Examining the Diet of Post-Migrant Hispanic Males Using the Precede-Proceed Model: Predisposing, Reinforcing, and Enabling Dietary Factors

• Published in: Journal of nutrition education and behavior 2013-03, Vol.45 (2), p.109-118
• Main Authors: Cuy Castellanos, Diana, PhD, RD, Downey, Laura, DrPH, Graham-Kresge, Susan, MS, Yadrick, Kathleen, PhD, RD, Zoellner, Jamie, PhD, RD, Connell, Carol L., PhD, RD
• Format: Article
• Language: English
• Subjects: Acculturation; Acculturation Rating Scale for Mexican Americans; Adult; Behavior Change; Behavior Modification; Culture; Data Analysis; Diet; dietary acculturation; Dietetics; Eating Habits; Educational Assessment; Environment; Environmental Influences; Feeding Behavior - ethnology; Feeding Behavior - psychology; food habits; Gastroenterology and Hepatology; Gender Identity; Grounded Theory; Health Behavior; Health Behavior - ethnology; Hispanic; Hispanic Americans; Hispanic Americans - psychology; Hispanic people; Humans; Immigrants; Internal Medicine; Intervention; Male; Males; Men; Mexican Americans; Middle Aged; Mississippi; Nutrition; photovoice; PRECEDE-PROCEED; Rating Scales; Reinforcement; Semi Structured Interviews; Sex Role; Social Influences; Socioeconomic Factors; Young Adult
• ISSN: 1499-4046; 1878-2620; 1708-8259
• DOI: 10.1016/j.jneb.2012.05.013

Abstract Objective To examine socio-environmental, behavioral, and predisposing, reinforcing, and enabling (PRE) factors contributing to post-migration dietary behavior change among a sample of traditional Hispanic males. Design In this descriptive study, semistructured interviews, a group interview, and photovoice, followed by group interviews, were used to examine dietary change and contributing factors. The behavioral, environmental, organizational, and educational assessment phases of the PRECEDE-PROCEED model guided the organization of dietary contributing factors for development of a nutrition intervention. Setting The southern region of Mississippi. Participants Traditional Hispanic males (n = 19) were identified from 35 Hispanic males who participated in a larger study. The traditional Hispanic males were identified by the Acculturation Rating Scale for Mexican Americans-II and the Marginality Scale. Analysis Using the Grounded Theory approach to data analysis, themes and core categories relating to dietary behavior were identified and defined during the analysis process. The constant comparison method was used to identify key themes among coders. Results Cultural gender role and living structure, as socio-environmental factors, influenced the PRE dietary factors. Conclusions and Implications Multiple factors influence dietary behavior in the target population. The identified socio-environmental factors underlie the PRE factors and, therefore, must first be addressed in nutrition interventions.