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Wong V, Franke T, McKay H, Tong C, Macdonald H, Sims-Gould J. Adapting an Effective Health-Promoting Intervention-Choose to Move-for Chinese Older Adults in Canada. J Aging Phys Act 2024; 32:151-162. [PMID: 37917970 DOI: 10.1123/japa.2023-0064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 07/04/2023] [Accepted: 08/07/2023] [Indexed: 11/04/2023]
Abstract
Evidence is sparse on how community-based health-promoting programs can be culturally adapted for racially minoritized, immigrant older adult populations. Choose to Move (CTM) is an evidence-based health-promoting program that enhances physical activity and mobility and diminished social isolation and loneliness in older adults in British Columbia, Canada. However, racially minoritized older adults were not reached in initial offerings. We purposively sampled CTM delivery staff (n = 8) from three not-for-profit organizations, in Metro Vancouver, British Columbia, that serve Chinese older adults. We used semistructured interviews, ethnographic observations, and meeting minutes to understand delivery staff's perspectives on factors that influence CTM adaptations for Chinese older adults. Deductive framework analysis guided by an adaptation framework, Framework for Reporting Adaptations and Modifications-Enhanced, found three dominant cultural- and immigration-related factors influenced CTM adaptations for Chinese older adults: (a) prioritizations, (b) familiarity, and (c) literacy. Findings may influence future program development and delivery to meet the needs of racially minoritized older adult populations.
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Affiliation(s)
- Venessa Wong
- Active Aging Research Team, Vancouver, BC,Canada
| | - Thea Franke
- Active Aging Research Team, Vancouver, BC,Canada
| | | | - Catherine Tong
- School of Public Health Sciences, University of Waterloo, Waterloo, ON,Canada
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Ranjit N, Badillo DJ, Hoelscher DM, Macias S, Gonzalez A, Wilkinson AV. Racial/Ethnic Differences in Physical Activity in a Low-Income Sample in Texas. J Phys Act Health 2024; 21:22-28. [PMID: 37917980 DOI: 10.1123/jpah.2022-0602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 08/21/2023] [Accepted: 09/01/2023] [Indexed: 11/04/2023]
Abstract
INTRODUCTION National data reveal that the age-adjusted prevalence of leisure-time physical inactivity is higher among Blacks and Hispanics compared with Whites. However, these estimates do not consider nonleisure physical activity (PA). Also, race/ethnicity in these findings may by confounded by socioeconomic status disparities in PA. Here, we examine racial/ethnic differences in multiple measures of PA within a lower socioeconomic status sample. METHODS Participants in the current cross-sectional study (n = 1526 adults, aged ≥ 18 y) were recruited from Supplemental Nutrition Assistance Program-Education classes (nutrition education classes that target low-income people) in Texas. Self-report data were obtained using survey questionnaires in spring and fall 2018. PA outcomes of 4 different intensities were assessed: mean daily time spent walking, engaging in moderate and vigorous PA, and sitting. Additional PA-related measures included use and awareness of community PA resources. Linear regression models examined racial/ethnic differences in the 4 PA outcomes after adjusting for participant gender, age, household composition measures, and various socioeconomic status measures. RESULTS In this low-income sample, Hispanic and Black participants spent 6 to 9 more minutes per day walking and engaging in moderate and vigorous PA compared with White/other participants (P < .05 for each measure). Conversely, White/other participants reported spending 82 more minutes sitting per day than Black and Hispanic participants (P < .01). Overall, Black participants were most likely to utilize community PA resources and report ease of engaging in exercise. DISCUSSION Together, these results reveal greater engagement in PA by racial/ethnic minorities in low-income communities compared with Whites. Our results have implications for tailoring PA programming to these communities.
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Affiliation(s)
- Nalini Ranjit
- Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston School of Public Health Austin, Austin, TX, USA
| | - David J Badillo
- Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston School of Public Health Austin, Austin, TX, USA
| | - Deanna M Hoelscher
- Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston School of Public Health Austin, Austin, TX, USA
| | - Sarah Macias
- Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston School of Public Health El Paso, El Paso, TX, USA
| | - Alejandra Gonzalez
- Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston School of Public Health Austin, Austin, TX, USA
| | - Anna V Wilkinson
- Michael and Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston School of Public Health Austin, Austin, TX, USA
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Sheng J, Lei H, Wu HS, Abshire DA, Wirth MD, Heiney SP. Physical Activity and Breast Cancer Prevention Among Chinese American Women: A Qualitative Descriptive Study. QUALITATIVE HEALTH RESEARCH 2023; 33:1218-1231. [PMID: 37696001 DOI: 10.1177/10497323231197372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/13/2023]
Abstract
Physical inactivity is a modifiable behavioral risk factor for breast cancer. Chinese American women have an increased breast cancer incidence and a low prevalence of meeting physical activity (PA) recommendations, yet little is known about their knowledge and experience regarding PA and breast cancer prevention. Given the significant cultural differences between Eastern and Western societies, effective interventions to promote PA among Chinese American women require understanding their knowledge levels regarding PA in breast cancer prevention and their PA experiences through a cultural lens. This qualitative descriptive study used virtual semi-structured individual interviews to explore Chinese American women's knowledge and perception of PA, their understanding of the role of PA in breast cancer prevention, and influence of culture and acculturation on PA experience. Twenty-one Chinese American women residing in eight states were interviewed. Using thematic analysis, four themes emerged: A limited appreciation of the preventability of breast cancer, variability in PA perception, Chinese culture norms and lifestyles influencing PA behavior, and the influence of the process of acculturation on PA behavior. Chinese American women had a limited understanding of PA in breast cancer prevention. Chinese culture, lifestyles, and traditional Chinese medicine positively and negatively influence Chinese American women's PA behaviors. When exposed to American culture, Chinese American women tended to adopt new PA behaviors, including increasing leisure-time PA while decreasing occupation- and transportation-related PA. Interventions to increase PA and reduce breast cancer risk among Chinese American women should address cultural factors and acculturation along with education and behavioral change strategies.
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Affiliation(s)
- Jingxi Sheng
- University of South Carolina College of Nursing, Columbia, SC, USA
| | - Hao Lei
- University of South Carolina Arnold School of Public Health, Columbia, SC, USA
| | - Horng-Shiuann Wu
- Michigan State University College of Nursing, East Lansing, MI, USA
| | | | - Michael D Wirth
- University of South Carolina College of Nursing, Columbia, SC, USA
- Michigan State University College of Nursing, East Lansing, MI, USA
| | - Sue P Heiney
- University of South Carolina College of Nursing, Columbia, SC, USA
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Do B, Dunton GF, Miller KA, Milam JE. Depressive symptoms and physical activity among young adult survivors of childhood cancer. Psychooncology 2023; 32:1598-1605. [PMID: 37684727 PMCID: PMC10591936 DOI: 10.1002/pon.6211] [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: 12/19/2022] [Revised: 07/28/2023] [Accepted: 08/26/2023] [Indexed: 09/10/2023]
Abstract
OBJECTIVE Young adult survivors of childhood cancers are less likely to be physically active compared to non-cancer affected controls, putting them at an increased risk for morbidity and mortality. Preliminary research has examined how mental health may contribute to physical activity (PA) in this population; however, those more recently diagnosed and Hispanic survivors have been understudied. The objectives were to examine associations of dimensions of depressive symptoms, demographic characteristics, and cancer-related predictors with PA among a diverse sample of young adult childhood cancer survivors. METHODS Participants (N = 895) diagnosed with childhood cancer between 1996 and 2010 (53% Hispanic; Mage = 26.2 ± 4.9 years; Mage = 14.8 ± 4.4 years at diagnosis) were recruited from the Los Angeles County cancer registry. Self-report surveys assessed current PA, depressive symptoms (i.e., positive affect, negative affect, somatic symptoms, interpersonal problems), late effects of cancer treatment, and demographic factors. Multivariable ordinal regressions examined the study objectives. RESULTS About 70% of participants engaged in low or moderate frequency PA (fewer than 3 days a week). Participants who were older, female, Asian, or reported more late effects of cancer treatment were less likely to engage in PA. Greater positive affect was significantly associated with higher frequency PA, whereas negative affect, somatic symptoms, and interpersonal problems were not associated with PA. CONCLUSIONS The findings suggests that positive-but not negative-mental health characteristics are more likely to facilitate or result from PA among young adult survivors of childhood cancers. Interventions seeking to increase PA may benefit from considering positive aspects of mental health/well-being.
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Affiliation(s)
- Bridgette Do
- Department of Population and Public Health Sciences, University of Southern California. Los Angeles, CA, USA
| | - Genevieve F. Dunton
- Department of Population and Public Health Sciences, University of Southern California. Los Angeles, CA, USA
- Department of Psychology, University of Southern California. Los Angeles, CA, USA
| | - Kimberly A. Miller
- Department of Population and Public Health Sciences, University of Southern California. Los Angeles, CA, USA
- Department of Dermatology, University of Southern California. Los Angeles, CA, USA
| | - Joel E. Milam
- Departments of Medicine and Epidemiology and Biostatistics, University of California, Irvine. Irvine, CA, USA
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Sheng J, Abshire DA, Heiney SP, Wu HS, Wirth MD. Sociodemographic, health-related, and acculturation determinants of physical activity participation among Asian American women. Prev Med Rep 2023; 33:102193. [DOI: 10.1016/j.pmedr.2023.102193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 02/27/2023] [Accepted: 03/28/2023] [Indexed: 04/03/2023] Open
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Shetty NS, Patel N, Gaonkar M, Kalra R, Li P, Pavela G, Arora G, Arora P. Trends of cardiovascular health in Asian American individuals: A national health and nutrition examination survey study. Am J Prev Cardiol 2023; 14:100509. [PMID: 37334161 PMCID: PMC10273280 DOI: 10.1016/j.ajpc.2023.100509] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 05/18/2023] [Accepted: 05/21/2023] [Indexed: 06/20/2023] Open
Abstract
Objective Oversampling of Asian American individuals in the National Health and Nutrition Examination Survey (NHANES) provides a unique opportunity to assess the population-level cardiovascular health (CVH) in the fastest-growing racial group in the US. Methods The Life's Essential 8 (LE8) score and its components were calculated in self-reported Asian American individuals ≥20 years of age and free of cardiovascular disease in the NHANES cycles from 2011-March 2020. Multivariable adjusted linear and logistic regression models were used for analysis. Results Among 2,059 Asian American individuals, the weighted mean LE8 score was 69.1 (0.4) with US-born [69.0 (0.8)] and foreign-born individuals [69.1 (0.4)] having similar CVH. From 2011 to March 2020, CVH in the overall population [69.7 (0.8) to 68.1 (0.8); Ptrend: 0.009] and foreign-born individuals [69.7 (0.8) to 67.7 (0.8); Ptrend: 0.005] declined. Decreasing trends were noted in the body mass index score irrespective of stratification and in the blood pressure scores in the overall population and foreign-born Asian American individuals. Compared with US-born individuals, the odds of ideal levels of smoking [ORadj:<5 years: 2.23 (95%CI: 1.45-3.44); 5-15 years: 1.97 (95%CI: 1.27-3.05); 15-30 years: 1.61 (95%CI: 1.11-2.34); ≥30 years: 1.69(95%CI:1.20-2.36)] and diet [ORadj: <5 years: 1.87 (95%CI: 1.26-2.79); 5-15 years: 2.00 (95%CI: 1.38-2.89); 15-30 years: 1.74 (95%CI: 1.14-2.68)] were higher in foreign-born individuals. Foreign-born individuals had lower odds of ideal physical activity levels [ORadj: 5-15 years: 0.55 (95%CI: 0.39-0.79); 15-30 years: 0.68 (95%CI: 0.49-0.95)] and ideal cholesterol levels [ORadj: 5-15 years: 0.59 (95%CI: 0.42-0.82); 15-30 years: 0.54 (95%CI :0.38-0.76); ≥30 years: 0.52 (95%CI: 0.38-0.76)]. Conclusion The CVH in Asian American individuals declined from 2011 to March 2020. The odds of ideal CVH decreased with increasing duration of stay in the US, with foreign-born individuals residing in the US for ≥30 years having ∼28% lower odds of ideal CVH compared with US-born individuals.
