Assuntos
Suporte Vital Cardíaco Avançado/educação , Suporte Vital Cardíaco Avançado/normas , Educação em Saúde/métodos , Educação em Saúde/normas , Ressuscitação/educação , Ressuscitação/normas , Adulto , Recursos Audiovisuais , Criança , Diversidade Cultural , Currículo , Medicina Baseada em Evidências , Humanos , Processos Mentais , Objetivos Organizacionais , Psicologia Educacional , Instituições Acadêmicas , Autoeficácia , Ensino/métodos , Ensino/normas , Gravação de VideoteipeRESUMO
In this study, I describe the cardiovascular-related diet and exercise experiences of 24 married immigrant Mexican women (21 to 40 years-old) who have children. I used semistructured taped interviews in Spanish to elicit qualitative data concerning the diet and exercise experiences of this sample. The data were analyzed in Spanish using grounded theory procedures. A major finding in this study is a core process of realizing a covert overweight image. Women described an ongoing process of coming to terms with diet and exercise decisions in a sociocultural disempowering environment that limited their options to promote their health. Despite these limitations, some of the women assessed and formulated options that developed into transcending strategies for engaging in diet and exercise behaviors. Such sociocultural factors as women's roles and their social support structures were found to be critical in describing those behaviors.
Assuntos
Atitude Frente a Saúde/etnologia , Doenças Cardiovasculares/prevenção & controle , Dieta Redutora/psicologia , Emigração e Imigração , Exercício Físico/psicologia , Americanos Mexicanos/psicologia , Mães/psicologia , Obesidade/etnologia , Adulto , Imagem Corporal , California , Doenças Cardiovasculares/etiologia , Tomada de Decisões , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , México/etnologia , Pesquisa Metodológica em Enfermagem , Obesidade/complicações , Inquéritos e QuestionáriosRESUMO
Cardiovascular disease is the leading cause of death for Latina women in the United States. Nevertheless, the literature available about the risk factors for cardiovascular disease is inconsistent and hampered by issues related to race and ethnic identification and the exclusion of Latina women from major population-based studies. Compared with white women, Latina women have more of the major and contributing factors for cardiovascular disease, including hypertension, diabetes, overweight/obesity and physical inactivity. This article presents an overview of the literature on cardiovascular disease in Latina women. Literature on mortality, as well as key risk factors (hypertension, cigarette smoking, elevated serum lipids, overweight and obesity, diabetes mellitus and physical inactivity) are reviewed. Issues related to the sociocultural environment of Latina women are also discussed. The article concludes with the implications for clinical practice and further nursing research. The information provided in this article may help nurse clinicians, educators and researchers design and implement nursing interventions that can promote heart health and prevent cardiovascular disease in Latina women.
