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...

Descripción completa

Detalles Bibliográficos
Autores principales: Greaney, Mary L., Xu, Furong, Ward-Ritacco, Christie L., Cohen, Steven A., Ellis, Kerri A., Riebe, Deborah
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