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Affiliation(s)
- Naman S. Shetty
- Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Nirav Patel
- Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Mokshad Gaonkar
- Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Rajat Kalra
- Cardiovascular Division, University of Minnesota, Minneapolis, MN, United States of America
| | - Peng Li
- School of Nursing, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Gregory Pavela
- Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Garima Arora
- Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Pankaj Arora
- Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA
- Section of Cardiology, Birmingham Veterans Affairs Medical Center, Birmingham, AL, USA
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Promoting Physical Activity Among Immigrant Asian Americans: Results from Four Community Health Worker Studies. J Immigr Minor Health 2023; 25:291-305. [PMID: 36273386 DOI: 10.1007/s10903-022-01411-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2022] [Indexed: 03/07/2023]
Abstract
Racial/ethnic minorities have demonstrated lower rates of physical activity (PA) than non-Hispanic Whites. This study examined outcomes in PA measures after participation in a community health worker (CHW) intervention. We performed a secondary data analysis from four randomized controlled trials utilizing CHWs (n = 842) in New York City (Bangladeshi-diabetes management, Filipino-hypertension management, and Korean and Asian Indian-diabetes prevention). Outcomes included total weekly PA, PA self-efficacy, PA barriers, and PA social interaction. Each measure was examined at baseline and study endpoint. Generalized estimating equation models were fitted to assess the repeated measures over time, while accounting for study group and socio-demographic factors. Moderate PA, recommended PA, and self-efficacy increased significantly among treatment group participants. PA social interaction increased significantly among Filipinos and Asian Indians. In adjusted regression analysis, time x group interaction was significant for all PA outcomes except for PA barriers. Culturally-adapted lifestyle interventions may potentially improve PA-related outcomes in Asian immigrant communities. Trial registration at ClinicalTrials.gov includes: NCT03530579 (RICE Project), NCT02041598 (DREAM Project), and NCT03100812 (AsPIRE).
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Liu X, Yan G, Bullock L, Barksdale DJ, Logan JG. An Examination of Psychological Stress, Fatigue, Sleep, and Physical Activity in Chinese Americans. J Immigr Minor Health 2023; 25:168-175. [PMID: 35478278 DOI: 10.1007/s10903-022-01365-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/06/2022] [Indexed: 01/07/2023]
Abstract
Chinese Americans comprise the largest Asian subgroup in the U.S. Yet, little research has focused on the well-being of this population. This study aimed to (1) examine psycho-physiological health (psychological stress and fatigue) and lifestyle behaviors (sleep and physical activity) between Chinese Americans and whites, and (2) investigate whether race and lifestyle behaviors were independent predictors of psycho-physiological health. This study included 87 middle-aged healthy adults (41 Chinese Americans, 46 whites). Each participant underwent a two-night actigraphy-based sleep assessment. Chinese Americans reported higher psychological stress and fatigue, had poorer objective sleep outcomes (shorter sleep duration, lower sleep efficiency, and longer sleep onset), and engaged in lower physical activity levels than whites. Race and poor perceived sleep quality were independently associated with high psychological stress and fatigue. The findings warrant further exploration of social and cultural determinants of health in this minority group to reduce health disparities.
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Affiliation(s)
- Xiaoyue Liu
- Johns Hopkins University School of Nursing, 525 N Wolfe St Suite 530, Baltimore, MD, 21205, USA.
| | - Guofen Yan
- University of Virginia School of Medicine, Charlottesville, VA, USA
| | - Linda Bullock
- University of Virginia School of Nursing, Charlottesville, VA, USA
| | - Debra J Barksdale
- University of North Carolina at Greensboro School of Nursing, Greensboro, NC, USA
| | - Jeongok G Logan
- University of Virginia School of Nursing, Charlottesville, VA, USA
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Zhu X, Liu J, Sevoyan M, Pate RR. Acculturation and leisure-time physical activity among Asian American adults in the United States. ETHNICITY & HEALTH 2022; 27:1900-1914. [PMID: 34538159 DOI: 10.1080/13557858.2021.1979193] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Accepted: 09/04/2021] [Indexed: 06/13/2023]
Abstract
ABSTRACTObjectives: To examine the association between acculturation and leisure-time physical activity among Asian Americans.Design: Data came from the 2011-2016 National Health and Nutrition Examination Survey, restricting to non-Hispanic Asian adults aged 20 years and older (n = 1989). Acculturation was assessed by language preference at home, birth locations, and length of residency in the United States (US). Self-reported physical activity was used to estimate leisure-time moderate-to-vigorous physical activity (MVPA) in MET-minutes/week and meeting the World Health Organization's physical activity guidelines. Multiple linear and logistic regression models were used to model MVPA as continuous and categorical variables, respectively.Results: A quarter of Asian Americans spoke only English and 47.8% spoke only non-English at home; 13.0% were born in the US. Asians who spoke only English (adjusted prevalence ratio [aPR]:1.5) and Asians who spoke both English and non-English at home (aPR: 1.4) had greater proportions of meeting physical activity guidelines compared to those who spoke only non-English at home. The US-born Asians had higher a proportion of meeting the physical activity guidelines (aPR:1.4) and performed 547.6 more MET-minutes of MVPA each week than foreign-born Asians; they also had a higher proportion of meeting the physical activity guidelines than foreign-born Asians who stayed in US for ≤10 years (aPR:1.5). Length of time staying in the US was associated with a higher proportion of meeting physical activity guidelines. Among foreign-born Asian Americans, higher acculturation measures were also positively associated with meeting physical activity guidelines.Conclusions: Acculturation was positively associated with physical activity levels among Asian Americans. More acculturated Asian Americans such as those who spoke more English at home and US-born Asians, performed more MVPA than less acculturated Asian Americans. Interventions are needed to promote physical activity among non-English speaking Asian immigrants and recent immigrants.
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Affiliation(s)
- Xuanxuan Zhu
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Jihong Liu
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Maria Sevoyan
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Russell R Pate
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
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Juárez SP, Honkaniemi H, Gustafsson NK, Rostila M, Berg L. Health Risk Behaviours by Immigrants’ Duration of Residence: A Systematic Review and Meta-Analysis. Int J Public Health 2022; 67:1604437. [PMID: 35990194 PMCID: PMC9388735 DOI: 10.3389/ijph.2022.1604437] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Accepted: 06/28/2022] [Indexed: 12/02/2022] Open
Abstract
Objectives: The aim was to systematically review and synthesise international evidence on changes in health risk behaviours by immigrants’ duration of residence. Methods: We searched literature databases for peer-reviewed quantitative studies published from 2000 to 2019, examining alcohol, drug and tobacco use; physical inactivity; and dietary habits by duration of residence. Results: Narrative synthesis indicated that immigrants tend to adopt health risk behaviours with longer residence in North America, with larger variation in effect sizes and directionality in other contexts. Random-effects meta-analyses examining the pooled effect across all receiving countries and immigrant groups showed lower odds of smoking (OR 0.54, 0.46–0.63, I2 = 68.7%) and alcohol use (OR 0.61, 0.47–0.75, I2 = 93.5%) and higher odds of physical inactivity (OR 1.71, 1.40–2.02, I2 = 99.1%) among immigrants than natives, but did not provide support for a universal trend by duration of residence. Conclusion: Findings suggest that duration of residence could serve as an effective instrument to monitor immigrants’ health changes. However, differences in receiving country contexts and immigrant populations’ composition seem to be important to predict the level and direction of behavioural change. Systematic Review Registration:https://www.crd.york.ac.uk/prospero/, PROSPERO CRD42018108881.
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Affiliation(s)
- Sol P. Juárez
- Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Stockholm, Sweden
- Department of Public Health Sciences, Faculty of Social Sciences, Stockholm University, Stockholm, Sweden
- *Correspondence: Sol P. Juárez,
| | - Helena Honkaniemi
- Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Stockholm, Sweden
- Department of Public Health Sciences, Faculty of Social Sciences, Stockholm University, Stockholm, Sweden
| | - Nina-Katri Gustafsson
- Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Stockholm, Sweden
- Department of Public Health Sciences, Faculty of Social Sciences, Stockholm University, Stockholm, Sweden
| | - Mikael Rostila
- Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Stockholm, Sweden
- Department of Public Health Sciences, Faculty of Social Sciences, Stockholm University, Stockholm, Sweden
| | - Lisa Berg
- Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Stockholm, Sweden
- Department of Public Health Sciences, Faculty of Social Sciences, Stockholm University, Stockholm, Sweden
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Du L, Hong F, Luo P, Wang Z, Zeng Q, Guan H, Liu H, Yuan Z, Xu D, Nie F, Wang J. Patterns and demographic correlates of domain-specific physical activities and their associations with dyslipidaemia in China: a multiethnic cohort study. BMJ Open 2022; 12:e052268. [PMID: 35418424 PMCID: PMC9014028 DOI: 10.1136/bmjopen-2021-052268] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
OBJECTIVE To evaluate the patterns and demographic correlates of domain-specific physical activities (PAs) and their associations with dyslipidaemia among ethnic minorities in China. DESIGN Cross-sectional. PARTICIPANTS In total, 17 081 individuals were included. PRIMARY AND SECONDARY OUTCOME MEASURES Domain-specific PAs were assessed using a questionnaire related to occupational, transportation, housework and leisure-time PAs. Dyslipidaemia was measured using an automatic biochemical instrument. Demographic variables were self-reported. RESULTS Housework accounted for most PAs in the study. Elderly people were more likely to participate in housework and leisure-time PA, whereas the mean level of PA in people with low education level and household income was high. With G3-G4 levels of occupational PA, Dong men (G4: OR=0.530, 95% CI 0.349 to 0.806), Miao women (G3: OR=0.698, 95% CI 0.524 to 0.931; G4: OR=0.611, 95% CI 0.439 to 0.850) and Bouyei women (G3: OR=0.745, 95% CI 0.566 to 0.981; G4: OR=0.615, 95% CI 0.440 to 0.860) tended to have a low risk of dyslipidaemia. With G2 levels of transportation, PA could reduce the risk of dyslipidaemia in Bouyei women (G2: OR=0.747, 95% CI 0.580 to 0.962). G2-G3 levels of leisure-time PA could reduce the risk of dyslipidaemia in Miao men (G2: OR=0.645, 95% CI 0.446 to 0.933; G3: OR=0.700, 95% CI 0.513 to 0.954). However, a high risk of dyslipidaemia was observed with G4 levels of leisure-time PA among Bouyei women (G4: OR=.353, 95% CI 1.001 to 1.905) and with transportation PA among Dong men (G4: OR=1.591, 95% CI 1.130 to 2.240). CONCLUSION The main PA of the ethnic minorities in Guizhou Province involved housework. Domain-specific PAs varied with demographic factors, and active domain-specific PAs were associated with a reduced risk of dyslipidaemia.
