Diet and Exercise Adherence and Practices among Medically Underserved Patients with Chronic Disease: Variation across Four Ethnic Groups

Autor/inn/en	Orzech, Kathryn M.; Vivian, James; Huebner Torres, Cristina; Armin, Julie; Shaw, Susan J.
Titel	Diet and Exercise Adherence and Practices among Medically Underserved Patients with Chronic Disease: Variation across Four Ethnic Groups
Quelle	In: Health Education & Behavior, 40 (2013) 1, S.56-66 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198112436970
Schlagwörter	Chronic Illness; Racial Differences; Whites; African Americans; Hispanic Americans; Asian Americans; Vietnamese People; Laotians; Barriers; Eating Habits; Exercise; At Risk Persons; Diabetes; Hypertension; Food; Cultural Differences; Socioeconomic Influences; Hunger; Physical Activity Level; Questionnaires; Compliance (Psychology); Ethnic Groups; Life Style; Motivation; Low Income Groups; Health Behavior; Health Promotion; Focus Groups; Interviews; Diaries; Massachusetts + Suchen Sie Ihr Suchwort? Chronic disease; Chronische Krankheit; Rassenunterschied; White; Weißer; Afroamerikaner; Hispanic; Hispanoamerikaner; Asian immigrant; United States; Asiatischer Einwanderer; USA; Ernährungsgewohnheit; Essgewohnheit; Übung; Risikogruppe; Bluthochdruck; Hypertonie; Lebensmittel; Kultureller Unterschied; Sozioökonomischer Faktor; Fragebogen; Ethnie; Lebensstil; psychologische; Motivation (psychologisch); Health behaviour; Gesundheitsverhalten; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Interviewing; Interviewtechnik; Diary; Tagebuch; Master-Studiengang
Abstract	Many factors interact to create barriers to dietary and exercise plan adherence among medically underserved patients with chronic disease, but aspects related to culture and ethnicity are underexamined in the literature. Using both qualitative ("n" = 71) and quantitative ("n" = 297) data collected in a 4-year, multimethod study among patients with hypertension and/or diabetes, the authors explored differences in self-reported adherence to diet and exercise plans and self-reported daily diet and exercise practices across four ethnic groups--Whites, Blacks, Vietnamese, and Latinos--at a primary health care center in Massachusetts. Adherence to diet and exercise plans differed across ethnic groups even after controlling for key sociodemographic variables, with Vietnamese participants reporting the highest adherence. Food and exercise options were shaped by economic constraints as well as ethnic and cultural familiarity with certain foods and types of activity. These findings indicate that health care providers should consider ethnicity and economic status together to increase effectiveness in encouraging diverse populations with chronic disease to make healthy lifestyle changes. (Contains 3 notes and 4 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10