Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1084, USA.
Am J Health Promot. 2011 Jul-Aug;25(6):402-9. doi: 10.4278/ajhp.090918-QUAN-305.
To document the prevalence of obese Mexican-Americans never advised by health professionals regarding exercise and diet, and to determine risk factors for no advice.
Data came from 1787 obese Mexican-American adults (body mass index ≥30; age ≥18 years) in the Medical Expenditure Panel Survey. The survey included self-reported receipt of health care provider advice on exercise and diet as well as sociodemographic, health-related, and provider-related factors. Multivariable logistic regression models were performed separately for advice regarding exercise and advice regarding diet.
Overall, 45% of respondents reported that they had never received advice from a doctor or health care professional to exercise more, and 52% reported that they have received advice to eat fewer higher-fat/high-cholesterol foods. Men, nonmarried respondents, lower-educated respondents, those who preferred to speak Spanish at home, and those without comorbid chronic conditions were less likely to receive advice.
Results suggest that obese Mexican-Americans are insufficiently advised by health care providers regarding exercise and diet. Given the seriousness of obesity-related health risks and the increasing prevalence of overweight status and obesity among Mexican-Americans, it is vital that providers are involved in finding ways to effectively educate and/or treat overweight patients.
记录从未接受过健康专业人员关于运动和饮食建议的肥胖墨西哥裔美国人的比例，并确定未获得建议的风险因素。
数据来自医疗支出面板调查中的 1787 名肥胖的墨西哥裔美国成年人（身体质量指数≥30；年龄≥18 岁）。该调查包括自我报告接受过医生或健康护理人员关于运动和饮食的建议，以及社会人口统计学、与健康相关的和提供者相关的因素。分别对关于运动的建议和关于饮食的建议进行多变量逻辑回归模型分析。
总体而言，45%的受访者表示他们从未从医生或健康护理专业人员那里获得过更多运动的建议，52%的受访者表示他们收到过少吃高脂肪/高胆固醇食物的建议。男性、未婚受访者、受教育程度较低的受访者、在家中更喜欢说西班牙语的受访者以及没有合并慢性疾病的受访者更不可能获得建议。
结果表明，健康护理提供者在运动和饮食方面对肥胖的墨西哥裔美国人的建议不足。考虑到肥胖相关健康风险的严重性以及墨西哥裔美国人超重和肥胖的比例不断增加，让提供者参与寻找有效教育和/或治疗超重患者的方法至关重要。