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Affiliation(s)
- Lunwei Du
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, Guizhou, China
| | - Feng Hong
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, Guizhou, China
| | - Peng Luo
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, Guizhou, China
| | - Ziyun Wang
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, Guizhou, China
| | - Qibing Zeng
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, Guizhou, China
| | - Han Guan
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, Guizhou, China
| | - Haiyan Liu
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, Guizhou, China
| | - Zhiping Yuan
- University Town Hospital, Guizhou Medical University, Guiyang, Guizhou, China
| | - Degan Xu
- Guiyang Center for Disease Control and Prevention, Guiyang, China
| | - Fang Nie
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, Guizhou, China
| | - Junhua Wang
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, Guizhou, China
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Kwon SC, Wyatt LC, Kum SS, Zanowiak JM, Kim SS, Yi SS, Min D, Lee L, Islam NS. Evaluation of a Diabetes Prevention Intervention for Korean American immigrants at Risk for Diabetes. Health Equity 2022; 6:167-177. [PMID: 35402771 PMCID: PMC8985525 DOI: 10.1089/heq.2021.0137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/17/2021] [Indexed: 12/01/2022] Open
Abstract
Purpose Despite the small but growing number of studies documenting the increasing prevalence of diabetes among Korean Americans, no culturally adapted interventions have been developed for Korean Americans at risk for diabetes. We evaluate the efficacy of a culturally tailored lifestyle intervention among Korean American immigrants at risk for diabetes in New York City (NYC). Methods Korean Americans at risk for diabetes were recruited into a culturally adapted, community health worker (CHW) intervention in NYC. Treatment group participants received 6 group sessions and 10 follow-up phone calls from CHWs over the 6-month period. Control participants received only the first session. Study outcomes included changes in weight, body mass index (BMI), blood pressure, physical activity (PA) and PA behaviors, nutrition behaviors, and diabetes knowledge. Paired t-tests and chi-square tests assessed group differences for each group for each outcome measure. Results The treatment group reported significant positive changes in recommended weekly PA, PA self-efficacy, PA barriers, nutrition self-efficacy, diabetes knowledge, weight, BMI, and systolic blood pressure compared with control participants. Generalized estimated equations models for repeated measures assessed change across time while adjusting for study arm, time point, and the interaction between study arm and time point. The intervention effect was significant for weekly moderate and vigorous PA, recommended weekly PA, PA self-efficacy, and diabetes knowledge. Conclusions Results suggest that a culturally adapted lifestyle intervention for Korean American immigrants at risk for diabetes have the potential to improve behaviors associated with cardiovascular disease outcomes and diabetes prevention. Further research among Korean Americans is warranted.
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Affiliation(s)
- Simona C. Kwon
- Department of Population Health, NYU Grossman School of Medicine, New York, New York, USA
| | - Laura C. Wyatt
- Department of Population Health, NYU Grossman School of Medicine, New York, New York, USA
| | | | - Jennifer M. Zanowiak
- Department of Population Health, NYU Grossman School of Medicine, New York, New York, USA
| | - Sara S. Kim
- Korean Community Services of Metropolitan New York, New York, New York, USA
| | - Stella S. Yi
- Department of Population Health, NYU Grossman School of Medicine, New York, New York, USA
| | - Deborah Min
- Department of Population Health, NYU Grossman School of Medicine, New York, New York, USA
| | - Linda Lee
- Korean Community Services of Metropolitan New York, New York, New York, USA
| | - Nadia S. Islam
- Department of Population Health, NYU Grossman School of Medicine, New York, New York, USA
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13
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Sanjeevi N. Mediation of the Relationship of Acculturation With Glycemic Control in Asian Americans With Diabetes. Am J Health Promot 2021; 36:279-287. [PMID: 34787493 DOI: 10.1177/08901171211052562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE To assess the role of physical activity and healthcare access in mediating the association of acculturation with cardiometabolic health in Asian American adults with diabetes. DESIGN Cross-sectional study. SETTING National Health and Nutrition Examination Survey (NHANES) 2011-2018. SUBJECTS Non-pregnant Asian American adults with doctor diagnosed diabetes. MEASURES Participants were classified into low, moderate, and high acculturation status. Self-reported leisure-time, work, and transportation-based physical activity were summed for overall physical activity. Health insurance, frequency of healthcare receipt, and glycohemoglobin (HbA1c) check in the past year indicated healthcare access. Cardiometabolic health indicators included HbA1c, total and high density lipoprotein-cholesterol, and systolic and diastolic blood pressure. ANALYSIS Linear and logistic regression estimates, standardized using y-standardization, and assessed mediation of acculturation with cardiometabolic health. RESULTS Low acculturation was significantly related to greater leisure-time inactivity odds [OR (95% CI) = 2.25 (1.05, 4.82)], overall insufficient activity [OR (95% CI) = 2.30 (1.12, 4.74)], and uninsured status [OR (95% CI) = 5.62 (1.55, 20.41)]. Asian Americans with low acculturation had significantly higher log HbA1c than those with high acculturation (β ± SE = .078 ± .038); however, this association was not significant after adjusting for leisure-time activity. Leisure-time activity mediated 48.9% of acculturation and HbA1c association, and the indirect effect was statistically significant [estimate (95% CI) = .021 (.002, 0.047)]. CONCLUSIONS Results suggest that promoting sufficient leisure-time activity could improve glycemic control in least acculturated Asian Americans with diabetes.
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Affiliation(s)
- Namrata Sanjeevi
- Department of Nutritional Sciences, College of Natural Sciences, 12330The University of Texas at Austin, Austin, TX, USA
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14
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Li J, Somers VK, Lopez-Jimenez F, Di J, Covassin N. Demographic characteristics associated with circadian rest-activity rhythm patterns: a cross-sectional study. Int J Behav Nutr Phys Act 2021; 18:107. [PMID: 34407852 PMCID: PMC8371768 DOI: 10.1186/s12966-021-01174-z] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Accepted: 07/26/2021] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND Rest-activity rhythm (RAR), a manifestation of circadian rhythms, has been associated with morbidity and mortality risk. However, RAR patterns in the general population and specifically the role of demographic characteristics in RAR pattern have not been comprehensively assessed. Therefore, we aimed to describe RAR patterns among non-institutionalized US adults and age, sex, and race/ethnicity variation using accelerometry data from a nationally representative population. METHODS This cross-sectional study was conducted using the US National Health and Nutrition Examination Survey (NHANES) 2011-2014. Participants aged ≥20 years who were enrolled in the physical activity monitoring examination and had at least four 24-h periods of valid wrist accelerometer data were included in the present analysis. 24-h RAR metrics were generated using both extended cosinor model (amplitude, mesor, acrophase and pseudo-F statistic) and nonparametric methods (interdaily stability [IS] and intradaily variability [IV]). Multivariable linear regression was used to assess the association between RAR and age, sex, and race/ethnicity. RESULTS Eight thousand two hundred participants (mean [SE] age, 49.1 [0.5] years) were included, of whom 52.2% were women and 67.3% Whites. Women had higher RAR amplitude and mesor, and also more robust (pseudo-F statistic), more stable (higher IS) and less fragmented (lower IV) RAR (all P trend < 0.001) than men. Compared with younger adults (20-39 years), older adults (≥ 60 years) exhibited reduced RAR amplitude and mesor, but more stable and less fragmented RAR, and also reached their peak activity earlier (advanced acrophase) (all P trend < 0.001). Relative to other racial/ethnic groups, Hispanics had the highest amplitude and mesor level, and most stable (highest IS) and least fragmented (lowest IV) RAR pattern (P trend < 0.001). Conversely, non-Hispanic blacks had the lowest peak activity level (lowest amplitude) and least stable (lowest IS) RAR pattern (all P trend < 0.001). CONCLUSIONS In the general adult population, RAR patterns vary significantly according to sex, age and race/ethnicity. These results may reflect demographic-dependent differences in intrinsic circadian rhythms and may have important implications for understanding racial, ethnic, sex and other disparities in morbidity and mortality risk.
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Affiliation(s)
- Jingen Li
- Department of Cardiovascular Medicine, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100700, China
- Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA
| | - Virend K Somers
- Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA
| | - Francisco Lopez-Jimenez
- Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA
| | - Junrui Di
- Department of Biostatistics, Johns Hopkins University, Baltimore, MA, 21205, USA
| | - Naima Covassin
- Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
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15
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Kim JHJ, Lu Q, Stanton AL. Overcoming constraints of the model minority stereotype to advance Asian American health. AMERICAN PSYCHOLOGIST 2021; 76:611-626. [PMID: 34410738 PMCID: PMC8384115 DOI: 10.1037/amp0000799] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Asian Americans are the fastest growing U.S. immigrant group, projected to become the largest immigrant group by 2065, but the quantity of research on Asian Americans' health has not mirrored changing demographics. Asian Americans have been understudied for more than 25 years, with only 0.17% of National Institutes of Health (NIH) expenditures allocated to projects including Asian American, Native Hawaiian, and Pacific Islander populations (Ðoàn et al., 2019). This disproportionality may result in part from the model minority stereotype (MMS) being extended to health, perpetuating the ideas that Asian Americans are well-positioned with regard to health status and that associated research is not essential. Accordingly, the aims for this article are threefold: (a) bring attention to the inadequate representation of the Asian American population in health-related science, (b) question the MMS in health, and (c) outline potential pathways through which the MMS limits what is knowable on Asian American health issues and needs. We discuss the limited meaningfulness of nonrepresentative aggregated statistics purporting the model minority image and provide counterexamples. We also present a stereotype-constraints model with the MMS contributing to a bottleneck for Asian American health-related knowledge, accompanied by present-day circumstances (e.g., sparse data, few psychologists/behavioral medicine scientists focused on Asian American health). We conclude with initial recommendations for addressing MMS-associated constraints in psychology and more broadly. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
| | - Qian Lu
- Department of Health Disparities Research, University of Texas MD Anderson Cancer Center
| | - Annette L. Stanton
- Department of Psychology, University of California, Los Angeles
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles
- Jonsson Comprehensive Cancer Center, University of California, Los Angeles
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16
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Leisure-time physical activity and its correlates in a multi-ethnic sample of adults over age 50 in Singapore. BMC Public Health 2021; 21:379. [PMID: 33602165 PMCID: PMC7891010 DOI: 10.1186/s12889-021-10431-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Accepted: 02/12/2021] [Indexed: 11/25/2022] Open
Abstract
Background To examine the prevalence and correlates of regular leisure-time physical activity (LTPA) among community-dwelling adults in Singapore. Methods Data was sourced from the 2018–2019 Singapore Life Panel, which asked respondents about their current LTPA participation at various time-points over a seven-month period. The final sample comprised 7684 subjects over age 50. We applied logistic regression models in our analysis. Results 39.8% of the respondents engaged in regular LTPA, with significantly higher proportions of men than women doing so. Factors positively associated with regular LTPA in both genders were age, education, retired, income, and satisfaction with social life, whereas a negative association was found with self-rated health. The correlates of sustained LTPA participation were relatively consistent with factors predicting current participation. Conclusions Regular participation in recreational physical activities is important to promoting health and well-being among middle-aged and older adults as populations age. Our findings indicated that positive perceptions of social relationships and being retired are important supporting factors. The urgent development of physical activity promotion strategies and interventions are required to foster greater overall LTPA participation.
