... 20-24 to 61% at age 60-74. There is reason to believe that the situation has worsened as acculturation has worsened the quality of diet for individuals of Hispanic descent in the U.S. In general, approaches to dietary counseling in Puerto Rican communities is most successful if the teacher is respected, the approach is personal, and the counseling is sanctioned by a respected member of the community. 3. Tobacco use Smoking was reported to be lower among Hispanic women overall (13.8 percent) than among many other groups, especially African-Americans (21.9%) and Whites (23.5%). However, Puerto Rican women smoke at a rate of 21%. Only 5.8% of Hispanic women report smoking during pregnancy; the reported rate among Puerto Rican women during pregnancy is higher. However, smoking among young Hispanic women, including Puerto Rican women, is lower than for White or African-American young women. Among women who smoke, Puerto Ricans were more likely to ...

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