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Ntanda GM, Sia D, Beogo I, Baillot A, Nguemeleu ET, Merry L, Ramdé J, Jean-Charles KP, Philibert L. Factors Influencing the Acceptance or Rejection of Dietary and Body Norm Systems Favorable to the Prevention and Control of Type 2 Diabetes Among Sub-Saharan Africa migrants: A Scoping Review. J Racial Ethn Health Disparities 2024:10.1007/s40615-024-02072-3. [PMID: 38969923 DOI: 10.1007/s40615-024-02072-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Revised: 06/18/2024] [Accepted: 06/23/2024] [Indexed: 07/07/2024]
Abstract
INTRODUCTION The systems of dietary and body that favor the prevention and control of type 2 diabetes (T2D) go against what is vital for most of the migrant population, exposing them to conflicts of norms that are difficult to reconcile. The purpose of this scoping review is to identify factors that may influence the acceptance or rejection of dietary and body norm systems favorable to the prevention and control of T2D by sub-Saharan Africa migrants living with T2D. METHODS An electronic search of studies from 2011 to 2022, published in English, Italian, French, or Portuguese was conducted in seven databases and in gray literature. The selection of articles was done independently and blindly by six teams of two researchers in accordance with the inclusion and exclusion criteria defined by the PICO. RESULTS Seven studies were included. The results show several factors influencing the acceptance or rejection of dietary and body norms systems favorable to the prevention and control of T2D among the migrants from sub-Saharan Africa, mainly social network, income, availability, and affordability of foods, among others. CONCLUSION Given the paucity of studies available on factors influencing the acceptance or rejection of body norm systems favorable to the prevention and control of T2D by sub-Saharan Africa migrants living with T2D, further studies are needed to better document these factors. A better understanding of these factors and their influence on the well-being of migrant people from sub-Saharan Africa living with T2D could help guide policy, research, and interventions so that they are better adapted to the realities of these populations.
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Affiliation(s)
- Gisèle Mandiangu Ntanda
- Department of Nursing, Université du Québec en Outaouais, Saint-Jérôme, QC, Canada.
- Institut Universitaire Sherpa, Montréal, QC, Canada.
- Institut du Savoir de L'hôpital Montfort-Recherche, Ottawa, ON, Canada.
| | - Drissa Sia
- Department of Nursing, Université du Québec en Outaouais, Saint-Jérôme, QC, Canada
- Institut Universitaire Sherpa, Montréal, QC, Canada
| | - Idrissa Beogo
- Institut du Savoir de L'hôpital Montfort-Recherche, Ottawa, ON, Canada
- School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada
| | - Aurélie Baillot
- Institut du Savoir de L'hôpital Montfort-Recherche, Ottawa, ON, Canada
- Department of Nursing, Université du Québec en Outaouais, Gatineau, QC, Canada
| | | | - Lisa Merry
- Institut Universitaire Sherpa, Montréal, QC, Canada
- Faculty of Nursing, Université de Montréal, Montréal, Canada
| | - Jean Ramdé
- Département des fondements et pratiques en éducation | Faculté des sciences de l'éducation, Université Laval, Québec, Canada
| | | | - Léonel Philibert
- Institut du Savoir de L'hôpital Montfort-Recherche, Ottawa, ON, Canada
- Pôle Pluralité Humaine, Université de L'Ontario Français, Toronto, Canada
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Dualle MA, Robinette LM, Hatsu IE. Food Related Challenges and Mental Health Among U.S. African Migrants: A Narrative Review. J Immigr Minor Health 2024; 26:371-384. [PMID: 37400706 DOI: 10.1007/s10903-023-01512-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2023] [Indexed: 07/05/2023]
Abstract
The United States' (US) African immigrant (AI) population is growing, yet they are underrepresented in health and nutrition research. This population experiences difficulties finding culturally appropriate foods and navigating the US food environment (FE), is highly food insecure (FI), and vulnerable to mental disorders. This review examined the current evidence for AIs' food and mental health outcomes and connections; and identified gaps in the literature and future research opportunities. A literature search was conducted using Google Scholar, PubMed, CINAHL, MEDLINE, and SCOPUS. Twenty-one studies were identified, reporting high (37-85%) FI rates, poor diet quality, and increased risk of mental disorders among participants. Challenges in the FE, lack of transportation, limited access to ethnic foods, low SES, and language barriers were associated with FI and poor diet quality. Similarly, discrimination, substance use, and immigration status were associated with depression and anxiety. However, studies examining the connection between AI's food experience and mental health are lacking. AIs are at a higher risk for FI, poor diet quality, and mental disorders. Ethnic-specific research to understand the connection between their food and mental health is needed to reduce nutrition and mental health disparities.
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Affiliation(s)
- Maryan A Dualle
- Department of Human Sciences, The Ohio State University, Columbus, OH, USA
| | - Lisa M Robinette
- Department of Human Sciences, The Ohio State University, Columbus, OH, USA
| | - Irene E Hatsu
- Department of Human Sciences, The Ohio State University, Columbus, OH, USA.
- College of Education and Human Ecology, Department of Human Sciences | Human Nutrition Program, 341 Campbell Hall, 1787 Neil Ave, Columbus, OH, 43210, USA.
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Akingbule O, Teran-Garcia M, Alston R. Exploring the dietary practices and perceptions of African immigrants in Illinois- a qualitative study of immigrants from Nigeria and Congo. ETHNICITY & HEALTH 2024; 29:353-370. [PMID: 38515253 DOI: 10.1080/13557858.2024.2311418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 01/23/2024] [Indexed: 03/23/2024]
Abstract
OBJECTIVE Previous studies suggest an increased prevalence of diet-related chronic diseases among African immigrants with increased length of stay in the U.S. The objective of the current study is to understand the dietary practices and perceptions of recent African immigrant families. DESIGN Focus group sessions were conducted with Nigerian and Congolese immigrant parents residing in Illinois. Participants were recruited using convenience sampling methods and focus group sessions were conducted via videoconference. Participants discussed dietary practices, meal preparation, and family mealtimes for their families. They also discussed experiences with eating different kinds of foods since arrival in the U.S. Verbatim transcription of focus group sessions were completed and deductive thematic analysis of transcribed data was conducted using NVivo (QSR International Pty Ltd. [2020] NVivo [version 12]). RESULTS Twenty African immigrant parents (Mean age: 42 years, Female: 95%) residing in Northern and Central Illinois participated in a total of five focus group sessions. Seven themes were derived from the analysis. Participants had a positive attitude toward healthy diet and had a high level of interest in receiving educational resources to make healthier food choices. Participants preferred and mostly consumed foods they were familiar with before migration. A majority of the participants perceived 'American foods' as unhealthy, characterizing them as containing a high amount of sugar and salt. Parents reported that their school-aged children often preferred a western diet over traditional African meals. CONCLUSION This study helps to understand unique diet-related practices and perceptions of recent Nigerian and Congolese African immigrants in Illinois. Findings could help to inform cultural adaptation of evidence-based nutrition education programs for these groups of African immigrants.
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Affiliation(s)
- Oluwatosin Akingbule
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - Margarita Teran-Garcia
- Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, USA
- Department of Biomedical and Translational Sciences, Carle Illinois College of Medicine, Urbana-Champaign, Champaign, IL, USA
- University of Illinois Extension, University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - Reginald Alston
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL, USA
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Deslippe AL, Bergeron C, Cohen TR. Boys and girls differ in their rationale behind eating: a systematic review of intrinsic and extrinsic motivations in dietary habits across countries. Front Nutr 2023; 10:1256189. [PMID: 37841404 PMCID: PMC10570531 DOI: 10.3389/fnut.2023.1256189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 09/01/2023] [Indexed: 10/17/2023] Open
Abstract
Background Boys' and girls' food habits diverge in adolescence (13-18 years). This contributes to unequal risks of adverse health outcomes based on sex and gender in adulthood (e.g., heart diseases in men vs. disorder eating in women). Though multi-factorial, why these dietary differences occur is unclear. Purpose To identify the reasons why adolescents' motivation behind dietary habits differs among genders. Methods Four databases were searched following PRISMA guidelines. Eligible studies had to use qualitative methodology and report at least one gender unique theme. Reported themes were thematically analyzed, with a sub-analysis by country where the studies were conducted. Quality appraisals were assessed using the Critical Appraisal Skills Programme checklist. Results In the 34 eligible articles (n = 1,694 returned) two overarching themes emerged that dictated dietary habits in adolescents: Self-motivators and Uncontrollable factors. Gender differences arose whereby girls highlighted more external motivators (e.g., eat healthier, change dietary habits around boys and be thin to fit traditional norms) over their dietary habits. In contrast, boys focused on more internal motivators (e.g., gain autonomy, eat for enjoyment and pursue gains in physical performance). This suggests that motivation underlying how boys and girls eat differs. These trends were largely consistent across countries. Conclusion Boys' and girls' food habits are not motivated by the same factors. To create more effective dietary interventions targeting health promotion, unique motivations behind food habits need to be understood and incorporated. Systematic review registration Identifier: CRD42022298077.
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Affiliation(s)
- Alysha L. Deslippe
- Faculty of Land and Food Systems, University of British Columbia, Vancouver, BC, Canada
- Healthy Starts, British Columbia Children's Hospital Research Institute, Vancouver, BC, Canada
| | - Coralie Bergeron
- Healthy Starts, British Columbia Children's Hospital Research Institute, Vancouver, BC, Canada
- Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Tamara R. Cohen
- Faculty of Land and Food Systems, University of British Columbia, Vancouver, BC, Canada
- Healthy Starts, British Columbia Children's Hospital Research Institute, Vancouver, BC, Canada
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Jones-Antwi RE, Haardörfer R, Riosmena F, Patel SA, Cunningham SA. Role of country of origin and state of residence for dietary change among foreign-born adults in the US. Health Place 2023; 83:103106. [PMID: 37659156 PMCID: PMC10869268 DOI: 10.1016/j.healthplace.2023.103106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 08/16/2023] [Accepted: 08/17/2023] [Indexed: 09/04/2023]
Abstract
Place of origin and place of current residence may shape migrants' health-related behaviors. Using the nationally-representative US New Immigrant Survey (n = 7930), we examined associations between country of origin, state of residence, and dietary changes among foreign-born adults. 65% of migrants reported dietary change since immigration (mean score = 7.3; range = 1-10); 6% of the variance was explained by country of origin characteristics; 1.6% by US state of residence; 1.4% by their interaction. Country of origin factors, specifically availability of animal source foods and sweets, were associated with dietary change, availability of sweets also including greater abandonment of specific foods and adoption of others.
