hispanic Parents and Children in a Culturally Adapted Father-Focused Obesity Program. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2021; 53:246-253. [PMID: 33358181 PMCID: PMC7954849 DOI: 10.1016/j.jneb.2020.11.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 11/12/2020] [Accepted: 11/14/2020] [Indexed: 06/12/2023]
Abstract
OBJECTIVE Qualitatively assess culturally adapted lifestyle intervention, Papás Saludables, Niños Saludables (PSNS; Healthy Dads, Healthy Kids), for Hispanic fathers and children. METHODS Semistructured interviews of parents and children after participation in 10-week PSNS program for Hispanic fathers and children. Qualitative data double-coded inductively and deductively until consensus reached. RESULTS Total of 26 fathers, 26 mothers, and 45 children interviewed. Parents and children had positive feedback about program content on culturally relevant nutrition and physical activity and reported improved father-child bonding. Mothers noted increased involvement among fathers in child's well-being. Participants suggested lengthening the program. CONCLUSIONS AND IMPLICATIONS Papás Saludables, Niños Saludables is an innovative approach with promise in engaging Hispanic fathers and children in a lifestyle program that emphasizes the role of fathers in children's lifestyle behaviors. Familism, respeto (respect), and promoting father-child relationships were important to engage fathers. Results from this study will inform future trials of PSNS and help identify ways to increase engagement of Hispanic men in other programs.
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Affiliation(s)
- Oriana Perez
- Department of Pediatrics, US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX
| | - Alicia Beltran
- Department of Pediatrics, US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX
| | - Tasia Isbell
- School of Public Health and McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX
| | - Edgar Galdamez-Calderon
- Department of Pediatrics, US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX
| | - Tom Baranowski
- Department of Pediatrics, US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX
| | - Philip J Morgan
- Priority Research Centre in Physical Activity and Nutrition, Faculty of Education and Arts, University of Newcastle, Newcastle, New South Wales, Australia
| | - Teresia M O'Connor
- Department of Pediatrics, US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, and Academic General Pediatrics, Baylor College of Medicine, Houston, TX.
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Implementing Hypertension Management Interventions in Immigrant Communities in the U.S.: a Narrative Review of Recent Developments and Suggestions for Programmatic Efforts. Curr Hypertens Rep 2021; 23:5. [PMID: 33483867 PMCID: PMC7821846 DOI: 10.1007/s11906-020-01121-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2020] [Indexed: 01/31/2023]
Abstract
PURPOSE OF REVIEW To outline intervention efforts focused on reducing hypertension disparities in immigrant communities in the U.S. and to identify areas in the design, implementation, and evaluation of these interventions that warrant further exploration guided by an implementation science framework. RECENT FINDINGS Studies examined (n = 11) included immigrant populations of African, Hispanic, and Asian origin. Men were underrepresented in most studies. Culturally tailored group-based educational sessions in religious or community spaces were common. Intervention agents included research assistants, registered nurses, community health workers, and faith-based organization volunteers. Community stakeholders were engaged in most studies, although most commonly for recruitment efforts. Surveys/interviews were used for intervention evaluation, and documentation of intervention activities and trainings was used to assess fidelity. Identified pathways for further intervention innovation included gender or migration-status-based targeting, diversifying intervention agents, enhancing mixed-method process evaluations, and tailoring to emerging needs during the COVID-19 pandemic.
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Thind H, Garcia A, Velez M, Tucker KL. If we offer, will they come: Perceptions of yoga among Hispanics. Complement Ther Med 2020; 56:102622. [PMID: 33227351 DOI: 10.1016/j.ctim.2020.102622] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 10/20/2020] [Accepted: 11/03/2020] [Indexed: 10/23/2022] Open
Abstract
OBJECTIVE Yoga is underutilized by the Hispanics. This study examined perceptions of benefits and barriers to yoga among Hispanic adults, to provide information that may increase their participation in this practice. SETTING Participants were recruited from a Community Center serving low-income Hispanics. DESIGN Self-administered cross-sectional questionnaires assessing benefits and barriers to yoga were conducted in Spanish and English. Fisher's exact test was used to examine perceptions of yoga by gender, age, and prior experience. RESULTS Participants (ages 18-85, 65 % women, n = 121) reported several benefits to yoga. Hispanic women, individuals 65 y or older, and those with prior experience, perceived more benefits. Barriers to yoga also differed by demographics. Men reported that time and the perception that they would have to do unrealistic pretzel-like poses as deterrents to yoga practice; younger individuals perceived yoga to be boring, and those with no experience perceived lack of flexibility and feeling like an outsider in class, as barriers to yoga. The most common barrier, across subgroups, was the cost associated with yoga practice. The majority of participants reported being willing to attend yoga classes if offered at a low cost. CONCLUSION Perceived barriers related to yoga reflect a lack of knowledge about yoga and what it entails and the cost of classes. Despite these barriers, Hispanic adults from a low-income population said they would be willing to attend yoga classes if offered at a low cost. Understanding and addressing these barriers can help researchers and health practitioners improve diversity in yoga classes and research.
