Health and Nutrition in the
lower- income Hispanic
communities of New Jersey
Trends in Nursing – Spring 2013
Carla Capasso, Diana Garcia, Bharathi Honnurappa, Evelyn Lagalante, Kyala Pascual
Lindawati Nino de Rivera, Ivan Vargas-Charry
1998
Assess
• El Centro HispanoAmericano in Plainfield, NJ
• Informal Survey
– How much made weekly?
– How many fruits and vegetables have you eaten in the last 24 hours?
– How many times a week do you exercise?
– What do you do in your free time?
– What would you like to receive more information on?
Findings:
• Most had a low literacy level
• Most did not eat very many
vegetables or fruits because it
was not provided at the food
bank
Diagnosis
• Deficient knowledge r/t language
barrier, low-literacy, and access to
resources
• Risk for imbalanced nutrition
• Ineffective self-health management
Goals
• Provide information using visual aids to
enhance learning
• The target population will learn how to eat a
more balanced diet
• The target population will learn how to live
a healthier lifestyle
• The target population will learn how to
prevent diseases
Plan
• Specific Target Population
• What to focus on?
–
–
–
–
–
Health
Nutrition
Exercise
How to eat healthier on a budget
Information from myplate.gov
• How to help most effectively
• Things to bring home and spread
information for those who could read
Implement
• Protect the health of you and your family
• Complications on an unbalanced diet
•Diabetes and Obesity
•Definition
•Complications
•Heart Diseases
•Definition
•Complications
•Nutrition
•Eating on a budget
•Portions sizes
•How to eat healthier
with what you have
•Exercise
•Recommended
amount
•Tips
FRUITS AND VEGTABLES!
After
Evaluation
• What body type is more vulnerable to cardiovascular
disease or diabetes?
• What are the complications of uncontrolled diabetes?
• What are the symptoms of a Stroke?
• Give me an example of what to put on your plate to have
a balanced meal?
• Things you can do to find food cheaper?
• Give me examples of things to reduce in your diet?
• How much exercise should be done daily?
• What are you going to do differently to better
the health of you and your family?
Obstacles
• The target population does not have
transportation
• Time restraints due to working,
transportation, and child care
• Low literacy
Tips:
• Use translation phones or a translator, don’t just
give them a paper and assume they can read
• Use visual aids and demonstrations
• Ask them to repeat and demonstrate
information taught
• Be culturally competent and look at each
patient individually
• Observe and assess body language
• Ask open-ended questions to confirm
understanding
• Inform them of community resources available
Thanks for listening!!
References
•
Boursaw, Blake; Handal Alexis J.; Iriart, C.; Rodrigues, Gabriela. (2011). Chronic malnutrition among overweight hispanic
children understanding health disparities. Springer Science+Business Media, 13, 1069-1075.
•
Gans, Kim M., et al. "Baseline Fat-Related Dietary Behaviors of White, Hispanic, and Black Participants in a Cholesterol
Screening and Education Project in New England." American Dietetic Association.Journal of the American Dietetic
Association 103.6 (2003): 699,706; discussion 706. ABI/INFORM Complete; Banking Information Source; Hoover's
Company Profiles; ProQuest Central. Web. 14 Feb. 2013.
•
http://www.diabeticlivingonline.com/diet/fitness/easy-exercises-to-do-around-the-house/?lastPage=true&page=12
•
http://paramedicine101.blogspot.com/2010/04/prehospital-stroke-care-1.html
•
http://www.lifemartini.com/five-signs-of-stroke-you-must-never-ignore/
•
http://www.kmhlawyers.com/practice-areas-2/medical-negligence-malpractice/heart-attack-misdiagnosis/
•
htttp://nutritioncaremanual.org/content.cfm?ncm_content_id=79467
•
http://jirehdesign.com/eye-illustrations/eye-conditions-illustrations/co0011.html
•
http://smmhc.blogspot.com/2011/11/early-heart-attack-care-campaign-what.html
•
http://www.diabetestreatmentguide.org/common-causes-of-diabetes-amputations
•
Thorpe, Lorna E., et al. "Childhood Obesity in New York City Elementary School Students." American Journal of Public
Health94.9 (2004): 1496-500. ABI/INFORM Complete; Banking Information Source; Hoover's Company Profiles; ProQuest
Central.Web. 14 Feb. 2013.
References Continued
•
Burkholder, Gary J.; Gans, Kim J.; Lasater, Thomas M.; Risica, Patricia M. (2003). Baseline fat-related
dietary behaviors of white, hispanic, and black participants in a cholestrol screening and education
project in New England. Journal of American Dietetic Association, 103.6, 699-706.
http://linksource.ebsco.com/linking.aspx?sid=ProQ%3Anursing&fmt=journal&genre=atricle&issn=000
28223&volume=103&issue=6&date=2003-0601&spage=699&title=American+Dietetic+Association+Journal+of+the+American+Dietetic
Association&atitle=Baseline+faterelated+dietary+behaviors+of+white%2C+Hispanic%2+and+black+participants+in+a+cholestrol+screen
ing+and+education+project+in+New+England&i.
•
Childhood obesity; parents of overweight hispanic children believe their children are healthy. (2005).
Fitness and Wellness Week, Obesity, 1537.
http://linksource.ebsco.com/linking.aspx?sid=ProQ%3Anursing&fmt=journal&genre=unknown&issn=153
16386&volume=&issue=&date=2005-0611&spage=1537&title=Obesity%2C+Fitness+%26+Wellness+Week&atitle=Childhood+Obesity%3B+Parents
+of+overweight+Hispanic+children+believe
•
Coffman, Maren J,PhD., R.N., and Sandra La-Rocque. "Development and Testing of the Spanish
Nutrition Literacy Scale."Hispanic Health Care International 10.4 (2012): 168-74. ProQuest. Web. 19 Apr.
2013.
•
Kennedy, Christine M. Television and young hispanic children’s health behaviors. (2000). Pedatric
Nursing, 26.3, 283-288, 292-294.
http://exproxy.raritanval.edu/login?url=http://search.proquest.com.ezproxy.raritanval.edu/docview/19951
9137?accountid=13438
•
List, Deborah G.; Marx, Terry; May, Linda; Thorpe, Lorna E. Childhood obesity in New York City
elementary school students. (2004). American Journal of Public Health, 94.9, 1496-1500.
http://linksource.ebsco.com/linking.aspx?sid=ProQ%3Anursing&fmt=journal&genre=article&issn=009
00036&volume=9&date=2004-0901&spage=1496&title=American+Journal+of+Public+Health&atitle=Childhood+Obesity+in+New+York+
City+elementary+School+Students&au=Thorpe%2C