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Purcino LS, Bedrikow R. Findings on dietary characteristics among Haitian immigrants and the threat of food insecurity: A scoping review. PUBLIC HEALTH IN PRACTICE 2024; 8:100520. [PMID: 39050009 PMCID: PMC11267026 DOI: 10.1016/j.puhip.2024.100520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 05/03/2024] [Accepted: 06/19/2024] [Indexed: 07/27/2024] Open
Abstract
Objectives This study aimed to map and describe the available evidence on dietary characteristics and diet-related health conditions among Haitian immigrants across the globe. Study design Scoping review. Methods This review was based on the international guide Preferred Reporting Items for Systematic review and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The searches were conducted in several electronic databases in July 2023. Reports focusing on diet, nutrition, and diet-related health conditions among international Haitian immigrants published in English, Portuguese, French, or Spanish with no year limit were included. The data extracted was tabulated and presented in a narrative summary. Results Database search retrieved 502 records, of which 30 met the inclusion criteria. The categories that emerged from the analysis were: food consumption patterns and trends, food and nutrition insecurity, cultural identity, and diet-related health conditions. Findings suggest: available evidence underrepresents Latin America and the Caribbean context; research gaps related to adolescents and the elderly and also to noncommunicable diseases except obesity; changes in food consumption after immigration towards less healthy eating; the Haitian immigrant's preference for healthy and traditional eating patterns; many experiences of food insecurity related to poverty, unemployment, and lack of social support, especially in host countries in Latin America and the Caribbean; and a high prevalence of obesity, especially among women. Conclusions Further research is required in countries in Latin America, mainly. Diet-related chronic diseases, adolescents, and the elderly should be targeted for further research. We recommend: longitudinal and qualitative research; field action reports describing local and global strategies to manage Haitian migration-related food and nutrition issues; culturally appropriate dietary interventions; and policies to protect and support the most vulnerable Haitian immigrants to have their fundamental right to adequate food guaranteed, reducing health inequalities.
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Affiliation(s)
- Luciana Sales Purcino
- Department of Collective Health, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), 80 Vital Brasil Street, Campinas, São Paulo, Brazil
| | - Rubens Bedrikow
- Department of Collective Health, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), 80 Vital Brasil Street, Campinas, São Paulo, Brazil
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Economos CD, Tovar A, Choumenkovitch S, Boulos R, Chui K, Gute DM, Hyatt RR, Metayer N, Pirie A, Must A. Results from "Live Well", a randomized controlled community-based participatory intervention to prevent obesity in new immigrant mother-child dyads. BMC Public Health 2023; 23:1893. [PMID: 37784070 PMCID: PMC10544478 DOI: 10.1186/s12889-023-16727-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 09/09/2023] [Indexed: 10/04/2023] Open
Abstract
BACKGROUND Upon arrival, the prevalence of overweight and obesity is lower in new immigrants than their native counterparts in the U.S. With longer residency in the U.S., these differences converge over time, followed by higher prevalence among immigrants than native U.S. residents. Results from the Live Well project in the Greater Boston area demonstrate the viability of utilizing a culturally adapted, community-based participatory research (CBPR) approach to reduce weight gain among newly immigrated mother-child dyads. METHODS Haitian, Latina, and Brazilian mother-child dyads (n = 390), new to the U.S. (fewer than 10 years) were enrolled in a one- to two-year long CBPR lifestyle intervention that targeted dietary and physical activity behaviors. Attendance was recorded to establish dose. Demographics, anthropometrics, and relevant covariates were collected from participants at baseline, 6, 12, 18, and 24 months. Body Mass Index (BMI) was calculated using objectively measured height and weight. Linear mixed regression models were used to assess change in BMI and BMI z-score of mothers and children respectively. RESULTS At baseline, nearly 75% of mothers and 50% of children were either overweight or obese (BMI ≥ 25.0 and BMI z-score ≥ 85th percentile, respectively). Only 20% of mothers attended all 12 intervention sessions in year 1. Using intent-to-treat analyses, no significant time, intervention, or time × intervention effects were observed for weight change of mothers or children at follow-up. Mothers in the highest quantile (those who attended all 12 intervention sessions) had significant reductions in BMI at 18 months (1.76 units lower, 95%CI: -3.14, -0.37) and 24 months (2.61 units, 95%CI -3.92, -1.29) compared to mothers in the lower quantiles, including those with no exposure. Such dose effects on BMI z-scores were not noted for children. CONCLUSIONS Findings from Live Well demonstrate the viability of utilizing a CBPR approach to address overweight and obesity among immigrant mothers. Given the higher-than-expected prevalence of overweight and obesity among mother-child dyads by ~ 6 years of U.S. residency, and lower maternal participation rates in the intervention, additional research is necessary to identify the optimal intervention length, retention strategies, and approach to jointly support healthy maternal and child weight.
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Affiliation(s)
- Christina D Economos
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.
| | - Alison Tovar
- Department of Behavioral and Social Sciences, Center for Health Promotion and Health Equity, Brown University School of Public Health, Providence, RI, USA
| | - Silvina Choumenkovitch
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA
| | | | - Kenneth Chui
- Department of Public Health and Community Medicine, School of Medicine, Tufts University, Boston, MA, USA
| | - David M Gute
- Department of Civil and Environmental Engineering, School of Engineering, Tufts University, Medford, MA, USA
| | | | - Nesly Metayer
- Center for Public Management, Suffolk University, Boston, MA, USA
| | - Alex Pirie
- Immigrant Service Providers Group/Health, Somerville, MA, USA
| | - Aviva Must
- Department of Public Health and Community Medicine, School of Medicine, Tufts University, Boston, MA, USA
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Liguori CA, Sharma NP, Documét PI, Gibbs BB, Taverno Ross SE. Prevalence of healthy diet and activity behaviours among U.S. Latino preschool children living in an emerging Latino community. J Nutr Sci 2023; 12:e67. [PMID: 37396455 PMCID: PMC10311221 DOI: 10.1017/jns.2023.50] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 05/26/2023] [Accepted: 05/31/2023] [Indexed: 07/04/2023] Open
Abstract
This pilot study provides preliminary insights into whether Latino preschool children living in an emerging Latino community (ELC) are meeting recommendations for healthy diet and activity behaviours and whether those behaviours are associated with sociodemographic or home environment variables. Secondary data analysis was conducted utilising cross-sectional baseline survey data from ANDALE Pittsburgh, a home-based intervention study. Measures included parent-reported information on child dietary intake, screen time and the home environment, and objectively measured physical activity and anthropometry. χ2 and Fischer's exact tests were used to determine associations. The study was conducted in an ELC in western Pennsylvania in the US. Fifty-one Latina mothers (age: 33⋅5 ± 6⋅1 years; 63 % Mexican origin; 86 % low acculturation) and their children (age: 3⋅9 ± 1⋅3 years; 55 % male) 2-5 years of age. On average, children consumed 2⋅25 ± 1⋅44 cups of fruits/vegetables, viewed 98⋅7 ± 74⋅2 min of screen time, accumulated 12⋅9 ± 2⋅9 min/h of total physical activity and consumed 15⋅5 ± 26⋅0 kcals of sugar-sweetened beverages per day. Forty-one percent met the fruit/vegetable recommendation, 54 % met the screen time recommendation, 27 % met the physical activity recommendation and 58 % met the sugary drink recommendation. Country of origin (P = 0⋅032) and acculturation (P = 0⋅048) were significantly associated with children meeting sugary drink recommendations. No other relationships were significant. The proportion of children in this sample meeting diet and activity recommendations was mixed. More research with larger sample sizes is needed in ELCs to identify effective intervention strategies for improving health behaviours.
