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Attitudinal familism predicts weight management adherence in Mexican–American women

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Abstract

Adherence to behavioral weight management programs is often limited, especially among ethnic minority populations. The current study examined whether attitudinal familism, or attention to the needs of family above those of the self, predicted poorer adherence to a behavioral weight management program in Mexican–American women. One-hundred overweight or obese Mexican–American women from the southwestern United States were enrolled in a group-based weight loss treatment. Zero-order correlations indicated that general commitment to attitudinal familism, as measured by the Attitudinal Familism Scale, was significantly negatively associated with calorie and physical activity goal completion and marginally negatively associated with session attendance. The results of the current study indicate that researchers may consider addressing familism when developing tailored weight management interventions for Mexican–American women.

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References

  • Acharya, S. D., Elci, O. U., Sereika, S. M., Music, E., Styn, M., Turk, M. W., et al. (2009). Adherence to a behavioral weight loss treatment program enhances weight loss and improvements in biomarkers. Journal of Patient Preference & Adherence, 3, 151–160.

    Google Scholar 

  • Austin, J. L., & Smith, J. E. (2008). Thin ideal internalization in Mexican girls: A test of the sociocultural model of eating disorders. International Journal of Eating Disorders, 41, 448–457.

    Article  PubMed  Google Scholar 

  • Avila, P., & Hovell, M. G. (1994). Physical activity training for weight loss in Latinas: A controlled trial. International Journal of Obesity and Related Metabolic Disorders, 18, 476–482.

    PubMed  CAS  Google Scholar 

  • Ayala, G. X., Baquero, B., & Klinger, S. (2008). A systematic review of the relationship between acculturation and diet among Latinos in the United States: Implications for future research. Journal of the American Dietetic Association, 108, 1330–1344.

    Article  PubMed  Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  PubMed  CAS  Google Scholar 

  • Barrera, M., & Castro, F. G. (2006). A heuristic framework for the cultural adaptation of interventions. Clinical Psychology Science and Practice, 13, 311–316.

    Article  Google Scholar 

  • Barte, J. C. M., ter Bogt, N. C. W., Bogers, R. P., Teixeira, P. J., Blissmer, B., Mori, T.A., et al. (2010). Maintenance of weight loss after lifestyle interventions for overweight and obesity, a systematic review. Obesity Reviews. doi:10.1111/j.1467-789X.2010.00740.x

  • Bates, L. M., Acevedo-Garcia, D., Alegria, M., & Krieger, N. (2008). Immigration and generational trends in body mass index and obesity in the United States: Results of the national Latino and Asian American survey, 2002–2003. American Journal of Public Health, 98, 70–77.

    Article  PubMed  Google Scholar 

  • Becker, T. E. (2005). Potential problems in the statistical control of variables in organizational research: A qualitative analysis with recommendations. Organizational Research Methods, 8, 274–289.

    Article  Google Scholar 

  • Bernal, G., Jimenez-Chafey, M. I., & Rodriguez, M. M. D. (2009). Cultural adaptation of treatments: A resource for considering culture in evidence-based practice. Professional Psychology: Research and Practice, 40, 361–368.

    Article  Google Scholar 

  • Braveman, P. A., Cubbin, C., Egerter, S., Williams, D. R., & Pamuk, E. (2010). Socioeconomic disparities in health in the United States: What the patterns tell us. American Journal of Public Health, 100, S186–S196.

    Article  PubMed  Google Scholar 

  • Brownell, K. D. (2004). The LEARN program for weight management (10th ed.). Dallas, TX: American Health Publishing Company.

    Google Scholar 

  • Carels, R. A., Young, K. M., Coit, C., Clayton, A. M., Spencer, A., & Hobbs, M. W. (2008). Can following the caloric restriction recommendations from the Dietary Guidelines for Americans help individuals lose weight? Eating Behaviors, 9, 328–335.

    Article  PubMed  Google Scholar 

  • Castro, F. G., Barrera, M., & Martinez, C. R. (2004). The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit. Prevention Science, 5, 41–45.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control. (2007). Overweight and obesity: Introduction. Retrieved May 22, 2007 from http://www.cdc.gov/nccdphp/dnpa/obesity/index.htm.

