Cross‐sectional study on stigma and motivation to adhere to lifestyle modification among vulnerable populations with fatty liver disease
Abstract Objectives Adherence to lifestyle modification (diet, exercise, and alcohol cessation) for fatty liver disease (FLD) management remains challenging. The study examined stigma, barriers, and factors associated with motivation to adhere to lifestyle modification in a diverse and vulnerable po...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-12-01
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| Series: | Obesity Science & Practice |
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| Online Access: | https://doi.org/10.1002/osp4.688 |
| _version_ | 1797396942135754752 |
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| author | Sheyla P. Medina Rebecca G. Kim Catherine Magee Noah Stapper Mandana Khalili |
| author_facet | Sheyla P. Medina Rebecca G. Kim Catherine Magee Noah Stapper Mandana Khalili |
| author_sort | Sheyla P. Medina |
| collection | DOAJ |
| description | Abstract Objectives Adherence to lifestyle modification (diet, exercise, and alcohol cessation) for fatty liver disease (FLD) management remains challenging. The study examined stigma, barriers, and factors associated with motivation to adhere to lifestyle modification in a diverse and vulnerable population with FLD. Methods From 2/19/2020 to 2/28/2022, 249 FLD patients within San Francisco safety‐net hepatology clinics were surveyed along with clinical data taken from medical records. Multivariable modeling assessed factors associated with motivation to adhere to lifestyle modification in a cross‐sectional study. Results Median age was 53 years, 59% female, 59% Hispanic, 25% Asian/Pacific Islander, 9% White, and 2% Black, 79% were non‐English speakers, 64% had ≤ high school education, and 82% reported <$30,000 annual income. Common comorbidities included hyperlipidemia (47%), hypertension (42%), diabetes (39%), and heavy alcohol use (22%). Majority (78%) reported experiencing stigma, 41% reported extreme motivation, and 58% reported ≥ two barriers. When controlling for age, sex, Hispanic ethnicity, alcohol consumption, BMI, >high school (coef 1.41, 95% CI 0.34–2.48), stigma (coef 0.34, 95% CI 0.07–0.62), and depression (coef −1.52, 95% CI ‐2.79 to −0.26) were associated with motivation. Conclusions Stigma is commonly reported among FLD patients. Interventions to enhance patient education and mental health support are critical to FLD management, especially in vulnerable populations. |
| first_indexed | 2024-03-09T01:02:56Z |
| format | Article |
| id | doaj.art-8f795706ed274d9786d5d33b31ccf10b |
| institution | Directory Open Access Journal |
| issn | 2055-2238 |
| language | English |
| last_indexed | 2024-03-09T01:02:56Z |
| publishDate | 2023-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obesity Science & Practice |
| spelling | doaj.art-8f795706ed274d9786d5d33b31ccf10b2023-12-11T14:31:02ZengWileyObesity Science & Practice2055-22382023-12-019658158910.1002/osp4.688Cross‐sectional study on stigma and motivation to adhere to lifestyle modification among vulnerable populations with fatty liver diseaseSheyla P. Medina0Rebecca G. Kim1Catherine Magee2Noah Stapper3Mandana Khalili4Department of Medicine Division of Gastroenterology and Hepatology University of California San Francisco California USADepartment of Medicine Division of Gastroenterology and Hepatology University of California San Francisco California USADivision of Gastroenterology and Hepatology Zuckerberg San Francisco General San Francisco California USADivision of Gastroenterology and Hepatology Zuckerberg San Francisco General San Francisco California USADepartment of Medicine Division of Gastroenterology and Hepatology University of California San Francisco California USAAbstract Objectives Adherence to lifestyle modification (diet, exercise, and alcohol cessation) for fatty liver disease (FLD) management remains challenging. The study examined stigma, barriers, and factors associated with motivation to adhere to lifestyle modification in a diverse and vulnerable population with FLD. Methods From 2/19/2020 to 2/28/2022, 249 FLD patients within San Francisco safety‐net hepatology clinics were surveyed along with clinical data taken from medical records. Multivariable modeling assessed factors associated with motivation to adhere to lifestyle modification in a cross‐sectional study. Results Median age was 53 years, 59% female, 59% Hispanic, 25% Asian/Pacific Islander, 9% White, and 2% Black, 79% were non‐English speakers, 64% had ≤ high school education, and 82% reported <$30,000 annual income. Common comorbidities included hyperlipidemia (47%), hypertension (42%), diabetes (39%), and heavy alcohol use (22%). Majority (78%) reported experiencing stigma, 41% reported extreme motivation, and 58% reported ≥ two barriers. When controlling for age, sex, Hispanic ethnicity, alcohol consumption, BMI, >high school (coef 1.41, 95% CI 0.34–2.48), stigma (coef 0.34, 95% CI 0.07–0.62), and depression (coef −1.52, 95% CI ‐2.79 to −0.26) were associated with motivation. Conclusions Stigma is commonly reported among FLD patients. Interventions to enhance patient education and mental health support are critical to FLD management, especially in vulnerable populations.https://doi.org/10.1002/osp4.688alcohol‐associated liver diseasebehavioral modificationmetabolic syndromeNAFLDunderserved populations |
| spellingShingle | Sheyla P. Medina Rebecca G. Kim Catherine Magee Noah Stapper Mandana Khalili Cross‐sectional study on stigma and motivation to adhere to lifestyle modification among vulnerable populations with fatty liver disease Obesity Science & Practice alcohol‐associated liver disease behavioral modification metabolic syndrome NAFLD underserved populations |
| title | Cross‐sectional study on stigma and motivation to adhere to lifestyle modification among vulnerable populations with fatty liver disease |
| title_full | Cross‐sectional study on stigma and motivation to adhere to lifestyle modification among vulnerable populations with fatty liver disease |
| title_fullStr | Cross‐sectional study on stigma and motivation to adhere to lifestyle modification among vulnerable populations with fatty liver disease |
| title_full_unstemmed | Cross‐sectional study on stigma and motivation to adhere to lifestyle modification among vulnerable populations with fatty liver disease |
| title_short | Cross‐sectional study on stigma and motivation to adhere to lifestyle modification among vulnerable populations with fatty liver disease |
| title_sort | cross sectional study on stigma and motivation to adhere to lifestyle modification among vulnerable populations with fatty liver disease |
| topic | alcohol‐associated liver disease behavioral modification metabolic syndrome NAFLD underserved populations |
| url | https://doi.org/10.1002/osp4.688 |
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