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Dietary medical advice and health behavior of minorities with diabetes
Author(s) -
Vaccaro Joan A,
Huffman Fatma G
Publication year - 2011
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.25.1_supplement.971.30
Subject(s) - medicine , calorie , ethnic group , national health and nutrition examination survey , anthropometry , obesity , medical advice , diabetes mellitus , mexican americans , demography , environmental health , gerontology , endocrinology , population , nursing , sociology , anthropology
Objective to examine the relationships among reported dietary, medical advice given and its association with health behavior of Mexican Americans (MA) and Black non‐Hispanic (BNH) as compared to White non‐Hispanic (WNH) adults diagnosed with diabetes. Method Secondary analysis of data acquired through the National Health and Nutrition Survey (NHANES) for the years 2007–2008. Variables for medical advice, diet and anthropometric measures were merged by subject ID number. First day 24‐hour recall was used for dietary data. Sample weights were applied. Results Controlling for obesity, MA [OR=2.28 (1.06, 4.93)] and BNH [OR=2.79 (1.43, 5.46)] were more likely than WNH to report that they were told to increase their physical activity (p=0.022). MA [OR=2.15 (1.03, 4.46)] and BNH [OR =1.83 (1.16, 2.88)] were more likely to report being told to reduce fat or calories than WNH (p=0.009). Being told to reduce fat or calories was not a predictor of percent calories from total or saturated fat. Conclusions There were significant differences in reported medical advice received for diabetes care by race/ethnicities. These findings suggest ethnic variations in patient‐provider communication and may be a consequence of their health beliefs.