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Affiliation(s)
- Rebecca E Jones-Antwi
- Hubert Department of Global Health, Emory University USA; Department of Public Health, Baylor University, Waco USA One Bear Place #97343, Waco, TX 76798, USA; Department of Epidemiology, Emory University USA.
| | | | - Fernando Riosmena
- Department of Sociology & Demography and Institute for Health Disparities Research, University of Texas - San Antonio USA
| | - Shivani A Patel
- Hubert Department of Global Health, Emory University USA; Department of Epidemiology, Emory University USA
| | - Solveig A Cunningham
- Hubert Department of Global Health, Emory University USA; Department of Epidemiology, Emory University USA
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Atayoglu AT, Firat Y, Kaya N, Basmisirli E, Capar AG, Aykemat Y, Atayolu R, Khan H, Guner Atayoglu A, Inanc N. Evaluation of Nutritional Status with Healthy Eating Index (HEI-2010) of Syrian Refugees Living Outside the Refugee Camps. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:849. [PMID: 36613171 PMCID: PMC9819415 DOI: 10.3390/ijerph20010849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 11/29/2022] [Accepted: 12/09/2022] [Indexed: 06/17/2023]
Abstract
Nutrition is a public health issue. Amongst populations of refugees, unmet nutritional needs have been identified. The aim of this study was to evaluate the nutritional status of Syrian refugees living outside the refugee camps in Kayseri, Turkey. Socio-demographic data and anthropometric measurements of the refugees were collected. The relationship between diet quality, which was assessed through the Healthy Eating Index (HEI-2010), and factors (including the duration of time spent outside the refugee camp, income, obesity, and waist circumference) were measured. Four hundred refugees participated in this study. The majority of refugees (77.8%) reported a 'poor' diet, with the remaining filling into the 'needs improvement' based on HEI-2010 scores. The average consumption of fruits in the study group was 101.9 g per day (g/day), while the average consumption of vegetables was 142.2 g/day. When the relationships were examined between BMI, HEI-2010 score, the time spent as a refugee, and waist circumference, statistically significant relationships were found (p < 0.001). In the linear regression analysis based on these relationships, when the results were adjusted for age and gender factors, it was observed that for every year spent as a refugee, BMI score increased by 0.17 units, and waist circumference increased by 1.14 units (p < 0.05). As a result, this study showed that refugees have low-income-related nutritional risks. In conclusion, ensuring that refugees have access to adequate nutrient-rich food is essential; therefore, analyzing and improving nutritional standards for refugees are suggested to be part of the strategies of the public and primary health care systems.
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Affiliation(s)
- Ali Timucin Atayoglu
- Department of Family Medicine, International School of Medicine, Istanbul Medipol University, Istanbul 34815, Turkey
| | - Yagmur Firat
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Erciyes University, Kayseri 38280, Turkey
| | - Nese Kaya
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Nuh Naci Yazgan University, Kayseri 38170, Turkey
| | - Eda Basmisirli
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Nuh Naci Yazgan University, Kayseri 38170, Turkey
| | - Asli Gizem Capar
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Nuh Naci Yazgan University, Kayseri 38170, Turkey
| | - Yusuf Aykemat
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Nuh Naci Yazgan University, Kayseri 38170, Turkey
| | - Rumeysa Atayolu
- Department of Nutrition and Dietetics, School of Health Sciences, Istanbul Medipol University, Istanbul 34810, Turkey
| | - Hammad Khan
- Department of Psychiatry and Behavioral Sciences, University of California, Davis, CA 95616, USA
| | - Ayten Guner Atayoglu
- Department of Family Medicine, Beylikduzu State Hospital, Istanbul 34500, Turkey
| | - Neriman Inanc
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Nuh Naci Yazgan University, Kayseri 38170, Turkey
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Martins L, Juzwiak C, Juzwiak T. Trajectories, Food Choices and Dietary Acculturation of Vulnerable Migrants in Brazil. Ecol Food Nutr 2022; 61:624-637. [PMID: 36000207 DOI: 10.1080/03670244.2022.2116432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Migrants in situations of socioeconomic vulnerability face many hardships regarding their eating practices. The aim of this study was to identify how migratory trajectories affect their food choices and the processes of dietary acculturation they experience. This is a qualitative study, conducted through the episodic narrative method, based on interviews of eight migrants. The Food Choice Process Model was adopted as the theoretical framework for the Content Analysis. Integration, assimilation, and separation were identified as acculturation processes and it was concluded that the financial situation was what most affected migrants' food choices in the early stages of life in Brazil.
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Affiliation(s)
- Livia Martins
- Human Movement Sciences Department, Federal University of São Paulo, São Paulo, Brazil
| | - Claudia Juzwiak
- Human Movement Sciences Department, Federal University of São Paulo, São Paulo, Brazil
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Moussaoui S, Combes S, Ibanez G, Gautier A, Relyea B, Vignier N. Are immigrants living in France more reluctant to receive vaccines than native-born French citizens? findings from the national health Barometer study. Vaccine 2022; 40:3869-3883. [DOI: 10.1016/j.vaccine.2022.05.041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 04/12/2022] [Accepted: 05/14/2022] [Indexed: 01/04/2023]
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9
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Osokpo OH, Lewis LM, Ikeaba U, Chittams J, Barg FK, Riegel BJ. Self-Care of African Immigrant Adults with Chronic Illness. Clin Nurs Res 2022; 31:413-425. [PMID: 34726102 PMCID: PMC8951348 DOI: 10.1177/10547738211056168] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This cross-sectional study aims to describe the self-care of adult African immigrants in the US with chronic illness and explore the relationship between acculturation and self-care. A total of 88 African immigrants with chronic illness were enrolled. Self-care was measured with the Self Care of Chronic Illness Inventory v3 and the Self-Care Self-Efficacy scale. Scores are standardized 0 to 100 with scores >70 considered adequate. Acculturation was measured using a modified standardized acculturation instrument and predefined acculturation proxies. The self-care scores showed adequate self-care, with the mean scores of 78.6, 77.9, and 75.6 for self-care maintenance, monitoring, and management. Self-care self-efficacy mean score was 81.3. Acculturation was not significantly associated with self-care. Self-care self-efficacy was a strong determinant of self-care maintenance (p < .0001), monitoring (p < .0001), and management (p < .0001). The perception of inadequate income was a significant determinant of poor self-care management (p = .03). Self-care self-efficacy and perceived income adequacy were better determinants of self-care than acculturation.
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Affiliation(s)
- Onome H. Osokpo
- University of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104, USA
| | - Lisa M. Lewis
- University of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104, USA
| | - Uchechukwu Ikeaba
- West Chester University of Pennsylvania, 25 University Avenue, West Chester, PA 19383
| | - Jesse Chittams
- University of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104, USA
| | - Frances K. Barg
- University of Pennsylvania Perelman School of Medicine, 915 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA
| | - Barbara J. Riegel
- University of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104, USA
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Bennett G, Bardon LA, Gibney ER. A Comparison of Dietary Patterns and Factors Influencing Food Choice among Ethnic Groups Living in One Locality: A Systematic Review. Nutrients 2022; 14:nu14050941. [PMID: 35267916 PMCID: PMC8912306 DOI: 10.3390/nu14050941] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 02/16/2022] [Accepted: 02/20/2022] [Indexed: 01/23/2023] Open
Abstract
Globally, the number of minority ethnic groups in high-income countries is increasing. However, despite this demographic change, most national food consumption surveys are not representative of ethnically diverse populations. In consequence, many ethnic minorities' dietary intakes are underreported, meaning that accurate analysis of food intake and nutrient status among these groups is not possible. This systematic review aims to address these gaps and understand differences in dietary intakes and influencers of dietary habits of ethnic groups worldwide. A systematic search was conducted through three databases (Pubmed, Web of Science and Scopus) and manual searches, generating n = 56,647 results. A final search of these databases was completed on 13 September 2021, resulting in a total of 49 studies being included in this review. Overall, food group intakes-particularly fruit, vegetable and fish intake-and diet quality scores were seen to differ between ethnicities. Overall Black/African American groups were reported to be among the poorest consumers of fruit and vegetables, whilst Asian groups achieved high diet quality scores due to higher fish intakes and lower fat intakes compared to other groups. Limited data investigated how nutrient intakes, dietary and meal patterns compared between groups, meaning that not all aspects of dietary intake could be compared. Socioeconomic status and food availability appeared to be associated with food choice of ethnic groups, however, confounding factors should be considered more closely. Future work should focus on comparing nutrient intakes and meal patterns between ethnicities and investigate potential targeted interventions which may support adherence to food-based dietary guidelines by all ethnic groups.
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Affiliation(s)
- Grace Bennett
- Institute of Food and Health, University College Dublin, Belfield, D04 V1W8 Dublin, Ireland; (G.B.); (L.A.B.)
- School of Agriculture, Food Science and Veterinary Medicine, University College Dublin, Belfield, D04 V1W8 Dublin, Ireland
| | - Laura A. Bardon
- Institute of Food and Health, University College Dublin, Belfield, D04 V1W8 Dublin, Ireland; (G.B.); (L.A.B.)
- School of Agriculture, Food Science and Veterinary Medicine, University College Dublin, Belfield, D04 V1W8 Dublin, Ireland
| | - Eileen R. Gibney
- Institute of Food and Health, University College Dublin, Belfield, D04 V1W8 Dublin, Ireland; (G.B.); (L.A.B.)
- School of Agriculture, Food Science and Veterinary Medicine, University College Dublin, Belfield, D04 V1W8 Dublin, Ireland
- Correspondence:
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The Availability of Culturally Preferred Fruits, Vegetables and Whole Grains in Corner Stores and Non-Traditional Food Stores. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18095030. [PMID: 34068641 PMCID: PMC8126097 DOI: 10.3390/ijerph18095030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 05/05/2021] [Accepted: 05/06/2021] [Indexed: 12/03/2022]
Abstract
Chronic health inequities for communities of color is partially attributed to a lack of healthy preferred food access. This manuscript explores whether corner stores and non-traditional food stores stock fruits, vegetables and whole grain foods that the area cultural communities may prefer as part of complying with a local ordinance. This exploratory analysis identified corner and non-traditional food stores located in immigrant populations of color and African American neighborhoods as part of a larger study. Culturally preferred foods were identified from a list of food items in the parent (STORE) study and used to assess changes in availability. Stores did not have a great variety of culturally relevant foods pre- or post-ordinance, and overall findings show no significant changes over time and/or between ordinance and control community. Further interventions are needed to address cultural food availability in stores near communities of color.