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Affiliation(s)
- Herpreet Thind
- Department of Public Health, University of Massachusetts Lowell, MA, USA.
| | - Angeline Garcia
- The Center: Seniors, Families, Community; Council on Aging, Lawrence, MA, USA
| | - Martha Velez
- The Center: Seniors, Families, Community; Council on Aging, Lawrence, MA, USA
| | - Katherine L Tucker
- Department of Biomedical and Nutritional Sciences, University of Massachusetts Lowell, MA, USA
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Health and Type 2 Diabetes Perspectives of At-Risk, Mexican-Origin Males (HD-MxOM): a Qualitative Study. J Racial Ethn Health Disparities 2020; 8:1101-1111. [PMID: 32940895 DOI: 10.1007/s40615-020-00866-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 09/01/2020] [Accepted: 09/07/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To investigate perspectives of diabetes, nutrition, and health among underrepresented Mexican-origin males and elucidate on contributing factors of type 2 diabetes disparities. RESEARCH DESIGN Audio-recorded, semi-structured interviews were conducted with 15 native Spanish-speaking, Mexican-origin males. Men were between the ages of 40 and 64 and at risk for type 2 diabetes-defined as > 40 years of age, BMI > 25, and sedentary over the last 3 months. Data collected included clinical measures (height, weight, waist circumference, blood pressure) and demographic characteristics (years living in the U.S., marital status, employment, occupational physical activity, income, educational attainment, and average physical activity levels). The audio recordings, each lasting approximately 60 min, were transcribed verbatim and underwent three-cycle coding with analysis for codebook formation, categorization, and thematic extraction. RESULTS Barriers to engaging in health behaviors among Mexican-origin males include poor understanding of diabetes and nutrition, unreliable sources of health information, and socioeconomic status. Enablers of health neglect include intense perceptions of diabetes severity and a reactive health culture rooted in medical machismo and valemadrismo. Perspectives of personal responsibility and the desire to learn through culturally specific recommendations detail potential facilitators of health behaviors. CONCLUSION The data convey a network of sociocultural factors that inhibit health prioritization and promote disease misconceptions among Mexican-origin males. Pragmatic, culturally tailored education represents serviceable strategies for health promotion and diabetes prevention. These findings explicate cultural considerations for educators and clinicians seeking optimization of programs and clinical interactions with Mexican-origin men.
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Larsen BA, Benitez TJ, Mendoza-Vasconez AS, Hartman SJ, Linke SE, Pekmezi DJ, Dunsiger SI, Nodora JN, Gans KM, Marcus BH. Randomized Trial of a Physical Activity Intervention for Latino Men: Activo. Am J Prev Med 2020; 59:219-227. [PMID: 32448552 PMCID: PMC7375921 DOI: 10.1016/j.amepre.2020.03.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 01/29/2020] [Accepted: 03/02/2020] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Latino men experience disproportionately high rates of diseases related to low physical activity, yet they are poorly represented in physical activity intervention trials. Efforts to promote physical activity in Latina women show promising results, yet such interventions are yet to be extended to Latino men. This study tested a computer expert system‒tailored, text messaging-supported physical activity intervention for underactive Spanish-speaking Latino men compared with a control group matched for contact time. Potential predictors of intervention success were also explored. STUDY DESIGN Randomized trial. Participants were randomized to receive a Tailored Physical Activity Intervention (Intervention) or a Wellness Control (Control). Data were collected in 2015-2017 and analyzed in 2018-2019. SETTING/PARTICIPANTS Insufficiently active Latino men (n=46). INTERVENTION Intervention participants received a baseline counseling session and then, individually tailored print materials and text messages on a tapered schedule for 6 months. Control participants received printed wellness materials and text messages on the same schedule. MAIN OUTCOME MEASURES Primary outcome was a change in weekly moderate to vigorous physical activity from baseline to 6 months measured by accelerometers. Self-reported moderate to vigorous physical activity measured by the 7-day Physical Activity Recall Interview was a secondary outcome. RESULTS For Intervention participants, median accelerometer-measured moderate to vigorous physical activity increased from 10.0 minutes/week at baseline to 57.5 minutes/week at 6 months, whereas for Control participants, it increased from 21.0 minutes/week at baseline to 23.0 minutes/week at 6 months (p<0.05). Similar results were found for self-reported moderate to vigorous physical activity. At 6 months, 47% of Intervention participants met national guidelines of 150 minutes/week versus 25% of Control participants (p=0.15, not significant). CONCLUSIONS Findings suggest that an individually tailored intervention can successfully increase moderate to vigorous physical activity in underactive Latino men. Such technology-supported interventions have the potential for broad dissemination. TRIAL REGISTRATION This study is registered at www.clinicaltrials.gov NCT02512419.
