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Outcomes of Culturally Tailored Dietary Intervention in the North African and Bangladeshi Diabetic Patients in Italy

Author

Listed:
  • Laura Piombo

    (National Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, Italy)

  • Gianluca Nicolella

    (National Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, Italy)

  • Giulia Barbarossa

    (National Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, Italy)

  • Claudio Tubili

    (Diabetes Unit, San Camillo-Forlanini Hospital, 00152 Rome, Italy)

  • Mayme Mary Pandolfo

    (Diabetes Unit, San Camillo-Forlanini Hospital, 00152 Rome, Italy)

  • Miriam Castaldo

    (National Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, Italy)

  • Gianfranco Costanzo

    (National Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, Italy)

  • Concetta Mirisola

    (National Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, Italy)

  • Andrea Cavani

    (National Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, Italy)

Abstract

Immigrants show higher adjusted diabetes prevalence than Italians, especially among South-East Asians followed by North and Sub-Saharan Africans. Diabetes progression is influenced by food behaviors, and diet control is a critical aspect in disease management. Food habits have many cultural and symbolic implications. Guidelines recommend that every patient should receive appropriate self-management education according to cultural and socioeconomic characteristics. This study aims to test whether a customized diet and transcultural mediator’s support can improve immigrants’ food habits. A pre-post quali-quantitative study was conducted among 20–79-year-old Bangladeshi and North African diabetic immigrants. The INMP transcultural mediator, an expert in the social and health care field, actively participates in clinical activity by decoding linguistic and cultural needs expressed by the foreigner patient. Five culturally tailored dietary profiles were designed according to international diabetes guidelines and adjusted to traditional food habits. Data were collected with two different semi-structured questionnaires. Changes in food consumption were assessed through McNemar’s test, while paired Wilcoxon Signed-Rank test was used to analyze pre and post intervention. Fifty-five patients were enrolled. At follow-up, cereals, meat, and potatoes intake significantly improved, and the number of adequate dietary habits for each patient increased significantly. Transcultural mediator support was 90% positively evaluated. Adherence to dietary control is favorably influenced by a transcultural intervention, which is based on clinical and socio-cultural criteria, in compliance with patient’s lifestyles.

Suggested Citation

  • Laura Piombo & Gianluca Nicolella & Giulia Barbarossa & Claudio Tubili & Mayme Mary Pandolfo & Miriam Castaldo & Gianfranco Costanzo & Concetta Mirisola & Andrea Cavani, 2020. "Outcomes of Culturally Tailored Dietary Intervention in the North African and Bangladeshi Diabetic Patients in Italy," IJERPH, MDPI, vol. 17(23), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8932-:d:454338
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    References listed on IDEAS

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    1. Shuang Li & Cor van Halen & Rick B. van Baaren & Barbara C. N. Müller, 2020. "Self-Persuasion Increases Healthy Eating Intention Depending on Cultural Background," IJERPH, MDPI, vol. 17(10), pages 1-14, May.
    2. Sunmin Lee & Allison H O’Neill & Emily S Ihara & David H Chae, 2013. "Change in Self-Reported Health Status among Immigrants in the United States: Associations with Measures of Acculturation," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-1, October.
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