Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th Street, Clinical Research Center, Suite 1008, Miami, FL, USA.
Department of Psychology, University of Miami, Coral Gables, FL, USA.
J Community Health. 2017 Dec;42(6):1220-1224. doi: 10.1007/s10900-017-0373-0.
U.S. Hispanics disproportionately show health burdens that may be decreased by discussing physical activity (PA) and healthy eating with their healthcare providers (HCPs). We examined the perceptions of both HCPs and low-income Hispanic patients regarding the dynamics of these communications. We surveyed 295 low-income Hispanic patients and interviewed 14 HCPs at three community health clinics. Patients were asked about their comfort level with HCPs, how often their HCP discussed PA and healthy eating, and the likelihood of following advice on PA and healthy eating. HCPs were asked about their delivery (frequency/duration) and perceived effectiveness in providing such advice. Patients reported feeling "most comfortable" with their physicians (57%) with a lower proportion (19%) feeling "most comfortable" with nurses. Nearly all patients (95%) reported being very likely to follow the advice of their physician. On average, HCPs (physicians and nurses) reported discussing PA and healthy eating with 85% and 80% of their patients, respectively. In contrast, a fewer proportion of patients (65.8%) reported that their physician discussed PA and healthy eating "some" or "a lot" of the time. Overall, physicians reported discussing PA and healthy eating for an average of 5 and 6 min, respectively; whereas nurses reported discussing PA and healthy eating for an average of 12 and 19 min, respectively. Further study on the content and delivery of conversations between HCPs and their low-income Hispanic patients regarding PA and healthy eating could be vital to optimally impact health behaviors.
美国西班牙裔人群承受着不成比例的健康负担，与医疗保健提供者（HCP）讨论身体活动（PA）和健康饮食可能会减轻这些负担。我们研究了 HCP 和低收入西班牙裔患者对这些沟通动态的看法。我们调查了三家社区健康诊所的 295 名低收入西班牙裔患者，并采访了 14 名 HCP。患者被问及他们对 HCP 的舒适程度、HCP 讨论 PA 和健康饮食的频率以及对 PA 和健康饮食建议的遵循意愿。HCP 被问及他们提供此类建议的频率/持续时间和感知效果。患者表示，他们对医生的感觉“最舒服”（57%），而对护士的感觉“最舒服”的比例较低（19%）。几乎所有的患者（95%）都表示非常愿意听从医生的建议。平均而言，HCP（医生和护士）分别报告与 85%和 80%的患者讨论了 PA 和健康饮食。相比之下，只有少数患者（65.8%）表示他们的医生“有时”或“经常”讨论 PA 和健康饮食。总的来说，医生报告说，讨论 PA 和健康饮食的时间平均分别为 5 分钟和 6 分钟；而护士报告说，讨论 PA 和健康饮食的时间平均分别为 12 分钟和 19 分钟。进一步研究 HCP 与其低收入西班牙裔患者之间关于 PA 和健康饮食的对话内容和方式，对于优化健康行为至关重要。