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Affiliation(s)
- Britta A Larsen
- Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, California.
| | - Tanya J Benitez
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island
| | - Andrea S Mendoza-Vasconez
- Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, California
| | - Sheri J Hartman
- Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, California
| | - Sarah E Linke
- Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, California
| | - Dori J Pekmezi
- Department of Health Behavior, School of Public Health at University of Alabama at Birmingham, Birmingham, Alabama
| | - Shira I Dunsiger
- Centers for Behavioral and Preventive Medicine, Department of Psychiatry and Human Behavior, Miriam Hospital, Providence, Rhode Island
| | - Jesse N Nodora
- Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, California
| | - Kim M Gans
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island; Department of Human Development and Family Studies, University of Connecticut, Storrs, Connecticut
| | - Bess H Marcus
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island
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Harcourt KA, Appleton J, Clegg ME, Hunter L. The Influence of Social Relationships on Men's Weight. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2020; 52:106-113. [PMID: 31611050 DOI: 10.1016/j.jneb.2019.08.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Revised: 08/16/2019] [Accepted: 08/18/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To explore how men's social relationships influence their dietary, physical activity, and weight loss intentions and behaviors. DESIGN Qualitative study using semistructured interviews. SETTING One county in the southwest of England. PARTICIPANTS Men (n = 19) aged 18-60 years with a body mass index ≥24 kg/m2 who were otherwise healthy. PHENOMENON OF INTEREST Men's perceptions of dieting, physical activity and weight loss, and how social relationships influence these behaviors. ANALYSIS Interviews were audiorecorded and transcribed verbatim. Transcripts were coded line by line using NVivo software. Themes and subthemes were inductively generated using thematic analysis. RESULTS Four themes were derived: (1) how experiences shape beliefs, (2) being a proper bloke, (3) adapting to family life, and (4) support from outside the home. Men discussed how partners were a greater influence on diet than physical activity. Attitudes toward diet and physical activity were influenced by life events such as becoming a father. It was framed as acceptable for men to talk to their friends about exercise and food intake in general, but they emphasized that this was not for "support." CONCLUSIONS AND IMPLICATIONS Family members were key influences on men's behaviors. Future qualitative research could include interviews with men's families. Findings may inform family weight loss interventions.
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Affiliation(s)
| | - Jane Appleton
- Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, England
| | - Miriam E Clegg
- Department of Food and Nutritional Sciences, University of Reading, Reading, United Kingdom.
| | - Louise Hunter
- Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, England
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Villegas E, Galvez-Ortega K, Wiley A, Teran-Garcia M, Fiese BH. Environmental Factors Influencing Physical Activity Among Latino Families: A Cross-country Comparison. J Racial Ethn Health Disparities 2019; 7:528-538. [PMID: 31863308 DOI: 10.1007/s40615-019-00681-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 12/02/2019] [Accepted: 12/05/2019] [Indexed: 10/25/2022]
Abstract
OBJECTIVE This study seeks to compare and contrast barriers to engage in physical activity (PA) among Latino parents in the USA and Mexico given different cultural and environmental contents. METHODS Four bilingual and bicultural trained research assistants conducted focus groups in Mexico and the USA RESULTS: There were 33 total participants. Twenty-one mothers were married; most participants had not completed above a high school education. Most participants were full-time stay-at-home mothers (59%). Analyses revealed several topics of discussion related to beliefs and barriers that contributed to family PA engagement: (1) walking is the most common form of PA for families in both countries; (2) parents believe people of all ages and genders can and should be physically active, but there are differences in access, opportunity, and ability; (3) major barriers to engaging in PA are different for those living in Mexico (safety concerns) than in the USA (weather constraints). CONCLUSION These findings have implications for behavioral interventions and understanding how environmental concerns impact Latino families trying to manage healthier lifestyles. Engaging community networks and resources can be a way to combat these barriers to promote PA in all contexts.
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Affiliation(s)
- Elizabeth Villegas
- Department of Education and Child Development, NORC @ the University of Chicago, Street 55 East Monroe St. 30th Floor, Chicago, IL, 60603, USA.
| | - Kimberly Galvez-Ortega
- Department of Psychological Sciences, Purdue University, 703 3rd St, West Lafayette, IN, 47907, USA
| | - Angela Wiley
- Department of Human Development and Family Studies, Auburn University, 210 Spidle Hall, Auburn, AL, 36849, USA
| | - Margarita Teran-Garcia
- Department of Human Development and Family Studies, Division of Nutritional Sciences, Cooperative Extension, University of Illinois at Urbana-Champaign, 904 W Nevada St, Urbana, IL, 61801, USA
| | - Barbara H Fiese
- Department of Human Development and Family Studies, Family Resiliency Center, University of Illinois at Urbana-Champaign, 904 W Nevada St, Urbana, IL, 61801, USA
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Eanes LS, Fuentes LA, Bautista B, Salazar D, Garza D. Bridging the Gaps Through Nurse-Led Nutrition Education to Underserved Children. HISPANIC HEALTH CARE INTERNATIONAL 2019; 17:66-72. [PMID: 30859846 DOI: 10.1177/1540415319830762] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Although children residing in impoverished rural communities located along the Texas-Mexico border are at disproportionately high risk of unhealthy eating, limited resources may prevent devoting sufficient attention to school-based nutrition education. The purpose of this quasi-experimental study was to examine the teaching effectiveness of graduate nursing students on fourth-grade student learning about healthy eating. Purposive sampling was used to select 213 predominately Hispanic fourth-grade students enrolled in one of three low-socioeconomic status underserved elementary schools located in rural South Texas. Ten graduate nursing students implemented the Creating Healthy Eating Choices for Kids Nutrition Curriculum to approximately 40 fourth-graders per group who attended weekly 45- to 50-minute sessions for 6 weeks. The MyPlate standardized tests were administered before and following the intervention. Results showed a significant improvement in learning on all program modules for fourth-graders from each school ( p = .000). Results support the value of creating a strategic partnership between a university school of nursing and key community leaders as a feasible method of providing nutrition education for fourth-graders enrolled in schools with limited resources.
