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Factors associated with obesity treatment adherence in Mexican-American women

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Please use this identifier to cite or link to this item: http://hdl.handle.net/1928/12994

Factors associated with obesity treatment adherence in Mexican-American women

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Title: Factors associated with obesity treatment adherence in Mexican-American women
Author: Austin, Julia
Advisor(s): Smith, Jane Ellen
Committee Member(s): Levensky, Eric
Yager, Joel
Smith, Bruce
Verney, Steve
Department: University of New Mexico. Dept. of Psychology
Subject(s): Obesity, Weight, Barriers, Mexican-American, Hispanic
LC Subject(s): Obesity in women--New Mexico--Psychological aspects.
Mexican American women--Health and hygiene--New Mexico.
Obesity--Treatment--New Mexico--Social aspects.
Health behavior--New Mexico.
Degree Level: Doctoral
Abstract: The current study examined environmental and socio-cultural factors postulated to predict adherence to a standard weight management program in Mexican-American women. In addition, the study gathered preliminary data on the effectiveness of the program with the study sample. One-hundred overweight or obese Mexican-American women in the Albuquerque area completed a pre-treatment intake and were enrolled in the group-based treatment. Of the 100 women who enrolled, 82 attended at least one treatment session. In terms of the predictors of treatment adherence, income was found to positively predict attendance in multivariate analyses. In addition, neighborhood satisfaction positively predicted reported walking goals completed, and familism (attention to the needs of the family above those of the self) negatively predicted reported calorie goals completed in multivariate analyses. In addition, exploratory analyses revealed that intake depression symptoms and body image varied by level of attendance, such that treatment completers reported lower baseline levels of body dissatisfaction and depression symptoms. In terms of treatment effectiveness, women who completed the program demonstrated significant pre- to post-treatment weight losses, reductions in waist-to-hip ratios, and reduced symptoms of depression, binge eating and body dissatisfaction. The results of the current study support the idea that economic, environmental, socio-cultural, and psychological factors predict adherence to a standard obesity treatment in Mexican-American women. In addition, there is preliminary evidence that such a program may be beneficial for weight loss. The results of the current study indicate that weight management programs should attempt to address the multi-level barriers to adherence that Mexican-American women may face.
Graduation Date: December 2010
URI: http://hdl.handle.net/1928/12994
Item Available: 2016-12-31

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