Outcomes of Culturally Tailored Dietary Intervention in the North African and Bangladeshi Diabetic Patients in Italy
Immigrants show higher adjusted diabetes prevalence than Italians, especially among South-East Asians followed by North and Sub-Saharan Africans. Diabetes progression is influenced by food behaviors, and diet control is a critical aspect in disease management. Food habits have many cultural and symb...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2020-12-01
|
Series: | International Journal of Environmental Research and Public Health |
Subjects: | |
Online Access: | https://www.mdpi.com/1660-4601/17/23/8932 |
id |
doaj-3dda60b3a5e849a6afb1b9eefa450379 |
---|---|
record_format |
Article |
spelling |
doaj-3dda60b3a5e849a6afb1b9eefa4503792020-12-02T00:00:34ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-12-01178932893210.3390/ijerph17238932Outcomes of Culturally Tailored Dietary Intervention in the North African and Bangladeshi Diabetic Patients in ItalyLaura Piombo0Gianluca Nicolella1Giulia Barbarossa2Claudio Tubili3Mayme Mary Pandolfo4Miriam Castaldo5Gianfranco Costanzo6Concetta Mirisola7Andrea Cavani8National Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, ItalyNational Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, ItalyNational Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, ItalyDiabetes Unit, San Camillo-Forlanini Hospital, 00152 Rome, ItalyDiabetes Unit, San Camillo-Forlanini Hospital, 00152 Rome, ItalyNational Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, ItalyNational Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, ItalyNational Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, ItalyNational Institute for Health, Migration and Poverty (INMP/NIHMP), 00153 Rome, ItalyImmigrants show higher adjusted diabetes prevalence than Italians, especially among South-East Asians followed by North and Sub-Saharan Africans. Diabetes progression is influenced by food behaviors, and diet control is a critical aspect in disease management. Food habits have many cultural and symbolic implications. Guidelines recommend that every patient should receive appropriate self-management education according to cultural and socioeconomic characteristics. This study aims to test whether a customized diet and transcultural mediator’s support can improve immigrants’ food habits. A pre-post quali-quantitative study was conducted among 20–79-year-old Bangladeshi and North African diabetic immigrants. The INMP transcultural mediator, an expert in the social and health care field, actively participates in clinical activity by decoding linguistic and cultural needs expressed by the foreigner patient. Five culturally tailored dietary profiles were designed according to international diabetes guidelines and adjusted to traditional food habits. Data were collected with two different semi-structured questionnaires. Changes in food consumption were assessed through McNemar’s test, while paired Wilcoxon Signed-Rank test was used to analyze pre and post intervention. Fifty-five patients were enrolled. At follow-up, cereals, meat, and potatoes intake significantly improved, and the number of adequate dietary habits for each patient increased significantly. Transcultural mediator support was 90% positively evaluated. Adherence to dietary control is favorably influenced by a transcultural intervention, which is based on clinical and socio-cultural criteria, in compliance with patient’s lifestyles.https://www.mdpi.com/1660-4601/17/23/8932migrantsdiabetesfood habitsculturally tailored diettranscultural mediator |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Laura Piombo Gianluca Nicolella Giulia Barbarossa Claudio Tubili Mayme Mary Pandolfo Miriam Castaldo Gianfranco Costanzo Concetta Mirisola Andrea Cavani |
spellingShingle |
Laura Piombo Gianluca Nicolella Giulia Barbarossa Claudio Tubili Mayme Mary Pandolfo Miriam Castaldo Gianfranco Costanzo Concetta Mirisola Andrea Cavani Outcomes of Culturally Tailored Dietary Intervention in the North African and Bangladeshi Diabetic Patients in Italy International Journal of Environmental Research and Public Health migrants diabetes food habits culturally tailored diet transcultural mediator |
author_facet |
Laura Piombo Gianluca Nicolella Giulia Barbarossa Claudio Tubili Mayme Mary Pandolfo Miriam Castaldo Gianfranco Costanzo Concetta Mirisola Andrea Cavani |
author_sort |
Laura Piombo |
title |
Outcomes of Culturally Tailored Dietary Intervention in the North African and Bangladeshi Diabetic Patients in Italy |
title_short |
Outcomes of Culturally Tailored Dietary Intervention in the North African and Bangladeshi Diabetic Patients in Italy |
title_full |
Outcomes of Culturally Tailored Dietary Intervention in the North African and Bangladeshi Diabetic Patients in Italy |
title_fullStr |
Outcomes of Culturally Tailored Dietary Intervention in the North African and Bangladeshi Diabetic Patients in Italy |
title_full_unstemmed |
Outcomes of Culturally Tailored Dietary Intervention in the North African and Bangladeshi Diabetic Patients in Italy |
title_sort |
outcomes of culturally tailored dietary intervention in the north african and bangladeshi diabetic patients in italy |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2020-12-01 |
description |
Immigrants show higher adjusted diabetes prevalence than Italians, especially among South-East Asians followed by North and Sub-Saharan Africans. Diabetes progression is influenced by food behaviors, and diet control is a critical aspect in disease management. Food habits have many cultural and symbolic implications. Guidelines recommend that every patient should receive appropriate self-management education according to cultural and socioeconomic characteristics. This study aims to test whether a customized diet and transcultural mediator’s support can improve immigrants’ food habits. A pre-post quali-quantitative study was conducted among 20–79-year-old Bangladeshi and North African diabetic immigrants. The INMP transcultural mediator, an expert in the social and health care field, actively participates in clinical activity by decoding linguistic and cultural needs expressed by the foreigner patient. Five culturally tailored dietary profiles were designed according to international diabetes guidelines and adjusted to traditional food habits. Data were collected with two different semi-structured questionnaires. Changes in food consumption were assessed through McNemar’s test, while paired Wilcoxon Signed-Rank test was used to analyze pre and post intervention. Fifty-five patients were enrolled. At follow-up, cereals, meat, and potatoes intake significantly improved, and the number of adequate dietary habits for each patient increased significantly. Transcultural mediator support was 90% positively evaluated. Adherence to dietary control is favorably influenced by a transcultural intervention, which is based on clinical and socio-cultural criteria, in compliance with patient’s lifestyles. |
topic |
migrants diabetes food habits culturally tailored diet transcultural mediator |
url |
https://www.mdpi.com/1660-4601/17/23/8932 |
work_keys_str_mv |
AT laurapiombo outcomesofculturallytailoreddietaryinterventioninthenorthafricanandbangladeshidiabeticpatientsinitaly AT gianlucanicolella outcomesofculturallytailoreddietaryinterventioninthenorthafricanandbangladeshidiabeticpatientsinitaly AT giuliabarbarossa outcomesofculturallytailoreddietaryinterventioninthenorthafricanandbangladeshidiabeticpatientsinitaly AT claudiotubili outcomesofculturallytailoreddietaryinterventioninthenorthafricanandbangladeshidiabeticpatientsinitaly AT maymemarypandolfo outcomesofculturallytailoreddietaryinterventioninthenorthafricanandbangladeshidiabeticpatientsinitaly AT miriamcastaldo outcomesofculturallytailoreddietaryinterventioninthenorthafricanandbangladeshidiabeticpatientsinitaly AT gianfrancocostanzo outcomesofculturallytailoreddietaryinterventioninthenorthafricanandbangladeshidiabeticpatientsinitaly AT concettamirisola outcomesofculturallytailoreddietaryinterventioninthenorthafricanandbangladeshidiabeticpatientsinitaly AT andreacavani outcomesofculturallytailoreddietaryinterventioninthenorthafricanandbangladeshidiabeticpatientsinitaly |
_version_ |
1724410591750127616 |