How do urban African Americans and Latinos view the influence of diet on hypertension?
How do urban African Americans and Latinos view the influence of diet on hypertension?
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DOI：
10.1353/hpu.2004.0061
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发表时间：
2004-11-01
影响因子：
1.4
通讯作者：
Sisk, JE
中科院分区：
文献类型：
--
作者：
Horowitz, CR;Tuzzio, L;Sisk, JE
不受控制的高血压及其并发症仍然是主要的健康问题，不成比例地影响到贫穷的少数民族社区。虽然饮食调整是高血压的有效治疗方法，但尚不清楚少数高血压患者如何将饮食视为治疗的一部分，以及哪些障碍影响他们吃健康饮食的能力。我们对88名接受高血压治疗的非洲裔美国人和拉丁美洲人进行了9个焦点小组，以评估他们对高血压的知识，态度，行为和信念。与会者普遍认为，某些食物和食物添加剂在高血压的病因和治疗中起着重要作用。然而，他们发现，在他们的家庭生活、社会环境和文化背景下，很难遵循临床医生推荐的饮食。这些饮食通常被认为是昂贵的，不受欢迎的偏离传统和首选的饮食，社会孤立，并且不足以有效地消除对药物的需求。这些研究结果表明，文化敏感的方法来改善饮食的重要性。
Uncontrolled hypertension and its complications continue to be major health problems that disproportionately affect poor minority communities. Although dietary modification is an effective treatment for hypertension, it is not clear how hypertensive minority patients view diet as part of their treatment, and what barriers affect their abilities to eat healthy diets. We conducted nine focus groups with 88 African American and Latino patients treated for hypertension to assess their knowledge, attitudes, behaviors, and beliefs concerning hypertension. Participants generally agreed that certain foods and food additives play an important role in the cause and treatment of hypertension. However, they found clinician-recommended diets difficult to follow in the context of their family lives, social situations, and cultures. These diets were often considered expensive, an unwelcome departure from traditional and preferred diets, socially isolating, and not effective enough to obviate the need for medications. These findings suggest the importance of culturally sensitive approaches to dietary improvements.