Department of Health Studies, University of Rhode Island, Kingston, RI 02881, USA.
School of Education, University of Rhode Island, Kingston, RI 02881, USA.
Int J Environ Res Public Health. 2023 Feb 4;20(4):2778. doi: 10.3390/ijerph20042778.
This cross-sectional study explored differences in the receipt of health care provider (HCP) counseling to control/lose weight and adopt weight-related lifestyle behavior changes among Hispanic respondents according to acculturation level. Differences in reported action regarding HCP counseling were also examined. Data from four National Health and Nutrition Examination Survey (NHANES) cycles (2011-2018) were analyzed, with the analytic sample limited to Hispanic respondents who were overweight/obese. Respondents' acculturation levels were derived from their reported country of origin and the primary language spoken at home. Respondents who reported speaking only Spanish or more Spanish than English at home were classified as primarily speaking Spanish at home. In contrast, those who reported speaking Spanish and English equally, more English than Spanish, or only English were categorized as primarily speaking English at home. Weighted multivariate logistic regression models were utilized to calculate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) to determine if differences in acculturation levels existed regarding the likelihood of receiving HCP counseling to (1) control/lose weight, (2) increase exercise/PA, and (3) reduce fat/calorie intake. Similar analyses examined differences in reported action regarding HCP counseling according to acculturation level. The analysis found no significant differences in receiving HCP counseling according to acculturation level. However, non-US-born respondents who primarily spoke Spanish at home were less likely than US-born respondents to report acting to control/lose weight ( = 0.009) or increase exercise/PA ( = 0.048), but were more likely to report having taken action to reduce fat/calorie intake ( = 0.016). This study revealed differences between acting on recommendations of health care professionals according to acculturation level, indicating a need for interventions tailored to acculturation levels.
本横断面研究根据文化适应水平，探讨了西班牙裔受访者接受医疗保健提供者（HCP）咨询以控制/减轻体重和采取与体重相关的生活方式行为改变方面的差异。还检查了报告的 HCP 咨询行动方面的差异。对四个国家健康和营养检查调查（NHANES）周期（2011-2018 年）的数据进行了分析，分析样本仅限于超重/肥胖的西班牙裔受访者。受访者的文化适应水平来自其报告的原籍国和家庭中使用的主要语言。在家中只报告说西班牙语或西班牙语多于英语的受访者被归类为主要说西班牙语的人。相比之下，那些报告说西班牙语和英语同等程度、英语多于西班牙语或只说英语的人被归类为主要说英语的人。利用加权多变量逻辑回归模型计算调整后的优势比（OR）和 95%置信区间（CI），以确定文化适应水平是否存在差异，即接受 HCP 咨询以（1）控制/减轻体重，（2）增加运动/PA，和（3）减少脂肪/卡路里摄入。类似的分析根据文化适应水平检查了报告的 HCP 咨询行动差异。分析发现，根据文化适应水平，接受 HCP 咨询没有显著差异。然而，与美国出生的受访者相比，主要说西班牙语的非美国出生的受访者报告采取行动控制/减轻体重的可能性较小（=0.009）或增加运动/PA（=0.048），但报告采取行动减少脂肪/卡路里摄入的可能性更大（=0.016）。这项研究揭示了根据文化适应水平采取专业医疗保健人员建议行动的差异，表明需要针对文化适应水平进行干预。