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Affiliation(s)
- Carli A. Liguori
- Department of Health and Human Development, University of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA 15261, USA
| | - Neil P. Sharma
- Department of Health and Human Development, University of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA 15261, USA
| | - Patricia I. Documét
- Department of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PA 15261, USA
| | - Bethany B. Gibbs
- Department of Epidemiology and Biostatistics, West Virginia University, Morgantown, WV 26506, USA
| | - Sharon E. Taverno Ross
- Department of Health and Human Development, University of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA 15261, USA
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4
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Álvarez C, Cadore EL, Gaya AR, Mello JB, Reuter CP, Delgado-Floody P, Ramos Sepúlveda JA, Carrillo HA, Devia DG, Burgos AV, Vásquez-Gómez J, Ramírez-Vélez R, Alonso-Martínez AM, Izquierdo M. A descriptive ranking of blood pressure and physical fitness of Latin-American ethnic schoolchildren. ETHNICITY & HEALTH 2023; 28:136-158. [PMID: 34781793 DOI: 10.1080/13557858.2021.2002827] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Accepted: 11/01/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND There is a general lack of information about how insufficient physical activity impacts blood pressure and physical fitness in Latin-American ethnic minorities. AIMS To describe the interactions between insufficient physical activity, blood pressure, and physical fitness outcomes in Latin-American schoolchildren of different ethnicity. METHODS This was a prospective, international, multi-center, and cross-sectional study of three Latin-American countries involving schoolchildren from seven ethnic groups of Colombia (Tikuna, Nasa, Embera), Brazil (African, Mulato), and Chile (Mapuche), and also European schoolchildren from Brazil and Chile. Data were categorized based on whether participants were physically active (PA) or insufficient physical activity (iPA) using the WHO physical activity recommendations. The main outcomes were systolic (SBP), diastolic (DBP), and mean arterial (MAP) blood pressure, and scores for physical and cardiorespiratory fitness (CRF, by estimated V˙O2max), handgrip muscle strength (HGS), and standing long jump (SLJ). Secondary outcomes were anthropometric measures (weight, height, body mass index [BMI], waist circumference [WC], waist-to-height ratio), and body fat percentage (BF%, limited data by country). Primary and secondary outcomes were ranked. RESULTS For both PA and iPA categories, significant interactions between ethnic groups were found concerning SBP/DBP (F(37.7), ES 0.08; F(51.5), ES 0.08), V˙O2max (F(37.7), ES 0.08; F(51.5), ES 0.08), HGS (F(33.8), ES 0.07; F(5.03), ES 0.04), and SLJ (F(64.3), ES 0.14; F(64.3), 0.14). In the iPA category, Mapuche schoolchildren were classified 1st (119.5; 81.5) with highest SBP/DBP and highest MAP (94.6 mmHg); Embera schoolchildren were classified 1st with lowest V˙O2max (33.7 mL/kg/min); and European schoolchildren were classified 1st (19.9 kg) with lowest HGS and SLJ (121.4 m) physical fitness. CONCLUSIONS Under conditions of insufficient physical activity conditions, Mapuche schoolchildren had the most detrimental blood pressure, whereas Embera, Tikuna, and European schoolchildren had the lowest levels of physical fitness. These results serve to highlight the need for the early and appropriate promotion of physical activity based on ethnic differences in Latin-American schools.
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Affiliation(s)
- Cristian Álvarez
- Quality of Life and Wellness Research Group API4, Departmento de Salud, Universidad de Los Lagos, Osorno, Chile
| | - Eduardo L Cadore
- School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Anelise Reis Gaya
- Projeto Esporte Brazil (PROESP-Br). School of Physical Education, Physiotherapy and Dance, Post-graduation Program in Human Movement Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Júlio Brugnara Mello
- Projeto Esporte Brazil (PROESP-Br). School of Physical Education, Physiotherapy and Dance, Post-graduation Program in Human Movement Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Cézane Priscila Reuter
- Department of Health Sciences and Post-graduation Program in Health Promotion. Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brazil
| | - Pedro Delgado-Floody
- Department of Physical Education, Sport, and Recreation, Universidad de La Frontera, Temuco, Chile
| | - Jeison A Ramos Sepúlveda
- Programa de Licenciatura en Educación Física y Deporte, Universidad Santiago de Cali, Colombia
- Centro de Innovación e Investigación La Aldea, Fundación Educativa La Aldea, Jamundí, Colombia
| | - Hugo Alejandro Carrillo
- Grupo de Investigación en Actividad Física y Salud (GIAFS), Institución Universitaria Escuela Nacional del Deporte, Santiago de Cali, Colombia
- Grupo de Investigación en Deporte de Rendimiento (GRINDER), Programa de Educación Física y Deportes, Universidad del Valle, Santiago de Cali, Colombia
| | | | - Alex Véliz Burgos
- Departamento de Ciencias Sociales, Universidad de Los Lagos, Puerto Montt, Chile
| | - Jaime Vásquez-Gómez
- Centro de Investigación de Estudios Avanzados del Maule (CIEAM), Laboratorio de Rendimiento Humano, Grupo de Estudios en Educación, Actividad 18 Física y Salud (GEEAFyS), Universidad Católica del Maule, Talca, Chile
| | - Robinson Ramírez-Vélez
- Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA) Pamplona, Spain
- CIBER of Frailty and Healthy Aging (CIBERFES), Instituto de Salud Carlos III, Madrid, España
| | | | - Mikel Izquierdo
- Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA) Pamplona, Spain
- CIBER of Frailty and Healthy Aging (CIBERFES), Instituto de Salud Carlos III, Madrid, España
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Rick P, Sánchez-Martín M, Singh A, Navas-León S, Borda-Mas M, Bianchi-Berthouze N, Tajadura-Jiménez A. Investigating psychological variables for technologies promoting physical activity. Digit Health 2022; 8:20552076221116559. [PMID: 35923757 PMCID: PMC9340353 DOI: 10.1177/20552076221116559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Accepted: 07/08/2022] [Indexed: 11/06/2022] Open
Abstract
Background Many technological interventions designed to promote physical activity (PA) have limited efficacy and appear to lack important factors that could increase engagement. This may be due to a discrepancy between research conducted in this space, and software designers' and developers' use of this research to inform new digital applications. Objectives This study aimed to identify (1) what are the variables that act as barriers and facilitators to PA and (2) which PA variables are currently considered in the design of technologies promoting PA including psychological, physical, and personal/contextual ones which are critical in promoting PA. We emphasize psychological variables in this work because of their sparse and often simplistic integration in digital applications for PA. Methods We conducted two systematized reviews on PA variables, using PsycInfo and Association for Computing Machinery Digital Libraries for objectives 1 and 2. Results We identified 38 PA variables (mostly psychological ones) including barriers/facilitators in the literature. 17 of those variables were considered when developing digital applications for PA. Only few studies evaluate PA levels in relation to these variables. The same barriers are reported for all weight groups, though some barriers are stronger in people with obesity. Conclusions We identify PA variables and illustrate the lack of consideration of these in the design of PA technologies. Digital applications to promote PA may have limited efficacy if they do not address variables acting as facilitators or barriers to participation in PA, and that are important to people representing a range of body weight characteristics.
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Affiliation(s)
- Patricia Rick
- Department of Psychology, Universidad Loyola
Andalucía, Spain
| | | | - Aneesha Singh
- UCL Interaction Centre, University College London, UK
| | | | - Mercedes Borda-Mas
- Department of Personality, Assessment, and Psychological Treatment, Universidad de Sevilla, Spain
| | | | - Ana Tajadura-Jiménez
- UCL Interaction Centre, University College London, UK,DEI Interactive Systems group, Department of Computer Science and
Engineering, Universidad Carlos III de
Madrid, Spain,Ana Tajadura-Jiménez, Universidad Carlos
III de Madrid, Av. de la Universidad, 30, 28911 Leganés, Madrid, Spain.
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6
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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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Lindsay AC, Caires T, Le Q, Nogueira DL, Tavares Machado MM, Greaney ML. Where Do Brazilian Immigrant Parents Obtain Information to Support the Healthful Energy Balance-related Behaviors of Their Preschool-age Children?: A Cross-sectional Study. AMERICAN JOURNAL OF HEALTH EDUCATION 2021. [DOI: 10.1080/19325037.2021.2001775] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
| | | | - Qun Le
- Rutgers University, the State University of New Jersey
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Cook EJ, Powell FC, Ali N, Penn-Jones CP, Ochieng B, Constantinou G, Randhawa G. 'They Are Kids, Let Them Eat': A Qualitative Investigation into the Parental Beliefs and Practices of Providing a Healthy Diet for Young Children among a Culturally Diverse and Deprived Population in the UK. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182413087. [PMID: 34948698 PMCID: PMC8700847 DOI: 10.3390/ijerph182413087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 12/04/2021] [Accepted: 12/07/2021] [Indexed: 11/16/2022]
Abstract
In the UK, ethnic minority children are at greater risk of obesity and weight-related ill health compared to the wider national population. The factors that influence the provision of a healthy diet among these populations remain less understood. An interpretive qualitative study with a phenomenological perspective comprised of 24 single sex semi-structured focus groups was conducted with 110 parents (63 mothers and 47 fathers) of young children (aged 0-5 years). The participants were recruited from deprived and ethnically diverse wards in Luton, UK and self-identified as being white British, Pakistani, Bangladeshi, black African-Caribbean or Polish. The findings highlighted a wide range of inter-relating psychological and sociocultural factors that underpin parental beliefs and practices in providing children with a healthy diet. Parents, whilst aware of the importance of providing children with a healthy diet, faced challenges such as lack of time and balancing competing responsibilities, which were clear barriers to providing children with a healthy diet. Access to and affordability of healthy food and the overexposure of cheap, convenient, and unhealthy processed foods made it increasingly difficult for parents to provide a healthy diet for their growing families. Household food practices were also found to be situated within the wider context of sociocultural and religious norms around cooking and eating, along with cultural identity and upbringing.
