Simmons University, Boston, MA, USA.
East Los Angeles Clinic, Los Angeles, CA, USA.
Hisp Health Care Int. 2021 Mar;19(1):17-22. doi: 10.1177/1540415320921471. Epub 2020 May 20.
Obesity rates have reached epidemic proportions in the United States and Hispanic women, particularly Mexican American women, are disproportionately affected. This quality improvement project, which took place at a clinic in East Los Angeles, California, implemented body mass index calculation, an eight-item starting the conversation (STC) tool, and culturally sensitive nutrition education in an effort to change the overweight/obesity status of these women. There were 36 female Hispanic patients who participated in this study. There was a significant decrease in body mass index percentile from pre implementation to 2-months post implementation. The total STC score decreased significantly from pre implementation to 2-months post implementation, indicating a positive change in dietary behavior. Dietary screening and intervention tools can assist health care providers with early identification of overweight/obesity status and prevention of overweight/obesity-related diseases. The STC tool will allow the health care provider to start the conversation about healthy food choices and provide for further culturally sensitive nutrition education.
在美国，肥胖率已达到流行程度，西班牙裔女性，尤其是墨西哥裔美国女性，受到的影响不成比例。这个质量改进项目在加利福尼亚州东洛杉矶的一家诊所实施，采用了体重指数计算、八项起始对话（STC）工具和文化敏感的营养教育，旨在改变这些女性的超重/肥胖状况。有 36 名西班牙裔女性患者参与了这项研究。从实施前到实施后 2 个月，体重指数百分位明显下降。从实施前到实施后 2 个月，总的 STC 评分显著下降，表明饮食行为发生了积极变化。饮食筛查和干预工具可以帮助医疗保健提供者早期识别超重/肥胖状况，并预防与超重/肥胖相关的疾病。STC 工具将使医疗保健提供者能够开始讨论健康的食物选择，并提供进一步的文化敏感的营养教育。