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Affiliation(s)
- Linda S Eanes
- 1 University of Texas Rio Grande Valley, Edinburg, TX, USA
| | | | | | - David Salazar
- 1 University of Texas Rio Grande Valley, Edinburg, TX, USA
| | - Doreen Garza
- 1 University of Texas Rio Grande Valley, Edinburg, TX, USA
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Amirehsani KA, Hu J, Wallace DC, Silva ZA, Dick S. Hispanic Families’ Action Plans for a Healthier Lifestyle for Diabetes Management. DIABETES EDUCATOR 2018; 45:87-95. [DOI: 10.1177/0145721718812478] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Purpose The purpose of this study was to conduct focus groups with Hispanic patients with type 2 diabetes and their family members who participated in a culturally tailored, family-based diabetes intervention about their action plans for a healthier lifestyle. Methods Five separate focus groups were led in Spanish by an experienced bicultural/bilingual moderator. The audiotaped sessions occurred at the end of the 8-week diabetes educational program. Data were transcribed in Spanish and translated into English. Qualitative content analysis was used to analyze the findings. Results Eighty-four Hispanic adults participated with an equal representation of patients with diabetes and family members. Most persons were female (63.1%) and the majority of persons were born in Mexico. The mean (SD) age of participants was 44.2 (14.3) years. Six themes emerged from the data: healthier eating habits, increasing physical activity, taking care of my sugar, coping with emotions, for the family, and empowerment and increased self-efficacy. Conclusions Hispanics created action plans that promoted healthier lifestyle behaviors individually and as a family. This type of behavior change may result in better diabetes management and fewer complications. Research studies are needed to assess the sustainability of action plans and their impact on glycemic control and diabetes risk factors. Additional studies are needed to address emotional eating and mental health factors.
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Affiliation(s)
- Karen A. Amirehsani
- the School of Nursing, University of North Carolina at Greensboro, Greensboro, NC, USA
| | - Jie Hu
- College of Nursing, The Ohio State University, Columbus, OH, USA
| | - Debra C. Wallace
- the School of Nursing, University of North Carolina at Greensboro, Greensboro, NC, USA
| | - Zulema A. Silva
- the School of Nursing, University of North Carolina at Greensboro, Greensboro, NC, USA
| | - Sarah Dick
- the School of Nursing, University of North Carolina at Greensboro, Greensboro, NC, USA
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14
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Portacio FG, Botero P, St George SM, Stoutenberg M. Informing the Adaptation and Implementation of a Lifestyle Modification Program in Hispanics: A Qualitative Study Among Low-Income Hispanic Adults. HISPANIC HEALTH CARE INTERNATIONAL 2018; 16:204-212. [PMID: 30426783 DOI: 10.1177/1540415318808831] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Low-income Hispanics are a hard to reach population that face unique challenges in achieving behavior change. Understanding such challenges can inform the adaptation of lifestyle behavioral interventions and increase participant engagement. This descriptive qualitative study aimed to (1) inform lifestyle modification programs focused on improving the physical activity and healthy eating of low-income Hispanic adults and (2) explore potential gender differences necessary for consideration. Five gender-specific focus groups were conducted with Hispanic adults from a free community clinic (n = 45, 64% women, 53.1 ± 10.1 years). Sessions were audio-recorded, transcribed, and coded using a general inductive approach. The qualitative software program Dedoose was used to perform a content analysis. Emergent themes included topics of interest, methods of increasing engagement in healthy behaviors, and the delivery of lifestyle modification programs. Men expressed greater interest in physical activity, while women desired to learn about healthy eating. Men described the importance of physician communication, while women focused on the role of social support as facilitators for participating in such programs. Both genders described education as key to behavior change and viewed text messaging as a valuable complement. Results from this study can inform the adaptation of lifestyle modification programs and increase the engagement of low-income Hispanic populations.