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12
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Howell BM. Interactions Between Diet, Physical Activity, and the Sociocultural Environment for Older Adult Health in the Urban Subarctic. J Community Health 2021; 45:252-263. [PMID: 31512112 DOI: 10.1007/s10900-019-00737-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
This study sought to examine the relationship between the sociocultural factors that shape diet, physical activity, and nutritional status outcomes among seniors in Anchorage, Alaska. Alaskan seniors are an ideal study population because the state has the fastest growing senior population in the United States. Since much health research in the circumpolar north focuses on the influence of the economic or rural environment on nutrition, there is a need to investigate the ways social relationships shape diet, physical activity patterns, and nutritional status in urban spaces. This cross-sectional study included 82 community-living men and women (mean age = 74 years) in Anchorage. Participants underwent anthropometric measurements and completed questionnaires on their dietary intake, physical activity, and the sociocultural influences on their diet and exercise practices. T-tests indicate that diet and physical activity practices in this sample do not meet national recommendations and that diet differs adversely from national reference samples. Mann-Whitney U tests indicate the media and friends are associated with increases in energy expenditure. Family influences increased fruit consumption, while participation in cultural and social events increased intake of fats and sweets. Reaching older adults through a variety of channels, including the media, social networks, and culturally responsive programs can alleviate some of the barriers to healthy diet and exercise patterns.
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Affiliation(s)
- Britteny M Howell
- Division of Population Health Sciences, University of Alaska Anchorage, BOC 233, 3211 Providence Drive, Anchorage, AK, 99508, USA. .,National Resource Center for Alaska Native Elders, University of Alaska Anchorage, Anchorage, AK, 99508, USA.
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Alsubhi M, Goldthorpe J, Epton T, Khanom S, Peters S. What factors are associated with obesity-related health behaviours among child refugees following resettlement in developed countries? A systematic review and synthesis of qualitative and quantitative evidence. Obes Rev 2020; 21:e13058. [PMID: 32608177 DOI: 10.1111/obr.13058] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Revised: 04/30/2020] [Accepted: 05/01/2020] [Indexed: 11/30/2022]
Abstract
Refugee children are likely to become less active and eat more unhealthily after their resettlement in developed countries. This review aims to identify and synthesize research about factors that influence unhealthy behaviours related to obesity in this population. Six electronic databases were searched systematically to identify studies that sampled refugee children or parents of refugee children aged 2 to 16 years who have resettled in a developed country. Methodological and cultural study quality was assessed and factors associated with obesity-related health behaviours investigated. Twenty studies fulfilled the inclusion criteria. Five major themes, representing factors influencing health behaviours, were identified from the data synthesis process: Acculturation, Environmental, Socioeconomic, Cognitive, and Family. The analysis revealed that refugee's health behaviours are influenced by several complex factors that are common to immigrant groups but have a greater influence among refugees. The review also revealed parental practices influence the health behaviours of children, especially those aged 2 to 10 years. Research is needed to understand further the role that parents have in influencing health behaviours and weight trajectories of children following resettlement.
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Affiliation(s)
- Maha Alsubhi
- Manchester Centre for Health Psychology, Division of psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, University of Manchester, Manchester, UK
| | - Joanna Goldthorpe
- Manchester Centre for Health Psychology, Division of psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, University of Manchester, Manchester, UK
| | - Tracy Epton
- Manchester Centre for Health Psychology, Division of psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, University of Manchester, Manchester, UK
| | - Sonia Khanom
- Centre for Epidemiology Versus Arthritis, School of Biological Sciences, University of Manchester, Manchester, UK
| | - Sarah Peters
- Manchester Centre for Health Psychology, Division of psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, University of Manchester, Manchester, UK
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Colorectal Cancer-Related Knowledge, Acculturation, and Healthy Lifestyle Behaviors Among Low-Income Vietnamese Americans in the Greater Philadelphia Metropolitan Area. J Community Health 2020; 45:1178-1186. [PMID: 33026553 DOI: 10.1007/s10900-020-00931-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/28/2020] [Indexed: 10/23/2022]
Abstract
Colorectal cancer (CRC) is the second and fourth most common cancer in Vietnamese American women and men, respectively. Recent research has highlighted the importance of modifiable lifestyle behaviors such as smoking, alcohol use, dietary behaviors, and physical activities in CRC prevention for the general population. However, it is not well understood how well Vietnamese Americans knew about CRC prevention and risk factors, and whether there were any disparities in knowledge within this vulnerable population. This study examined whether comprehensive measures of acculturation and knowledge of CRC risk are associated with different health behaviors, specifically physical activity, protective dietary behaviors, and risky dietary behaviors in Vietnamese Americans. We recruited 374 Vietnamese Americans aged 50 or above from community-based organizations in the Vietnamese American communities in the greater Philadelphia metropolitan area. Through a cross-sectional survey, we collected data on their knowledge of CRC prevention and risk factors, acculturation-related factors, and sociodemographic characteristics. We found limited knowledge of CRC prevention and risk factors, and suboptimal physical activity and healthy dietary behaviors in the Vietnamese Americans. We also found that higher levels of knowledge about CRC and risk factors were associated with less unhealthy diets but not with more protective diets or physical activity. Acculturation was not significantly associated with overall dietary behaviors in our study. Our findings addressed gaps in current literature concerning the impact of knowledge about CRC risk factors and acculturation on different dimensions of dietary behaviors as well as physical activity. Research and practical implications were discussed.
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Amstutz D, Gonçalves D, Hudelson P, Stringhini S, Durieux-Paillard S, Rolet S. Nutritional Status and Obstacles to Healthy Eating Among Refugees in Geneva. J Immigr Minor Health 2020; 22:1126-1134. [PMID: 32940816 PMCID: PMC7683482 DOI: 10.1007/s10903-020-01085-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/05/2020] [Indexed: 12/02/2022]
Abstract
Refugees face various nutritional challenges during and after migration. This cross-sectional, mixed-methods study seeks to investigate the prevalence of undernutrition and obesity among refugees in Geneva, and to identify barriers to healthy eating. Anthropometric measurements of 354 adult refugees were collected between 2017 and 2019 by trained nurses and dietitians. Seven focus group discussions totaling 51 participants, refugees and social workers, investigated conceptions and needs regarding diet. The mean Body Mass Index is 24.6 ± 4.8 kg/m2. Women are disproportionately affected by obesity compared to men (p < 0.001). Weight gain post-migration is correlated positively with length of stay in Geneva (p < 0.001). Major obstacles to healthy eating are economic and linguistic. For participants, cooking workshops and free physical activities are highly needed interventions. Post-migration lifestyle interventions should be implemented to prevent weight gain in this population. Such interventions must be multi-level, to overcome structural, social and behavioral barriers to healthy eating.
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Affiliation(s)
- Delphine Amstutz
- Division of Primary Care Medicine, Department of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland.
| | - Daniela Gonçalves
- Division of Primary Care Medicine, Department of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland
| | - Patricia Hudelson
- Division of Primary Care Medicine, Department of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland
| | - Silvia Stringhini
- Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland
| | - Sophie Durieux-Paillard
- Division of Primary Care Medicine, Department of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland
| | - Sylvie Rolet
- Clinical Nutrition, Geneva University Hospitals, Geneva, Switzerland.,Care Directorate, Geneva University Hospitals, Geneva, Switzerland
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Kivuyo NG, Sharma S. Dietary acculturation among African emigrant students in India: determinants and problems. Public Health Nutr 2020; 23:2402-2409. [PMID: 32389158 PMCID: PMC11374565 DOI: 10.1017/s1368980019005226] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE Emigrants face a high level of food insecurity. There is a wide research gap in the domain of identifying the determinants and problems of dietary acculturation in the context of emigrant students. This article attempts to study the factors affecting the dietary acculturation of African emigrant students in India. DESIGN For conducting a first-of-its-kind study for African emigrant students in India, we used field survey method, and the primary data were collected using a pre-structured questionnaire. SETTING This was a field survey conducted in Punjab (a state of India). PARTICIPANTS One hundred and twenty African emigrant students participated in the survey. RESULTS Results of logistic regression indicated that food awareness (P = 0·027) and food suitability (P = 0·043) were the major determinants of dietary acculturation. Lack of familiarity and lack of proximity to food access points are the major problems faced by the African emigrant students. African emigrant students prepared for dietary acculturation largely only after coming to India. There is a significant positive correlation (P = 0·013) between problems faced by the respondents and tendency to prepare for acculturation after coming to India. CONCLUSIONS Information regarding local food environment plays a significant role in dietary acculturation. There is a pertinent need to educate emigrant students regarding food availability and access by developing suitable educational content.
