Cargando…
Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level?
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...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957032/ https://www.ncbi.nlm.nih.gov/pubmed/36833475 http://dx.doi.org/10.3390/ijerph20042778 |
_version_ | 1784894724975362048 |
---|---|
author | Greaney, Mary L. Xu, Furong Ward-Ritacco, Christie L. Cohen, Steven A. Ellis, Kerri A. Riebe, Deborah |
author_facet | Greaney, Mary L. Xu, Furong Ward-Ritacco, Christie L. Cohen, Steven A. Ellis, Kerri A. Riebe, Deborah |
author_sort | Greaney, Mary L. |
collection | PubMed |
description | 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 (p = 0.009) or increase exercise/PA (p = 0.048), but were more likely to report having taken action to reduce fat/calorie intake (p = 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. |
format | Online Article Text |
id | pubmed-9957032 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99570322023-02-25 Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level? Greaney, Mary L. Xu, Furong Ward-Ritacco, Christie L. Cohen, Steven A. Ellis, Kerri A. Riebe, Deborah Int J Environ Res Public Health Article 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 (p = 0.009) or increase exercise/PA (p = 0.048), but were more likely to report having taken action to reduce fat/calorie intake (p = 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. MDPI 2023-02-04 /pmc/articles/PMC9957032/ /pubmed/36833475 http://dx.doi.org/10.3390/ijerph20042778 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Greaney, Mary L. Xu, Furong Ward-Ritacco, Christie L. Cohen, Steven A. Ellis, Kerri A. Riebe, Deborah Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level? |
title | Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level? |
title_full | Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level? |
title_fullStr | Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level? |
title_full_unstemmed | Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level? |
title_short | Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level? |
title_sort | does healthcare provider counseling for weight management behaviors among hispanic adults who are overweight/obese vary by acculturation level? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957032/ https://www.ncbi.nlm.nih.gov/pubmed/36833475 http://dx.doi.org/10.3390/ijerph20042778 |
work_keys_str_mv | AT greaneymaryl doeshealthcareprovidercounselingforweightmanagementbehaviorsamonghispanicadultswhoareoverweightobesevarybyacculturationlevel AT xufurong doeshealthcareprovidercounselingforweightmanagementbehaviorsamonghispanicadultswhoareoverweightobesevarybyacculturationlevel AT wardritaccochristiel doeshealthcareprovidercounselingforweightmanagementbehaviorsamonghispanicadultswhoareoverweightobesevarybyacculturationlevel AT cohenstevena doeshealthcareprovidercounselingforweightmanagementbehaviorsamonghispanicadultswhoareoverweightobesevarybyacculturationlevel AT elliskerria doeshealthcareprovidercounselingforweightmanagementbehaviorsamonghispanicadultswhoareoverweightobesevarybyacculturationlevel AT riebedeborah doeshealthcareprovidercounselingforweightmanagementbehaviorsamonghispanicadultswhoareoverweightobesevarybyacculturationlevel |