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Affiliation(s)
- Francia G Portacio
- University of Miami, Miami, FL, USA.,University of Tennessee at Chattanooga, TN, USA
| | | | | | - Mark Stoutenberg
- University of Miami, Miami, FL, USA.,University of Tennessee at Chattanooga, TN, USA
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15
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Garcia DO, Valdez LA, Bell ML, Humphrey K, Hingle M, McEwen M, Hooker SP. A gender- and culturally-sensitive weight loss intervention for Hispanic males: The ANIMO randomized controlled trial pilot study protocol and recruitment methods. Contemp Clin Trials Commun 2018; 9:151-163. [PMID: 29696238 PMCID: PMC5898526 DOI: 10.1016/j.conctc.2018.01.010] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Revised: 01/24/2018] [Accepted: 01/31/2018] [Indexed: 01/27/2023] Open
Abstract
Hispanic men have the highest rates of overweight and obesity when compared to men of other racial/ethnic groups, placing them at increased risk for obesity-related disease. Yet, Hispanic men are grossly underrepresented in weight loss research. Tailored intervention strategies to improve obesity treatment programs for this vulnerable racial/ethnic subgroup are needed. This manuscript describes recruitment strategies, methodology, and participant characteristics of the ANIMO study, a 24-week randomized controlled pilot trial testing the effects of a gender- and culturally-sensitive weight loss intervention (GCSWLI) on body weight in Hispanic men compared to a wait-list control condition. The ANIMO study included two phases. The first phase was a 12-week GCSWLI. Participants attended weekly in-person individual sessions guided by a trained bilingual Hispanic male lifestyle coach, were prescribed a daily reduced calorie goal, and 225 min of moderate-intensity physical activity per week. In the second phase, GCSWLI participants received bi-weekly phone calls across a 12-week follow-up. Wait-list control (WLC) participants from phase 1 received the GCSWLI plus mobile health technology support. Recruitment strategies included face-to-face efforts at a swap meet (outdoor marketplace), family/friend referrals, printed advertisements and social media. Recruitment, screening, and participant enrollment occurred over three months. Overall, 143 men expressed interest in participation. Of these, 115 were screened and 78% (n = 90) were eligible to participate; 45% of enrolled participants (n = 52) completed baseline assessments and 43% (n = 50) were randomized (mean age of 43.3 ± 11.4 years; BMI: 34.1 ± 5.3 kg/m2; 58% Spanish monolingual). Parameter estimates from ANIMO will support future adequately powered trials for this health disparate population. Trial registration ClinicalTrials.gov: NCT02783521.
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Affiliation(s)
- David O Garcia
- University of Arizona Mel and Enid Zuckerman College of Public Health, Department of Health Promotion Sciences, USA
| | - Luis A Valdez
- University of Arizona Mel and Enid Zuckerman College of Public Health, Department of Health Promotion Sciences, USA
| | - Melanie L Bell
- University of Arizona Mel and Enid Zuckerman College of Public Health, Department of Epidemiology and Biostatistics, USA
| | - Kyle Humphrey
- University of Arizona Mel and Enid Zuckerman College of Public Health, Department of Epidemiology and Biostatistics, USA
| | - Melanie Hingle
- University of Arizona Mel and Enid Zuckerman College of Public Health, Department of Health Promotion Sciences, USA.,University of Arizona College of Agriculture and Life Sciences, Department of Nutritional Sciences, USA
| | - Marylyn McEwen
- University of Arizona Mel and Enid Zuckerman College of Public Health, Department of Health Promotion Sciences, USA.,University of Arizona College of Nursing, USA
| | - Steven P Hooker
- Arizona State University, College of Health Solutions, Exercise Science and Health Promotion Program, USA
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16
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Ragsdale C, Wright J, Shokar G, Salaiz R, Shokar NK. Hispanic Patient Perspectives of the Physician's Role in Obesity Management. J Clin Med Res 2016; 9:170-175. [PMID: 28090233 PMCID: PMC5215021 DOI: 10.14740/jocmr2868w] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/16/2016] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND Little is known concerning Hispanic patients' perceptions about the role of the physician in obesity management. This study seeks to describe the perspectives of Hispanic patients toward weight loss, and what they believe their doctor's role should be in the management of obesity. METHODS A cross-sectional study utilizing semi-structured interviews was conducted in a university-based family medicine clinic. Open-ended questions explored beliefs about the relationship between weight and health, previous weight loss experience, perceptions about the role of the physician in weight loss, past experiences with their physician, and preferences for how a physician could help facilitate weight loss. The free recall listing technique was used to elicit responses. Common themes were identified by a group coding process. RESULTS Patients were open to discussion from physicians concerning weight loss but many had not been approached. They wanted assistance from their doctors in the form of dietician referrals, specific weight loss goals, and encouragement. Patients' knowledge about the implications of excess weight on health was lacking. CONCLUSION Hispanic patients want more help and advice from their doctors. General knowledge of the health implications of obesity was lacking, indicating a need for more health education by the healthcare team.