  • Chao, D., Farmer, D. F., Sevick, M., Espeland, M. A., Vitolins, M., & Naughton, M. J. (2000). The value of session attendance in a weight-loss intervention. American Journal of Health Behavior, 24, 413–421.

    Article  Google Scholar 

  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.

    Article  PubMed  CAS  Google Scholar 

  • Cousins, J. H., Rubovits, D. S., Kay Dunn, J., Reeves, R. S., Ramirez, A. G., & Foreyt, J. P. (1992). Family versus individually oriented intervention for weight loss in Mexican-American women. Public Health Reports, 107, 549–555.

    PubMed  CAS  Google Scholar 

  • Crespo, C. J., Keteyian, S. J., Heath, G. W., & Sempos, C. T. (1996). Leisure-time physical activity among US adults: Results from the third national health and nutrition examination survey. Archives of Internal Medicine, 156, 93–98.

    Article  PubMed  CAS  Google Scholar 

  • Crespo, C. J., Smit, E., Carter-Pokras, O., & Andersen, R. (2001). Acculturation and leisure-time physical activity in Mexcian-American adults: Results from NHANES III: 1988–1994. American Journal of Public Health, 91, 1254–1257.

    Article  PubMed  CAS  Google Scholar 

  • Davis, M. J., & Addis, M. E. (1999). Predictors of attrition from behavioral medicine treatments. Annals of Behavioral Medicine, 21, 339–349.

    Article  PubMed  CAS  Google Scholar 

  • Des Jarlais, D. C., Lyles, C., & Crepaz, N. (2004). Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. American Journal of Public Health, 94, 361–366.

    Article  PubMed  Google Scholar 

  • Diaz, V. A., Mainous, A. G., & Pope, C. (2007). Cultural conflicts in the weight loss experiences of overweight Latinos. International Journal of Obesity, 31, 328–333.

    Article  PubMed  CAS  Google Scholar 

  • DiMatteo, M. R. (2004). Social support and patient adherence to medical treatment: A meta-analysis. Health Psychology, 23, 207–218.

    Article  PubMed  Google Scholar 

  • Everhart, J. E., Khare, M., Hill, M., & Maurer, K. R. (1999). Prevalence and ethnic differences in gallbladder disease in the United States. Gastroenterology, 117, 632–639.

    Article  PubMed  CAS  Google Scholar 

  • Eyler, A. E., Wilcox, S., Matson-Koffman, D., Evenson, K. R., Sanderson, B., Thompson, J., et al. (2002). Correlates of physical activity among women from diverse racial/ethnic groups. Journal of Women’s Health and Gender-Based Medicine, 11, 239–253.

    Article  PubMed  Google Scholar 

  • Fitzmaurice, G. (2000). Regression to the mean. Nutrition, 16, 81–82.

    Article  Google Scholar 

  • Ford, E. S., Giles, W. H., & Dietz, W. H. (2002). Prevalence of the metabolic syndrome among US adults. Journal of the American Medical Association, 287, 356–359.

    Article  PubMed  Google Scholar 

  • Gardner, C. D., Kiazand, A., Alhassan, S., Kim, S., Stafford, R. S., Balise, R. R., et al. (2007). Comparison of the Atkins, Zone, Ornish, and LEARN diets for change in weight and related risk factors among overweight premenopausal women: the A TO Z Weight Loss Study: A randomized trial. Journal of the American Medical Association, 297, 969–977.

    Article  PubMed  CAS  Google Scholar 

  • Germán, M., Gonzalez, N. A., & Dumka, L. (2009). Familism values as a protective factor for Mexican-origin adolescents exposed to deviant peers. The Journal of Early Adolescence, 29, 16–42.

    Article  PubMed  Google Scholar 

  • Grassi, K., Gonzales, G., Tello, P., & He, G. (1999). La Vida Caminando: A community-based physical activity program designed by and for rural Latino families. Journal of Health Education, 30, S13–S17.

    Google Scholar 

  • Haugen, H. A., Tran, Z. V., Wyatt, H. R., Barry, M. J., & Hill, J. O. (2007). Using telehealth to increase participation in weight maintenance programs. Obesity, 15, 3067–3077.

    Article  PubMed  Google Scholar 

  • Hedley, A. A., Ogden, C. L., Johnson, C. L., Carroll, M. D., Curtin, L. R., & Flegal, K. M. (2004). Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. Journal of the American Medical Association, 291, 2847–2850.