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Affiliation(s)
| | - Sonika Sharma
- Department of Food and Nutrition, Punjab Agricultural University, Ludhiana141004, India
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Lyons J, van der Linden EL, Meeks K, Beune E, Smeeth L, Bahendeka S, Spranger J, Klipstein-Grobusch K, Mockenhaupt FP, Danquah I, Agyemang C. Inverse Association between Iron Deficiency and Glycated Hemoglobin Levels in Ghanaian Adults-the RODAM Study. J Nutr 2020; 150:1899-1908. [PMID: 32433726 PMCID: PMC7330469 DOI: 10.1093/jn/nxaa109] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Revised: 02/10/2020] [Accepted: 03/27/2020] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Glycated hemoglobin (HbA1c) is often used to diagnose type 2 diabetes (T2D), but studies show that iron deficiency (ID) is associated with elevated HbA1c in the absence of hyperglycemia. It is unknown whether ID prevalence varies between sub-Saharan African populations living in different locations and whether ID influences HbA1c levels in these populations. OBJECTIVES We assessed the prevalence of ID among Ghanaian migrants in Europe and nonmigrant Ghanaians, and the influence of ID on HbA1c categories among Ghanaians without T2D. METHODS We used the database from the cross-sectional RODAM (Research on Obesity and Diabetes among African Migrants) study. This contained data on 3377 Ghanaian men and women aged 25-70 y living in urban and rural Ghana and Ghanaian migrants living in Amsterdam, London, and Berlin. ID was defined as ferritin < 15 ng/mL or, if C-reactive protein was ≥5 mg/mL, as ferritin < 30 ng/mL according to the WHO. We used binary logistic regression to assess differences in ID between sites and its association with clinically defined HbA1c categories (<5.5%, ≥5.5% to <6.5%, ≥6.5%). Men and women were analyzed separately. RESULTS The prevalence of ID was higher in migrant [28.4%; adjusted OR (aOR): 3.08; 95% CI: 2.04, 4.65)] and urban (23.2%; aOR: 2.37; 95% CI: 1.56, 3.59) women than in rural women (11.9%). Among women, ID was associated with higher odds of HbA1c ≥ 5.5% to <6.5% in the absence of hyperglycemia (aOR: 1.43; 95% CI: 1.08, 1.87). This association was not found in men. CONCLUSIONS Further research is needed to identify factors underlying the high prevalence of ID among urban and migrant Ghanaian women, and the association of ID with HbA1c ≥ 5.5% to <6.5% in women. In addition, our study reinforces the need to consider iron concentrations if interpreting HbA1c among African populations.
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Affiliation(s)
- Julia Lyons
- Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Eva L van der Linden
- Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
- Department of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, Netherlands
| | - Karlijn Meeks
- Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
- Center for Research on Genomics and Global Health, National Human Genome Research Institute, NIH, Bethesda, MD, USA
| | - Erik Beune
- Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Liam Smeeth
- Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | | | - Joachim Spranger
- Department of Endocrinology and Metabolism, Charité University Hospital Berlin, Berlin, Germany
- Center for Cardiovascular Research, Charité University Hospital Berlin, Berlin, Germany
| | - Kerstin Klipstein-Grobusch
- Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
- Division of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Frank P Mockenhaupt
- Institute of Tropical Medicine and International Health, Charité University Hospital Berlin, Berlin, Germany
| | - Ina Danquah
- Institute for Social Medicine, Epidemiology and Health Economics, Charité University Hospital Berlin, corporate member of Free University Berlin, Humboldt University of Berlin, and Berlin Institute of Health, Berlin, Germany
- Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke, Nuthetal, Germany
| | - Charles Agyemang
- Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
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McElrone M, Colby S, Fouts HN, Spence M, Kavanagh K, Franzen-Castle L, Olfert MD, Kattelmann KK, White AA. Feasibility and Acceptability of Implementing a Culturally Adapted Cooking Curriculum for Burundian and Congolese Refugee Families. Ecol Food Nutr 2020; 59:598-614. [DOI: 10.1080/03670244.2020.1759575] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Marissa McElrone
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Sarah Colby
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Hillary N. Fouts
- Department of Child & Family Studies, University of Tennessee, Knoxville, TN, USA
| | - Marsha Spence
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Katie Kavanagh
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Lisa Franzen-Castle
- Department of Nutrition and Health Sciences, University of Nebraska-Lincoln, Lincoln, NB, USA
| | - Melissa D. Olfert
- Department of Human Nutrition and Foods, West Virginia University, Morgantown, WV, USA
| | - Kendra K. Kattelmann
- Department of Health and Nutritional Sciences, South Dakota State University, Brookings, SD, USA
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Lee JM, Contento I, Gray HL. Change in Food Consumption and Food Choice Determinants among East Asian International Students in New York. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2020. [DOI: 10.1080/19320248.2018.1555071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Jong Min Lee
- Program in Nutrition, Teachers College, Columbia University, New York, New York, USA
| | - Isobel Contento
- Program in Nutrition, Teachers College, Columbia University, New York, New York, USA
| | - Heewon L. Gray
- College of Public Health, University of South Florida, Tampa, Florida, USA
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Alakaam A, Willyard A. Eating habits and dietary acculturation effects among international college students in the United States. AIMS Public Health 2020; 7:228-240. [PMID: 32617352 PMCID: PMC7327396 DOI: 10.3934/publichealth.2020020] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2020] [Accepted: 04/19/2020] [Indexed: 11/24/2022] Open
Abstract
Although the United States rates as the top host country for international students in the world, the impact of dietary acculturation on their health status is poorly understood. This study used a qualitative approach to gain an in-depth understanding of the factors related to dietary acculturation among international students in U.S. universities. Ten focus groups, of which eight were in two Midwestern U.S. universities and two in a Southern U.S. university (n = 44), were studied. Participants were international, college-aged students enrolled in U.S. universities. Grounded theory method was used for data analysis to develop themes relevant to dietary changes and factors related to dietary acculturation based on the participants' perspectives and experiences. The results showed that most of the participants faced various dietary challenges and health consequences in the United States. Access to food, religious orientation, time constraints, campus environment, and healthcare access were the main factors influencing student diets. A majority of the students reported weight gain due to eating larger portions, unstructured mealtimes, and frequent snacking. Some students reported that they do not eat fruits and vegetables in the United States because they believe that these foods are not fresh, genetically modified, and may contain pesticides. The majority of participants reported taking unprescribed dietary supplements since moving to the United States. Students who transitioned to the typical American diet reported weight gain, increased fatigue, abdominal discomfort, and other health consequences. Universities should seek to develop policies and programs aimed to reduce the impact of acculturation in order to improve the experience of international students in the United States.
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Affiliation(s)
- Amir Alakaam
- Department of Health and Human Performance, University of Tennessee at Chattanooga, Chattanooga, TN, USA
| | - Amanda Willyard
- Department of Education, Health, and Behavior Studies, University of North Dakota, Grand Forks, ND, USA
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21
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Kim JY, Lee SK, Kim SG. Comparisons of food security, dietary behaviors and nutrient intakes between adult North Korean Refugees in South Korea and South Koreans. Nutr Res Pract 2020; 14:134-142. [PMID: 32256988 PMCID: PMC7075740 DOI: 10.4162/nrp.2020.14.2.134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2019] [Revised: 09/03/2019] [Accepted: 12/09/2019] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND/OBJECTIVES North Korean refugees (NKRs) in South Korea are a unique population as they must adapt in a new country with similar cultural traits but different social, political, and economic systems, but little research has been conducted on diet and nutrition in this population. This study examined food security, dietary behaviors, and nutrient intakes among adult NKRs living in South Korea and compared them to those of South Koreans. SUBJECTS/METHODS The subjects were 139 adult NKRs (25 men, 114 women) living in the Seoul metropolitan area, and 417 age- and sex-matched South Korean controls (SKCs; 75 men, 342 women) selected from the Korea National Health and Nutrition Examination Survey (KNHANES). Food security and dietary behaviors (meal skipping, eating-out, meals with family, nutrition education and counseling, and nutrition label knowledge and utilization) were obtained using self-administered questionnaires. Nutrient intakes were assessed by 24-hr recall. The statistical analysis was performed using IBM SPSS ver. 23.0. RESULTS In South Korea, food security had improved over the previous 12 months, but remained significantly poorer for NKR women than SKC women. Meal skipping was three times more frequent than for SKCs and eating-out was rare. Average energy intake was 1,509 kcal for NKR men and 1,344 kcal for NKR women, which was lower than those of SKCs (2,412 kcal and 1,789 kcal, respectively). Significantly more NKRs (men 24.0%, women 21.9%) showed simultaneously deficient intake in energy, calcium, iron, vitamin A, and riboflavin than SKCs (men 2.7% (P = 0.003), women 7.0% (P < 0.001)). NKR women had a significantly higher index of nutrient quality (INQ) for some nutrients than SK women. CONCLUSIONS This study reports significant differences in food security, dietary behaviors, and nutrient intakes between NKRs and SKCs. Generally, NKRs reported lower intakes despite improved food security, but relatively good INQs across nutrients. Further research is needed to understand processes of food choice and consumption among NKRs to provide appropriate support aimed at improving diets.
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Affiliation(s)
- Ji Yoon Kim
- Department of Food and Nutrition, Inha University, 100 Inha-ro, Michuhol-gu, Incheon 22212, Republic of Korea
| | - Soo-Kyung Lee
- Department of Food and Nutrition, Inha University, 100 Inha-ro, Michuhol-gu, Incheon 22212, Republic of Korea
| | - Sin Gon Kim
- Department of Internal Medicine, College of Medicine, Korea University, 73, Inchon-ro, Seongbuk-gu, Seoul 02841, Republic of Korea
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Reddy G, van Dam RM. Food, culture, and identity in multicultural societies: Insights from Singapore. Appetite 2020; 149:104633. [PMID: 32084519 DOI: 10.1016/j.appet.2020.104633] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2019] [Revised: 01/20/2020] [Accepted: 02/13/2020] [Indexed: 10/25/2022]
Abstract
The choice of food practices can be influenced by one's identity in many societies, but has mostly been evaluated in light of the maintenance of cultural identity in migrant populations. This study focused on understanding the influence of identity on food practices among individuals in multicultural societies. We conducted 18 focus group discussions (n = 130) among Indian, Chinese and Malay women in Singapore. Focus group transcripts were analysed using Thematic Analysis both inductively and deductively. Deductive analysis was framed within a Social Representations Approach, a social psychological theory that allows a deeper understanding of the contextual aspects of identity. Participants highlighted the central position of food in social events, cultural celebrations, and persistent traditional beliefs about health (such as 'hot-cold balance'). These beliefs extended to the perception of certain traditional foods possessing medicinal properties. Importantly, the consumption of these traditional foods was accepted as necessary for the maintenance of health by the women. We propose that while cultural food practices are integral to identity preservation and identity continuity for Singaporean women from all three racial groups, this is different to other multicultural societies such as Canada where communities preserve their cultural food practices, in part, due to fear of cultural identity loss. In addition, cross-cultural food practices are readily adopted in participants' daily lives for a number of reasons such as the promotion of health, convenience, and variety. At times, this adoption blurred boundaries between different cultural cuisines. Food practices in multicultural societies like Singapore are thus a reflection of everyday multiculturalism, multicultural social policies, and attitudes towards traditional healthful food practices, and these aspects need to be considered in the development of public health policies and interventions.
