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Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level?

Author

Listed:
  • Mary L. Greaney

    (Department of Health Studies, University of Rhode Island, Kingston, RI 02881, USA)

  • Furong Xu

    (School of Education, University of Rhode Island, Kingston, RI 02881, USA)

  • Christie L. Ward-Ritacco

    (Department of Kinesiology, University of Rhode Island, Kingston, RI 02881, USA)

  • Steven A. Cohen

    (Department of Health Studies, University of Rhode Island, Kingston, RI 02881, USA)

  • Kerri A. Ellis

    (College of Nursing, University of Rhode Island, Kingston, RI 02881, USA)

  • Deborah Riebe

    (Department of Kinesiology, University of Rhode Island, Kingston, RI 02881, USA)

Abstract

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.

Suggested Citation

  • Mary L. Greaney & Furong Xu & Christie L. Ward-Ritacco & Steven A. Cohen & Kerri A. Ellis & Deborah Riebe, 2023. "Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level?," IJERPH, MDPI, vol. 20(4), pages 1-11, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:2778-:d:1057872
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    References listed on IDEAS

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    1. Rachele Pojednic & Emma D'Arpino & Ian Halliday & Amy Bantham, 2022. "The Benefits of Physical Activity for People with Obesity, Independent of Weight Loss: A Systematic Review," IJERPH, MDPI, vol. 19(9), pages 1-14, April.
    2. Soto, Sandra H. & Arredondo, Elva M. & Shakya, Holly B. & Roesch, Scott & Marcus, Bess & Parada, Humberto & Ayala, Guadalupe X., 2019. "Family environment, children's acculturation and mothers' dietary intake and behaviors among Latinas: An autoregressive cross-lagged study," Social Science & Medicine, Elsevier, vol. 228(C), pages 93-102.
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