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Affiliation(s)
- Erica Jane Cook
- School of Psychology, University of Bedfordshire, Luton LU1 3JU, UK;
- Correspondence: ; Tel.: +44-(0)-1582-489217
| | | | - Nasreen Ali
- Institute for Health Research, University of Bedfordshire, Luton LU1 3JU, UK; (N.A.); (G.C.); (G.R.)
| | - Catrin Pedder Penn-Jones
- MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, Cambridge CB2 0QQ, UK;
| | - Bertha Ochieng
- School of Nursing and Midwifery, De Montford University, Leicester LE1 9BH, UK;
| | - Georgina Constantinou
- Institute for Health Research, University of Bedfordshire, Luton LU1 3JU, UK; (N.A.); (G.C.); (G.R.)
| | - Gurch Randhawa
- Institute for Health Research, University of Bedfordshire, Luton LU1 3JU, UK; (N.A.); (G.C.); (G.R.)
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Family function and eating behaviours among Hispanic/Latino youth: results from the Hispanic Community Children's Health Study/Study of Latino Youth (SOL Youth). Public Health Nutr 2020; 24:924-934. [PMID: 32838832 DOI: 10.1017/s1368980020001457] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To elucidate mechanisms across family function, home environment and eating behaviours within sociocultural context among Hispanic youth. DESIGN Two models tested via path analysis (youth fruit and vegetable (FV) consumption; empty energy consumption) using data from the Study of Latino Youth (2011-2013). SETTING Chicago, IL; Miami, FL; Bronx, NY; San Diego, CA. PARTICIPANTS Youth (8-16-year-olds), n 1466. RESULTS Youth ate 2·4 servings of FV per d and received 27 % of total energy from empty energies. Perceiving higher acculturative stress was indirectly associated with lower FV consumption via a pathway of low family function and family support for FV (β = -0·013, P < 0·001) and via lower family closeness and family support (β = -0·004, P = 0·004). Being >12-year-olds was indirectly associated with lower FV consumption via lower family closeness and family support (β = -0·006, P < 0·001). Household food security was indirectly associated with greater FV consumption via family closeness and family support (β = 0·005, P = 0·003). In contrast, perceiving higher acculturative stress was indirectly associated with higher empty energy consumption (via family closeness and family support: β = 0·003, P = 0·028 and via low family function and low family support: β = 0·008, P = 0·05). Being older was associated with higher consumption of empty energies via family closeness (related to family support: β = 0·04, P = 0·016; parenting strategies for eating: β = 0·002, P = 0·049). CONCLUSIONS Findings suggest pathways of influence across demographic and sociocultural context, family dynamics and home environment. The directionality of these associations needs confirmation using longitudinal data.
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de Castro AB, Hing AK, Lee NR, Kabamalan MMM, Llave K, Crespi CM, Wang M, Gee G. Cohort profile: the Health of Philippine Emigrants Study (HoPES) to examine the health impacts of international migration from the Philippines to the USA. BMJ Open 2019; 9:e032966. [PMID: 31727665 PMCID: PMC6886980 DOI: 10.1136/bmjopen-2019-032966] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
PURPOSE The Health of Philippine Emigrants Study (HoPES) longitudinally investigates over 3 years whether migrating from the Philippines to the USA results in increased risk for obesity relative to non-migrants in the Philippines. The study is designed to test the healthy immigrant hypothesis by collecting health measures from migrants starting from a pre-migration baseline and enrolling a non-migrant cohort matched on age, gender and education for comparison. PARTICIPANTS A migrant cohort (n=832; 36.5% of eligible individuals) was recruited from clients of the Commission on Filipinos Overseas prior to exiting the Philippines. A non-migrant cohort (n=805; 68.6% eligible individuals) was recruited from community households in municipalities throughout the cities of Manila and Cebu. By intention, these two cohorts are comparable demographically, including urban/rural status of residency in the Philippines at baseline. FINDINGS TO DATE At baseline, compared with non-migrants, migrants report significantly better self-rated health and less depression, and have significantly larger hip circumference and lower waist-to-hip ratio, as well as significantly higher mean systolic blood pressure and higher mean level of apolipoprotein B. Baseline results can offer insight into the health status of both migrant and non-migrant populations and may be useful for obesity prevention efforts. FUTURE PLANS Longitudinal data collection is scheduled to be completed in December 2020 when the final data collection wave (36 months after baseline) will conclude. Both migrant and non-migrant cohorts will be maintained beyond the current prospective study, so long as research funding allows and emerges for new study questions. Findings from future longitudinal analyses can inform the need and design of health-related/relevant interventions, whether clinical, behavioural, educational, or policy, that can be implemented at the individual or population level.
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Affiliation(s)
- A B de Castro
- Department of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, Seattle, Washington, United States
| | - Anna K Hing
- Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, California, United States
| | - Nanette R Lee
- Office of Population Studies Foundation, Inc, University of San Carlos, Cebu City, Philippines
| | - Maria Midea M Kabamalan
- University of the Philippines Population Institute, College of Social Sciences and Philosophy, University of the Philippines Diliman, Quezon City, Philippines
| | - Karen Llave
- Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, California, United States
| | - Catherine M Crespi
- Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, California, United States
| | - May Wang
- Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, California, United States
| | - Gilbert Gee
- Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, California, United States
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11
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Metayer N, Boulos R, Tovar A, Gervis J, Abreu J, Hval E, Kamins CL, Tofuri K, Economos CD. Recruitment of New Immigrants Into a Randomized Controlled Prevention Trial: The Live Well Experience. J Prim Prev 2019; 39:453-468. [PMID: 30128810 DOI: 10.1007/s10935-018-0519-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Minority populations are hard to reach with prevention interventions because of cultural and logistical barriers to recruitment. Understanding how to overcome these barriers is pertinent to reducing the elevated burden of obesity within these underserved communities. To inform this literature gap, we explore the processes and outcomes of recruitment for Live Well-a randomized controlled obesity prevention intervention targeting new immigrant mothers and children from Brazil, Latin America, and Haiti who were residing in the greater Somerville, MA area. We employed community-based participatory research principles to develop and implement five culturally-adapted recruitment activities (posters and flyers, media announcements, church outreach, participant referrals, and community organization partnerships) and tracked enrollment for the total and stratified samples of 406 dyads (37% Brazilian, 29% Latino, 33% Haitian). We describe how strategic partnerships were built and sustained within the intervention community, and detail the key adjustments that contributed to our success. Ultimately, community organization partnerships and participant referrals enrolled a collective majority of participants (34% and 25%, respectively); however, stratified analyses revealed variation by ethnicity: Haitian immigrants responded best to ethnic-based media announcements (44%), whereas Latino and Brazilian immigrants were most responsive to community organization outreach (45% and 38%, respectively). Implications from our findings enhance the literature on recruiting hard-to-reach communities into prevention research: some less integrated communities may respond more to grassroots activities with direct engagement, whereas communities with more social capital may be more responsive to top-down, community-wide collaborations. Furthermore, we suggest that strategic and trusting partnerships are key facilitators of recruitment, and future researchers must understand communities' culture and social networks when building relationships. Our analyses provide rare insight into best practices to overcome specific cultural barriers to recruitment which future investigators can use to better reach underserved communities with prevention research.
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Affiliation(s)
- Nesly Metayer
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, 02111, USA.,Moakley Center for Public Management, Suffolk University, Boston, MA, USA
| | - Rebecca Boulos
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, 02111, USA.,Cutler Institute for Health and Social Policy, University of Southern Maine, Portland, ME, USA
| | - Alison Tovar
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, 02111, USA.,Department of Nutrition and Food Sciences, University of Rhode Island, Kingston, RI, USA
| | - Julie Gervis
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, 02111, USA
| | - Joyce Abreu
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, 02111, USA.,Department of Internal Medicine, University of Texas Southwestern Medical School, Dallas, TX, USA
| | - Erika Hval
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, 02111, USA
| | - Christina Luongo Kamins
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, 02111, USA
| | - Kerline Tofuri
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, 02111, USA
| | - Christina D Economos
- Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, 02111, USA.