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Affiliation(s)
- Geetha Reddy
- University of Groningen, Grote Kruisstraat 2/1, the Netherlands.
| | - Rob M van Dam
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore
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Abstract
OBJECTIVE To explore the dietary habits, nutrient adequacies and dietary change experiences of immigrant and refugee children. DESIGN Mixed-methods cross-sectional design. Children completed three 24 h dietary recalls to determine nutrient inadequacies. Parents and service providers were interviewed to capture dietary practices. SETTING Healthy Immigrant Children study, Saskatchewan, Canada. PARTICIPANTS Three hundred immigrant and refugee children aged 3-13 years and twenty-two parents who lived in Regina or Saskatoon for less than 5 years; twenty-four newcomer services providers. RESULTS Immigrant children had higher mean intakes of meat and alternatives, milk and alternatives, and whole grains; and consumed more vitamin B12, folate, Ca, vitamin D, Fe and Zn compared with refugee children. Refugee children were at higher risk of having inadequate intakes of folate (37 %) and Fe (18 %). Both immigrant and refugee children were at high risk of inadequate vitamin D (87 and 93 %, respectively) and Ca intakes (79 and 80 %), and a substantial portion were at risk for inadequate Zn intake (21 and 31 %). Participants mentioned challenges with maintaining a healthy traditional diet in the midst of a busy schedule, while responding to their children's demands for foods high in fat and sugar. CONCLUSIONS Newcomer children are at risk for inadequate intakes of vitamin D, Ca and Zn, while refugee children are at additional risk for inadequate folate and Fe intakes. Newcomers to Canada may experience subtle or drastic changes in their food environment leading to dietary acculturation that includes increased consumption of foods high in sugar, salt and fat.
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Impact of Length of Residence in the United States on Risk of Diabetes and Hypertension in Resettled Refugees. J Immigr Minor Health 2019; 20:296-306. [PMID: 28852919 DOI: 10.1007/s10903-017-0636-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The relationship between resettlement and development of chronic disease has yet to be elucidated in refugees. We aimed to assess the relationship between length of residence in the US and development of diabetes and hypertension utilizing multivariable logistic regression models in a sample of former refugee patients seeking primary care services. Multivariable logistic regression models adjusting for age, gender, and country of origin showed significantly increasing odds of type 2 diabetes (OR 1.12, 95% CI 1.03-1.22, p < 0.01) and hypertension (OR 1.07, 95% CI 1.00-1.14) with increasing length of stay in the US for resettled refugee adults. A significant proportion of diabetes (26.7%) and hypertension (36.9%) diagnoses were made within one year of arrival, highlighting the critical role of focusing diagnosis and prevention of chronic disease in newly resettled refugees, and continuing this focus throughout follow-up as these patients acculturate to their new homeland.
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Mandelbaum J, Pérez-Escamilla R, Sandow A, Gallego-Pérez DF, Lartey A, Hromi-Fiedler A. Factors Influencing Dietary Practices Among Ghanaian Residents and Liberians Living in a Protracted Refugee Situation in Ghana. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2019; 51:567-577. [PMID: 30442569 DOI: 10.1016/j.jneb.2018.09.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Revised: 09/15/2018] [Accepted: 09/21/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVE Examine dietary practices among Liberian refugees living in a protracted refugee situation and Ghanaians living among them. DESIGN Qualitative data were collected via audio-taped in-depth interviews as part of a larger mixed-methods cross-sectional study. SETTING Buduburam Refugee Settlement and neighboring villages, Ghana. PARTICIPANTS Twenty-seven Liberian and Ghanaian women aged ≥16 years, who lived with ≥1 other female generation. PHENOMENON OF INTEREST Similarities and differences in factors influencing dietary practices among Liberian refugees living in Buduburam Refugee Settlement and Ghanaians living in and around this settlement. ANALYSIS Domains, themes, and subthemes were confirmed through a highly iterative coding and consensus process. ATLAS.ti (version 7.5.10) was used to finalize coding and extract quotations. RESULTS Seven domains emerged forming direct and indirect pathways influencing dietary patterns among Liberian refugees and Ghanaians: social support, food availability, nutrition knowledge, cultural food beliefs, food access, food preparation, and national identity. CONCLUSIONS AND IMPLICATIONS Findings provide important insights into crucial factors driving dietary practices among refugees and local communities in and around a former protracted refugee settlement. Results strongly suggest that nutrition education, food availability, and access issues should be addressed with culturally sensitive programs targeting both the refugee and host communities.
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Affiliation(s)
- Jennifer Mandelbaum
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC.
| | | | - Adam Sandow
- Buduburam Nutrition Program, National Catholic Secretariat, Accra, Ghana
| | - Daniel F Gallego-Pérez
- Buduburam Nutrition Program, National Catholic Secretariat, Accra, Ghana; Boston University School of Public Health, Boston, MA
| | - Anna Lartey
- Department of Nutrition and Food Science, University of Ghana, Legon, Ghana
| | - Amber Hromi-Fiedler
- Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT
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McElrone M, Colby SE, Moret L, Kavanagh K, Spence M, Fouts HN, Ellington A, Payne M. Barriers and Facilitators to Food Security among Adult Burundian and Congolese Refugee Females Resettled in the US. Ecol Food Nutr 2019; 58:247-264. [DOI: 10.1080/03670244.2019.1598981] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Marissa McElrone
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Sarah E. Colby
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Lauren Moret
- Department of Educational Psychology & Counseling, University of Tennessee, Knoxville, Tennessee
| | - Katie Kavanagh
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Marsha Spence
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Hillary N Fouts
- Department of Child & Family Studies, University of Tennessee, Knoxville, Tennessee
| | - Ainsley Ellington
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
| | - Magen Payne
- Department of Nutrition, University of Tennessee, Knoxville, Tennessee, USA
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Pallesen AVJ, Byberg S, Kristiansen M. Improving Dietary Behavior Among Ethnic Minority Women in Denmark: A Feasibility Study Based on a Participatory and Culturally Adapted Intervention. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16050795. [PMID: 30841498 PMCID: PMC6427310 DOI: 10.3390/ijerph16050795] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 02/14/2019] [Accepted: 02/28/2019] [Indexed: 11/16/2022]
Abstract
The Danish Heart Foundation and the non-governmental organization Neighborhood Mothers have co-developed a culturally adapted intervention seeking to promote healthy dietary behaviour among ethnic minority women. This feasibility study explores the potential of the intervention to reach ethnic minority women using health promotion initiatives. Participants attended instructor courses or cooking events, where culturally adapted, healthy recipes were introduced and meals prepared. Feasibility was explored using a mixed-method approach. Surveys were completed by 59 volunteers and 150 participants at five instructor courses and 21 cooking events. Individual interviews and focus group discussions were conducted with volunteers and participants after completion of the intervention. After the intervention, 61% of the 150 participants had high levels of knowledge about dietary recommendations, 96% intended to cook healthy dishes in the future and 84% intended to incorporate measuring equipment into their daily cooking routine. Participants with a high level of knowledge reported intention to change dietary behaviour more often than participants with lower levels of knowledge. Interviews confirmed that the participants cooked healthy dishes after participating, and incorporated knowledge about healthy food practices into their daily cooking. Few participants used measuring equipment. The intervention proved to be feasible as a health promotion initiative targeting a hard-to-reach population.
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Affiliation(s)
- Anna Vera Jørring Pallesen
- Department of Public Health & Center for Healthy Aging, University of Copenhagen, 1014 Copenhagen, Denmark.
| | - Stine Byberg
- Steno Diabetes Center Copenhagen, 2820 Copenhagen, Denmark.
| | - Maria Kristiansen
- Department of Public Health & Center for Healthy Aging, University of Copenhagen, 1014 Copenhagen, Denmark.
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Van Hook J, Quirós S, Dondero M, Altman CE. Healthy Eating among Mexican Immigrants: Migration in Childhood and Time in the United States. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 2018; 59:391-410. [PMID: 30039983 PMCID: PMC6416786 DOI: 10.1177/0022146518788869] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Past research on immigrant health frequently finds that the duration of time lived in the United States is associated with the erosion of immigrants' health advantages. However, the timing of U.S. migration during the life course is rarely explored. We draw from developmental and sociological perspectives to theorize how migration during childhood may be related to healthy eating among adult immigrants from Mexico. We test these ideas with a mechanism-based age-period-cohort model to disentangle age, age at arrival, and duration of residence. Results show that immigrants who arrived during preschool ages (2-5 years) and school ages (6-11 years) have less healthy diets than adult arrivals (25+ years). After accounting for age at arrival, duration of residence is positively related to healthy eating. Overall, the findings highlight the need to focus more research and policy interventions on child immigrants, who may be particularly susceptible to adopting unhealthy American behaviors during sensitive periods of childhood.
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Affiliation(s)
| | - Susana Quirós
- 1 Pennsylvania State University, University Park, PA, USA
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A Review of Health Survey Research for People with Refugee Background Resettled from Africa: Research Gaps and Methodological Issues. J Racial Ethn Health Disparities 2018; 6:160-181. [PMID: 30014446 DOI: 10.1007/s40615-018-0511-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2017] [Revised: 03/20/2018] [Accepted: 06/28/2018] [Indexed: 10/28/2022]
Abstract
We reviewed 27 studies on adults with a refugee background resettled from Africa published between 1999 and 2017 to appraise their methodological issues for survey research. Out of 27 studies, eleven used a single sampling method (referral = 1, convenience = 10), and 16 relied on multiple sampling methods, many of which were combinations of referral and convenience. The two most salient recruitment strategies found were building trusted relationships with the community (n = 15), and using recruiters who were culturally and linguistically matched to the refugee communities of interest (n = 14). Fifteen studies used existing data collection instruments, while in 13 studies, researchers developed their own data collection instruments. In-person or phone interviews using bilingual interviewers (n = 21) were the most frequently used mode of data collection, followed by a self-administered survey (n = 7). Our review presents methodological gaps in current refugee health studies, such as limited use of probability sampling approach due to system barriers, lack of information in community engagement and recruitment processes, and insufficient considerations of unique culture and experiences of refugee communities when developing or adapting the instruments. Efforts can be made to guide and facilitate appropriate reporting and development of more scientifically robust survey methodologies for refugee health studies, as well as to improve registration system infrastructure that may help identify these hidden populations more effectively.
