Diet and Exercise Adherence and Practices Among Medically Underserved Patients With Chronic Disease: Variation Across Four Ethnic Groups
Diet and Exercise Adherence and Practices Among Medically Underserved Patients With Chronic Disease: Variation Across Four Ethnic Groups
复制标题
DOI：
10.1177/1090198112436970
复制
发表时间：
2013-02-01
影响因子：
4.2
通讯作者：
Shaw, Susan J.
中科院分区：
文献类型：
--
作者：
Orzech, Kathryn M.;Vivian, James;Shaw, Susan J.
许多因素相互作用，对慢性病患者的饮食和锻炼计划依从性造成障碍，但与文化和种族相关的方面在文献中未得到充分研究。通过对高血压和/或糖尿病患者4年多方法研究中收集的定性（n = 71）和定量（n = 297）数据，作者探讨了马萨诸塞州初级卫生保健中心四个种族（白人、黑人、越南裔和拉丁裔）患者自我报告的饮食和锻炼计划坚持程度以及自我报告的日常饮食和锻炼实践的差异。即使在控制了关键的社会人口变量之后，不同种族的人对饮食和锻炼计划的坚持程度也不同，越南参与者报告的坚持程度最高。食物和运动的选择受到经济限制以及对某些食物和活动类型的种族和文化熟悉程度的影响。这些发现表明，卫生保健提供者应将种族和经济状况考虑在一起，以提高鼓励不同慢性疾病人群做出健康生活方式改变的有效性。
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.