Schwingel Andiara, Linares Deborah E, Gálvez Patricia, Adamson Brynn, Aguayo Liliana, Bobitt Julie, Castañeda Yvette, Sebastião Emerson, Marquez David X
University of Illinois at Urbana-Champaign, Illinois, USA
University of Illinois at Urbana-Champaign, Illinois, USA.
Qual Health Res. 2015 Dec;25(12):1733-46. doi: 10.1177/1049732314568323. Epub 2015 Jan 16.
Despite the burgeoning U.S. Latino population and their increased risk of chronic disease, little emphasis had been placed on developing culturally sensitive lifestyle interventions in this area. This article examines older Latinas' sociocultural context relative to health with the goal of developing a culturally sensitive health behavior intervention. Photo-elicitation indicated two emerging themes that influenced lifestyle choices: family caregiving and religion. Researchers partnered with a faith-based organization to develop and implement a 6-month lifestyle intervention for Latinas ages 50 and older: Abuelas en Acción (AEA). At completion, interviews were conducted to understand women's experiences and the influence AEA had on their lifestyles and health. Findings suggest that religious content empowered and deeply affected women; however, the intergenerational content presented significant challenges for instruction, retention, and implementation. We discuss findings in relation to the health intervention literature and provide suggestions for future interventions drawing on religion, family, and health behavior change.
尽管美国拉丁裔人口不断增长，且他们患慢性病的风险增加，但在这一领域，针对制定具有文化敏感性的生活方式干预措施的重视程度却很低。本文考察了老年拉丁裔女性与健康相关的社会文化背景，目的是制定一种具有文化敏感性的健康行为干预措施。照片引发法揭示了影响生活方式选择的两个新出现的主题：家庭照料和宗教。研究人员与一个基于信仰的组织合作，为50岁及以上的拉丁裔女性开发并实施了一项为期6个月的生活方式干预措施：“行动中的祖母”（AEA）。干预结束后，进行了访谈，以了解女性的经历以及AEA对她们生活方式和健康的影响。研究结果表明，宗教内容赋予了女性力量并对她们产生了深刻影响；然而，代际内容在指导、留存和实施方面带来了重大挑战。我们结合健康干预文献讨论了研究结果，并为未来借鉴宗教、家庭和健康行为改变的干预措施提供了建议。