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Yuan J, Zhang Y, Xu T, Zhang H, Lu Z, Yang X, Hu M, Yu L, Yu L, Jiang X, Shang L. Development and Preliminary Evaluation of Chinese Preschoolers' Caregivers' Feeding Behavior Scale. J Acad Nutr Diet 2019; 119:1890-1902. [PMID: 31078559 DOI: 10.1016/j.jand.2019.03.005] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2018] [Revised: 02/18/2019] [Accepted: 03/08/2019] [Indexed: 12/11/2022]
Abstract
BACKGROUND Caregivers' feeding behavior plays a crucial role in the development of overweight and obesity in preschoolers. However, to date, there is no broadly accepted scale or questionnaire for assessing preschoolers' caregivers' feeding behavior in China. OBJECTIVE To develop a scale that can be used to assess preschoolers' caregivers' feeding behavior in China and to conduct a preliminary evaluation of the scale's reliability, validity, and discriminative ability. DESIGN The scale was created through a literature review and qualitative interviews with the target population. Items were reviewed by 50 caregivers of preschoolers and 10 experienced pediatricians, and 95 items were selected to form a draft scale. The draft scale underwent three rounds of investigation, and the results from these evaluations were used to select items that formed the final scale. PARTICIPANTS/SETTING Three groups of caregivers (n=175, 400, and 912) were sampled and stratified from urban and suburban kindergartens in the cities of Jinan and Xi'an between March 2016 and October 2017 to participate in evaluations of the draft scale. From these caregiver groups, 146, 362, and 768 participants completed valid questionnaires, respectively, which were used in the scale's evaluation. PRIMARY OUTCOME MEASURES The general demographic data of the participants and scores of each item in the scale were the primary outcome measures. STATISTICAL ANALYSES PERFORMED Exploratory factor analysis and variability analysis were used to evaluate the draft scale, based on data from two rounds of investigation. The structure of the scale was explored through confirmatory factor analysis, and its reliability, construct validity, and discriminative ability were evaluated based on data from a third round of investigation. RESULTS The Chinese Preschoolers' Caregivers' Feeding Behavior Scale (CPCFBS) consisted of 35 items and seven dimensions; the total cumulative variance contribution rate was 58.6%; the Cronbach's α coefficient was .91; the split-half reliability coefficient was 0.89; and the test-retest reliability coefficient was 0.85. The age and weight status of the children and the caregivers' age and education levels, as well as family incomes and child-caregiver relationships, were correlated with feeding behavior. CONCLUSIONS The CPCFBS appeared to have good reliability and construct validity in specific Chinese populations. Future studies are needed to confirm existing findings in different Chinese populations with larger sample sizes.
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Correlation between Children's eating behaviors and caregivers' feeding behaviors among preschool children in China. Appetite 2019; 138:146-152. [PMID: 30917942 DOI: 10.1016/j.appet.2019.03.022] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2018] [Revised: 03/12/2019] [Accepted: 03/19/2019] [Indexed: 12/19/2022]
Abstract
The aim of this study was to explore the relationship between caregivers' feeding behaviors and children's eating behaviors among preschoolers in China. From April to July 2016, a cross-sectional survey was administered to 912 preschoolers' caregivers in China. The Chinese Preschooler's Caregiver Feeding Behavior Scale (CPCFBS) and Chinese Preschooler's Eating Behavior Questionnaire (CPEBQ) were used to assess caregivers' feeding behaviors and children's eating behaviors, respectively. Pearson correlation and canonical correlation analysis (CCA) based on principal component analysis were performed to explore the relationships between them. Two interpretable canonical variables and structures were yielded through CCA. The first canonical variable could explain 35.1% and 29.0% of the total variance of the caregivers' feeding behaviors and the children's eating behaviors variable groups, respectively, with a canonical correlation coefficient of 0.659 (rU1,V1 = 0.659, P < 0.001). The second canonical variable could explain 17.6% and 14.9% of the total variance of the caregivers' feeding behaviors and the children's eating behaviors variable groups, respectively, with a canonical correlation coefficient of 0.309 (rU2,V2 = 0.309, P < 0.001). According to the canonical structure, higher performance behaviors of the caregiver, such as encouragement of healthy eating, responsibility for feeding, supervision of eating, behavior restricted feeding, content restricted feeding and lower weight concerns, were associated with reasonable behaviors of children, including lower emotional eating, food responsiveness, unhealthy eating habits and higher initiative eating. Our results demonstrated that caregivers' feeding behaviors were the major influencing factors of children's eating behaviors, and caregivers' encouragement of healthy eating, responsibility for feeding, supervision of eating, restricted feeding and lower weight concerns were associated with reasonable children's eating behaviors, especially low children's emotional eating, low food responsiveness, infrequent unhealthy eating habits, frequent initiative eating, infrequent satiety responsiveness and food fussiness behaviors.
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Pineros-Leano M, Tabb K, Liechty J, Castañeda Y, Williams M. Feeding decision-making among first generation Latinas living in non-metropolitan and small metro areas. PLoS One 2019; 14:e0213442. [PMID: 30883597 PMCID: PMC6422285 DOI: 10.1371/journal.pone.0213442] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2018] [Accepted: 02/21/2019] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Worldwide, overweight and obesity rates have more than tripled over the past three decades. Overweight and obesity rates are particularly high among Latinos. In order to determine some of the potential reasons, it is imperative to investigate how first-generation Latina mothers living in non-metropolitan and small metro areas decide how and what to feed their children. Using the Socio-Ecological Model, this study aimed to understand how Latina immigrant mothers make feeding decisions for their children. METHODS A total of 29 semi-structured interviews were conducted with a purposive sample of immigrant mothers from Latin American countries whose preschoolers were enrolled in a Women, Infant, and Children supplemental nutrition program located in non-metropolitan and small metro areas. All interviews were recorded and transcribed verbatim in Spanish, and analyzed by a bilingual team. RESULTS Multi-stage qualitative analysis was employed to analyze the data. Nineteen participants originated from Mexico, four from Central America, and six from South America. Five themes emerged that helped illuminate mother's decision-making around feeding choices: 1) culture as all-encompassing, 2) location and access to fresh and traditional foods, 3) disjunction between health provider advice and cultural knowledge 4) responsiveness to family needs and wants as determinants of food choices, 5) intrapersonal conflict stemming from childhood poverty and food insufficiency. CONCLUSION Findings suggest that Latina immigrant mothers engage in a difficult and even conflicting process when deciding how to feed their children. Future interventions should focus on implementing hands-on activities that can help consolidate, promote, and encourage healthy feeding choices.
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Affiliation(s)
- Maria Pineros-Leano
- School of Social Work, Boston College, Boston, Massachusetts, United States of America
- Illinois Transdisciplinary Obesity Prevention Program (I-TOPP), Urbana, Illinois, United States of America
| | - Karen Tabb
- School of Social Work, University of Illinois, Urbana, Illinois, United States of America
| | - Janet Liechty
- Illinois Transdisciplinary Obesity Prevention Program (I-TOPP), Urbana, Illinois, United States of America
- School of Social Work, University of Illinois, Urbana, Illinois, United States of America
- College of Medicine at Urbana, University of Illinois, Urbana, Illinois, United States of America
- Carle-Illinois College of Medicine, University of Illinois, Urbana, Illinois, United States of America
| | - Yvette Castañeda
- Department of Kinesiology and Community Health, University of Illinois, Urbana, Illinois, United States of America
| | - Melissa Williams
- Office of Minority Student Affairs, University of Illinois, Champaign, Illinois, United States of America
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Perceptions of water and sugar-sweetened beverage consumption habits among teens, parents and teachers in the rural south-western USA. Public Health Nutr 2019; 22:1376-1387. [PMID: 30846018 DOI: 10.1017/s1368980019000272] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE The present research aimed to describe perceptions and behaviours around the consumption of water and sugar-sweetened beverages (SSB) by youths. DESIGN A formative, qualitative study which conducted four focus groups. Transcripts were analysed and themes related to reasons youths drink SSB and water, and conversely do not drink SSB and water, were analysed to reveal thematic clusters around sensory factors, environment and policy, access, marketing and role model influences, and health risks. SETTING A rural, tri-ethnic community in New Mexico, USA.ParticipantsMiddle- and high-school students, parents and teachers. RESULTS Although youths and adults were aware of the health risks of soda, they did not translate this information to other SSB, including sports drinks and sweetened tea. Moreover, their perceptions of risks of dyes outweighed their concern with sugar. Youths and adults were aware of water's health benefits, but they focused on short-term benefits. Youths and adults perceived water as unappealing. Adults were also concerned with water safety and access. CONCLUSIONS This formative research has implications for decreasing SSB consumption and simultaneously increasing water intake among youths in rural communities. Addressing unique access and safety concerns related to water in rural communities, as well as increasing awareness of the risks of all types of SSB, can work together in a positive feedback loop to change perceptions and behaviours with long-term health consequences. Specific policy suggestions include strengthening school policies to restrict all types of SSB and water promotion efforts that address access, safety and health benefits.
