2023-09-28 14:46:10 +00:00
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abstract: 'Background: Prevalence of chronic diseases and unhealthy lifestyle
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behaviors among the adult population of Puerto Rico (PR) is high;
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however, few epidemiological studies have been conducted to address
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these. We aimed to document the methods and operation of establishing a
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multisite cross-sectional study of chronic diseases and risk factors in
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PR, in partnership with academic, community, clinical, and research
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institutions.
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Methods: The Puerto Rico Assessment of Diet, Lifestyle and Diseases
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(PRADLAD) documented lifestyle and health characteristics of adults
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living in PR, with the goal of informing future epidemiological and
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intervention projects, as well as public health, policy, and clinical
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efforts to help improve the population''s health. The study was conducted
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in three primary care clinics in the San Juan, PR metropolitan area.
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Eligible volunteers were 30-75y, living in PR for at least 10 months of
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the previous year, and able to answer interviewer-administered
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questionnaires without assistance. Questions were recorded
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electronically by trained interviewers, and included socio-demographic
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characteristics, lifestyle behaviors, self-reported medically-diagnosed
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diseases, and psychosocial factors. Waist and hip circumferences were
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measured following standardized protocols. A subset of participants
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answered a validated food frequency questionnaire, a legumes
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questionnaire, and had medical record data abstracted. Process and
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outcome evaluation indicators were assessed.
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Results: The study screened 403 participants in 5 months. Of these, 396
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(98\%) were eligible and 380 (94\%) had reliable and complete
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information. A subset of 242 participants had valid dietary data, and
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236 had medical record data. The mean time to complete an interview was
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1.5 h. Participants were generally cooperative and research
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collaborators were fully engaged. Having multiple sites helped enhance
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recruitment and sociodemographic representation. Diagnosed conditions
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were prevalent across sites. Challenges in data monitoring, interviewer
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training, and scheduling were identified and corrected, and should be
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addressed in future studies.
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Conclusions: Epidemiological studies in PR can be successfully
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implemented in partnership with multiple institutions. Effective
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recruitment and implementation requires concerted planning and continued
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involvement from partners, frequent quality control, brief interviews,
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reasonable incentives, and thorough training/re-training of
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culturally-sensitive interviewers. Further studies are feasible and
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needed to help address highly prevalent chronic conditions in PR.'
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affiliation: 'Mattei, J (Corresponding Author), Harvard TH Chan Sch Publ Hlth, Dept
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Nutr, 665 Huntington Ave,Bldg 2, Boston, MA 02115 USA.
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Mattei, Josiemer; Tamez, Martha; Campos, Hannia; Willett, Walter C., Harvard TH
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Chan Sch Publ Hlth, Dept Nutr, 665 Huntington Ave,Bldg 2, Boston, MA 02115 USA.
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Rodriguez-Orengo, Jose F.; Corujo, Francheska; Claudio, Aida; Rios-Bedoya, Carlos
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F., Fdn Invest Puerto Rico, San Juan, PR USA.
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Rodriguez-Orengo, Jose F., Univ Puerto Rico, Sch Med, Dept Biochem, Med Sci Campus,
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San Juan, PR 00936 USA.
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Villanueva, Hector, HealthProMed, Santurce, PR USA.
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Campos, Hannia, Univ Hispanoamer, Ctr Invest \& Innovac Nutr Translac \& Salud,
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San Jose, Costa Rica.
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Willett, Walter C., Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA.
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Tucker, Katherine L., Univ Massachusetts, Dept Biomed \& Nutr Sci, Lowell, MA USA.
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Rios-Bedoya, Carlos F., Hurley Med Ctr, Dept Internal Med, Flint, MI USA.'
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article-number: '136'
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author: Mattei, Josiemer and Rodriguez-Orengo, Jose F. and Tamez, Martha and Corujo,
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Francheska and Claudio, Aida and Villanueva, Hector and Campos, Hannia and Willett,
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Walter C. and Tucker, Katherine L. and Rios-Bedoya, Carlos F.
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author-email: jmattei@hsph.harvard.edu
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author_list:
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- family: Mattei
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given: Josiemer
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- family: Rodriguez-Orengo
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given: Jose F.
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- family: Tamez
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given: Martha
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- family: Corujo
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given: Francheska
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- family: Claudio
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given: Aida
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- family: Villanueva
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given: Hector
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- family: Campos
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given: Hannia
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- family: Willett
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given: Walter C.
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- family: Tucker
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given: Katherine L.
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- family: Rios-Bedoya
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given: Carlos F.
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da: '2023-09-28'
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doi: 10.1186/s12889-017-4035-z
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files: []
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issn: 1471-2458
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journal: BMC PUBLIC HEALTH
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keywords: 'Puerto Rico; Observational studies; Collaborative work; Partnerships;
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Health disparities; Chronic diseases; Lifestyle behaviors; Population
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health; Community health; Process evaluation'
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keywords-plus: 'HEART-HEALTH-PROGRAM; HISPANIC COMMUNITY; PHYSICAL-ACTIVITY; LATINOS
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HCHS/SOL; RISK-FACTORS; PERCEIVED STRESS; SOCIAL SUPPORT;
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DIETARY-INTAKE; PUBLIC-HEALTH; LOW-INCOME'
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language: English
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month: JAN 31
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number-of-cited-references: '72'
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orcid-numbers: 'Tucker, Katherine/0000-0001-7640-662X
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Tamez, Martha/0000-0003-3164-1647
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Mattei, Josiemer/0000-0001-5424-8245'
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papis_id: e5016dc2bd1c43b7177c6b3741932c47
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ref: Mattei2017challengesopportunit
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researcherid-numbers: Mattei, Josiemer/H-1800-2016
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times-cited: '15'
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title: Challenges and opportunities in establishing a collaborative multisite observational
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study of chronic diseases and lifestyle factors among adults in Puerto Rico
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000393624600005
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usage-count-last-180-days: '0'
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usage-count-since-2013: '8'
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volume: '17'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2017'
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