A Case Study in Academic-Community Partnerships: A Community-Based Nutrition Education Program for Mexican Immigrants
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ORIGINAL PAPER
A Case Study in Academic‑Community Partnerships: A Community‑Based Nutrition Education Program for Mexican Immigrants Jennifer Leng1,2,3 · Rosario Costas‑Muniz1 · Debra Pelto1 · Jessica Flores1 · Julia Ramirez1 · Florence Lui4 · Josana Tonda5 · Francesca Gany1,2,3,6 Accepted: 28 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Hispanics are the largest U.S. immigrant group and Mexican Americans are the largest U.S. Hispanic population. Hispanics, particularly Mexican Americans, are among the highest risk groups for obesity, placing them at increased risk for cardiovascular disease and certain types of cancer. Obesity lifestyle interventions incorporating Motivational Interviewing techniques and specific adaptations for the population of interest can have a significant impact on reducing health risks. This paper presents a community-engaged, culturally-sensitive nutrition and dietary counseling intervention conducted between 2016 and 2018 at the Consulate General of Mexico in New York City and reports preliminary findings regarding participant satisfaction and self-reported changes in eating and exercise habits. In addition, it describes the community and academic partners’ roles and processes in program development, discusses strengths and challenges posed by a multi-sector partnership and describes adaptations made using the Behavioral Model for Vulnerable Populations to increase the program’s sustainability and potential for scalability. Keywords Obesity · Nutrition · Behavioral interventions · Academic-community partnership · Mexican immigrants
Introduction Background
* Jennifer Leng [email protected] 1
Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Center, Memorial Sloan Kettering Cancer Center, 485 Lexington Ave., 2nd Floor, New York, NY 10017, USA
2
Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
3
Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY, USA
4
City College & the Graduate Center, City University of New York, New York, NY, USA
5
Ventanillas de Salud Program at the Consulate General of Mexico, New York, NY, USA
6
Department of Medicine, Weill Cornell Medical College, New York, NY, USA
Hispanics are the largest U.S. immigrant group and Mexican Americans are the largest U.S. Hispanic population [1]. Mexican immigrants are soon to be the largest immigrant group in New York City (NYC) [2]. Hispanics, particularly Mexican Americans, are among the highest risk groups for obesity. Over 78% of U.S. Mexican women and 81% of U.S. Mexican men are either overweight or obese, compared to 60.9% and 73.2% among non-Hispanic whites (NHWs), respectively [3]. The high prevalence of obesity puts Mexican Americans at increased risk for cardiovascular disease (CVD) and its risk factors, including hypertension (HTN), metabolic syndrome, and type 2 diabetes mellitus, and for certain types of cancer, especially breast (postmen
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