RESUMO
OBJECTIVE: To identify differences in food-shopping environments of Texas WIC vendors using a culturally adapted instrument. METHODS: A survey tool was developed for measuring food availability, accessibility, and affordability in 111 WIC vendors in Texas. Two-tailed t-tests and Mann-Whitney tests were used for rural/urban and Texas-Mexico border/non-border area comparisons. RESULTS: Prices were higher in rural areas than in urban areas for 2 key foods, fruits (p = .024) and milk (p = .007); non-border vendors had overall better food availability than border vendors; non-border vendors had better accessibility for fruits (p = .007) than border vendors. CONCLUSION: In Texas, disparities in food-shopping environments are evident and can be assessed using a culturally adapted survey tool.
Assuntos
Comércio/métodos , Assistência Alimentar , Disparidades em Assistência à Saúde , Meio Social , Comércio/economia , Custos e Análise de Custo , Feminino , Abastecimento de Alimentos , Humanos , Masculino , México , Projetos Piloto , Características de Residência , População Rural , Estatísticas não Paramétricas , Texas , População UrbanaRESUMO
BACKGROUND: Depression affects more Hispanics with type 2 diabetes than other ethnic groups. This exploratory, binational study examined the prevalence and correlates of clinical depressive symptoms in Hispanics of Mexican origin with type 2 diabetes living on both sides of the Texas Mexico border. METHODS: Two binational samples, consisting of 172 adult patients of Mexican origin with type 2 diabetes in South Texas and 200 from the Northeastern region of Mexico, were compared. Logistic regression analyses were used to test personal and social correlates to clinical depressive symptoms. RESULTS: The rate of clinical depressive symptoms was similar in both South Texas and Northeastern Mexico patients (39% and 40.5%, respectively). Gender, education, emergency department visits, and burden of diabetes symptoms were predictors of clinical depressive symptoms in the South Texas sample. Among respondents in the Northeastern Mexico sample, the only statistically significant correlate to clinical depressive symptoms was the burden of diabetes symptoms. CONCLUSIONS: Diabetes and depression must be addressed as priorities in diabetes initiatives at the US Mexico border region. Further research is warranted to examine the extent and impact of involving family practice physicians from both sides of the border in depression screenings among patients with type 2 diabetes.
Assuntos
Depressão/etnologia , Diabetes Mellitus Tipo 2/etnologia , Comorbidade , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Modelos Logísticos , Masculino , Americanos Mexicanos/estatística & dados numéricos , México/epidemiologia , Pessoa de Meia-Idade , Fatores de Risco , Inquéritos e Questionários , Texas/epidemiologiaRESUMO
OBJECTIVE: To examine personal and environmental correlates of exercise among Mexican Americans living in the Texas-Mexico border region. METHODS: The study was based on data from a community health assessment conducted in 2 counties at the Texas-Mexico border region. A random-digit-dialed community survey was used in this cross-sectional study (n=933). RESULTS: A majority of border Mexican Americans (52%) did not exercise at all. Gender, age, and self-rated health were statistically significant correlates to exercise. CONCLUSIONS: Understanding personal and environmental factors that influence physical activity and exercise in this minority population is critical for the development of culturally sensitive health interventions.