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17
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Yi SS, Kanaya AM, Wen M, Russo R, Kandula N. Associations of Neighborhood Factors and Activity Behaviors: The Mediators of Atherosclerosis in South Asians Living in America (MASALA) Study. J Immigr Minor Health 2021; 23:54-61. [PMID: 32418001 PMCID: PMC8764702 DOI: 10.1007/s10903-020-01021-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Social and built environments may influence physical activity (PA). However, evidence for South Asian Americans (SAA), a group with low PA levels and high cardiometabolic risk, is lacking. We assessed the association between five neighborhood factors and PA behaviors in a community-based cohort of SAA. Data were from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) Study 2010-2013 (n = 906). Adjusted multivariable models stratified by sex regressing PA behaviors on neighborhood factors were run. Higher neighborhood social cohesion was associated with 17% more PA MET minutes/week in men (p < 0.01), but not in women. Having a park/playground near home was associated with meeting PA guidelines (odds ratio (95% CI): men: 3.14 (1.20-8.24); women: 3.67 (1.17-11.52). Neighborhood factors were associated with favorable PA behaviors in SAA. PA interventions for SAA that increase neighborhood social cohesion or focus on linking individuals with local resources may be effective.
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Affiliation(s)
- Stella S Yi
- Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
| | - Alka M Kanaya
- Departments of Medicine, Epidemiology & Biostatistics, University of California, San Francisco, San Francisco, CA, USA
| | - Ming Wen
- Department of Sociology, The University of Utah, Salt Lake City, UT, USA
| | - Rienna Russo
- Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA
| | - Namratha Kandula
- Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
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18
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Gore R, Patel S, Choy C, Taher M, Garcia-Dia MJ, Singh H, Kim S, Mohaimin S, Dhar R, Naeem A, Kwon SC, Islam N. Influence of organizational and social contexts on the implementation of culturally adapted hypertension control programs in Asian American-serving grocery stores, restaurants, and faith-based community sites: a qualitative study. Transl Behav Med 2020; 10:1525-1537. [PMID: 31260065 PMCID: PMC7796718 DOI: 10.1093/tbm/ibz106] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Hypertension affects a third of U.S. adults and is especially high among Asian American groups. The Racial and Ethnic Approaches to Community Health for Asian AmeRicans (REACH FAR) project delivers culturally adapted, evidence-based hypertension-related programs to Bangladeshi, Filipino, Korean, and Asian Indian communities in New York and New Jersey through 26 sites: ethnic grocery stores, restaurants, and Muslim, Christian, and Sikh faith-based organizations. Knowledge of the implementation mechanisms of culturally adapted programs is limited and is critical to inform the design and execution of such programs by and in community sites. We applied four categories of the Consolidated Framework for Implementation Research-intervention and individuals' characteristics, inner and outer setting-to analyze factors influencing implementation outcomes, that is, site leaders' perceptions about adopting, adapting, and sustaining REACH FAR. We conducted semistructured interviews with 15 leaders, coded them for implementation outcomes, and recoded them to identify contextual factors. Our findings show that REACH FAR resonated in sites where leaders perceived unhealthy diet and lifestyles in their communities (intervention characteristics), sites had historically engaged in health programs as a public-service mission (inner setting), and leaders identified with this mission (individuals' characteristics). Site leaders strived to adapt programs to respond to community preferences (outer setting) without compromising core objectives (inner setting). Leaders noted that program sustainability could be impeded by staff and volunteer turnover (inner setting) but enhanced by reinforcing programs through community networks (outer setting). The findings suggest that to facilitate implementation of culturally adapted health behavior programs through community sites, interventions should reinforce sites' organizational commitments and social ties.
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Affiliation(s)
- Radhika Gore
- NYU School of Medicine, Department of Population Health, New York, NY, USA
| | - Shilpa Patel
- NYU School of Medicine, Department of Population Health, New York, NY, USA
| | - Catherine Choy
- NYU School of Medicine, Department of Population Health, New York, NY, USA
| | - Md Taher
- NYU School of Medicine, Department of Population Health, New York, NY, USA
| | | | | | - Sara Kim
- Korean Community Services of Metropolitan New York, New York, NY, USA
| | - Sadia Mohaimin
- NYU School of Medicine, Department of Population Health, New York, NY, USA
| | - Ritu Dhar
- NYU School of Medicine, Department of Population Health, New York, NY, USA
| | - Areeg Naeem
- NYU School of Medicine, Department of Population Health, New York, NY, USA
| | - Simona C Kwon
- NYU School of Medicine, Department of Population Health, New York, NY, USA
| | - Nadia Islam
- NYU School of Medicine, Department of Population Health, New York, NY, USA
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19
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Williams R, Periasamy M. Genetic and Environmental Factors Contributing to Visceral Adiposity in Asian Populations. Endocrinol Metab (Seoul) 2020; 35:681-695. [PMID: 33397033 PMCID: PMC7803598 DOI: 10.3803/enm.2020.772] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Accepted: 12/12/2020] [Indexed: 12/20/2022] Open
Abstract
Obesity-associated metabolic illnesses are increasing at an alarming rate in Asian countries. A common feature observed in the Asian population is a higher incidence of abdominal obesity-the "skinny-fat" Asian syndrome. In this review, we critically evaluate the relative roles of genetics and environmental factors on fat distribution in Asian populations. While there is an upward trend in obesity among most Asian countries, it appears particularly conspicuous in Malaysia. We propose a novel theory, the Malaysian gene-environment multiplier hypothesis, which explains how ancestral variations in feast-and-famine cycles contribute to inherited genetic predispositions that, when acted on by modern-day stressors-most notably, urbanization, westernization, lifestyle changes, dietary transitions, cultural pressures, and stress-contribute to increased visceral adiposity in Asian populations. At present, the major determinants contributing to visceral adiposity in Asians are far from conclusive, but we seek to highlight critical areas for further research.
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Affiliation(s)
- Rachel Williams
- Department of Internal Medicine, University of Central Florida (UCF) College of Medicine, Burnett School of Biomedical Sciences, Orlando, FL, USA
| | - Muthu Periasamy
- Department of Internal Medicine, University of Central Florida (UCF) College of Medicine, Burnett School of Biomedical Sciences, Orlando, FL, USA
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20
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Colorectal Cancer-Related Knowledge, Acculturation, and Healthy Lifestyle Behaviors Among Low-Income Vietnamese Americans in the Greater Philadelphia Metropolitan Area. J Community Health 2020; 45:1178-1186. [PMID: 33026553 DOI: 10.1007/s10900-020-00931-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/28/2020] [Indexed: 10/23/2022]
Abstract
Colorectal cancer (CRC) is the second and fourth most common cancer in Vietnamese American women and men, respectively. Recent research has highlighted the importance of modifiable lifestyle behaviors such as smoking, alcohol use, dietary behaviors, and physical activities in CRC prevention for the general population. However, it is not well understood how well Vietnamese Americans knew about CRC prevention and risk factors, and whether there were any disparities in knowledge within this vulnerable population. This study examined whether comprehensive measures of acculturation and knowledge of CRC risk are associated with different health behaviors, specifically physical activity, protective dietary behaviors, and risky dietary behaviors in Vietnamese Americans. We recruited 374 Vietnamese Americans aged 50 or above from community-based organizations in the Vietnamese American communities in the greater Philadelphia metropolitan area. Through a cross-sectional survey, we collected data on their knowledge of CRC prevention and risk factors, acculturation-related factors, and sociodemographic characteristics. We found limited knowledge of CRC prevention and risk factors, and suboptimal physical activity and healthy dietary behaviors in the Vietnamese Americans. We also found that higher levels of knowledge about CRC and risk factors were associated with less unhealthy diets but not with more protective diets or physical activity. Acculturation was not significantly associated with overall dietary behaviors in our study. Our findings addressed gaps in current literature concerning the impact of knowledge about CRC risk factors and acculturation on different dimensions of dietary behaviors as well as physical activity. Research and practical implications were discussed.
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21
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Cervantes-Ortega M, Du S, Biegler KA, Al-Majid S, Davis KC, Chen Y, Kobsa A, Mukamel DB, Sorkin DH. Participatory decision-making for cancer care in a high-risk sample of low income Mexican-American breast cancer survivors: The role of acculturation. ACTA ACUST UNITED AC 2020; 6:35-43. [PMID: 33898743 DOI: 10.5430/ijh.v6n2p35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Background Despite declining cancer incidence and mortality rates, Latina patients continue to have lower 5-year survival rates compared to their non-Hispanic white counterparts. Much of this difference has been attributed to lack of healthcare access and poorer quality of care. Research, however, has not considered the unique healthcare experiences of Latina patients. Methods Latina women with prior diagnoses of stage 0-III breast cancer were asked to complete a cross-sectional survey assessing several socio-demographic factors along with their experiences as cancer patients. Using a series of linear regression models in a sample of 68 Mexican-American breast cancer survivors, we examined the extent to which patients' ratings of provider interpersonal quality of care were associated with patients' overall healthcare quality, and how these associations varied by acculturation status. Results Findings for Latina women indicated that both participatory decision-making (PDM) (β = 0.62, p < .0001) and trust (β = 0.53, p = .02) were significantly associated with patients' ratings of healthcare quality. The interaction between acculturation and PDM further suggested that participating in the decision-making process mattered more for less acculturated than for more acculturated patients (β = -0.51, p ≤ .01). Conclusions The variation across low and high acculturated Latinas in their decision-making process introduces a unique challenge to health care providers. Further understanding the relationship between provider-patient experiences and ratings of overall healthcare quality is critical for ultimately improving health outcomes.
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Affiliation(s)
| | - Senxi Du
- Keck School of Medicine, University of Southern California, Los Angeles, USA
| | - Kelly A Biegler
- Department of Medicine, University of California Irvine, Irvine, USA
| | - Sadeeka Al-Majid
- School of Nursing, California State University Fullerton, Fullerton, USA
| | - Katelyn C Davis
- Department of Medicine, University of California Irvine, Irvine, USA
| | - Yunan Chen
- Department of Informatics, University of California Irvine, Irvine, USA
| | - Alfred Kobsa
- Department of Informatics, University of California Irvine, Irvine, USA.,Department of Computer Science, University of California Irvine, Irvine, USA
| | - Dana B Mukamel
- Department of Medicine, University of California Irvine, Irvine, USA
| | - Dara H Sorkin
- Department of Medicine, University of California Irvine, Irvine, USA
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22
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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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23
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A Systematic Review of Culturally Specific Interventions to Increase Physical Activity for Older Asian Americans. J Cardiovasc Nurs 2019; 33:313-321. [PMID: 29461304 DOI: 10.1097/jcn.0000000000000459] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Physical activity (PA) is a significant modifiable risk factor for cardiovascular disease. For older adults, engaging in PA is shown to improve cardiac status, reduce cognitive, and functional decline, and improve overall quality of life. However, only 17% of Asian American adults meet the 2008 federal recommended guidelines for aerobic and muscle strengthening activity; and there is a paucity of data reporting on older Asian Americans - a rapidly growing, underserved group. While data pertaining to Asian Americans is frequently reported at the aggregate level, this masks differences (eg, language, culture, income) among Asian ethnic subgroups that may impact health behaviors. The purpose of this review was to identify intervention, and cultural adaptation strategies in studies promoting PA for older Asian Americans. METHODS A comprehensive literature search was performed to identify interventions published between 1996-2016 focused on improving PA among older Asian Americans (> 60 years old). Data were abstracted to examine intervention study designs, cultural adaptation strategies, theoretical frameworks, and physical activity measures. RESULTS Nine studies met the review's inclusion criteria. Community-based recruitment approaches were widely used, and all studies employed cultural adaptation to varying degrees. Most studies reported improvements in PA outcomes, focused on Chinese Americans, and relied on self-reports of PA, while few aimed to increase PA using a multi-component approach. CONCLUSIONS Future studies would benefit from larger sample sizes, a wider representation of Asian ethnic subgroups, and concentrated efforts to implement deep level adaptations that may increase the salience and sustainability of these interventions.
