The Influence of <i>Marianismo</i> Beliefs on Physical Activity of Immigrant Latinas

D’Alonzo, Karen T.

doi:10.1177/1043659611433872

Cited by 61 publications

(50 citation statements)

References 22 publications

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“…Extensive formative research was conducted to ensure the program met the needs and preferences of the target population. Because Latinas often cite family responsibilities and limited transportation as barriers to MVPA, 24,25 a home-based intervention may suit this group well. Other strengths included a diverse sample of low-acculturated, low-income Latinas, representing a population with limited access to health resources, and limited staff contact to allow for low-cost widespread dissemination.…”

Section: Discussionmentioning

confidence: 99%

Twelve-Month Physical Activity Outcomes in Latinas in the Seamos Saludables Trial

Marcus¹,

Dunsiger²,

Pekmezi³

et al. 2015

American Journal of Preventive Medicine

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Background Physical activity interventions designed for Latinas have shown short-term behavior change, but longer-term change and maintenance is rarely measured. Purpose To assess physical activity change at 12 months, following 6-month tapered completion of a randomized controlled trial of a physical activity intervention for Latinas. Methods Two hundred sixty-six underactive (<60 minutes/week physical activity) Latinas were randomized to an individually tailored, culturally and linguistically adapted physical activity intervention, or a wellness contact control. Participants received the materials through the mail for 6 months, then received booster doses at 8, 10, and 12 months. Minutes per week of moderate to vigorous physical activity were measured by the 7-Day Physical Activity Recall interview at baseline and 6 and 12 months. Data were collected at Brown University between 2009 and 2013, and analyses were conducted in 2013. Results At 12 months, increases in moderate to vigorous physical activity were significantly greater in the intervention than in the wellness group (mean difference=52 minutes/week, SE=9.38, p<0.01), with both groups showing slight increases in moderate to vigorous physical activity from 6 to 12 months. Intervention participants were also more likely to meet national moderate to vigorous physical activity guidelines (OR=3.14, p=0.01). Conclusions The intervention was more effective than the wellness control at 12 months, and physical activity increases from baseline to 6 months were maintained, suggesting the intervention may lead to sustainable behavior change.

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Section: Discussionmentioning

confidence: 99%

Twelve-Month Physical Activity Outcomes in Latinas in the Seamos Saludables Trial

Marcus¹,

Dunsiger²,

Pekmezi³

et al. 2015

American Journal of Preventive Medicine

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“…In accordance with principles of CBPR, the format of the classes was culturally tailored according to data from the LIP Study (D’Alonzo, 2012). The classes consisted of a combination of low-impact aerobic exercise/Latin dance, with strength and flexibility activities to meet the current PA recommendations for adults (U.S.…”

Section: Methodsmentioning

confidence: 99%

Outcomes of a Culturally Tailored Partially Randomized Patient Preference Controlled Trial to Increase Physical Activity Among Low-Income Immigrant Latinas

2017

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Introduction Almost half (47.8%) of adult Latinas report they never engage in any leisure time physical activity (PA) which is an independent risk factor for the development of cardiovascular disease and other chronic illnesses. There is a pressing need to develop and test PA interventions among Latinas. Therefore, the purpose of this study was to evaluate the effects of a PA Intervention for Latinas, a culturally tailored, promotora-facilitated 12-week PA intervention. It was hypothesized that at the completion of the intervention, participants would have (a) higher daily PA levels; (b) improved aerobic fitness, muscle strength, and flexibility; and (c) lower body mass index and percentage of body fat. Methodology A partially randomized patient preference trial design with lag group was used to test the intervention. Participants (N = 76) attended twice weekly, low-impact aerobic/Latin dance PA classes taught by laywomen trained as promotoras. Results Significant improvements were measured in aerobic fitness, muscle strength and flexibility, and daily PA levels (p < .001). Sixty percent of the participants attended at least 60% of the PA sessions. Discussion Findings suggest laywomen trained as promotoras can successfully facilitate the delivery of an intervention to increase PA among immigrant Latinas.

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“…Marianismo presents an idealized concept in which women are supposed to be virtuous, humble, and spiritually superior to men while also being submissive to the demands of men and to withstand extreme sacrifices and suffering for the sake of the family, frequently prioritizing family responsibilities over self-care. 149–151 Hispanic adolescent females generally have positive perceptions of their ethnic background. 152 This strong identification of Hispanic gender roles may play an important role in engaging in health behaviors that reduce CVD risk factors.…”

Section: Commonalities In Language and Cultural Beliefs Among Us Hispmentioning

confidence: 99%

Status of Cardiovascular Disease and Stroke in Hispanics/Latinos in the United States

Rodríguez¹,

Allison²,

Daviglus³

et al. 2014

Circulation

314

288

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Background and Purpose This American Heart Association (AHA) scientific statement provides a comprehensive overview of current evidence on the burden cardiovascular disease (CVD) among Hispanics in the United States. Hispanics are the largest minority ethnic group in the United States, and their health is vital to the public health of the nation and to achieving the AHA’s 2020 goals. This statement describes the CVD epidemiology and related personal beliefs and the social and health issues of US Hispanics, and it identifies potential prevention and treatment opportunities. The intended audience for this statement includes healthcare professionals, researchers, and policy makers. Methods Writing group members were nominated by the AHA’s Manuscript Oversight Committee and represent a broad range of expertise in relation to Hispanic individuals and CVD. The writers used a general framework outlined by the committee chair to produce a comprehensive literature review that summarizes existing evidence, indicate gaps in current knowledge, and formulate recommendations. Only English-language studies were reviewed, with PubMed/MEDLINE as our primary resource, as well as the Cochrane Library Reviews, Centers for Disease Control and Prevention, and the US Census data as secondary resources. Inductive methods and descriptive studies that focused on CVD outcomes incidence, prevalence, treatment response, and risks were included. Because of the wide scope of these topics, members of the writing committee were responsible for drafting individual sections selected by the chair of the writing committee, and the group chair assembled the complete statement. The conclusions of this statement are the views of the authors and do not necessarily represent the official view of the AHA. All members of the writing group had the opportunity to comment on the initial drafts and approved the final version of this document. The manuscript underwent extensive AHA internal peer review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results This statement documents the status of knowledge regarding CVD among Hispanics and the sociocultural issues that impact all subgroups of Hispanics with regard to cardiovascular health. In this review, whenever possible, we identify the specific Hispanic subgroups examined to avoid generalizations. We identify specific areas for which current evidence was less robust, as well as inconsistencies and evidence gaps that inform the need for further rigorous and interdisciplinary approaches to increase our understanding of the US Hispanic population and its potential impact on the public health and cardiovascular health of the total US population. We provide recommendations specific to the 9 domains outlined by the chair to support the development of these culturally tailored and targeted approaches. Conclusions Healthcare professionals and researchers need to consider the impact of culture and ethnicity on health behavior and ultimately health outcomes. There is a...

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The Influence of Marianismo Beliefs on Physical Activity of Immigrant Latinas

Cited by 61 publications

References 22 publications

Twelve-Month Physical Activity Outcomes in Latinas in the Seamos Saludables Trial

Twelve-Month Physical Activity Outcomes in Latinas in the Seamos Saludables Trial

Outcomes of a Culturally Tailored Partially Randomized Patient Preference Controlled Trial to Increase Physical Activity Among Low-Income Immigrant Latinas

Status of Cardiovascular Disease and Stroke in Hispanics/Latinos in the United States

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