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McClain AC, Dickin KL, Dollahite J. Life course influences on food provisioning among low-income, Mexican-born mothers with young children at risk of food insecurity. Appetite 2019; 132:8-17. [DOI: 10.1016/j.appet.2018.09.014] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2018] [Revised: 07/18/2018] [Accepted: 09/18/2018] [Indexed: 11/28/2022]
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17
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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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Lilo EA, Muñoz M, Cruz TH. Perceptions of Healthy Eating Among Hispanic Parent-Child Dyads. Health Promot Pract 2018; 20:231-238. [PMID: 29577769 DOI: 10.1177/1524839918761866] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Limited research exists exploring the perceptions of healthy and unhealthy eating among Hispanic families, yet understanding their perceptions could inform public health practice with regard to nutrition and obesity prevention. This study conducted an exploratory analysis of interview data collected from 25 parent-child dyads as part of a program evaluation to learn more about both parent and child beliefs and practices regarding healthy eating, and in particular fruit and vegetable consumption. Families described an incomplete knowledge regarding healthy eating, specifically how to increase fruit and vegetable consumption, and the benefits of healthy eating as well as risks of unhealthy eating. Parents in particular seemed to identify many of the foods to avoid but were unclear about healthier alternatives. Children focused more on the benefits of healthy eating, while parents spoke more about the risks of unhealthy eating and the challenges of eating vegetables, particularly among families where child weight was also raised as a concern.
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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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Sliwa SA, Must A, Peréa FC, Boulos RJ, Economos CD. Occupational Physical Activity and Weight-Related Outcomes in Immigrant Mothers. Am J Prev Med 2016; 51:637-646. [PMID: 27291074 DOI: 10.1016/j.amepre.2016.04.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Revised: 04/15/2016] [Accepted: 04/15/2016] [Indexed: 12/01/2022]
Abstract
INTRODUCTION New immigrants are likely to be employed in occupations that provide physical activity; however, these positions may place workers at risk for adverse health outcomes. Relationships between occupational physical activity (OPA); weight-related behaviors; obesity; and depression remain underexplored among recent immigrants. METHODS Participants (N=385) were Brazilian, Haitian, and Latino mothers enrolled in a community-based participatory research lifestyle intervention among immigrant mothers (<10 years in U.S.). Baseline BMI was calculated using objectively measured height and weight. Self-reported baseline data included sociodemographics; physical activity (Pregnancy Physical Activity Questionnaire); depressive symptoms (Center for Epidemiological Studies-Depression Scale); and prepared food purchasing frequency. Logistic regression models estimated the odds of obesity (BMI ≥30.0); high depressive symptoms (score ≥16); and purchasing prepared foods (≥1 times/week) by OPA quartile. Models adjusted for covariates, including household composition, origin group, maternal age, education, household income, and recruitment year (2010, 2011). Data were analyzed in 2013. RESULTS Employed participants (49%) primarily worked as domestic workers, nursing assistants, and food service staff. In adjusted models, women in the highest OPA quartile versus lowest had 65% lower obesity odds (95% CI=0.16, 0.76) and approximately twice the odds of presenting high depressive symptoms (2.01, 95% CI=1.02, 4.27) and purchasing takeout food (1.85, 95% CI=0.90, 3.90), which was attenuated after adjusting for income and education (unadjusted OR=1.98, 95% CI=1.10, 3.52). CONCLUSIONS OPA contributes to energy expenditure and may protect against obesity among new immigrant mothers; however, it is also associated with high depressive symptoms. Implications for physical and psychosocial well-being are mixed.
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Affiliation(s)
- Sarah A Sliwa
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts.
| | - Aviva Must
- Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts
| | - Flavia C Peréa
- Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts
| | - Rebecca J Boulos
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts; School of Community and Population Health, University of New England, Portland, Maine
| | - Christina D Economos
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts
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Schwingel A, Gálvez P, Linares D, Sebastião E. Using a Mixed-Methods RE-AIM Framework to Evaluate Community Health Programs for Older Latinas. J Aging Health 2016; 29:551-593. [PMID: 27079919 DOI: 10.1177/0898264316641075] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
OBJECTIVE This study used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to evaluate a promotora-led community health program designed for Latinas ages 50 and older that sought to improve physical activity, nutrition, and stress management. METHOD A mixed-methods evaluation approach was administered at participant and organizational levels with a focus on the efficacy, adoption, implementation, and maintenance components of the RE-AIM theoretical model. RESULTS The program was shown to be effective at improving participants' eating behaviors, increasing their physical activity levels, and lowering their depressive symptoms. Promotoras felt motivated and sufficiently prepared to deliver the program. Some implementation challenges were reported. More child care opportunities and an increased focus on mental well-being were suggested. DISCUSSION The promotora delivery model has promise for program sustainability with both promotoras and participants alike expressing interest in leading future programs.
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Shloim N, Edelson LR, Martin N, Hetherington MM. Parenting Styles, Feeding Styles, Feeding Practices, and Weight Status in 4-12 Year-Old Children: A Systematic Review of the Literature. Front Psychol 2015; 6:1849. [PMID: 26696920 PMCID: PMC4677105 DOI: 10.3389/fpsyg.2015.01849] [Citation(s) in RCA: 347] [Impact Index Per Article: 38.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Accepted: 11/14/2015] [Indexed: 11/13/2022] Open
Abstract
Childhood is a critical period in the development of obesity. Eating patterns established early in life track into later life. Therefore, parental approaches to feeding in their general parenting style, feeding styles, and specific feeding practices will have a profound impact on how children eat and grow. A systematic research review following PRISMA guidelines was conducted to identify, discuss and integrate recent research investigating the relationship between parenting styles, feeding styles, feeding practices, and body mass index (BMI) in children. Medline (Ovid), PsycINFO, Web of Science, and Food Science and Technology Abstracts were systematically searched using sensitive search strategies. Studies were limited to papers published in English between 2010 and February 2015 with participants aged 4–12 years old with outcomes including obesity, change in weight, or BMI. The search yielded 31 relevant quantitative peer-reviewed papers meeting all inclusion criteria: seven longitudinal, 23 cross-sectional, one randomized control trial. Associations between parenting style and child BMI were strongest and most consistent within the longitudinal studies. Uninvolved, indulgent or highly protective parenting was associated with higher child BMI, whereas authoritative parenting was associated with a healthy BMI. Similarly for feeding styles, indulgent feeding was consistently associated with risk of obesity within cross-sectional studies. Specific feeding practices such as restriction and pressure to eat were linked to BMI, especially within cross-sectional studies. Where child traits were measured, the feeding practice appeared to be responsive to the child, therefore restriction was applied to children with a high BMI and pressure to eat applied to children with a lower BMI. Behaviors and styles that are specific to the feeding context are consistently associated with child BMI. However, since obesity emerges over time, it is through longitudinal, carefully measured (through questionnaire and observation) studies which take account of child appetite and temperament that the association between parenting style, feeding style, specific feeding practices, and child obesity will be understood.