    Article  PubMed  CAS  Google Scholar 

  • Hill, J. O., & Peters, J. C. (1998). Environmental contributions to the obesity epidemic. Science, 280, 1371–1374.

    Article  PubMed  CAS  Google Scholar 

  • Hill, J. O., Wyatt, H. R., Reed, G. W., & Peters, J. C. (2003). Obesity and the environment: Where do we go from here? Science, 299, 853–855.

    Article  PubMed  CAS  Google Scholar 

  • Honas, J. J., Early, J. L., Fredrickson, D. D., & O’Brien, M. S. (2003). Predictors of attrition in a clinical weight loss program. Obesity Research, 11, 888–894.

    Article  PubMed  Google Scholar 

  • Keller, C., Gonzales, A., & Fleuriet, J. (2005). Retention of minorities in clinical research studies. Western Journal of Nursing Research, 27, 292–306.

    Article  PubMed  Google Scholar 

  • King, A. C., Castro, C., Wilcox, S., Eyler, A. A., Sallis, J., & Brownson, R. C. (2000). Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S. middle-aged and older-aged women. Health Psychology, 19, 354–364.

    Article  PubMed  CAS  Google Scholar 

  • Knight, B. G., & Sayegh, P. (2010). Cultural values and caregiving: The updated sociocultural stress and coping model. Journal of Gerontology: Psychological Sciences, 65B, 5–13.

    Article  Google Scholar 

  • Kumanyika, S. (2002). Obesity treatment in minorities. In T. A. Wadden & A. J. Stunkard (Eds.), Handbook of obesity treatment (pp. 416–444). New York: Guilford Press.

    Google Scholar 

  • Lau, A. S. (2006). Making the case for selective and directed cultural adaptations of evidence-based treatments: Examples from parent training. Clinical Psychology Science and Practice, 13, 295–310.

    Article  Google Scholar 

  • Lazcano-Ponce, E. C., Miquel, J. F., Munoz, N., Herrero, R., Ferrecio, C., Wistuba, I. I., et al. (2001). Epidemiology and molecular pathology of gallbladder cancer. A Cancer Journal for Clinicians, 51, 349–364.

    Article  CAS  Google Scholar 

  • Losada, A., Robinson Shurgot, G., Knight, B. G., Márquez, M., Montorio, I., Izal, M., et al. (2006). Cross-cultural study comparing the association of familism with burden and depressive symptoms in two samples of Hispanic dementia caregivers. Aging & Mental Health, 10, 69–76.

    Article  CAS  Google Scholar 

  • Marquez, D. X., McAuley, E., & Overman, N. (2004). Psychosocial correlates and outcomes of physical activity among Latinos: A review. Hispanic Journal of Behavioral Sciences, 26, 195–229.

    Article  Google Scholar 

  • Must, A., Spadano, J., Coakley, E. H., Field, A. E., Colditz, G., & Dietz, W. H. (1999). The disease burden associated with overweight and obesity. Journal of the American Medical Association, 282, 1523–1529.

    Article  PubMed  CAS  Google Scholar 

  • National Institute of Diabetes and Digestive and Kidney Diseases. (2007).Complications of diabetes. Retrieved April 20, 2007 from http://diabetes.niddk.nih.gov/complications/index.htm.

  • Perri, M. G., Martin, D. A., Leermakers, E. A., Sears, S. F., & Notelovitz, M. (1997). Effects of a group versus home-based exercise in the treatment of obesity. Journal of Consulting and Clinical Psychology, 65, 278–285.

    Article  PubMed  CAS  Google Scholar 

  • Pew Hispanic Center. (2011). The Mexican-American boon: Births overtake immigration. Retrieved October 4, 2011 from http://pewresearch.org/pubs/2058/-immigration-mexican-immigrants-mexican-american-birth-rate.

  • Poston, W. S., Haddock, K., Suminski, R. R., & Olvera, N. E. (2001). Evaluation of a culturally appropriate intervention to increase physical activity. American Journal of Health Behavior, 25, 396–406.

    Article  PubMed  Google Scholar 

  • Poston, W. S., Reeves, R. S., Haddock, C. K., Stormer, S., Balasubramanyam, A., Satterwhite, O., et al. (2003). Weight loss in obese Mexican Americans treated for 1-year with orlistat and lifestyle modification. International Journal of Obesity, 12, 1486–1493.