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Affiliation(s)
- Colton Ragsdale
- Department of Pediatrics, Greenville Hospital System, University of South Carolina, 701 Grove Road, Greenville, SC 29601, USA
| | - Justin Wright
- Department of Family and Community Medicine, Texas Tech University Health Sciences Center, El Paso, Paul L Foster School of Medicine, 9849 Kenworthy St. El Paso, TX 79924, USA
| | - Gurjeet Shokar
- Department of Family and Community Medicine, Texas Tech University Health Sciences Center, El Paso, Paul L Foster School of Medicine, 9849 Kenworthy St. El Paso, TX 79924, USA
| | - Rebekah Salaiz
- Department of Family and Community Medicine, Texas Tech University Health Sciences Center, El Paso, Paul L Foster School of Medicine, 9849 Kenworthy St. El Paso, TX 79924, USA
| | - Navkiran K Shokar
- Department of Family and Community Medicine & Biomedical Sciences, Texas Tech University Health Sciences Center, El Paso, Paul L Foster School of Medicine, 9849 Kenworthy St. El Paso, TX 79924, USA
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17
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Strong LL, Hoover DS, Heredia NI, Krasny S, Spears CA, Correa-Fernández V, Wetter DW, Fernandez ME. Perspectives of Mexican-origin smokers on healthy eating and physical activity. HEALTH EDUCATION RESEARCH 2016; 31:465-77. [PMID: 27240536 PMCID: PMC4945857 DOI: 10.1093/her/cyw026] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2015] [Accepted: 04/29/2016] [Indexed: 05/04/2023]
Abstract
Key modifiable risk behaviors such as smoking, poor diet and physical inactivity often cluster and may have multiplicative adverse effects on health. This study investigated barriers and facilitators to healthy eating and physical activity (PA) in overweight Mexican-origin smokers to inform the adaptation of an evidence-based smoking cessation program into a multiple health behavior change intervention. Five focus groups were conducted with overweight Mexican-origin men (n = 9) and women (n = 21) who smoked. Barriers and facilitators of healthy eating and PA were identified, and gender differences were assessed. Participants expressed some motivation to eat healthfully and identified strategies for doing so, yet many women experienced difficulties related to personal, family and work-related circumstances. Barriers to healthy eating among men were related to food preferences and lack of familiarity with fruits and vegetables. Participants performed PA primarily within the context of work and domestic responsibilities. Stress/depressed mood, lack of motivation and concern for physical well-being limited further PA engagement. Routines involving eating, PA and smoking highlight how these behaviors may be intertwined. Findings emphasize the importance of social, structural and cultural contexts and call for additional investigation into how to integrate healthy eating and PA into smoking cessation interventions for overweight Mexican-origin smokers.
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Affiliation(s)
- Larkin L Strong
- Department of Health Disparities Research, the University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
| | - Diana S Hoover
- Department of Health Disparities Research, the University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
| | - Natalia I Heredia
- Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston, School of Public Health and the Center for Health Promotion and Prevention Research, Houston, TX 77030, USA
| | - Sarah Krasny
- School of Medicine, Baylor College of Medicine, Houston, TX 77030, USA
| | - Claire A Spears
- Division of Health Promotion and Behavior, School of Public Health, Georgia State University, Atlanta, GA 30302, USA
| | - Virmarie Correa-Fernández
- Department of Psychological, Health and Learning Sciences, University of Houston, Houston, TX 77204, USA
| | - David W Wetter
- Department of Psychology, Rice University, Houston, TX 77005, USA
| | - Maria E Fernandez
- Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston, School of Public Health and the Center for Health Promotion and Prevention Research, Houston, TX 77030, USA
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18
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Thind H, Fava J, Traficante R, Bock BC. A New Measure of Home Exercise Benefits and Barriers. AMERICAN JOURNAL OF HEALTH EDUCATION 2016. [DOI: 10.1080/19325037.2015.1133336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
| | - Joseph Fava
- Center for Behavioral and Preventive Medicine, The Miriam Hospital
| | | | - Beth C. Bock
- Center for Behavioral and Preventive Medicine, The Miriam Hospital
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19
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Abstract
There is little research involving the US male population regarding weight control and behavior that may affect weight status. Gender-specific weight-control programs for men aren't the standard. Our study objectives were to survey dieting and health habits of an adult male employee population and to determine if the population would be interested in gender-specific programming. Demographics, weight-control practices and interest in gender-specific weight-control programs were examined cross sectionally. A 50-question web-based survey was posted via email from October 2-30, 2014 to male employees at a Mid-Atlantic university. Statistical analyses included frequencies, means and percentages. Chi square and t tests were conducted. The 254 participants were ages 18-65+ years, predominantly white, college educated with annual incomes above $50,000. Sources of nutrition knowledge ranged from a high of web sites (65 %) to a low of registered dietitians (9 %). Macronutrient restrictions reported for dieting were carbohydrates 77 %, fats 40 % and protein 19 %. The >30 age group was more likely to have: decreased amount of food intake P = .001), reducing overall calories (P = .047), skipping meals (P = .006) or trying commercial programs (P = .011). There was nothing of significance for those <30. Among all respondents, interest in gender-specific programs was compared with these variables: current weight satisfaction (P = .032), education (P = .008), income (P = . 006) and BMI (P = .004). Men who were dissatisfied with their weight were most likely to be interested in a gender-specific weight control program, especially those over age 30 years. Further research should address whether offering male-specific diet programs would offer incentive and motivation for males to lose and maintain weight loss.