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Affiliation(s)
- Netalie Shloim
- Biopsychology Group: Human Nutrition, School of Psychology, Institute of Psychological Sciences, University of Leeds Leeds, UK
| | - Lisa R Edelson
- Behavior and Perception, Nestlé Research Center Lausanne, Switzerland
| | - Nathalie Martin
- Behavior and Perception, Nestlé Research Center Lausanne, Switzerland
| | - Marion M Hetherington
- Biopsychology Group: Human Nutrition, School of Psychology, Institute of Psychological Sciences, University of Leeds Leeds, UK
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Weisberg-Shapiro P, Devine CM. “Because we missed the way that we eat at the middle of the day:” Dietary acculturation and food routines among Dominican women. Appetite 2015. [DOI: 10.1016/j.appet.2015.07.024] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Tami SH, Reed DB, Trejos E, Boylan M, Wang S. Pilot Study: Survey Tools for Assessing Parenting Styles and Family Contributors to the Development of Obesity in Arab Children Ages 6 to 12 Years. Ethn Dis 2015; 25:463-8. [PMID: 26673829 DOI: 10.18865/ed.25.4.463] [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: 11/18/2022] Open
Abstract
OBJECTIVE Our pilot study was conducted to test the reliability of the Caregiver's Feeding Styles Questionnaire (CFSQ) and the Family Nutrition and Physical Activity Assessment (FNPA) in a sample of Arab mothers. DESIGN Twenty-five Arab mothers completed the CFSQ, FNPA, and the Participant Background Survey for the first administration. After 1-2 weeks, participants completed the CFSQ and the FNPA for the second administration. The two administrations of the surveys allowed for test/retest reliability of the CFSQ and the FNPA and to measure the internal consistency of the two surveys. RESULTS Pearson's correlation between the first and second administrations or the 19-item scale (demandingness) and the 7-item scale (responsiveness) of the CFSQ were .95 and .86, respectively. As for the FNPA, Pearson's correlation was .80. The estimated reliabilities (Cronbach's alpha) of the CFSQ increased from .86 for the first administration to .93 for the second administration. However, the estimated reliabilities of the FNPA slightly increased from .58 for first administration to .59 for the second administration. CONCLUSION In our pilot study of Arab mothers, the CFSQ and FNPA were shown to be promising in terms of reliability and content validity.
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Affiliation(s)
- Suzan H Tami
- 1. Department of Nutritional Sciences, Texas Tech University
| | - Debra B Reed
- 1. Department of Nutritional Sciences, Texas Tech University
| | - Elizabeth Trejos
- 2. Department of Human Development and Family Studies, Texas Tech University
| | - Mallory Boylan
- 1. Department of Nutritional Sciences, Texas Tech University
| | - Shu Wang
- 1. Department of Nutritional Sciences, Texas Tech University
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Coll JL, del Mar Bibiloni M, Salas R, Pons A, Tur JA. The prevalence of excessive weight in Balearic Islands' young and middle-aged women and its association with social and socioeconomic factors: a ten-year trend (2000-2010). BMC Public Health 2015; 15:837. [PMID: 26330326 PMCID: PMC4556049 DOI: 10.1186/s12889-015-2196-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2015] [Accepted: 08/27/2015] [Indexed: 01/22/2023] Open
Abstract
Background Knowledge about trends in the socioeconomic patterning of overweight and obesity in women provides insights into the nature of the obesity epidemic. Therefore the aim was to assess a ten-year trend (2000–2010) in the prevalence of excessive weight in Balearic Islands’ women and its association with socioeconomic factors. Method Young (18–35 year-old) and middle-aged (36–55 year-old) women were selected from two population-based cross-sectional nutritional surveys carried out in the Balearic Islands, Spain. The participation rate was 80 % during 1999–2000 and 92.5 % during 2009–2010. Measured weight and height was obtained, and body mass index (kg/m2) was classified as follows: overweight (25.0 < 30), obese (≥30) and excessive weight (≥25). In both surveys, a general questionnaire including questions relating to socioeconomic status factors was used. Logistic regression was used to examine the association of excessive weight with socioeconomic variables and to test the interaction between the survey period and the socioeconomic factors. Results Overall, while the prevalence of obesity mainly remained stable over the study period, the prevalence of overweight increased from 21.0 to 24.8 %. Young women showed an increased prevalence of overweight and excessive weight, from 14.1 to 20.9 % and from 20.9 to 28.6 %, respectively. Significant differences were not found in middle-aged women. Over the whole period, the incidence of excessive weight was higher among middle-aged and foreign women, but lower in women with a high educational profile and in employment. The prevalence of excessive weight in young women was also around 2.5 times higher in women who were living with at least one child at home. The tendency towards excessive weight in employed women decreased significantly between 2000 and 2010 in the younger age group (OR: 0.42; 95 % CI: 0.22–0.82). Conclusions No significant increase in the prevalence of overweight/obesity was observed in middle-aged women, with a low level of education being the single socioeconomic variable associated with excessive weight in this target group. Overweight/obesity increased in young women with unemployment being the distinguishing socioeconomic factor associated with this increase.
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Affiliation(s)
- Josep Ll Coll
- Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, IdISPa, and CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038), Guillem Colom Bldg, Campus, E-07122, Palma de Mallorca, Spain.
| | - Maria del Mar Bibiloni
- Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, IdISPa, and CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038), Guillem Colom Bldg, Campus, E-07122, Palma de Mallorca, Spain.
| | - Rogelio Salas
- Faculty of Public Health Nutrition, Autonomous University of Nuevo León, 64460, Monterrey, Mexico.
| | - Antoni Pons
- Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, IdISPa, and CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038), Guillem Colom Bldg, Campus, E-07122, Palma de Mallorca, Spain.
| | - Josep A Tur
- Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, IdISPa, and CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038), Guillem Colom Bldg, Campus, E-07122, Palma de Mallorca, Spain.
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Mehta NK, Elo IT, Ford ND, Siegel KR. Obesity Among U.S.- and Foreign-Born Blacks by Region of Birth. Am J Prev Med 2015; 49:269-73. [PMID: 25896192 PMCID: PMC4509865 DOI: 10.1016/j.amepre.2015.02.014] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2014] [Revised: 01/26/2015] [Accepted: 02/24/2015] [Indexed: 01/03/2023]
Abstract
INTRODUCTION Large, recent migration streams from the non-Hispanic Caribbean islands and Africa have increased the share of U.S. blacks born outside of the U.S. Little is known about health patterns in these foreign-born populations. The purpose of this study is to compare obesity levels among self-identified U.S. blacks across birth regions and examine potential explanations for subgroup differences. METHODS Data were from the 2000-2013 National Health Interview Surveys. Three birthplace subgroups were examined: individuals born in the U.S., Caribbean/South America, and Africa, aged 25-59 years. Data were analyzed in 2013-2014. RESULTS Compared to U.S.-born participants, foreign-born participants had significantly lower obesity (BMI ≥30) odds. The AORs were 0.51 (Caribbean/South American-born, 95% CI=0.44, 0.58) and 0.41 (African-born, 95% CI=0.34, 0.50) with reference to U.S.-born individuals. Education, income, and cigarette smoking did not explain the favorable weight pattern of the foreign born. Among the foreign born, those residing in the U.S. for ≥15 years had 51% (95% CI=10%, 108%) higher obesity odds compared with those residing for <5 years. No statistically significant differences in obesity odds between those born in the Caribbean/South America and Africa were detected. CONCLUSION Foreign-born blacks generally had lower obesity levels compared to their U.S.-born counterparts, which was not explained by SES or smoking behaviors. Despite this advantage, obesity prevalence among foreign-born black women was around 30%, suggesting that obesity poses a significant health risk this population.
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Affiliation(s)
- Neil K Mehta
- Hubert Department of Global Health, Rollins School of Public Health.
| | - Irma T Elo
- Department of Sociology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Nicole D Ford
- Nutrition and Health Sciences, Laney Graduate School, Emory University, Atlanta, Georgia
| | - Karen R Siegel
- Nutrition and Health Sciences, Laney Graduate School, Emory University, Atlanta, Georgia
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Nelson-Peterman JL, Toof R, Liang SL, Grigg-Saito DC. Long-Term Refugee Health: Health Behaviors and Outcomes of Cambodian Refugee and Immigrant Women. HEALTH EDUCATION & BEHAVIOR 2015; 42:814-23. [PMID: 26157042 DOI: 10.1177/1090198115590779] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Refugees in the United States have high rates of chronic disease. Both long-term effects of the refugee experience and adjustment to the U.S. health environment may contribute. While there is significant research on health outcomes of newly resettled refugees and long-term mental health experiences of established refugees, there is currently little information about how the combined effects of the refugee experience and the U.S. health environment are related to health practices of refugees in the years and decades after resettlement. We examined cross-sectional survey data for Cambodian refugee and immigrant women 35 to 60 years old (n = 160) from an established refugee community in Lowell, Massachusetts, to examine the potential contributors to health behaviors and outcomes among refugees and immigrants postresettlement. In our representative sample, we found that smoking and betel nut use were very low (4% each). Fewer than 50% of respondents walked for at least 10 minutes on 2 or more days/week. Using World Health Organization standards for overweight/obese for Asians, 73% of respondents were overweight/obese and 56% were obese, indicating increased risk of chronic disease. Depression was also high in this sample (41%). In multivariate models, higher acculturation and age were associated with walking more often; lower education and higher acculturation were related to higher weight; and being divorced/separated or widowed and being older were related to higher risk of depression. The interrelated complex of characteristics, health behaviors, and health outcomes of refugees merits a multifaceted approach to health education and health promotion for long-term refugee health.
