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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Irene L Martinez, MD1, Alice A. Furumoto-Dawson, PhD2, Hamid Husein, MD3, and David N Goldberg, MD1. (1) Division of General Medicine, Cook County Hospital, Rush University, 1900 W. Polk Street, 9th Floor, Administration Building, Chicago, IL 60612, 312-633-7810, imartine@rush.edu, (2) Dept. Preventive Medicine & Dept. Health Studies, Rush Medical College & University of Chicago, Section of Epidemiology, 1700 W. Van Buren St., 4th Floor, Chicago, IL 60612, (3) Department of Family Practice, St. Elizabeth Hospital, 1431 N. Western Avenue, Chicago, IL 60622
This study is an assessment of the association between stages of readiness to change diet and demographic variables, medical conditions, psychosocial variables related to eating, and patterns of eating among patients at a public hospital medical clinic. Data was collected on 146 patients in the context of an educational program for medical residents in which the medical residents delivered a structured nutritional intervention offering stage-based advice regarding fat or fruit and vegetable consumption. The mean age of the patients interviewed was 59, and 60% were women. 75% had hypertension and 36% had diabetes. The stage distribution was 26% pre-contemplators (PC), 25% contemplators or preparation (C/P), and 49% action (A). The distribution of stages was advanced toward action among women, and among patients with hypertension, diabetes, and a self-identified weight problem (chi-squared, p<0.01). The distribution of stages was advanced toward action among persons who cook at home (p<0.01) and who eat out weekly or less (p<0.05). ANOVA of eating patterns based on stage showed the following eating patterns across the stages of PC, C/P, and A: increased daily servings of fruits and vegetables (1.4, 2.0, 3.2, p=0.04); decreased daily servings of meat, fish, and eggs (2.6, 2.2, 2.0, p=0.06); decreased daily serving of dairy products (2.0, 1.9, 1.1, p=0.008); and decreased weekly servings of fried foods (4.0, 3.1, 1.6, p <0.001). In spite of poverty and serious co-morbidity, many patients display readiness to change their diet and take control of an important aspect of their health.
Learning Objectives:
Keywords: Change Concepts, Primary Care
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.