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Mathew Joseph N, Misra R, Wang J. Mediating Role of Acculturation and Lifestyle Behaviors on Cardiometabolic Risk Among a National Sample of U.S. Asian Indians. J Immigr Minor Health 2019; 22:727-735. [PMID: 31485817 DOI: 10.1007/s10903-019-00930-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Asian Indians are the third largest and fastest growing Asian subgroup in the U.S. and have high risks for diabetes and cardiovascular disease. This study explored the mediating role of lifestyle behaviors on the relationship between acculturation and cardiometabolic risk factors among Asian Indians using the Diabetes in Indian Americans national study. The cross-sectional study sample comprised 1038 randomly selected adult Asian Indians in seven U.S. sites. Acculturation was assessed using the Acculturation Scale for Southeast Asians. Diet and lifestyle behaviors were measured using the Health-Promoting Lifestyle Profile II subscales. Path analyses with bootstrap methods were conducted. Dietary behavior significantly mediated the relationship between acculturation and HbA1C (β = 0.004, p = 0.047), and physical activity mediated the relationship between acculturation and HDL (β = 0.08, p = 0.011). Other mediation models were not significant (p > 0.05). Mediating factors besides lifestyle behaviors should be explored in future studies.
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Affiliation(s)
- Nitha Mathew Joseph
- Department of Undergraduate Studies, Cizik School of Nursing, The University of Texas Health Science Center at Houston, 6901 Bertner Ave, Houston, TX, 77030, USA.
| | - Ranjita Misra
- Department of Social and Behavioral Sciences, Robert C. Byrd Health Sciences Center, School of Public Health, West Virginia University, Morgantown, WV, 26506-9190, USA
| | - Jing Wang
- School of Nursing, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr., MC 7950, San Antonio, TX, 78229, USA
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Lê-Scherban F, Albrecht SS, Osypuk TL, Sánchez BN, Diez Roux AV. Long-term neighborhood ethnic composition and weight-related outcomes among immigrants: The Multi-Ethnic Study of Atherosclerosis. Health Place 2019; 58:102147. [PMID: 31234123 PMCID: PMC6708458 DOI: 10.1016/j.healthplace.2019.102147] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2018] [Revised: 04/06/2019] [Accepted: 05/27/2019] [Indexed: 11/19/2022]
Abstract
Weight among immigrants in the United States (US) is lower than among the US-born on average, but higher among long-term immigrants than the newly arrived. Neighborhood coethnic concentration-the proportion of neighborhood residents of the same ethnic background-may influence weight among immigrants via behavioral norms and market-driven community resources. However, the relevant exposure timeframe may be far longer than is captured by existing cross-sectional and short-term studies. Using detailed historical residential address information on 1449 older Latino and Chinese long-term immigrants, we investigated associations of 10-20-year neighborhood coethnic concentration trajectories with current waist circumference and weight-related behaviors (diet, physical activity, and sedentary time). Among Chinese participants, compared to persistent low coethnic concentration, increasing coethnic concentration was associated with higher waist circumference (difference = 1.45 cm [0.51, 2.39]). In contrast, both increasing coethnic concentration and persistent high coethnic concentration were associated with a healthier diet. Among Latino participants, trajectories characterized by higher coethnic concentration were associated with higher waist circumference (e.g., difference = 2.11 cm [0.31, 3.91] for persistent high vs. persistent low) and low physical activity. Long-term patterns of neighborhood coethnic concentration may affect weight-related outcomes among immigrants in complex ways that differ by ethnicity and outcome.
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Affiliation(s)
- Félice Lê-Scherban
- Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, 3215 Market Street, 5th Floor, Philadelphia, PA 19104, USA; Urban Health Collaborative, Dornsife School of Public Health, Drexel University, 3600 Market Street, 7th Floor, Philadelphia, PA 19104, USA.
| | - Sandra S Albrecht
- Department of Nutrition, Gillings School of Public Health, University of North Carolina at Chapel Hill, 137 East Franklin Street, CB # 8120, Chapel Hill, NC 27516, USA
| | - Theresa L Osypuk
- Division of Epidemiology and Community Health, University of Minnesota School of Public Health, 1300 South 2nd Street, Room 300 West Bank Office Building, Minneapolis, MN 55454, USA
| | - Brisa N Sánchez
- Department of Biostatistics, University of Michigan School of Public Health, M4164 SPH II, 1415 Washington Heights, Ann Arbor, MI 48109, USA; Urban Health Collaborative, Dornsife School of Public Health, Drexel University, 3600 Market Street, 7th Floor, Philadelphia, PA 19104, USA
| | - Ana V Diez Roux
- Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, 3215 Market Street, 5th Floor, Philadelphia, PA 19104, USA; Urban Health Collaborative, Dornsife School of Public Health, Drexel University, 3600 Market Street, 7th Floor, Philadelphia, PA 19104, USA
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Al Tunaiji H, Davis JC, Mansournia MA, Khan KM. Population attributable fraction of leading non-communicable cardiovascular diseases due to leisure-time physical inactivity: a systematic review. BMJ Open Sport Exerc Med 2019; 5:e000512. [PMID: 31191969 PMCID: PMC6539142 DOI: 10.1136/bmjsem-2019-000512] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/12/2019] [Indexed: 12/18/2022] Open
Abstract
Objective The aim of this systematic review was to investigate the methods used for estimating the population attributable fraction (PAF) to leisure-time physical inactivity (PI) of coronary artery diseases, hypertension and stroke in order to provide the best available estimate for PAF. Design Systematic review. Data sources Four electronic databases (MEDLINE/PubMed, EMBASE, SPORTDiscus, and Cumulative Index to Nursing and Allied Health Literature) were searched from inception to August 2018. Eligibility criteria for selecting studies This review included prospective cohort studies, with men and women aged ≥18 years old, investigating the PAF attributable to leisure-time PI related to coronary artery diseases, hypertension and stroke. Results The PAF estimates of the three studies included were 13% (3%–22%) for ‘stage-1 hypertension’ subtype incidence due to ‘non-regular exercise’; 25% (10.4%–35.8%) for ‘stage-2 hypertension’ subtype incidence due to ‘activity of daily living’ and ‘vigorous-intensity sports’; and 8.5% (1.7%–16.7%) for ‘total: fatal and non-fatal’ cardiovascular events of ‘incidence and mortality’ endpoints due to non-accumulation of 550 kcal/week (subsets not specified). Conclusions The PAF estimate exhibited a protective dose–response relationship between hypertension and an increased amount of energy expenditure of leisure-time PI. In order to enhance accuracy of PAF estimates, the following steps are recommended: (1) to clearly define and state the working definition of leisure-time PI and dose using a reliable and valid objective measurement tool; (2) use a clear definition of outcome subtypes and endpoints using reliable and valid objective measures; and (3) estimate PAF using modelling techniques based on prospective data and ensuring to report 95% CI.
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Affiliation(s)
- Hashel Al Tunaiji
- Centre for Hip Health and Mobility, University of British Columbia, Vancouver Coastal Health Research Institute (VCHRI), Vancouver, British Columbia, Canada.,Sport Medicine & Sciences Unit, Zayed Military Hospital, Abu Dhabi, United Arab Emirates
| | - Jennifer C Davis
- Centre for Hip Health and Mobility, University of British Columbia, Vancouver Coastal Health Research Institute (VCHRI), Vancouver, British Columbia, Canada
| | - Mohammad Ali Mansournia
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Karim M Khan
- Centre for Hip Health and Mobility, University of British Columbia, Vancouver Coastal Health Research Institute (VCHRI), Vancouver, British Columbia, Canada
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Bang H, Chang M, Lee C. Racial and Linguistic Status Differences in the Effect of Interscholastic Sport Participation on School Engagement and Academic Performance Among High School Students. Psychol Rep 2018; 123:452-471. [PMID: 30451593 DOI: 10.1177/0033294118813845] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The purpose of the study was to examine whether the effects of interscholastic sport participation on academic performance and school engagement vary by race and linguistic status of high school students. High school participants ( n = 16,200) were selected from the Education Longitudinal Study: 2002, a nationally representative database. Results of a structural equation model showed that Asian, black, and Hispanic students’ interscholastic sport participation had a positive effect on grade point average, while the effect was not significant for white students. However, white students’ interscholastic sport participation was likely to have a positive, indirect effect on grade point average through their engagement in school. The results showed no linguistic status variation in the effects of interscholastic sport participation on school engagement and grade point average. The findings suggest that supporting high school students in school-sponsored extracurricular sport programs should be continued, highlighting the important role of schools in shaping the proper educational environment for sport participation.
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Affiliation(s)
- Hyejin Bang
- Department of Leadership and Professional Studies, Florida International University, Miami, FL, USA
| | - Mido Chang
- Department of Leadership and Professional Studies, Florida International University, Miami, FL, USA
| | - Cindy Lee
- College of Physical Activity and Sport Sciences, West Virginia University, Morgantown, WV, USA
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Singh M, Sharma P, Raj D, Sharma S, Kaushal A, Raina SK. Leisure Time Physical Activity and Risk of Developing Depression among the Youth of Kangra District, Himachal Pradesh, India. Indian J Psychol Med 2018; 40:426-432. [PMID: 30275617 PMCID: PMC6149310 DOI: 10.4103/ijpsym.ijpsym_85_18] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Physical inactivity during adolescence and youth has been considered as potential risk factor for future mental health problems. The present study was conducted with the aim to examine whether an association exists between leisure-time physical activity (PA) and depression among the youth of Kangra district, studying in professional or degree colleges. METHODOLOGY A cross-sectional study was conducted among the students of Medical College (MC), Central University (CU) and Industrial Training Institute (ITI) of Kangra district. 370 adolescents and youth of age <25 years, who consented to participate, were recruited. The sample size was divided into three parts among all the three institutes. Only one question regarding leisure time PA (LTPA) was asked, as to how many hours spent in the last week; and Center for Epidemiologic Studies Depression Scale for Children (CES-DC) was used. RESULTS There were 124 participants from ITI, 126 from CU and 120 from MC. The mean score of CES-DC was highest among CU students 22.7 (±11.0) and lowest among MC students; 13.6 (±9.2). Low LTPA (<4 h) was significantly associated with higher depressive symptoms among all students (odds ratio [95% confidence interval]; 3.34 [1.41-7.92]). CONCLUSION LTPA was associated with lower rates of depression.
