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Self-Efficacy, Health Literacy, and Nutrition and Exercise Behaviors in a Low-Income, Hispanic Population

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Abstract

Public health goals have emphasized healthy nutrition and exercise behaviors, especially in underserved populations. According to social cognitive theory (SCT), self-efficacy and capability (e.g., health literacy) may interact to predict preventative behaviors. We surveyed 100 low-income, native Spanish-speakers living in the United States who were low in English proficiency and predominantly of Mexican heritage. Participants reported their nutritional and exercise self-efficacy, Spanish health literacy, and nutrition and physical activity behaviors. Consistent with SCT, the interaction of self-efficacy and health literacy significantly predicted fruit and vegetable consumption and weekly exercise, and marginally predicted avoidance of high fat foods. For all three interactions, higher health literacy levels strengthened the positive relationship between self-efficacy and health behaviors. The results offer support for the tenets of SCT and suggest—for low-income, Spanish-speaking adults—that a combination of behavioral confidence and literacy capability are necessary to enact appropriate health behaviors.

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References

  1. US Department of Health and Human Services. Healthy people 2020 topics and objectives. Washington, DC: US Department of Health and Human Services; 2011. http://www.healthypeople.gov/2020/topics-objectives.

  2. Block G, Patterson B, Subar A. Fruit, vegetables, and cancer prevention: a review of epidemiologic evidence. Nutr Cancer. 1992;18:1–29.

    Article  CAS  PubMed  Google Scholar 

  3. D’Alonzo KT, Saimbert MK. Hispanic women and physical activity: an integrative review. Annu Rev Nurs Res. 2013;31:209–34.

    Article  PubMed  Google Scholar 

  4. Bandura A. Social cognitive theory: an agentic perspective. Annu Rev Psychol. 2001;52:1–26.

    Article  CAS  PubMed  Google Scholar 

  5. Andrus MR, Roth MT. Health literacy: a review. Pharmacotherapy. 2002;22:282–302.

    Article  PubMed  Google Scholar 

  6. Dominick GM, Dunsiger S, Pekmezi DW, Marcus B. Health literacy predicts change in physical activity self-efficacy among sedentary Latinas. J Immigr Minor Health. 2013;15:533–9.

    Article  PubMed  Google Scholar 

  7. Marin G, Sabogal F, Marin BV, Otero-Sabogal R, Perez-Stable EJ. Development of a short acculturation scale for Hispanics. Hisp J Behav Sci. 1987;9:183–205.

    Article  Google Scholar 

  8. Schwarzer R, Renner B. Health-specific self-efficacy scales. http://userpage.fu-berlin.de/health/healself.pdf.

  9. Baker DW, Williams MV, Parker RM, Gazmararian JA, Nurss J. Development of a brief test to measure functional health literacy. Patient Educ Couns. 1999;38:33–42.

    Article  CAS  PubMed  Google Scholar 

  10. Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997;12:38–48.

    Article  CAS  PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Communication, University of Illinois at Urbana-Champaign, 3001 Lincoln Hall, 702 S. Wright St., Urbana, IL, 61801, USA

    Lisa M. Guntzviller

  2. Department of Public Relations, Texas Tech University, Lubbock, TX, USA

    Andy J. King

  3. Department of Communication, University of Utah, Salt Lake City, UT, USA

    Jakob D. Jensen

  4. Saint Barnabas Medical Center, Livingston, NJ, USA

    LaShara A. Davis

Authors
  1. Lisa M. Guntzviller
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  2. Andy J. King
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  3. Jakob D. Jensen
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  4. LaShara A. Davis
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Correspondence to Lisa M. Guntzviller.

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Guntzviller, L.M., King, A.J., Jensen, J.D. et al. Self-Efficacy, Health Literacy, and Nutrition and Exercise Behaviors in a Low-Income, Hispanic Population. J Immigrant Minority Health 19, 489–493 (2017). https://doi.org/10.1007/s10903-016-0384-4

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  • DOI: https://doi.org/10.1007/s10903-016-0384-4

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