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Blanchet R, Nana CP, Sanou D, Batal M, Giroux I. Dietary acculturation among black immigrant families living in Ottawa—a qualitative study. Ecol Food Nutr 2018; 57:223-245. [DOI: 10.1080/03670244.2018.1455674] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Rosanne Blanchet
- School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
| | - Constance P. Nana
- School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
| | - Dia Sanou
- FAO Sub Regional Office for Eastern Africa, Addis Abeba, Ethiopia
| | - Malek Batal
- TRANSNUT, Department of Nutrition, Faculty of Medicine, University of Montreal, Montreal, Canada
| | - Isabelle Giroux
- School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
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What Are the Nutrition Education Needs of Refugees: Assessment of Food Choices, Shopping and Spending Practices of South-Asian Refugees in the USA. JOURNAL OF INTERNATIONAL MIGRATION AND INTEGRATION 2018. [DOI: 10.1007/s12134-018-0565-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Rhodes CM, Chang Y, Percac-Lima S. Development of Obesity and Related Diseases in African Refugees After Resettlement to United States. J Immigr Minor Health 2018; 18:1386-1391. [PMID: 26392397 DOI: 10.1007/s10903-015-0278-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Despite increases in obesity and related diseases in developing nations, initial refugee clinical visits do not address these issues. We explored the development of obesity and related diseases in a longitudinal prospective cohort of African refugees resettling in northeastern US. Using state Department of Health data, refugees were linked to a health system. Body mass index, diabetes, hypertension, and hyperlipidemia status were extracted from charts. US regional controls from NAMCS/NHAMCS data were matched by age, sex, race, and visit year. African refugee BMI increased after resettlement at 1 (1.7 ± 2.9, p < 0.0001) and 5 years (3.1 ± 3.7, p < 0.0001), a different trend than matched regional controls (p = 0.01). Refugees had increased rates of diabetes (1.0 vs. 10.8 %, p < 0.0001), hypertension (16.7 vs. 21.6 %, p < 0.0001) and hyperlipidemia (3.9 vs. 10.8 %, p < 0.0001) at 5 years not observed in regional controls. Our findings emphasize the need for interventions during resettlement to prevent development of obesity and related disease in this vulnerable population.
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Affiliation(s)
- Corinne M Rhodes
- Division of General Internal Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
| | - Yuchiao Chang
- Division of General Internal Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
| | - Sanja Percac-Lima
- Division of General Internal Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
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Blanchet R, Sanou D, Batal M, Nana CP, Giroux I. Draw and Tell: Dietary Acculturation as Lived by Black Immigrant Children of African and Caribbean Descent Residing in Canada. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2017; 49:838-846.e1. [PMID: 28870609 DOI: 10.1016/j.jneb.2017.05.355] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Revised: 05/18/2017] [Accepted: 05/18/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE Explore immigrant children's lived experience of dietary acculturation. DESIGN Draw and tell qualitative research. PARTICIPANTS A total of 167 school-aged children living in Ottawa, Canada, who had a mother born in sub-Saharan Africa or the Caribbean. METHODS Children made 2 drawings about foods, 1 related to Canada and the other to their home country, and explained their drawings and what they meant to them. These discussions were recorded and transcribed. ANALYSIS Foods were counted for each region (Canada/Africa/Caribbean). Thematic analysis was performed. RESULTS Most children drew different foods for Canada and their home country. Apples were the most frequently mentioned food for Canada. Pizza, juice and sugar-sweetened beverages, fries/poutine, and hamburgers were among the 10 most frequently mentioned foods for Canada, whereas none of the top 10 foods for African and Caribbean countries were highly processed. Rice, chicken, meat, and leafy vegetables were in the top 10 foods mentioned for the 3 regions. Emerging themes were food availability and variety, mothers' lack of time and fatigue, and the school eating environment. CONCLUSION AND IMPLICATIONS It seems that these black immigrant children experienced dietary acculturation and that changes in dietary habits have had mostly a negative impact on their diet.
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Affiliation(s)
- Rosanne Blanchet
- School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.
| | - Dia Sanou
- Food and Agriculture Organization Subregional Office for Eastern Africa, Addis Ababa, Ethiopia
| | - Malek Batal
- TRANSNUT, Department of Nutrition, Faculty of Medicine, University of Montreal, Montreal, Canada
| | - Constance P Nana
- School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
| | - Isabelle Giroux
- School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
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Pillen H, Tsourtos G, Coveney J, Thodis A, Itsiopoulos C, Kouris-Blazos A. Retaining Traditional Dietary Practices among Greek Immigrants to Australia: The Role of Ethnic Identity. Ecol Food Nutr 2017; 56:312-328. [PMID: 28657346 DOI: 10.1080/03670244.2017.1333000] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
This article explores why some Greek immigrants to Australia continue to adhere to a traditional Mediterranean diet whereas others have adopted eating behaviors characteristic of a less healthy "Australian" diet. Twelve qualitative interviews were conducted and comparisons made between individuals consuming more (n = 6) and less traditional diets (n = 6). The level of adherence to the diet was previously assessed by a diet score in a separate quantitative study (MEDIS-Australia) from which the subset of 12 participants for the present study was recruited. Analysis revealed that maintenance of a strong ethnic identity offers a pathway through which individuals retain dietary practices of their homeland.
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Affiliation(s)
- Heath Pillen
- a Discipline of Public Health , Flinders University , Adelaide , South Australia , Australia
| | - George Tsourtos
- a Discipline of Public Health , Flinders University , Adelaide , South Australia , Australia
| | - John Coveney
- a Discipline of Public Health , Flinders University , Adelaide , South Australia , Australia
| | - Antonia Thodis
- b Department of Rehabilitation, Nutrition & Sport , La Trobe University , Melbourne , Australia
| | - Catherine Itsiopoulos
- b Department of Rehabilitation, Nutrition & Sport , La Trobe University , Melbourne , Australia
| | - Antigone Kouris-Blazos
- b Department of Rehabilitation, Nutrition & Sport , La Trobe University , Melbourne , Australia
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Mulugeta W, Glick M, Min J, Xue H, Noe MF, Wang Y. Longitudinal Changes and High-Risk Subgroups for Obesity and Overweight/Obesity Among Refugees in Buffalo, NY, 2004-2014. J Racial Ethn Health Disparities 2017; 5:187-194. [PMID: 28364373 DOI: 10.1007/s40615-017-0356-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2017] [Revised: 02/25/2017] [Accepted: 03/01/2017] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Very few studies have been conducted on non-communicable diseases among resettled refugees. The purpose of the study was to examine longitudinal changes in obesity and overweight/obesity rates among resettled refugees and identify high-risk subgroups. METHODS Longitudinal health assessment data of 818 children (2-18 years) and 1055 adults (≥19 years) were used from a refugee clinic in Buffalo, NY, during 2004-2014. Univariate and bivariate analyses were performed. Risk factors of obesity and overweight/obesity were assessed using multivariate regression models. RESULTS Obesity (8.7 to 12.7%) and overweight/obesity (16.9 to 26.7%) rates increased among children over 4.5 years (p < 0.01). Over 3.9 years, overweight/obesity rates increased in men (39.6 to 58.6%, p < 0.01) and women (55.1 to 73.5%, p < 0.01), exceeding the prevalence of overweight/obesity of 65.8% in US-born women. Interestingly, longitudinal overweight/obesity rates decreased among Middle Eastern (81.4 vs 78.0%, p < 0.01) and East European (75.0 vs 70.8%, p < 0.01) women. African children had 2.31-folds (odds ratio [OR] = 2.31; 95% confidence interval [CI] = 1.46-3.67) greater overweight/obesity risk than Asians. African girls who were not overweight or obese at baseline had the highest risk of becoming obese at follow-up visits (OR = 0.21; 95%CI = 0.09-0.52). For each additional year refugees lived in the USA, overweight/obesity risk among men (OR = 1.23; 95%CI = 1.09-1.39) and women (OR = 1.18; 95%CI = 1.04-1.35) increased. CONCLUSION Obesity and overweight/obesity rates increased among refugees, but significant variations existed. Overweight/obesity rate among refugee women surpassed the US average. African origin, baseline weight, and longer duration of stay in the USA were risk factors. Culturally tailored programs are needed to prevent obesity and reduce health disparities among refugees.
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Affiliation(s)
- Wudeneh Mulugeta
- Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY, 14214, USA.
- Harvard Medical School, Department of Medicine, Cambridge Health Alliance, 454 Broadway, Revere, MA, 02151, USA.
| | - Myron Glick
- Jericho Road Community Health Center, Buffalo, NY, 14213, USA
| | - Jungwon Min
- Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY, 14214, USA
| | - Hong Xue
- Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY, 14214, USA
| | - Michael F Noe
- Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY, 14214, USA
| | - Youfa Wang
- Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY, 14214, USA
- Systems-oriented Global Childhood Obesity Intervention Program, Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY, 14214, USA
- Systems-Oriented Global Childhood Obesity Intervention Program, College of Health, Ball State University, HP 302, Muncie, IN, 47306, USA
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Caspi CE, Tucker-Seeley RD, Adamkiewicz G, Roberto CA, Stoddard AM, Sorensen GC. Food Hardship and Obesity in a Sample of Low-Income Immigrants. J Immigr Minor Health 2017; 19:130-137. [PMID: 26872640 PMCID: PMC4982834 DOI: 10.1007/s10903-016-0344-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Very little work has examined the relationship between food hardship (having inconsistent financial resources to buy food) and obesity among immigrant groups. A cross-sectional study was conducted in a low-income, multi-racial/ethnic adult sample in greater Boston, MA (n = 828). Modified Poisson regression models estimated the association between food hardship obesity (BMI ≥ 30) among adults reporting food hardship; interactions were tested by place of birth. Body mass index (BMI) was based on anthropometric height and weight. In adjusted models, those experiencing food hardship were more likely to be obese (RR 1.17, CI 1.07, 1.29) than those not experiencing food hardship. Participants from Haiti reporting food hardship were more likely to be obese than those not reporting hardship (RR 1.58, CI 1.23, 2.04); this was not the case among other groups (US born, Puerto Rican, Latin American, Other). The relationship between food hardship and weight may vary among immigrant subgroups.