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Affiliation(s)
- Mitasha Singh
- Department of Community Medicine, Dr. RP Govt. Medical College, Tanda, Kangra, Himachal Pradesh, India
| | - Piyush Sharma
- Department of Community Medicine, Dr. RP Govt. Medical College, Tanda, Kangra, Himachal Pradesh, India
| | - Des Raj
- Department of Community Medicine, Dr. RP Govt. Medical College, Tanda, Kangra, Himachal Pradesh, India
| | - Shailja Sharma
- Department of Community Medicine, Dr. RP Govt. Medical College, Tanda, Kangra, Himachal Pradesh, India
| | - Ankush Kaushal
- Department of Community Medicine, Dr. RP Govt. Medical College, Tanda, Kangra, Himachal Pradesh, India
| | - Sunil Kumar Raina
- Department of Community Medicine, Dr. RP Govt. Medical College, Tanda, Kangra, Himachal Pradesh, India
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Abstract
All racial/ethnic groups are at higher risk for type 2 diabetes compared to whites, but it is unknown if young adults recognize their risk. Risk knowledge and individual risk perception were examined in 1579 multiracial urban college students. Students have little knowledge of diabetes risk factors; identifying less than three of ten. Considerable variation exists in the understanding of risk; only .02 % of Asian, 14.0 % of Hispanic and 22.8 % of black students recognized that their race increased risk. Among those with ≥3 risk factors (n = 541) only 39 % perceived their risk. These under-estimators had lower knowledge scores (p = .03) than those who acknowledged their risk; indicating that the cause of under-estimating risk may be, at least, in part due to a lack of information. There is a pressing need to heighten understanding of type 2 diabetes risk among young adults to decrease the future burden of this disease.
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Baek SR, Moudon AV, Saelens BE, Kang B, Hurvitz PM, Bae CHC. Comparisons of Physical Activity and Walking Between Korean Immigrant and White Women in King County, WA. J Immigr Minor Health 2018; 18:1541-1546. [PMID: 26514149 DOI: 10.1007/s10903-015-0290-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Immigrant and minority women are less physically active than White women particularly during leisure time. However, prior research demonstrates that reported household physical activity (PA) and non-leisure time walking/biking were higher among the former. Using accelerometers, GPS, and travel logs, transport-related, home-based, and leisure time PA were measured objectively for 7 days from a convenience sample of 60 first-generation Korean immigrant women and 69 matched White women from the Travel Assessment and Community Project in King County, Washington. Time spent in total PA, walking, and home-based PA was higher among Whites than Korean immigrants regardless of PA type or location. 58 % of the White women but only 20 % of the Korean women met CDC's PA recommendations. Socio-economic status, psychosocial factors, and participants' neighborhood built environmental factors failed to account for the observed PA differences between these groups.
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Affiliation(s)
- So-Ra Baek
- Department of Urban and Regional Planning, State University of New York at Buffalo, Buffalo, NY, USA
| | - Anne Vernez Moudon
- Department of Urban Design and Planning, University of Washington, 410 Gould Hall, Box 355740, Seattle, WA, 98195-5740, USA
| | - Brian E Saelens
- Department of Pediatrics, University of Washington and Seattle Children's Research Institute, Seattle, WA, USA
| | - Bumjoon Kang
- Department of Urban and Regional Planning, State University of New York at Buffalo, Buffalo, NY, USA
| | - Philip M Hurvitz
- Department of Urban Design and Planning, University of Washington, 410 Gould Hall, Box 355740, Seattle, WA, 98195-5740, USA
| | - Chang-Hee Christine Bae
- Department of Urban Design and Planning, University of Washington, 410 Gould Hall, Box 355740, Seattle, WA, 98195-5740, USA.
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Best KL, Arbour-Nicitopoulos KP, Sweet SN. Community-based physical activity and wheelchair mobility programs for individuals with spinal cord injury in Canada: Current reflections and future directions. J Spinal Cord Med 2017; 40:777-782. [PMID: 28872428 PMCID: PMC5778941 DOI: 10.1080/10790268.2017.1367363] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
RATIONALE A clear need has been identified to find strategies and opportunities, beyond services provided during rehabilitation, to enhance community-based mobility and leisure-time physical activity (LTPA) participation among members of the spinal cord injury (SCI) population. METHOD This review of existing mobility and LTPA programs that are available for individuals with SCI in Canada reflects the authors' current knowledge of existing evidence-based and community-based programs. The authors aim to highlight the gaps between existing programs and future needs. RESULTS The major gaps identified in this brief clinical report include the need for: community-based mobility training programs, patient reported outcomes, assessment of long-term impact of programs, identifying the best approaches for program delivery, and developing researcher-stakeholder partnerships. CONCLUSION Evidence-based mobility programs and community-based LTPA do exist, and the available research shows their promise. Despite the growing research for LTPA and mobility programs among adults with SCI, many gaps remain. Additional partnerships, community engagement practices, service program funding and health policy changes are needed to address the highlighted gaps to optimize community-based programs and enhance the lives of adults with SCI.
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Affiliation(s)
- Krista L. Best
- Department of Rehabilitation, Université Laval, Québec, QC, Canada,Centre for interdisciplinary research in rehabilitation and social integration (CIRRIS), Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale (CIUSSS-CN), Institut de réadaptation en déficience physique de Québec (IRDPQ), Québec, QC, Canada,Correspondence to: Krista L. Best, Department of Rehabilitation, Université Laval, Québec, QC, Canada. Centre for interdisciplinary research in rehabilitation and social integration (CIRRIS), Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale (CIUSSS-CN), Institut de réadaptation en déficience physique de Québec (IRDPQ), Québec, QC, Canada.
| | | | - Shane N. Sweet
- Department of Kinesiology & Physical Education, McGill University, Montreal, QC, Canada,Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada
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Zan H, Fan JX. Reporting More but Moving Less? The Complex Relationship between Acculturation and Physical Activity Among US Adults. Am J Health Promot 2017; 32:446-452. [PMID: 28660772 DOI: 10.1177/0890117117716415] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
PURPOSE To investigate the association between acculturation and physical activity (PA). DESIGN Cross sectional. SETTING The National Health and Nutrition Examination Surveys (NHANES) 2003 to 2006. SUBJECTS A total of 4029 adults (aged 20-64), including 2063 men and 1966 women. MEASURES The outcome measures included both self-reported PA and device-assessed PA. The acculturation measure was constructed based on nativity, language use at home, and length of residence in the United States. ANALYSIS Regressions with domain analysis were conducted to adjust for the influence of confounding factors and complex survey design. RESULTS For men, self-reported PA increased with acculturation, especially leisure-time PA. However, device-assessed PA decreased with acculturation. For women, the results were more mixed. CONCLUSION All evidence considered, we concluded that PA decreased with acculturation for US men.
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Affiliation(s)
- Hua Zan
- 1 Center on the Family, University of Hawaii at Manoa, Honolulu, HI, USA
| | - Jessie X Fan
- 2 Department of Family and Consumer Studies, University of Utah, Salt Lake City, UT, USA
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Itoh H, Kitamura F, Hagi N, Mashiko T, Matsukawa T, Yokoyama K. Leisure-time physical activity in youth as a predictor of adult leisure physical activity among Japanese workers: a cross-sectional study. Environ Health Prev Med 2017; 22:37. [PMID: 29165133 PMCID: PMC5664430 DOI: 10.1186/s12199-017-0648-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2016] [Accepted: 03/22/2017] [Indexed: 12/03/2022] Open
Abstract
Background Workers in Japan are not sufficiently active; however, it remains unclear how their leisure-time physical activity habits may be developed. This cross-sectional study investigated the relationship of age- and intensity-specific leisure-time physical activity in youth to adulthood leisure-time physical activity habits among Japanese workers. Methods In 2012, 968 workers (333 males and 635 females) from three companies and six hospitals in the Tokai region of Japan agreed to complete and submit a self-administered questionnaire. Intensity-specific leisure-time physical activity at ages 12 and 20 years was assessed retrospectively, and workers’ current participation in regular leisure-time physical activity was assessed as an outcome measure. Multivariable-adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using logistic regression analysis. Results Mean ages for males and females were 40 and 37 years, respectively. Strenuous leisure-time physical activity at age 12 years was significantly positively associated with adulthood participation in leisure-time physical activity among male workers [adjusted OR (95% CI) = 2.29 (1.02, 5.14)]. Additionally, both strenuous and moderate physical activity at age 20 years was significantly positively associated with participation in regular leisure-time physical activity in adulthood among males and females. Conclusions Our results suggest that some leisure-time physical activity in youth may predict adult workers’ participation in regular leisure-time physical activity in Japan. Encouragement of leisure-time physical activity in youth could therefore be an effective measure to develop adult leisure-time physical activity habits among workers.
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Affiliation(s)
- Hiroaki Itoh
- Department of Epidemiology and Environmental Health, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan
| | - Fumihiko Kitamura
- Department of Epidemiology and Environmental Health, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan
| | - Noriko Hagi
- Yokkaichi Nursing and Medical Care University, Yokkaichi, Japan
| | - Tomoe Mashiko
- Clinical Research Support Center, The University of Tokyo Hospital, Tokyo, Japan
| | - Takehisa Matsukawa
- Department of Epidemiology and Environmental Health, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan
| | - Kazuhito Yokoyama
- Department of Epidemiology and Environmental Health, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
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Kwon SC, Rideout C, Patel S, Arista P, Tepporn E, Lipman J, Kunkel S, Le DQ, Chin KK, Trinh-Shevrin C. Improving Access to Healthy Foods for Asian Americans, Native Hawaiians, and Pacific Islanders: Lessons Learned from the STRIVE Program. J Health Care Poor Underserved 2016; 26:116-36. [PMID: 25981093 DOI: 10.1353/hpu.2015.0063] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs) experience a large burden from certain chronic disease-related risk factors. The STRIVE Program funded four AANHPI community-based organizations (CBOs) to implement culturally adapted community gardens and farmers' markets to increase access to healthy foods. Key CBO informant interviews were conducted to understand processes and lessons learned.
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Yi SS, Trinh-Shevrin C, Yen IH, Kwon SC. Racial/Ethnic Differences in Associations Between Neighborhood Social Cohesion and Meeting Physical Activity Guidelines, United States, 2013-2014. Prev Chronic Dis 2016; 13:E165. [PMID: 27930284 PMCID: PMC5145691 DOI: 10.5888/pcd13.160261] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Introduction Neighborhood factors are increasingly recognized as determinants of health. Neighborhood social cohesion may be associated with physical activity, but previous studies examined data aggregated across racial/ethnic groups. We assessed whether neighborhood social cohesion was associated with physical activity in a nationally representative data set and explored the role of race/ethnicity. Methods We combined National Health Interview Survey data from 2013 and 2014 (n = 64,754) and constructed a neighborhood social cohesion score by summing responses to 4 questions. The outcome of meeting aerobic physical activity guidelines was defined as 150 or more minutes per week of moderate activity or 75 or more minutes of vigorous activity. Multivariable models regressing physical activity on neighborhood social cohesion were adjusted for demographic factors; interaction analyses assessed effect modification by race/ethnicity. Results In adjusted analyses, a 1-unit increase in the neighborhood social cohesion score was associated with higher odds of meeting physical activity guidelines (odds ratio [OR], 1.04; 95% confidence interval [CI], 1.03–1.05). Neighborhood social cohesion and physical activity were associated among non-Hispanic white adults (OR, 1.30; 95% CI, 1.20–1.42) and Hispanic adults (OR, 1.18; 95% CI, 1.03–1.34]) but not among non-Hispanic black or Asian American adults (Chinese, Filipino, and Asian Indians). Conclusion Neighborhood social cohesion was associated with meeting physical activity guidelines in a nationally representative sample; this association may be most meaningful for non-Hispanic white and Hispanic populations. Additional studies are needed to identify neighborhood factors that help non-Hispanic black and Asian Americans to meet physical activity guidelines.
