TY - JOUR
T1 - Diet and Exercise Adherence and Practices Among Medically Underserved Patients With Chronic Disease
T2 - Variation Across Four Ethnic Groups
AU - Orzech, Kathryn M.
AU - Vivian, James
AU - Huebner Torres, Cristina
AU - Armin, Julie
AU - Shaw, Susan J
N1 - Funding Information:
The project described was supported by Award Number R01CA128455 from the National Cancer Institute. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health.
PY - 2013/2
Y1 - 2013/2
N2 - 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.
AB - 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.
KW - adherence
KW - chronic disease management
KW - diet
KW - food insecurity
KW - physical activity/exercise
KW - race/ethnicity
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U2 - 10.1177/1090198112436970
DO - 10.1177/1090198112436970
M3 - Article
C2 - 22505574
AN - SCOPUS:84873681738
SN - 1090-1981
VL - 40
SP - 56
EP - 66
JO - Health Education and Behavior
JF - Health Education and Behavior
IS - 1
ER -