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Affiliation(s)
- Caitlin E Caspi
- Program in Health Disparities Research, Department of Family Medicine and Community Health, University of Minnesota, 717 Delaware St. SE, Minneapolis, MN, 55414, USA.
| | - Reginald D Tucker-Seeley
- Center for Community-Based Research, Dana-Farber Cancer Institute, 450 Brookline Ave., Boston, MA, 02215, USA
- Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, 677 Huntington St., Boston, MA, 02215, USA
| | - Gary Adamkiewicz
- Department of Environmental Health, Harvard T. H. Chan School of Public Health, 677 Huntington St., Boston, MA, 02215, USA
| | - Christina A Roberto
- Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, 677 Huntington St., Boston, MA, 02215, USA
- Department of Medical Ethics & Health Policy, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Dr., Philadelphia, PA, 19104, USA
| | - Anne M Stoddard
- New England Research Institute, 9 Galen St., Watertown, MA, 02472, USA
| | - Glorian C Sorensen
- Center for Community-Based Research, Dana-Farber Cancer Institute, 450 Brookline Ave., Boston, MA, 02215, USA
- Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, 677 Huntington St., Boston, MA, 02215, USA
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Food insecurity and budgeting among Liberians in the US: how are they related to socio-demographic and pre-resettlement characteristics. J Immigr Minor Health 2016; 17:506-12. [PMID: 24557744 DOI: 10.1007/s10903-014-9993-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Objectives of this study: (1) Examine food insecurity (FI) prevalence and its relationship with sociodemographic and pre-resettlement characteristics; (2) Investigate differences in amount of money spent on food/month by food security status and socio-demographic characteristics. A pilot study with semi-structured in-home interviews was conducted with Liberian caregivers (n = 33). FI was indicated in 61% of households. FI was higher among women >40, had ≤ high school education and those making ≤$1,000/month. Women arriving in US >15 years of age were more likely to be food insecure. Participants spent an average $109/month on groceries/member. Food insecure women, and those without a car spent more money on food (P < .10). Liberian women in this sample experience high levels of FI upon resettlement. Besides poor economic conditions, pre-resettlement characteristics were associated with food security status. These findings call for future research to understand how preresettlement conditions affect food choices, budgeting and thereby food security status.
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Kaplan SA, Ahmed R, Musah A. "When you walk in the rain, you get wet": a qualitative study of Ghanaian immigrants' perspective on the epidemiological paradox. J Immigr Minor Health 2016; 17:255-62. [PMID: 23881531 DOI: 10.1007/s10903-013-9873-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
This study sought to understand the perceptions of Ghanaian immigrants of the health status and health trajectory of their community. We conducted focus groups and interviews with 63 primarily Ghanaian immigrants living in New York City. Nearly all participants observed that Ghanaians are generally healthy when they arrive in the US, but that their health declines over time. Participants identified four causes of this perceived deterioration: changes in health behaviors, increased stress, environmental exposures, and barriers to health care. Participants see themselves as being at risk for many health problems resulting from changes in lifestyle that follow immigration. Although some vulnerabilities are unique to their experience as immigrants, many of the risk factors they described are the same as those that affect other residents in the communities in which they live.
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Affiliation(s)
- Sue A Kaplan
- Department of Population Health, New York University School of Medicine, Translational Science Building, 227 East 30th Street, 6th Floor, New York, NY, 10016, USA,
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Yeh MC, Parikh NS, Megliola AE, Kelvin EA. Immigration Status, Visa Types, and Body Weight Among New Immigrants in the United States. Am J Health Promot 2016; 32:771-778. [PMID: 27899682 DOI: 10.1177/0890117116677797] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
PURPOSE To investigate the relationship between immigration-related factors and body mass index (BMI) among immigrants. DESIGN Secondary analyses of cross-sectional survey data. SETTING The New Immigrant Survey (NIS-2003) contains data from in-person or telephone interviews between May and November 2003, with a probability sample of immigrants granted legal permanent residency in the United States. PARTICIPANTS A total of 8573 US immigrants. MEASURES The NIS-2003 provided data on sociobehavioral domains, including migration history, education, employment, marital history, language, and health-related behaviors. The visa classifications are as follows: (1) family reunification, (2) employment, (3) diversity, (4) refugee, and (5) legalization. ANALYSIS Nested multivariable linear regression analysis was used to estimate the independent relationships between BMI and the variables of interest. RESULTS Overall, 32.6% of participants were overweight and 11.3% were obese (mean BMI = 25). Participants who were admitted to the United States with employment, refugee, or legalization visas compared with those who came with family reunion visas had a significantly higher BMI ( P < .001, P < .001, P < .01, respectively). Duration in the United States predicted BMI, with those immigrants in the United States longer having a higher BMI ( P < .001). CONCLUSION Our findings suggest that immigrants who obtain particular visa categorizations and immigration status might have a higher risk of being overweight or obese. Immigrants need to be targeted along with the rest of the US population for weight management interventions.
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Affiliation(s)
- Ming-Chin Yeh
- 1 Nutrition Program, Hunter College, City University of New York, New York, NY, USA
| | - Nina S Parikh
- 2 College of Global Public Health, New York University, New York, NY, USA
| | - Alison E Megliola
- 1 Nutrition Program, Hunter College, City University of New York, New York, NY, USA
| | - Elizabeth A Kelvin
- 3 Epidemiology and Biostatistics Department, CUNY Graduate School of Public Health and Health Policy, City University of New York, New York, NY, USA
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Wang Y, Min J, Harris K, Khuri J, Anderson LM. A Systematic Examination of Food Intake and Adaptation to the Food Environment by Refugees Settled in the United States. Adv Nutr 2016; 7:1066-1079. [PMID: 28140324 PMCID: PMC5105033 DOI: 10.3945/an.115.011452] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
The United States is the largest refugee resettlement country in the world. Refugees may face health-related challenges after resettlement in the United States, including higher rates of chronic diseases due to problems such as language barriers and difficulty adapting to new food environments. However, reported refugee diet challenges varied, and no systematic examination has been reported. This study examined refugee food intake pre- and postresettlement in the United States and differences in intake across various refugee groups. We systematically reviewed relevant studies that reported on refugee food intake and adaptation to the US food environment. We searched PubMed for literature published between January 1985 and April 2015, including cross-sectional and prospective studies. Eighteen studies met inclusion criteria. Limited research has been conducted, and most studies were based on small convenience samples. In general, refugees increased meat and egg consumption after resettling in the United States. Changes in refugee intake of vegetables, fruits, and dairy products varied by socioeconomic status, food insecurity, past food deprivation experience, length of stay in the United States, region of origin, and age. South Asians were more likely to maintain traditional diets, and increased age was associated with more conservative and traditional diets. Despite the abundance of food in the United States, postresettlement refugees reported difficulty in finding familiar or healthy foods. More research with larger samples and follow-up data are needed to study how refugees adapt to the US food environment and what factors may influence their food- and health-related outcomes. The work could inform future interventions to promote healthy eating and living among refugees and help to reduce health disparities.
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Affiliation(s)
- Youfa Wang
- Systems-oriented Global Childhood Obesity Intervention Program, Department of Epidemiology and Environmental Health and
| | - Jungwon Min
- Systems-oriented Global Childhood Obesity Intervention Program, Department of Epidemiology and Environmental Health and
| | | | | | - Laura M Anderson
- School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY
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Lo BK, Minaker LM, Mah CL, Cook B. Development and Testing of the Toronto Nutrition Environment Measures Survey-Store (ToNEMS-S). JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2016; 48:723-729.e1. [PMID: 27575848 DOI: 10.1016/j.jneb.2016.07.020] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Revised: 07/24/2016] [Accepted: 07/27/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVE To describe the adaptation and inter-rater reliability assessment of the Toronto Nutrition Environment Measures Survey-Store. METHODS A total of 55 food stores (2 bakeries, 2 dollar stores, 19 gas/convenience stores, 18 grocery stores, 4 pharmacies, 8 specialty stores, and 2 superstores) were assessed in 2014. Cohen's kappa and intra-class correlation coefficients (ICC) were assessed for inter-rater reliability for product availability, price, quality, ethno-cultural accessibility scores, and overall store scores. RESULTS Inter-rater reliability was high for availability (average kappa = 0.91), price (average ICC = 0.964), ethno-cultural accessibility score (ICC = 0.981), and overall store scores (ICC = 0.991). CONCLUSIONS AND IMPLICATIONS Measures in the Toronto Nutrition Environment Measures Survey-Store demonstrated excellent inter-rater agreement. Limited access to fruits and vegetables and ethno-cultural foods are related to diet-related chronic diseases, particularly among immigrants. Findings of the study may be useful in guiding public health programming.
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Affiliation(s)
- Brian K Lo
- Division of Nutritional Sciences, Cornell University, Ithaca, NY.
| | - Leia M Minaker
- Propel Centre for Population Health Impact, University of Waterloo, Waterloo, Ontario, Canada
| | - Catherine L Mah
- Division of Community Health and Humanities, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - Brian Cook
- Toronto Food Strategy, Toronto Public Health, Toronto, Ontario, Canada
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Ibe-Lamberts K, Tshiswaka DI, Osideko A, Schwingel A. Understanding Transnational African Migrants' Perspectives of Dietary Behavior. J Racial Ethn Health Disparities 2016; 4:10.1007/s40615-016-0301-5. [PMID: 27797011 DOI: 10.1007/s40615-016-0301-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 09/24/2016] [Accepted: 10/12/2016] [Indexed: 02/02/2023]
Abstract
OBJECTIVE Dietary behaviors serve as determinants for chronic diseases such as hypertension across various ethnicities worldwide and within the USA. We investigated dietary perspectives specifically for US transnational African migrants, a migrant cohort subset of individuals who maintain cross-border ties with their indigenous communities of origin. METHOD Using PEN-3 model, focus group interviews with 14 transnational African migrants (seven males and seven females) were conducted in Chicago to explore the perceptions of dietary behavior in regard to chronic disease risk factors among our target population. RESULTS The findings underscore that transnational African migrants maintain strong ties with their African community of origin, impacting dietary behaviors and attitudes. Further, transnational African migrants maintain traditional dishes through their connections. Despite the ability to import African traditional foods through personal connections, African migrants face a challenge in maintaining culture yet conforming to norms of acculturation. CONCLUSION Results from this study serve to advocate for further exploration of the interaction between African migrant dietary behaviors and risk factors to chronic diseases.