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Affiliation(s)
- Stella S Yi
- New York University School of Medicine, Department of Population Health, 550 First Ave, VZN Suite 844, 8th Floor, New York, NY 10016.
| | | | - Irene H Yen
- University of California, San Francisco, San Francisco, California
| | - Simona C Kwon
- New York University School of Medicine, New York, New York
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Yi SS, Beasley JM, Kwon SC, Huang KY, Trinh-Shevrin C, Wylie-Rosett J. Acculturation and activity behaviors in Chinese American immigrants in New York City. Prev Med Rep 2016; 4:404-409. [PMID: 27570733 PMCID: PMC4992039 DOI: 10.1016/j.pmedr.2016.08.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2016] [Revised: 08/05/2016] [Accepted: 08/07/2016] [Indexed: 11/30/2022] Open
Abstract
Asian Americans have lower levels of physical activity (PA) compared to other racial/ethnic groups; however, there is little understanding of the social and cultural determinants of PA in this population. Few analyses describe specific PA domains (occupation-, transportation-, recreation-related), focus on one Asian subgroup, or use validated scales. The study objective was to assess the association between acculturation and activity behaviors (meeting 2008 PA guidelines, activity minutes by PA domain, sitting time) in a cross-sectional sample of urban-dwelling, Chinese American immigrants. Data were from the Chinese American Cardiovascular Health Assessment (CHA CHA) 2010-11 among participants with valid reports of PA minutes, assessed by the WHO Global Physical Activity Questionnaire (n = 1772). Acculturation was assessed using the Stephenson Multigroup Acculturation Scale, a 32-item instrument which characterizes two acculturative dimensions: ethnic society (Chinese) immersion and dominant society (American) immersion (maximum possible scores = 4). Multivariable models regressing activity behaviors on acculturation were run, adjusting for age, sex, household income, education, and age at immigration. Ethnic society immersion was high (mean = 3.64) while dominant society immersion was moderate (mean = 2.23). Higher ethnic society immersion was associated with less recreation-related PA (- 40.7 min/week); higher dominant society immersion was associated with a higher odds of meeting PA guidelines (OR: 1.66 (1.25, 2.20), p < 0.001) and more recreation-related PA (+ 36.5 min/week). Given low PA levels in Chinese adults in China, results suggest that PA for leisure may increase and become a more normative behavior among Chinese American immigrants with acculturation. Understanding acculturation level may inform strategies to increase PA in Chinese Americans.
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Affiliation(s)
- Stella S. Yi
- NYU School of Medicine, Department of Population Health, United States
| | | | - Simona C. Kwon
- NYU School of Medicine, Department of Population Health, United States
| | - Keng-Yen Huang
- NYU School of Medicine, Department of Population Health, United States
| | | | - Judith Wylie-Rosett
- Albert Einstein College of Medicine, Department of Epidemiology and Population Health, United States
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Jih J, Le G, Woo K, Tsoh JY, Stewart S, Gildengorin G, Burke A, Wong C, Chan E, Fung LC, Yu F, Pasick R, McPhee SJ, Nguyen TT. Educational Interventions to Promote Healthy Nutrition and Physical Activity Among Older Chinese Americans: A Cluster-Randomized Trial. Am J Public Health 2016; 106:1092-8. [PMID: 26985605 PMCID: PMC4880259 DOI: 10.2105/ajph.2016.303111] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/02/2016] [Indexed: 12/25/2022]
Abstract
OBJECTIVES To evaluate the efficacy of an in-language intervention of 2 lectures plus printed materials versus printed materials alone on knowledge and adherence to nutrition and physical activity guidelines among older Chinese Americans in San Francisco, California. METHODS From August 2010 to September 2013, we randomized 756 Chinese Americans aged 50 to 75 years to either lectures plus print (n = 361) or print (n = 357). Clusters were the participants recruited by each lay health worker. Intervention outcomes were changes in knowledge of recommended vegetable intake, fruit intake, and physical activity level and adherence to those recommendations from pre- to 6 months postintervention. RESULTS The retention rate was 99%. At baseline, knowledge and adherence to recommendations were low. Print yielded increases in knowledge of recommended vegetable intake and physical activity level and adherence to fruit intake and physical activity recommendations. Lectures plus print had significant increases in all 6 outcomes. In multivariable models, lectures plus print was superior to print for knowledge of vegetable (adjusted odds ratio [AOR] = 12.61; 95% confidence interval [CI] = 6.50, 24.45) and fruit (AOR = 16.16; 95% CI = 5.61, 46.51) intake recommendations and adherence to vegetable intake recommendations (AOR = 5.53; 95% CI = 1.96, 15.58). CONCLUSIONS In-language print materials, alone and combined with lectures, increased nutrition and physical activity knowledge and behaviors among older Chinese Americans.
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Affiliation(s)
- Jane Jih
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Gem Le
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Kent Woo
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Janice Y Tsoh
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Susan Stewart
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Ginny Gildengorin
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Adam Burke
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Ching Wong
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Elaine Chan
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Lei-Chun Fung
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Filmer Yu
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Rena Pasick
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Stephen J McPhee
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
| | - Tung T Nguyen
- Jane Jih, Gem Le, Ginny Gildengorin, Ching Wong, Filmer Yu, Rena Pasick, Stephen J. McPhee, and Tung T. Nguyen are with the Division of General Internal Medicine, University of California, San Francisco. Kent Woo and Elaine Chan are with the NICOS Chinese Health Coalition, San Francisco, CA. Janice Y. Tsoh is with the Department of Psychiatry, University of California, San Francisco. Susan Stewart is with the Department of Public Health Sciences, University of California, Davis. Adam Burke is with the Department of Health Education, San Francisco State University, San Francisco. Lei-Chun Fung is with the Chinatown Public Health Center, San Francisco.Department of Public Health, San Francisco
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Kelley EA, Kandula NR, Kanaya AM, Yen IH. Neighborhood Walkability and Walking for Transport Among South Asians in the MASALA Study. J Phys Act Health 2016; 13:514-9. [PMID: 26529292 PMCID: PMC5070655 DOI: 10.1123/jpah.2015-0266] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND The neighborhood built environment can have a strong influence on physical activity levels, particularly walking for transport. In examining racial/ethnic differences in physical activity, one important and understudied group is South Asians. This study aims to describe the association between neighborhood walkability and walking for transport among South Asian men and women in the United States in the Mediators of Atherosclerosis in South Asians Living in America (MASALA) Study. METHODS A cross-sectional study was conducted in 2014 using the baseline dataset of the MASALA study (N = 906). Mean age was 55 years old and 54% of the sample was male. Weekly minutes spent walking for transport was assessed using a questionnaire adapted from the Cross-Cultural Activity Participation Study. Neighborhood walkability was measured using Walk Score, a composite index of walkability. RESULTS After adjusting for covariates, with each 10-point increase in Walk Score, South Asian American men engaged in 13 additional minutes per week of walking for transport (P = .008). No association was observed between walkability and walking for transport in South Asian American women. CONCLUSIONS Results provide new evidence for how the effects of environmental influences on walking for transport may vary between South Asian men and women.
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Affiliation(s)
| | | | - Alka M. Kanaya
- Dept of Medicine, University of California, San Francisco, CA
| | - Irene H. Yen
- Dept of Medicine, University of California, San Francisco, CA
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Lê-Scherban F, Albrecht SS, Bertoni A, Kandula N, Mehta N, Diez Roux AV. Immigrant status and cardiovascular risk over time: results from the Multi-Ethnic Study of Atherosclerosis. Ann Epidemiol 2016; 26:429-435.e1. [PMID: 27221804 DOI: 10.1016/j.annepidem.2016.04.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2015] [Revised: 03/28/2016] [Accepted: 04/11/2016] [Indexed: 12/21/2022]
Abstract
PURPOSE Despite cross-sectional evidence that foreign-born United States (US) residents often have better health than US-born residents of similar race and/or ethnicity, we know little about overall cardiovascular risk progression over time among immigrants as they age in the US. METHODS Using longitudinal data from the Multiethnic Study of Atherosclerosis on 6446 adults aged 45-84 years at baseline, we examined how nativity and length of US residence related to change in cardiovascular health (CVH) and cardiovascular event incidence over 11-year follow-up. CVH was measured using the American Heart Association's CVH measure (range, 0-14; higher is better). RESULTS Immigrants, particularly those with shorter US residence, had better baseline CVH and lower cardiovascular event incidence than the US born. Baseline CVH scores ranged from 8.67 (8.42-8.92) among immigrants living in the US less than 10 years to 7.86 (7.76-7.97) among the US born. However, recent immigrants experienced the largest CVH declines over time: 10-year declines ranged from -1.04 (-1.27 to -0.80) among immigrants living in the US less than 10 years at baseline to -0.47 (-0.52 to -0.42) among the US born. CONCLUSIONS Public health prevention efforts targeting new immigrants may help slow the deterioration of CVH and reduce future cardiovascular risk.
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Affiliation(s)
- Félice Lê-Scherban
- Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA.
| | - Sandra S Albrecht
- Department of Nutrition, Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill
| | - Alain Bertoni
- Division of Public Health Sciences, Department of Epidemiology & Prevention, Wake Forest University, Winston-Salem, NC
| | | | - Neil Mehta
- Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA
| | - Ana V Diez Roux
- Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA
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Terasaki D, Ornelas I, Saelens B. Length of Residence and Vehicle Ownership in Relation to Physical Activity Among U.S. Immigrants. J Immigr Minor Health 2016; 19:484-488. [PMID: 26868494 DOI: 10.1007/s10903-016-0361-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Physical activity among U.S. immigrants over time is not well understood. Transportation may affect this trajectory. Using a survey of documented immigrants (N = 7240), we performed simple, then multivariable logistic regression to calculate ORs and 95 % CIs between length of residence (LOR) and both light-to-moderate (LPA) and vigorous (VPA) activity. We adjusted for demographic variables, then vehicle ownership to assess changes in ORs. Compared to new arrivals, all four LOR time-intervals were associated with lower odds of LPA and higher odds of VPA in simple analysis. All ORs for LPA remained significant after including demographics, but only one remained significant after adding vehicle ownership. Two ORs for VPA remained significant after including demographics and after adding vehicle ownership. Immigrants lower their light-to-moderate activity the longer they reside in the U.S., partly from substituting driving for walking. Efforts to maintain walking for transportation among immigrants are warranted.