    Article  Google Scholar 

  • Sabogal, F., Marín, G., Otero-Sabogal, R., VanOss Marín, B., & Pérez-Stable, E. J. (1987). Hispanic familism and acculturation: What changes and what doesn’t. Hispanic Journal of Behavioral Sciences, 9, 397–412.

    Article  Google Scholar 

  • Schneider, P. L., Crouter, S. E., Lukajic, O., & Bassett, D. R., Jr. (2003). Accuracy and reliability of 10 pedometers for measuring steps over a 400-m walk. Medicine and Science in Sports and Exercise, 35, 1779–1784.

    Article  PubMed  Google Scholar 

  • Steidel, A. G., & Contreras, J. M. (2003). A new familism scale for use with Latino populations. Hispanic Journal of Behavioral Sciences, 25, 312–330.

    Article  Google Scholar 

  • Stokols, D. (1992). Establishing and maintaining healthy environments: Toward a social ecology of health promotion. American Psychologist, 47, 6–22.

    Article  PubMed  CAS  Google Scholar 

  • Telles, E. E., & Ortiz, V. (2008). Latino policy & issues brief: Mexican-American culture and language (No. 21). Retrieved October 4, 2011 from http://www.chicano.ucla.edu/press/briefs/documents/PB21.pdf.

  • U.S. Census Bureau. (2004). We the people: Hispanics in the United States. Retrieved October 4, 2011 from http://www.census.gov/prod/2004pubs/censr-18.

  • U.S. Census Bureau. (2010a). Median income in the past 12 months (In 2010 Inflation-adjusted dollars): 2010 American Community Survey 1-Year Estimates. Retrieved October 4, 2011 from http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_10_1YR_S1903&prodType=table.

  • U.S. Census Bureau. (2010b). State and county quickfacts. Retrieved April 7, 2010 from http://quickfacts.census.gov/qfd/states/35/35001.html.

  • Valsamakis, G., McTernan, P. G., Chetty, R., Al Daghri, N., Field, A., Hanif, W., et al. (2004). Modest weight loss and reduction in waist circumference after medical treatment are associated with favorable changes in serum adipocytokines. Metabolism, 53, 430–434.

    Article  PubMed  CAS  Google Scholar 

  • Venkat-Narayan, K. M., Boyle, J. P., Thompson, T. J., Sorensen, S. W., & Williamson, D. F. (2003). Lifetime risk for diabetes mellitus in the United States. Journal of the American Medical Association, 290, 1884–1890.

    Article  Google Scholar 

  • Wadden, T. A., Berkowitz, R. I., Sarwer, D. B., Pru-Wisniewski, R., & Steinberg, C. (2001). Benefits of lifestyle modification in the pharmacologic treatment of obesity. Archives of Internal Medicine, 161, 218–227.

    Article  PubMed  CAS  Google Scholar 

  • Wadden, T. A., Brownell, K. D., & Foster, G. D. (2002). Obesity: Responding to the global epidemic. Journal of Consulting and Clinical Psychology, 70, 510–525.

    Article  PubMed  Google Scholar 

  • Wadden, T. A., & Foster, G. D. (2000). Behavioral treatment of obesity. The Medical Clinics of North America, 84, 441–461.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This research was supported in part by an American Psychological Association Minority Fellowship Program Dissertation Grant, a University of New Mexico Graduate Research and Development Grant, and a University of New Mexico Robert Wood Johnson Foundation Center for Health Policy Dissertation Fellowship. The authors also thank the New Heart Center of New Mexico and its staff for use of their facilities and clerical support. We are grateful to research assistants Jessica Alsup, Christine Tally, Alee Cavanaugh, Lucia Cordova, and Allison Conway, and therapists Jenny Rinehart and Kathryn Lenberg, Ph.D. We also thank the following individuals for their commentary on the project manuscript: Joel Yager, M.D., Eric Levensky, Ph.D., Steven Verney, Ph.D., and Bruce Smith, Ph.D.

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Correspondence to Julia L. Austin.

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Austin, J.L., Smith, J.E., Gianini, L. et al. Attitudinal familism predicts weight management adherence in Mexican–American women. J Behav Med 36, 259–269 (2013). https://doi.org/10.1007/s10865-012-9420-6

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