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Affiliation(s)
- Kelechi Ibe-Lamberts
- Department of Psychology, University of Florida, 114 Psychology Building, PO Box 112250, Gainesville, FL, 32611-2250, USA.
| | - Daudet Ilunga Tshiswaka
- Department of Public Health, University of West Florida, 11000 University Parkway, Building 38, Room 104, Pensacola, FL, 32514, USA
| | - Anuolwaupo Osideko
- Department of Health Services, Policy, and Practice, Brown University, 121 South Main St., G-S121-7, Providence, RI, 02914, USA
| | - Andiara Schwingel
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, 110 Huff Hall, 1206 South Fourth St., MC-586, Champaign, IL, 61820, USA
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Brown SD, Ehrlich SF, Kubo A, Tsai AL, Hedderson MM, Quesenberry CP, Ferrara A. Lifestyle behaviors and ethnic identity among diverse women at high risk for type 2 diabetes. Soc Sci Med 2016; 160:87-93. [PMID: 27214712 PMCID: PMC4912226 DOI: 10.1016/j.socscimed.2016.05.024] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2015] [Revised: 05/09/2016] [Accepted: 05/13/2016] [Indexed: 01/03/2023]
Abstract
BACKGROUND Diet and physical activity lifestyle behaviors are modifiable risk factors for type 2 diabetes and are shaped by culture, potentially influencing diabetes health disparities. OBJECTIVES We examined whether ethnic identity-the strength of attachment to one's ethnic group, and a long-standing focus of psychological research-could help account for variations in lifestyle behaviors within a diverse population at high risk for chronic disease. METHODS Using data from the Gestational Diabetes' Effects on Moms trial, this US-based cross-sectional study included 1463 pregnant women (74% from minority ethnic/racial groups; 46% born outside the US) with gestational diabetes (GDM), a common pregnancy complication conferring high risk for type 2 diabetes after delivery. Mixed linear regression models examined whether ethnic identity is associated with lifestyle behaviors after adjusting for demographic, clinical, and acculturative characteristics (e.g., nativity and length of residence in the US). RESULTS In the overall sample, a one-unit increase in ethnic identity score was significantly associated with 3% greater fiber intake, 4% greater fruit/vegetable intake, 11% greater total activity, and 11% greater walking (p values < 0.01). Within ethnic/racial groups, a one-unit increase in ethnic identity score was significantly associated with 17% greater fiber intake among Filipina women; 5% lower total caloric intake among non-Hispanic White women; and 40% greater total activity, 35% greater walking, and 8% greater total caloric intake among Latina women (p values ≤ 0.03). CONCLUSION Results from this large study suggest that ethnic group attachment is associated with some lifestyle behaviors, independent of acculturation indicators, among young women with GDM who are at high risk for type 2 diabetes. Stronger ethnic identity may promote certain choices known to be associated with reduced risk of type 2 diabetes. Prospective research is needed to clarify the temporal nature of associations between ethnic identity and modifiable diabetes risk factors.
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Affiliation(s)
- Susan D Brown
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
| | - Samantha F Ehrlich
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Ai Kubo
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Ai-Lin Tsai
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Monique M Hedderson
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Charles P Quesenberry
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Assiamira Ferrara
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
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Yan Z, FitzPatrick K. Acculturation and health behaviors among international students: A qualitative approach. Nurs Health Sci 2016; 18:58-63. [DOI: 10.1111/nhs.12232] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2015] [Revised: 05/14/2015] [Accepted: 05/26/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Zi Yan
- Health Sciences; Merrimack College; North Andover Massachusetts USA
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Using a Household Food Inventory to Assess the Availability of Traditional Vegetables among Resettled African Refugees. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:ijerph13010137. [PMID: 26797623 PMCID: PMC4730528 DOI: 10.3390/ijerph13010137] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/26/2015] [Revised: 11/30/2015] [Accepted: 01/05/2016] [Indexed: 11/21/2022]
Abstract
A cross-sectional sequential explanatory mixed methods study was conducted among household food preparers to examine the association between home availability and consumption of traditional vegetables among resettled African refugees living in Queensland, Australia. Home availability of traditional African vegetables was associated with age, having a vegetable garden, employment status, and having a supermarket in the local neighborhood. Food preparers from homes with low vegetable availability were less likely to consume the recommended number of vegetable servings. Barriers faced in the food environment included language, lack of availability of traditional vegetables and lack of transport. All of these aspects contributed to the study findings that both individual and food environment characteristics may play a role in access to and availability of food and vegetable consumption of resettled refugees. Consumption of traditional foods among the resettled refugees continues post resettlement.
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Caspi CE, Lopez AM, Nanney MS. Geographic access to food shelves among racial/ethnic minorities and foreign-born residents in the Twin Cities. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2016; 11:29-44. [PMID: 27066158 DOI: 10.1080/19320248.2015.1066735] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Place-based disparities in access to affordable food sources (e.g., supermarkets) have been well documented, but geographic access to emergency food sources (e.g., food panties, also known as food shelves) is unknown. This study examined the geography of emergency food in the Twin Cities, MN. U.S. Census and American Community Survey data were used to estimate the average distance to the closest food shelf according to area racial/ethnic composition and foreign-born group composition. In adjusted models, areas with the highest proportion of minority groups had shorter distances to the nearest food shelf (0.13-1.03 log-transformed miles, p <0.05), as did census tracts with more residents born in East Africa and Latin America (0.29-0.31 log-transformed miles, p< 0.001). Areas with more racial/ethnic minorities and foreign-born groups may have access to emergency food, but efforts are needed to evaluate the healthfulness and culturally relevance of these offerings.
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Affiliation(s)
- Caitlin Eicher Caspi
- University of Minnesota, Department of Family Medicine and Community Health, 717 Delaware Ave SE, Minneapolis, MN 55414; Minnesota Population Center, University of Minnesota, 50 Willey Hall, 225 - 19th Avenue South, Minneapolis, MN 55455
| | - Amy Maheswaran Lopez
- Greater Twin Cities United Way, 404 South Eighth Street, Minneapolis, MN 55404-1084
| | - Marilyn S Nanney
- University of Minnesota, Department of Family Medicine and Community Health, 717 Delaware Ave SE, Minneapolis, MN 55414; Minnesota Population Center, University of Minnesota, 50 Willey Hall, 225 - 19th Avenue South, Minneapolis, MN 55455
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47
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High Rates of Diabetes Mellitus, Pre-diabetes and Obesity Among Somali Immigrants and Refugees in Minnesota: A Retrospective Chart Review. J Immigr Minor Health 2015; 18:1343-1349. [DOI: 10.1007/s10903-015-0280-3] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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48
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Nielsen A, Krasnik A, Vassard D, Holm L. Use and Preference of Advice on Small Children's Food: Differences Between Parents From Ethnic Minority, Ethnic Majority, and Mixed Households. JOURNAL OF HEALTH COMMUNICATION 2015; 20:1397-1405. [PMID: 26374927 DOI: 10.1080/10810730.2015.1018627] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The authors analyzed the influence of acculturation on parental attitudes to, and use of, different sources of health advice about young children's food in Denmark. Using combined ethnic position of the children's parents as a proxy for household acculturation, the authors conducted a postal survey of 2,511 households with young children (6 months to 3.5 years) occupying ethnic minority, ethnic majority, or ethnic mixed position. The analysis showed that the use of advice differed in the 3 groups. Households with ethnic minority status were more likely to use the child's grandparents, general practitioners, and hospital staff as information sources, while households with ethnic majority status were more likely to use mothers' peer groups and written material. In all types of household municipal public health nurses were relied on as a source of advice on young children's food, but households with ethnic minority status were more likely to find the advice obtained in this way incompatible with their family eating habits. Although existing dietary health communication strategies delivered by public health nurses appear to work well in all household types, parents from minority households seem to experience dilemmas. These may be related to their cultural and generational status at the time of receiving the advice. Adjustments to current communication strategies on young children's food are suggested.
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Affiliation(s)
- Annemette Nielsen
- a Department of Food and Resource Economics , University of Copenhagen , Frederiksberg , Denmark
| | - Allan Krasnik
- b Department of Public Health , University of Copenhagen , Copenhagen , Denmark
| | - Ditte Vassard
- b Department of Public Health , University of Copenhagen , Copenhagen , Denmark
| | - Lotte Holm
- a Department of Food and Resource Economics , University of Copenhagen , Frederiksberg , Denmark
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Filippi MK, Faseru B, Baird M, Ndikum-Moffor F, Greiner KA, Daley CM. A pilot study of health priorities of Somalis living in Kansas City: laying the groundwork for CBPR. J Immigr Minor Health 2015; 16:314-20. [PMID: 23124631 DOI: 10.1007/s10903-012-9732-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
African immigrant and refugee communities remain medically underserved in the United States. Formative efforts are being directed to address the local needs of communities by researchers, community agencies, and local populations. However, there is a paucity of data and sparse documentation regarding these efforts. The objectives for this pilot study were to identify the health priorities of the Kansas City Somali community and to establish a working relationship between an academic medical university and the local Somali community. Our team used community-based participatory research principles and interviewed Somali community members (n = 11). Participants stated that chronic and mental health conditions were of primary concern. Medical system navigation and literacy struggles were identified as barriers. Participants offered possible solutions to some health issues, e.g., using community health workers and Qur'anic readers. Preliminary findings will help guide future research and inform strategies to improve the health and well-being of this community.
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Affiliation(s)
- Melissa K Filippi
- Department of Family Medicine, University of Kansas Medical Center, MS 1030, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA,
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Abdollahi M, Abdollahi Z, Sheikholeslam R, Kalantari N, Kavehi Z, Neyestani TR. High occurrence of food insecurity among urban Afghan refugees in Pakdasht, Iran 2008: a cross-sectional study. Ecol Food Nutr 2015; 54:187-99. [PMID: 25574705 DOI: 10.1080/03670244.2013.834819] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
This research aimed to evaluate food security and its association with anthropometric measures among Afghan refugees living in Pakdasht, one of the main harbors of Afghan refugees in the neighborhood of Tehran. A total of 414 registered Afghan refugee households were recruited in a cross-sectional study. About 88% of households were food insecure. Unemployment and socioeconomic status were the major determinants of food insecurity among the refugee households. While about 58% of women were overweight/obese, the prevalence of underweight and wasting were remarkable in children (11.0% and 12.7%, respectively), indicating a recent malnutrition. Government and organizations working for refugees must focus their activities on empowering Afghan refugees.
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Affiliation(s)
- Morteza Abdollahi
- a Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences , Tehran , Iran
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