Also, machismo, the concept of male dominance and superiority leads to sexual promiscuity, over-population, venereal disease, family breakdown, early marriage, and a variety of health related problems. In the attempt to achieve equilibrium of the four body humors, Puerto Ricans will often disregard a physician's advice which does not conform to this theory. Preventable conditions such as CVD, cancer and type 2 diabetes are the leading causes of death in Puerto Rico (PR) and have put an increasing toll on the island’s ageing population and health infrastructure (Reference RodrĂguez Ayuso, Geerman and Pesante 1,2). The hot and cold theory of disease has a profound influence on the Puerto Ricans' health status. Puerto Ricans who view illness as possession by evil spirits will consult a medium or curandero(a) for treatment instead a physician. ![]() Aside from the unsophisticated health practices stemming from a knowledge of Puerto Rican folk medicine, the cultural phenomena of spiritualism plays a significant role in retarding the health status of the Puerto Rican. We aimed to assess intake of nutrients and foods, adherence to recommended intake of nutrients and diet quality, and sociodemographic and lifestyle factors correlated with diet quality among adults in the San Juan metropolitan area of PR. One study by Suchman found that compared with persons of other ethnic groups in New York City, the Puerto Ricans are more suspicious of scientific medical care, tend to use general health services less, have more limited health horizons than any other ethnic group. There is scarce information regarding the dietary intake of adults living in Puerto Rico (PR). Protein foods provide energy to the body by building stronger bones and muscles. ![]() Many Puerto Ricans still rely on folk medicine to cure their ills. Puerto Ricans mainly consume protein foods comprised of stew (beef), poultry (chicken), beans, eggs, fish, and shellfish. The problems of poor health among Puerto Ricans today are compounded by their cultural traditions.
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