Perceived Barriers and Facilitators to Healthy Eating in Middle-Aged Hispanic Men (P04-125-19)

Abstract

ObjectivesDietary behaviors contribute to an increased risk of cardiometabolic disease in Hispanic men. Few studies have assessed Hispanic men’s perspectives on healthy eating. The purpose of this qualitative study was to identify perceived barriers and facilitators to healthy eating in middle-aged, Hispanic men of Mexican descent. MethodsSix focus groups (FGs) with Hispanic men were primarily conducted in Spanish (n = 5 FGs), audio-recorded, transcribed, then translated verbatim to English. A grounded theory approach was used to identify common themes. ResultsParticipants (n = 34; mean age: 54.4 ± 7.0 years) primarily self-identified as Mexican (71%) or Mexican-American (10%). In preliminary findings, the main barriers to healthy eating were competing responsibilities (n = 6 FGs), lack of nutrition knowledge (n = 6 FGs), cultural factors (n = 5 FGs), habits (n = 5 FGs), and available food choices (n = 5 FGs). A demanding work schedule was considered a barrier because it contributes to “eating on the run” and the selection of fast or convenient foods. Cultural factors perceived as barriers to healthy eating included the need to have food at social gatherings and the “Mexican diet.” Food at gatherings was perceived as leading to an increased availability of unhealthy food items and the consumption of large portions. “Mexican foods”, including tortillas, tacos, pozole, meat and cooking fats were considered unhealthy but central to the diet. Family (n = 5 FGs), health reasons (n = 6 FGs), portion control (n = 5 FGs), and nutrition education (n = 5 FGs), were reported as facilitators to healthy eating. Men reported the importance of longevity to support their family as an essential motivator to engage in healthy eating. Participants (n = 3 FGs) also indicated their spouse/partner enabled healthy eating by providing healthy food choices and encouragement or support. Health reasons (e.g., a diagnosis of diabetes or cardiovascular disease, improving health) were an important catalyst to improving eating habits. ConclusionsFindings suggest that MA men have an active interest in behavior change affecting healthy eating habits. Our research provides invaluable insight to construct tailored strategies to improve dietary behavior in this vulnerable population. Funding SourcesNational Institute of Aging.