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Affiliation(s)
- Virginia L Vining
- Department of Behavioral Health and Nutrition, University of Delaware, 339 McDowell Hall, Newark, DE, 19716, USA
| | - Nancy Cotugna
- Department of Behavioral Health and Nutrition, University of Delaware, 339 McDowell Hall, Newark, DE, 19716, USA.
| | - Chengshun Fang
- Department of Behavioral Health and Nutrition, University of Delaware, 339 McDowell Hall, Newark, DE, 19716, USA
| | - O Sue Snider
- Department of Animal and Food Sciences, University of Delaware, Newark, DE, USA
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20
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Garcia DO, Valdez LA, Hooker SP. Hispanic Male's Perspectives of Health Behaviors Related to Weight Management. Am J Mens Health 2015; 11:1547-1559. [PMID: 26634854 DOI: 10.1177/1557988315619470] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Hispanic males have the highest prevalence of overweight and obesity among men in the United States; yet are significantly underrepresented in weight loss research. The purpose of the current study was to examine Hispanic male's perspectives of health behaviors related to weight management to refine the methodologies to deliver a gender-sensitive and culturally sensitive weight loss intervention. From October 2014 to April 2015, semistructured interviews were conducted with 14 overweight Hispanic men of ages 18 to 64 years. The interviews lasted approximately 60 minutes. Participants also completed a brief questionnaire and body weight/height were measured. Grounded in a deductive process, a preliminary codebook was developed based on the topics included in the interview guides. A thematic analysis facilitated the identification of inductive themes and the finalization of the codebook used for transcript analysis. Four overarching themes were identified: (a) general health beliefs of how diet and physical activity behaviors affect health outcomes, (b) barriers to healthy eating and physical activity, (c) motivators for change, and (d) viable recruitment and intervention approaches. Future research should examine feasible and appropriate recruitment and intervention strategies identified by Hispanic males to improve weight management in this vulnerable group.
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21
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Sanders Thompson VL, Johnson-Jennings M, Bauman AA, Proctor E. Use of culturally focused theoretical frameworks for adapting diabetes prevention programs: a qualitative review. Prev Chronic Dis 2015; 12:E60. [PMID: 25950567 PMCID: PMC4436044 DOI: 10.5888/pcd12.140421] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Introduction Diabetes disproportionately affects underserved racial/ethnic groups in the United States. Diabetes prevention interventions positively influence health; however, further evaluation is necessary to determine what role culture plays in effective programming. We report on the status of research that examines cultural adaptations of diabetes prevention programs. Methods We conducted database searches in March and April 2014. We included studies that were conducted in the United States and that focused on diabetes prevention among African Americans, American Indians/Alaska Natives, Asian Americans/Pacific Islanders, and Latinos. Results A total of 58 studies were identified for review; 29 were excluded from evaluation. Few adaptations referenced or followed recommendations for cultural adaptation nor did they justify the content modifications by providing a rationale or evidence. Cultural elements unique to racial/ethnic populations were not assessed. Conclusion Future cultural adaptations should use recommended processes to ensure that culture’s role in diabetes prevention–related behavioral changes contributes to research.
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Affiliation(s)
- Vetta L Sanders Thompson
- Washington University in St. Louis, Brown School, One Brookings Dr, CB 1196, St. Louis, MO, 63130.
| | | | - Ana A Bauman
- Washington University in St. Louis, Brown School, St. Louis, Missouri
| | - Enola Proctor
- Washington University in St. Louis, Brown School, St. Louis, Missouri
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22
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Hill SE, Bell C, Bowie JV, Kelley E, Furr-Holden D, LaVeist TA, Thorpe RJ. Differences in Obesity Among Men of Diverse Racial and Ethnic Background. Am J Mens Health 2015; 11:984-989. [PMID: 25862694 DOI: 10.1177/1557988315580348] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Racial/ethnic disparities exist in obesity prevalence among men, with Hispanic men exhibiting the highest prevalence compared with non-Hispanic White and non-Hispanic Black men. Most studies do not parse out Hispanic groups; therefore, it is unclear whether the increases in obesity rates among Hispanic men applies to all groups or if there are particular groups of Hispanic men that are driving the increase. The goal of this study is to examine the variations in obesity among men of diverse racial/ethnic backgrounds and determine if obesity is affected by nativity. The data used in this study were from 11 years (2002-2012) of the National Health Interview Survey. Logistic regression was used to examine the relationship between race/ethnicity, obesity, and nativity. After adjusting for covariates, there are differences in obesity prevalence, with the largest prevalence among Puerto Rican men and Mexican American men. Consistent with previous literature, it has been suggested that men born in the United States are more likely to be obese than men born outside the United States. This study underscores the importance of distinguishing Hispanic groups when examining obesity, and provides information for future, targeted intervention strategies related to obesity among high-risk groups.