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Affiliation(s)
| | - Robin Toof
- University of Massachusetts Lowell, Lowell, MA, USA
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Goulão B, Santos O, Carmo ID. The impact of migration on body weight: a review. CAD SAUDE PUBLICA 2015; 31:229-45. [PMID: 25760158 DOI: 10.1590/0102-311x00211913] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2013] [Accepted: 10/31/2014] [Indexed: 12/16/2022] Open
Abstract
Immigrants may be more vulnerable to obesity as a result of the immigration process. The aim of this article is to summarize current knowledge about the impact of immigration on body mass index (BMI). A systematic review was performed in accordance with PRISMA guidelines through a database search of scientific articles (last updated in August 2014). Thirty-nine articles were included and assessed. Results varied according to ethnic background, country of origin and host country. A consistent positive association between BMI and time since immigration was found among Hispanic, European and African immigrants. Less than half of the studies observed a positive association among Asian immigrants. The quality of the majority of the studies assessed was poor, reflecting a need to improve methodology and concept definition. Immigration appears to have a deteriorative effect on BMI. Underlying causes may include changes in nutrition and physical activity, psychological and social factors, and genetic susceptibility and these aspects should be included as moderator variables in future studies.
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Sliwa SA, Must A, Peréa F, Economos CD. Maternal employment, acculturation, and time spent in food-related behaviors among Hispanic mothers in the United States. Evidence from the American Time Use Survey. Appetite 2015; 87:10-9. [DOI: 10.1016/j.appet.2014.10.015] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2014] [Revised: 08/12/2014] [Accepted: 10/16/2014] [Indexed: 11/17/2022]
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Coll JL, Bibiloni MDM, Salas R, Pons A, Tur JA. Prevalence and Related Risk Factors of Overweight and Obesity among the Adult Population in the Balearic Islands, a Mediterranean Region. Obes Facts 2015; 8:220-33. [PMID: 26159577 PMCID: PMC5644906 DOI: 10.1159/000435826] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2014] [Accepted: 04/23/2015] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVE To assess the prevalence and risk factors of overweight (OW) and obesity (OB) by BMI and abdominal obesity (AO) by waist-to-height ratio, (WHtR) among the Balearic Islands' adult population. METHODS Cross-sectional nutritional survey carried out in the Balearic Islands (2009-2010). A random sample (n = 1,081) of young (18-35 years) and middle-aged adults (36-55 years) were interviewed and anthropometrically measured. OW (BMI 25.0-29.9 kg/m(2)) and OB (BMI ≥ 30 kg/m(2)) were defined according to WHO criteria. AO was defined as WHtR ≥ 0.5. Socio-economic and lifestyle determinants were considered. RESULTS The overall prevalence of OW/OB and AO was 29.4% (95% confidence interval (95% CI) 26.9-32.3%), 11.2% (95% CI 9.5-13.2%) and 33.1% (95% CI 30.4-36.0%), respectively. Men showed higher prevalence of OW (35.9%, 95% CI 31.6-40.5%) and AO (37.9%, 95% CI 33.6-42.5%) than women (OW 24.9%, 95% CI 21.7-28.4%; AO 29.7%, 95%CI 26.2-33.4%). Overall prevalence of OB was 11.8% (95% CI 9.1-15.1%) in men and 10.8% (95% CI 8.6-13.5%) in women. Age and no leisure-time physical activity (LTPA) were main risk factors associated with OW/OB and AO. Living with at least one child at home and to be married in men as well as to be unemployed, to be born in South America, and a low level of education in women were associated with AO. CONCLUSIONS Men showed higher prevalence of OW and AO than women. In both sexes, age is the main risk factor associated with OW/OB and AO; in men also the absence of LTPA plays a significant role.
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Affiliation(s)
- Josep L. Coll
- Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, IdISPa, and CIBERobn (Physiopathology of Obesity and Nutrition CB12/03/30038), Palma de Mallorca, Spain
| | - Maria del Mar Bibiloni
- Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, IdISPa, and CIBERobn (Physiopathology of Obesity and Nutrition CB12/03/30038), Palma de Mallorca, Spain
| | - Rogelio Salas
- Faculty of Public Health Nutrition, Autonomous University of Nuevo León, Monterrey, Mexico
| | - Antoni Pons
- Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, IdISPa, and CIBERobn (Physiopathology of Obesity and Nutrition CB12/03/30038), Palma de Mallorca, Spain
| | - Josep A. Tur
- Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, IdISPa, and CIBERobn (Physiopathology of Obesity and Nutrition CB12/03/30038), Palma de Mallorca, Spain
- *Dr. Josep A. Tur, Research Group on Community Nutrition and Oxidative Stress, Universitat de les Illes Balears, Guillem Colom Bldg, Campus, 07122 Palma de Mallorca, Spain,
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Isasi CR, Ayala GX, Sotres-Alvarez D, Madanat H, Penedo F, Loria CM, Elder JP, Daviglus ML, Barnhart J, Siega-Riz AM, Van Horn L, Schneiderman N. Is acculturation related to obesity in Hispanic/Latino adults? Results from the Hispanic community health study/study of Latinos. J Obes 2015; 2015:186276. [PMID: 25893114 PMCID: PMC4393894 DOI: 10.1155/2015/186276] [Citation(s) in RCA: 75] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2014] [Accepted: 03/11/2015] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND The study examined the association of obesity with acculturation in a large and diverse sample of US Hispanic/Latino adults. METHODS The Hispanic Community Health Study (HCHS)/Study of Latinos (SOL) is a community-based cohort study of Hispanic/Latino adults aged 18-74 years (N = 16,415) from four urban areas. Height and weight were directly measured using a standardized protocol. Acculturation was assessed by the Short Acculturation Scale for Hispanics (SASH). Other immigration related variables included place of birth, length of residency in the US, and age at immigration. Odds ratios were calculated to assess the association of overweight, moderate obesity, and extreme obesity (≥40 kg/m(2)) with acculturation and sociodemographic variables. RESULTS The prevalence of obesity was 42.4% for women and 36.5% for men and varied by field center and Hispanic/Latino background. The strongest predictor of moderate and extreme obesity was length of residency in mainland US. This association was consistent across Hispanic/Latino backgrounds. Acculturation was not significantly associated with obesity. DISCUSSION The burden of obesity is high among Hispanic/Latino adults. The study findings suggest that prolonged exposure to the environments in these communities, rather than acculturation, is an important risk factor for obesity in this population.
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Affiliation(s)
- Carmen R. Isasi
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USA
- *Carmen R. Isasi:
| | - Guadalupe X. Ayala
- Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University and the Institute for Behavioral and Community Health, San Diego State University Research Foundation, San Diego, CA 92123, USA
| | - Daniela Sotres-Alvarez
- Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514, USA
| | - Hala Madanat
- Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University and the Institute for Behavioral and Community Health, San Diego State University Research Foundation, San Diego, CA 92123, USA
| | - Frank Penedo
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
| | - Catherine M. Loria
- Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, Bethesda, MD 20817, USA
| | - John P. Elder
- Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University and the Institute for Behavioral and Community Health, San Diego State University Research Foundation, San Diego, CA 92123, USA
| | - Martha L. Daviglus
- Institute for Minority Health Research, University of Illinois at Chicago, Chicago, IL 60612, USA
| | - Janice Barnhart
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USA
| | - Anna Maria Siega-Riz
- Departments of Epidemiology and Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | - Linda Van Horn
- Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60126, USA
| | - Neil Schneiderman
- The Behavioral Research Center, Department of Psychology, University of Miami, Coral Gables, FL 33124, USA
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Mama SK, McCurdy SA, Evans AE, Thompson DI, Diamond PM, Lee RE. Using community insight to understand physical activity adoption in overweight and obese African American and Hispanic women: a qualitative study. HEALTH EDUCATION & BEHAVIOR 2014; 42:321-8. [PMID: 25504569 DOI: 10.1177/1090198114557128] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Ecologic models suggest that multiple levels of influencing factors are important for determining physical activity participation and include individual, social, and environmental factors. The purpose of this qualitative study was to use an ecologic framework to gain a deeper understanding of the underlying behavioral mechanisms that influence physical activity adoption among ethnic minority women. Eighteen African American and Hispanic women completed a 1-hour in-depth interview. Verbatim interview transcripts were analyzed for emergent themes using a constant comparison approach. Women were middle-aged (age M = 43.9 ± 7.3 years), obese (body mass index M = 35.0 ± 8.9 kg/m(2)), and of high socioeconomic status (88.9% completed some college or more, 41.2% reported income >$82,600/year). Participants discussed individual factors, including the need for confidence, motivation and time, and emphasized the importance of environmental factors, including their physical neighborhood environments and safety of and accessibility to physical activity resources. Women talked about caretaking for others and social support and how these influenced physical activity behavior. The findings from this study highlight the multilevel, interactive complexities that influence physical activity, emphasizing the need for a more sophisticated, ecologic approach for increasing physical activity adoption and maintenance among ethnic minority women. Community insight gleaned from this study may be used to better understand determinants of physical activity and develop multilevel solutions and programs guided by an ecologic framework to increase physical activity in ethnic minority women.
