Developing a "Tailor-Made" Precision Lifestyle Medicine Intervention for Weight Control among Middle-aged Latino Men

Ethn Dis. 2020 Apr 2;30(Suppl 1):203-210. doi: 10.18865/ed.30.S1.203. eCollection 2020.

Abstract

Objective: To identify what is important to middle-aged Latino men and their personal goals and values as foundations for a future precision lifestyle medicine intervention that is rooted in Self-Determination Theory.

Design: We used a phenomenological, thematic approach to analyze data from 20 semi-structured, individual interviews with Latino men aged 35-60 years.

Setting: Community-based settings between November 2017 and May 2018 in South Florida.

Participants: Latino or Hispanic men who were aged 35-60 years. The mean age of the men was 49.8 years.

Results: Two key themes emerged: a) the characteristics that these men say define what it means to be a man; and b) the characteristics that these men say define what is important to them. "What defines a man" includes three primary subthemes: a) the attributes, characteristics and behaviors that participants understood to be ideals that a man should embody and the roles he should fulfill; b) lessons learned growing up about what it means to be a man; and c) how Latino men relate to the ideal of machismo. "What defines me" includes the subthemes: a) comparing themselves with the ideal of machismo; b) caring for family and others; and c) supporting and modeling positive behavior for their children.

Conclusions: We found key candidate mechanisms that may be novel yet critical foundations on which to build a precision lifestyle medicine intervention for Latino men. We identified actionable psychosocial factors that map onto motivational constructs that can shape behaviors that are essential for weight control and be a useful foundation for improving the health of middle-aged Latino men.

Keywords: Latino; Men; Men’s Health; Precision Medicine; Qualitative.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Florida
  • Health Behavior / ethnology*
  • Health Promotion / methods
  • Hispanic or Latino / psychology*
  • Humans
  • Life Style / ethnology*
  • Male
  • Middle Aged
  • Motivation
  • Obesity / psychology
  • Obesity / therapy*
  • Patient Education as Topic / methods*
  • Social Support
  • Weight Loss