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Affiliation(s)
- Sarah E Hill
- 1 Undergraduate Program in Public Health Studies, Krieger School of Arts & Sciences, Johns Hopkins University, Baltimore, MD, USA.,2 Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Caryn Bell
- 2 Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Janice V Bowie
- 2 Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Elizabeth Kelley
- 2 Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Debra Furr-Holden
- 2 Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Thomas A LaVeist
- 2 Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Roland J Thorpe
- 2 Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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23
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Larsen BA, Noble ML, Murray KE, Marcus BH. Physical Activity in Latino Men and Women. Am J Lifestyle Med 2014. [DOI: 10.1177/1559827614521758] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Latinos report less leisure time physical activity (PA) than non–Latino Whites and suffer disproportionately from diseases related to sedentary lifestyle, yet remain underserved and understudied. Gaining a better understanding of PA behavior in Latinos is critical to intervene on this significant public health issue. This article discusses the growing literature on the facilitators and barriers of PA in Latino men and women and reviews recent interventions to promote activity. Apart from acculturation influences, facilitators of PA in Latinos are similar to those of non–Latino Whites, with most research focusing on self-efficacy and social support. Barriers for Latinas, however, are more culturally distinct, such as a focus on caregiving and cultural standards for body shape. Barriers unique to Latino men largely have not been studied. Researchers have adopted a variety of approaches to increase PA, including using promotores and incorporating culturally appropriate activities, and have had mixed success. However, the community and randomized controlled trials almost exclusively included only women. Studies reviewed here suggest that interventions should target culturally specific barriers beyond language to successfully increase PA in Latinos and highlight a need for formative research and design of interventions for Latino men.
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Affiliation(s)
- Britta A. Larsen
- Department of Family & Preventive Medicine, University of California, San Diego
| | - Madison L. Noble
- Department of Family & Preventive Medicine, University of California, San Diego
| | - Kate E. Murray
- Department of Family & Preventive Medicine, University of California, San Diego
| | - Bess H. Marcus
- Department of Family & Preventive Medicine, University of California, San Diego
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24
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Veghari G, Sedaghat M, Maghsodlo S, Banihashem S, Moharloei P, Angizeh A, Tazik E, Moghaddami A. Differences in the Prevalence of Obesity among Fars-Native, Turkman, and Sisstanish Ethnic Groups in Iranian Northern Adults in 2010. Int Cardiovasc Res J 2013; 7:56-61. [PMID: 24757622 PMCID: PMC3987434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2013] [Revised: 05/12/2013] [Accepted: 05/21/2013] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES The aim of this study was to evaluate the differences of obesity rate among three ethnic groups in northern adults in IR Iran in 2010. METHODS The present cross-sectional, analytical study was conducted on 2994 cases of the same age and sex in three ethnic proportions (Fars-native=1625, Turkman=977, and Sisstani=392). The subjects aged between 15 and 65 years old and were selected by multistage cluster sampling techniques including 150 clusters each containing 20 subjects in urban and rural areas in 11 districts in Golestan province (northern IR Iran). Obesity was defined after WHO classification by BMI (Body Mass Index) equal or over 30 kg/m(2). SPSS 16.0 software was used for statistical analysis and P value<0.05 was considered as statistically significant. RESULTS Mean±SD of BMI in Fars-native, Turkman, and Sisstanish ethnic groups was 26.72±5.56, 26.18±5.34, and 24.59±6.72 kg/m(2), respectively. Averagely, obesity was common in 22.8% of the subjects and was significantly higher among the females compared to males (32.3% vs13.3%) (P=0.001). Also, its prevalence was estimated as 25%, 22.6%, and 14% in Fars-native, Turkman, and Sisstanish ethnic groups, respectively. Statistical differences were significant among the three ethnic groups (P=0.001). The risk of obesity was 2.041 [95% CI, 1.502-2.722] in Fars-native and 1.781 [95% CI, 1.298-2.472] in Turkman groups compared to Sisstanish ethnic group. CONCLUSIONS Over one out of five adults in northern IR Iran suffer from obesity and an alarming rate was shown among the women. Among the three ethnic groups, the highest and the lowest rates were seen in Fars-native and Sisstanish ethnic groups, respectively.
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Affiliation(s)
- Gholamreza Veghari
- Department of Nutrition and Biochemistry, School of Medicine, Golestan University of Medical Sciences, Gorgan, IR Iran,Corresponding author: Gholamreza Veghari, Ischemic Disorders Research Center, School of Medicine, Golestan University of Medical Sciences, Gorgan, IR Iran. Tel:+98-1714421651, E-mail:
| | - Mehdi Sedaghat
- Deputy of Health, Golestan University of Medical Sciences, Gorgan, IR Iran
| | - Siavash Maghsodlo
- Deputy of Health, Golestan University of Medical Sciences, Gorgan, IR Iran
| | - Samieh Banihashem
- Deputy of Health, Golestan University of Medical Sciences, Gorgan, IR Iran
| | - Pooneh Moharloei
- Deputy of Health, Golestan University of Medical Sciences, Gorgan, IR Iran
| | - Abdolhamid Angizeh
- Deputy of Health, Golestan University of Medical Sciences, Gorgan, IR Iran
| | - Ebrahim Tazik
- Deputy of Health, Golestan University of Medical Sciences, Gorgan, IR Iran
| | - Abbas Moghaddami
- Deputy of Health, Golestan University of Medical Sciences, Gorgan, IR Iran
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