{"title":"Investigation of the Cultural Context of Sugars Consumption Behavior in Low-Income Mexican-American Women.","authors":"Tanya J Benitez, Colleen Keller, Kathryn Coe, Natasha Tasevska","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite the recent federal dietary recommendations to limit consumption of added sugars to less than ten percent of daily caloric intake, there is a gap in published literature examining the influence of food preparation behaviors on sugars consumption among low-income Mexican-American women. The purpose of the study was to describe the cultural context of Mexican-American women in procuring, preparing and presenting added sugars in their families' diets. Five focus groups were conducted to examine sugars consumption behavior in thirteen overweight/obese low-income Mexican-American women ages 27-40 years. Themes that emerged during the sessions included: changes in food procurement to include high-sugar foods and sugar-sweetened beverages following migration from Mexico to the U.S.; children's influence on what was bought and consumed in the household; changes in household diet when relatives prepared food; and influence of family traditions/extensive social gatherings and traditional foods during holidays on sugars consumption. Culturally relevant factors influencing sugars consumption were identified. We report strategies that can be used in public health interventions to reduce sugars intake among low-income Mexican-American women; such strategies must acknowledge cultural and contextual factors of social ties, the role of family members in influencing diet, and importance of maintaining traditional foods and cultural celebrations.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"10 2","pages":"89-106"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Celia P Kaplan, Anna Nápoles, Sharon Davis, Monica Lopez, Rena J Pasick, Jennifer Livaudais-Toman, Eliseo J Pérez-Stable
{"title":"Latinos and Cancer Information: Perspectives of Patients, Health Professionals and Telephone Cancer Information Specialists.","authors":"Celia P Kaplan, Anna Nápoles, Sharon Davis, Monica Lopez, Rena J Pasick, Jennifer Livaudais-Toman, Eliseo J Pérez-Stable","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Semi-structured interviews were conducted with 16 Latino cancer patients diagnosed in California; 10 health professionals from the San Francisco Bay Area and Fresno, California; and 10 Cancer Information Services (CIS) information specialists from the regional offices handling calls from Spanish-speakers. Interview guides were designed by the investigators to answer three main research questions: 1) How do Latinos obtain information about cancer and what types of information do they access?; 2) What sources of cancer information do they seek out and find credible?; and 3) What are the barriers and facilitators to Latinos obtaining cancer information? Stakeholders generally viewed health professionals as the most credible source of cancer information. All groups regarded family and friends as important sources of information. Patients and health professionals tended to differ on the value of print materials. Although patients found them generally useful, health professionals tended to view them as inadequate for meeting the informational needs of their Latino patients due to the challenge of low health literacy. Health professionals also tended to undervalue Internet resources compared to patients and CIS specialists. All stakeholders viewed language, ethnic discordance and the impact on patients of the initial diagnosis as barriers to effective communication of cancer information. Health professionals and CIS specialists, but not patients, mentioned low literacy as a barrier. Our findings underscore the importance of the physician-patient relationship as a point of intervention to address the unmet informational and psychosocial needs of Latino cancer patients.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"9 2","pages":"154-167"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023065/pdf/nihms802351.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41184651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cassandra D Ford, Patricia Sawyer, Patricia Parmelee, Olivio J Clay, Martha Crowther, Richard M Allman
{"title":"Race and Sex Differences in Correlates of Systolic Blood Pressure in Community-Dwelling Older Adults.","authors":"Cassandra D Ford, Patricia Sawyer, Patricia Parmelee, Olivio J Clay, Martha Crowther, Richard M Allman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To describe correlates of measured systolic blood pressure (SBP) among community-dwelling older African American and White Medicare beneficiaries.</p><p><strong>Methods: </strong>Participants completed an in-home assessment and factors significantly correlated with SBP were tested using multivariable models.</p><p><strong>Results: </strong>Among the 958 participants (mean age= 75.3 [SD = 6.8]; 49% African American; 49% female; 52% rural) African Americans were more often diagnosed with hypertension, more likely on anti-hypertensives, and on more anti-hypertensive medications. SBP was 2.7 mmHg higher in African Americans than Whites (p=.03). SBP was higher in women than men. Multivariable models revealed differences in the factors associated with SBP by race/sex specific groups. Having a history of smoking and reports of being relaxed and free of tension were associated with higher SBP among African American men.</p><p><strong>Discussion: </strong>Although more likely prescribed anti-hypertensives, mean SBP was higher for older African Americans than Whites. Results support the hypothesis that behavioral and psychosocial factors are more important correlates of SBP levels among older African Americans than among Whites.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"7 4","pages":"32-50"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4713041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72212455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kimberly D Leeks, Ingrid J Hall, C Ashani Johnson-Turbes, Ngozi Kamalu, Yasmine Zavahir
{"title":"Formative Development of a Culturally Appropriate Mammography Screening Campaign for Low-Income African-American Women.","authors":"Kimberly D Leeks, Ingrid J Hall, C Ashani Johnson-Turbes, Ngozi Kamalu, Yasmine Zavahir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this qualitative study was to conduct a formative evaluation of messages and materials to inform the development of a promotional, health campaign designed to increase breast cancer screening awareness and utilization among low-income, uninsured African American women through the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) in Savannah and Macon, Georgia (GA). A priority of CDC is to understand why women eligible for screening through the NBCCEDP do not participate in NBCCEDP screening services as well as to identify effective strategies for increasing enrollment among NBCCEDP-eligible women who have never received breast cancer screening. As such, eight focus groups were conducted with a sample of African American women (n=68) in two cities in GA. The participants in the focus groups were segmented by age (40-49 and 50-64) and mammography screening status. A thematic analysis of field notes was conducted to assess themes and patterns in the participants' perception of the promotional, health campaign's concepts, messages, and materials. The findings revealed common themes and identified several key issues to address in the refinement of campaign messages and materials, including the need to hear about breast cancer and the importance of screening from African American breast cancer survivors as well as to incorporate religious faith and family connectedness messages in materials. The study findings have implications for enhancing breast cancer prevention efforts in the African American community.</p>","PeriodicalId":94083,"journal":{"name":"Journal of health disparities research and practice","volume":"5 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}