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Affiliation(s)
- Scherezade K Mama
- The University of Texas MD Anderson Cancer Center, Houston, TX, USA University of Houston, Houston, TX, USA
| | - Sheryl A McCurdy
- The University of Texas School of Public Health, Houston, TX, USA
| | - Alexandra E Evans
- The University of Texas School of Public Health-Austin Regional Campus, Austin, TX, USA
| | - Deborah I Thompson
- USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, USA
| | - Pamela M Diamond
- The University of Texas School of Public Health, Houston, TX, USA
| | - Rebecca E Lee
- University of Houston, Houston, TX, USA Arizona State University, Phoenix, AZ, USA
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Abstract
As a person acculturates into a new culture, dietary changes may occur. This is termed dietary acculturation and is a complex process that has been observed in the Hispanic population in the United States. As acculturation occurs, traditional dietary behaviors are shed, and behaviors representative of the US diet are adopted. Many diet-related psychological and environmental factors may influence this diet change in the Hispanic population. It is important for health professionals to identify factors that may be causing unhealthy dietary behaviors and determine the most appropriate forms to address them. By identifying and addressing negative dietary change and behaviors, certain diet-related health issues commonly seen in this population, such as obesity and diabetes, may be prevented or managed.
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O’Brien MJ, Shuman SJ, Barrios DM, Alos VA, Whitaker RC. A qualitative study of acculturation and diabetes risk among urban immigrant Latinas: implications for diabetes prevention efforts. THE DIABETES EDUCATOR 2014; 40:616-25. [PMID: 24872386 PMCID: PMC4169339 DOI: 10.1177/0145721714535992] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
PURPOSE The purpose of this qualitative study was to understand how acculturation influences diabetes risk among urban immigrant Latinas (Hispanic women). METHODS Five focus groups were conducted with 26 urban immigrant Latinas who were at high clinical risk for developing diabetes. The focus group sessions were audiotaped and transcribed verbatim. The authors independently analyzed transcripts using an inductive method of open coding and established themes by consensus. RESULTS All participants were foreign born and had low levels of acculturation. During the acculturation process, they noted changes in their lifestyle behaviors and the family context in which those behaviors are shaped. They reported that since living in the United States, their improved economic circumstances led to increased consumption of less healthy foods and beverages and a more sedentary lifestyle. They also described changing family roles and responsibilities, including working outside the home, which constrained healthy food choices. However, they perceived that their position of influence within the family offered opportunities to help family members prevent diabetes. CONCLUSIONS Lifestyle interventions to prevent diabetes in Latinas should address their acculturation experiences, which affect family functioning and health behaviors related to diabetes risk. For example, given the perceived link between Latinas' improved economic circumstances and their diabetes risk, prevention programs should incorporate strategies to help Latinas avoid adopting less healthy lifestyle behaviors that become affordable during the acculturation process.
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Affiliation(s)
- Matthew J. O’Brien
- Center for Obesity Research and Education, Temple University, Philadelphia, PA
- Department of Medicine, Section of General Internal Medicine, Temple University School of Medicine, Philadelphia, PA
- Department of Public Health, Temple University, Philadelphia, PA
- Puentes de Salud Health Center, Philadelphia, PA
| | - Sara J. Shuman
- Center for Obesity Research and Education, Temple University, Philadelphia, PA
- Department of Public Health, Temple University, Philadelphia, PA
- Puentes de Salud Health Center, Philadelphia, PA
| | - Dulce M. Barrios
- Center for Obesity Research and Education, Temple University, Philadelphia, PA
- Puentes de Salud Health Center, Philadelphia, PA
| | - Victor A. Alos
- Center for Obesity Research and Education, Temple University, Philadelphia, PA
- Department of Public Health, Temple University, Philadelphia, PA
- Puentes de Salud Health Center, Philadelphia, PA
| | - Robert C. Whitaker
- Center for Obesity Research and Education, Temple University, Philadelphia, PA
- Department of Public Health, Temple University, Philadelphia, PA
- Department of Pediatrics, Temple University School of Medicine, Philadelphia, PA
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Feeding styles and evening family meals among recent immigrants. Int J Behav Nutr Phys Act 2013; 10:84. [PMID: 23803223 PMCID: PMC3708789 DOI: 10.1186/1479-5868-10-84] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2012] [Accepted: 06/11/2013] [Indexed: 11/27/2022] Open
Abstract
The protective effect of family meals on unhealthy weight gain and diet has been shown across multiple age groups; however, it is unknown whether a similar effect is present among diverse immigrant populations. In addition, little research has focused on factors associated with the frequency of evening family meals, such as feeding styles (how parents interact with their child around feeding). Therefore the goals of this paper are to explore the 1) association between the frequency of evening family meals and child weight status among new immigrant families, and 2) influence of immigrant mothers’ feeding styles on the frequency of evening family meals. Baseline self-reported socio-demographic information and measured heights and weights were collected for both mother and child (age range: 3–12 years) among 387 mother-child dyads enrolled in Live Well, a community-based, participatory-research, randomized controlled lifestyle intervention to prevent excessive weight gain in recent (<10 years in the U.S.) immigrant mothers and children. For children, height and weight measurements were transformed into BMI z-scores using age-and sex-specific CDC standards and categorized as overweight (85th–94th percentile) and obese (≥95th percentile); mothers’ BMI was calculated. Frequency of evening family meals, eating dinner in front of the TV, acculturation and responses to the Caregiver’s Feeding Styles Questionnaire (CFSQ) were also obtained from the mother. Children were categorized as “eating evening family meals regularly” if they had an evening family meal ≥5 times per week. Overall, 20% of children were overweight and 25% were obese. Less than half (40.9%) of families had regular evening family meals. In multivariate analyses, adjusting for covariates, children who were overweight/obese were significantly less likely to have ≥5 evening family meals/week compared with normal weight children (OR = 0.51, 95% CI 0.32-0.82) . Mothers who had a low demanding/high responsive or a low demanding/low responsive feeding style, were less likely to have ≥5 evening family meals/week compared to mothers with a high demanding/high responsive feeding style (OR = 0.41, 95% CI 0.18-0.0.96, OR = 0.33, 95% CI 0.13-0.87, respectively). Future interventions and programs that seek to help parents establish healthy household routines, such as family meals, may consider tailoring to specific maternal feeding styles.
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Hughes SO, Cross MB, Hennessy E, Tovar A, Economos CD, Power TG. Caregiver's Feeding Styles Questionnaire. Establishing cutoff points. Appetite 2011; 58:393-5. [PMID: 22119478 DOI: 10.1016/j.appet.2011.11.011] [Citation(s) in RCA: 59] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2011] [Revised: 09/29/2011] [Accepted: 11/02/2011] [Indexed: 11/17/2022]
Abstract
Researchers use the Caregiver's Feeding Styles Questionnaire (CFSQ) to categorize parent feeding into authoritative, authoritarian, indulgent, and uninvolved styles. The CFSQ assesses self-reported feeding and classifies parents using median splits which are used in a substantial body of parenting literature and allow for direct comparison across studies on dimensions of demandingness and responsiveness. No national norms currently exist for the CFSQ. This paper establishes and recommends cutoff points most relevant for low-income, minority US samples that researchers and clinicians can use to assign parents to feeding styles. Median scores for five studies are examined and the average across these studies reported.
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Affiliation(s)
- Sheryl O Hughes
- USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, 1100 Bates Street, Houston, TX 77030-2600, USA.
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