Document Detail

Diet and exercise adherence and practices among medically underserved patients with chronic disease: variation across four ethnic groups.
MedLine Citation:
PMID:  22505574     Owner:  NLM     Status:  MEDLINE    
Many factors interact to create barriers to dietary and exercise plan adherence among medically underserved patients with chronic disease, but aspects related to culture and ethnicity are underexamined in the literature. Using both qualitative (n = 71) and quantitative (n = 297) data collected in a 4-year, multimethod study among patients with hypertension and/or diabetes, the authors explored differences in self-reported adherence to diet and exercise plans and self-reported daily diet and exercise practices across four ethnic groups-Whites, Blacks, Vietnamese, and Latinos-at a primary health care center in Massachusetts. Adherence to diet and exercise plans differed across ethnic groups even after controlling for key sociodemographic variables, with Vietnamese participants reporting the highest adherence. Food and exercise options were shaped by economic constraints as well as ethnic and cultural familiarity with certain foods and types of activity. These findings indicate that health care providers should consider ethnicity and economic status together to increase effectiveness in encouraging diverse populations with chronic disease to make healthy lifestyle changes.
Kathryn M Orzech; James Vivian; Cristina Huebner Torres; Julie Armin; Susan J Shaw
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-04-13
Journal Detail:
Title:  Health education & behavior : the official publication of the Society for Public Health Education     Volume:  40     ISSN:  1552-6127     ISO Abbreviation:  Health Educ Behav     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-02-07     Completed Date:  2013-08-20     Revised Date:  2014-09-01    
Medline Journal Info:
Nlm Unique ID:  9704962     Medline TA:  Health Educ Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  56-66     Citation Subset:  IM    
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MeSH Terms
African Continental Ancestry Group / psychology,  statistics & numerical data
Chronic Disease / ethnology*,  therapy
Diabetes Mellitus / diet therapy,  ethnology,  therapy
Diet / ethnology
Diet Therapy / psychology*,  standards
European Continental Ancestry Group / psychology,  statistics & numerical data
Exercise / psychology*
Hispanic Americans / psychology,  statistics & numerical data
Hypertension / diet therapy,  ethnology,  therapy
Medically Uninsured / ethnology*,  psychology,  statistics & numerical data
Middle Aged
Patient Compliance / ethnology*,  psychology,  statistics & numerical data
Prospective Studies
Socioeconomic Factors
Vietnam / ethnology
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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