Castro Esmeralda, Kelly Nichole R, Budd Elizabeth L
Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, USA.
Prevention Science Institute, University of Oregon, Eugene, OR, USA.
Prev Med Rep. 2023 Apr 21;33:102216. doi: 10.1016/j.pmedr.2023.102216. eCollection 2023 Jun.
U.S. Hispanic/Latino adults are at heightened risk for developing diet-related chronic diseases. Healthcare provider recommendations have shown to be effective for promoting health behavior change, but little is known about healthcare provider healthy eating recommendations among Hispanics/Latinos. To investigate the prevalence of and adherence to healthcare provider-delivered healthy eating recommendations among a U.S. sample of Hispanic/Latino adults, participants ( = 798; = 39.6±15.1 years; 52% Mexican/Mexican American) were recruited via Qualtrics Panels to complete an online survey in January 2018. Most (61%) participants reported having ever received a healthcare provider-delivered dietary recommendation. Higher body mass index (AME = 0.015 [0.009, 0.021]) and having a chronic health condition (AME = 0.484 [0.398, 0.571]) were positively associated with receiving a dietary recommendation while age (AME = -0.004 [-0.007, -0.001]) and English proficiency (AME = -0.086 [-0.154, -0.018]) were negatively associated. Participants reported adhering regularly (49.7%) and sometimes (44.4%) to recommendations. There were no significant associations with patient characteristics and adherence to a healthcare provider-delivered dietary recommendation. Findings inform next steps toward increasing implementation of brief dietary counseling from healthcare providers to support prevention and management of chronic diseases among this under-studied population.
美国西班牙裔/拉丁裔成年人患饮食相关慢性病的风险更高。医疗保健提供者的建议已被证明对促进健康行为改变有效,但对于西班牙裔/拉丁裔人群中医疗保健提供者的健康饮食建议知之甚少。为了调查美国西班牙裔/拉丁裔成年人样本中医疗保健提供者提供的健康饮食建议的患病率和依从性,2018年1月通过Qualtrics面板招募了参与者(n = 798;年龄 = 39.6±15.1岁;52%为墨西哥人/墨西哥裔美国人)来完成一项在线调查。大多数(61%)参与者报告曾收到过医疗保健提供者提供的饮食建议。较高的体重指数(AME = 0.015 [0.009, 0.021])和患有慢性健康状况(AME = 0.484 [0.398, 0.571])与收到饮食建议呈正相关,而年龄(AME = -0.004 [-0.007, -0.001])和英语水平(AME = -0.086 [-0.154, -0.018])与收到饮食建议呈负相关。参与者报告经常(49.7%)和有时(44.4%)遵循建议。患者特征与遵循医疗保健提供者提供的饮食建议之间没有显著关联。研究结果为下一步提高医疗保健提供者简短饮食咨询的实施提供了信息,以支持对这一研究不足人群的慢性病预防和管理。