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Affiliation(s)
- Dale Terasaki
- Department of Health Services, University of Washington School of Public Health, 1959 NE Pacific St, Box 359455, Seattle, WA, 98195, USA.
| | - India Ornelas
- Department of Health Services, University of Washington School of Public Health, 1959 NE Pacific St, Box 359455, Seattle, WA, 98195, USA
| | - Brian Saelens
- Department of Health Services, University of Washington School of Public Health, 1959 NE Pacific St, Box 359455, Seattle, WA, 98195, USA
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Chang SJ, Im EO. Testing a Theoretical Model of Immigration Transition and Physical Activity. Res Theory Nurs Pract 2015; 29:177-88. [PMID: 26502554 DOI: 10.1891/1541-6577.29.3.177] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The purposes of the study were to develop a theoretical model to explain the relationships between immigration transition and midlife women's physical activity and test the relationships among the major variables of the model. A theoretical model, which was developed based on transitions theory and the midlife women's attitudes toward physical activity theory, consists of 4 major variables, including length of stay in the United States, country of birth, level of acculturation, and midlife women's physical activity. To test the theoretical model, a secondary analysis with data from 127 Hispanic women and 123 non-Hispanic (NH) Asian women in a national Internet study was used. Among the major variables of the model, length of stay in the United States was negatively associated with physical activity in Hispanic women. Level of acculturation in NH Asian women was positively correlated with women's physical activity. Country of birth and level of acculturation were significant factors that influenced physical activity in both Hispanic and NH Asian women. The findings support the theoretical model that was developed to examine relationships between immigration transition and physical activity; it shows that immigration transition can play an essential role in influencing health behaviors of immigrant populations in the United States. The NH theoretical model can be widely used in nursing practice and research that focus on immigrant women and their health behaviors. Health care providers need to consider the influences of immigration transition to promote immigrant women's physical activity.
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Bhatnagar P, Townsend N, Shaw A, Foster C. The physical activity profiles of South Asian ethnic groups in England. J Epidemiol Community Health 2015; 70:602-8. [PMID: 26677257 PMCID: PMC4893142 DOI: 10.1136/jech-2015-206455] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2015] [Accepted: 11/23/2015] [Indexed: 11/04/2022]
Abstract
BACKGROUND To identify what types of activity contribute to overall physical activity in South Asian ethnic groups and how these vary according to sex and age. We used the White British ethnic group as a comparison. METHODS Self-reported physical activity was measured in the Health Survey for England 1999 and 2004, a nationally representative, cross-sectional survey that boosted ethnic minority samples in these years. We merged the two survey years and analysed data from 19 476 adults. The proportions of total physical activity achieved through walking, housework, sports and DIY activity were calculated. We stratified by sex and age group and used analysis of variances to examine differences between ethnic groups, adjusted for the socioeconomic status. RESULTS There was a significant difference between ethnic groups for the contributions of all physical activity domains for those aged below 55 years, with the exception of walking. In women aged 16-34 years, there was no significant difference in the contribution of walking to total physical activity (p=0.38). In the 35-54 age group, Bangladeshi males have the highest proportion of total activity from walking (30%). In those aged over 55 years, the proportion of activity from sports was the lowest in all South Asian ethnic groups for both sexes. CONCLUSIONS UK South Asians are more active in some ways that differ, by age and sex, from White British, but are similarly active in other ways. These results can be used to develop targeted population level interventions for increasing physical activity levels in adult UK South Asian populations.
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Affiliation(s)
- Prachi Bhatnagar
- Nuffield Department of Population Health, British Heart Foundation Centre on Population Approaches for Non-Communicable Disease Prevention, University of Oxford, Oxford, UK
| | - Nick Townsend
- Nuffield Department of Population Health, British Heart Foundation Centre on Population Approaches for Non-Communicable Disease Prevention, University of Oxford, Oxford, UK
| | - Alison Shaw
- Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - Charlie Foster
- Nuffield Department of Population Health, British Heart Foundation Centre on Population Approaches for Non-Communicable Disease Prevention, University of Oxford, Oxford, UK
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Crawford MA, Mendoza-Vasconez AS, Larsen BA. Type II diabetes disparities in diverse women: the potential roles of body composition, diet and physical activity. WOMEN'S HEALTH (LONDON, ENGLAND) 2015; 11:913-27. [PMID: 26648099 PMCID: PMC4864180 DOI: 10.2217/whe.15.62] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
The rates of diabetes in the USA are rapidly increasing, and vary widely across different racial/ethnic groups. This paper explores the potential contribution of body composition, diet and physical activity in explaining diabetes disparities across women of different racial and ethnic backgrounds. For body composition, racial/ethnic groups differ widely by BMI, distribution of body mass and quantity and type of adipose tissue. Dietary patterns that vary across race/ethnicity include consumption of meat, added sugars, high-glycemic carbohydrates and fast food. Additionally, physical activity patterns of interest include aerobic versus muscle-strengthening exercises, and the purpose of physical activity (leisure, occupation, or transportation). Overall, these variables provide a partial picture of the source of these widening disparities, and could help guide future research in addressing and reducing diabetes disparities.
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Affiliation(s)
- Margaret A Crawford
- Department of Family Medicine & Public
Health, University of California, San Diego, CA 92093, USA
| | | | - Britta A Larsen
- Department of Family Medicine & Public
Health, University of California, San Diego, CA 92093, USA
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Kao D, Carvalho Gulati A, Lee RE. Physical Activity Among Asian American Adults in Houston, Texas: Data from the Health of Houston Survey 2010. J Immigr Minor Health 2015; 18:1470-1481. [DOI: 10.1007/s10903-015-0274-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Yi SS, Roberts C, Lightstone AS, Shih M, Trinh-Shevrin C. Disparities in meeting physical activity guidelines for Asian-Americans in two metropolitan areas in the United States. Ann Epidemiol 2015; 25:656-660.e2. [PMID: 26065343 PMCID: PMC4547861 DOI: 10.1016/j.annepidem.2015.05.002] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2015] [Revised: 04/28/2015] [Accepted: 05/05/2015] [Indexed: 11/30/2022]
Abstract
PURPOSE Physical activity (PA) levels in Asian-American adults may be lower than other racial or ethnic groups. This analysis tested the hypothesis that Asian-Americans are less likely to meet PA guidelines than other racial or ethnic groups regardless of location of residence. METHODS The New York City (NYC) Community Health Survey (2010, 2012) and Los Angeles County (LAC) Health Survey (2011) are cross-sectional surveys conducted with similar sampling strategies (NYC: n = 17,462; LAC: n = 8036). Meeting PA guidelines was calculated using self-reported moderate or vigorous minutes per week; multivariable regression models adjusted for demographics, insurance, nativity and language spoken at home. Data were weighted to be representative of their respective geographies. RESULTS In both areas, Asian-Americans had a low prevalence of meeting PA guidelines (NYC: 42.7 [39.2-46.3]; LAC: 55.8 [51.2-60.2]). Other racial or ethnic groups were more likely to meet PA guidelines versus Asian-Americans after adjustment for covariates in NYC (white odds ratio [OR]: 1.35 [1.09-1.68]; black OR: 1.61 [1.28-2.02]; Hispanic OR: 2.14 [1.74-2.62]) and in LAC (white OR: 1.45 [1.13-1.86]; Hispanic OR: 1.71 [1.32-2.22]). CONCLUSIONS Asian-Americans were less likely to meet PA guidelines compared with other racial or ethnic groups in NYC and LAC. Description of cultural and neighborhood-level factors and of types of PA in specific Asian subgroups is needed.
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Affiliation(s)
- Stella S Yi
- Department of Population Health, NYU School of Medicine, New York.
| | | | | | - Margaret Shih
- Los Angeles County Department of Public Health, Los Angeles, CA
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Erber Oakkar E, Stevens J, Bradshaw PT, Cai J, Perreira KM, Popkin BM, Gordon-Larsen P, Young DR, Ghai NR, Caan B, Quinn VP. Longitudinal study of acculturation and BMI change among Asian American men. Prev Med 2015; 73:15-21. [PMID: 25602913 DOI: 10.1016/j.ypmed.2015.01.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2014] [Revised: 12/05/2014] [Accepted: 01/11/2015] [Indexed: 01/21/2023]
Abstract
BACKGROUND Cross-sectional studies examining the association between Western acculturation and BMI in Asians have been inconsistent, and studies on BMI change are lacking. OBJECTIVE This study examined the associations between indicators of acculturation (generational status, length of US residence, and age at immigration) and overweight (BMI ≥25kg/m(2)) as well as 5-year BMI changes in 7,073 Chinese, Japanese, Korean, Filipino, and Vietnamese men who lived in the US and were 44-71years old at baseline of the California Men's Health Study (2002-2003). METHODS Indicators of acculturation were reported at baseline. Repeated clinical measures of BMI were extracted from electronic health records (2005-2012). RESULTS Using generalized estimating equations we found that lower generational status, shorter duration of US residence and older age at immigration were inversely associated with being overweight. However, analysis of BMI curves using linear mixed models showed that shorter length of US residence and older age at immigration were associated with larger 5-year increases in BMI. CONCLUSIONS Asian immigrants who were less acculturated had larger BMI increases as they became more acculturated but had not achieved overweight status. Healthy weight interventions among Asians immigrants may be most effective when targeting weight maintenance early in the process of acculturation.
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Affiliation(s)
- Eva Erber Oakkar
- Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
| | - June Stevens
- Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Patrick T Bradshaw
- Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Jianwen Cai
- Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Krista M Perreira
- Department of Public Policy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Barry M Popkin
- Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Penny Gordon-Larsen
- Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Deborah R Young
- Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA
| | - Nirupa R Ghai
- Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA
| | - Bette Caan
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA
| | - Virginia P Quinn
- Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA
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Ecological risk model of childhood obesity in Chinese immigrant children. Appetite 2015; 90:99-107. [PMID: 25728887 DOI: 10.1016/j.appet.2015.02.028] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2014] [Revised: 02/17/2015] [Accepted: 02/20/2015] [Indexed: 11/20/2022]
Abstract
Chinese Americans are the largest and fastest growing Asian American subgroup, increasing about one-third during the 2000s. Despite the slender Asian stereotype, nearly one-third of 6-to-11 year old Chinese American children were found to be overweight (above the 85th percentile in BMI). Importantly, unique and severe health risks are associated with being overweight/obese in Chinese. Unfortunately, Chinese immigrant children have been neglected in the literature on obesity. This review aimed to identify factors at various levels of the ecological model that may place Chinese immigrant children at risk for being overweight/obese in the U.S. Key contextual factors at the micro-, meso-, exo-, macro- and chronosystem were identified guided by Bronfenbrenner's ecological systems theory. The corresponding mediating and moderating processes among the factors were also reviewed and proposed. By presenting a conceptual framework and relevant research, this review can provide a basic framework for directing future interdisciplinary research in seeking solutions to childhood obesity within this understudied population.
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Cardiovascular disease risk factor profiles of 263,356 older Australians according to region of birth and acculturation, with a focus on migrants born in Asia. PLoS One 2015; 10:e0115627. [PMID: 25695771 PMCID: PMC4335012 DOI: 10.1371/journal.pone.0115627] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2014] [Accepted: 11/25/2014] [Indexed: 11/19/2022] Open
Abstract
Risk factors for cardiovascular disease (CVD), such as obesity, diabetes, hypertension and physical inactivity, are common in Australia, but the prevalence varies according to cultural background. We examined the relationship between region of birth, measures of acculturation, and CVD risk profiles in immigrant, compared to Australian-born, older Australians. Cross-sectional data from 263,356 participants aged 45 and over joining the population-based 45 and Up Study cohort from 2006–2008 were used. Prevalence ratios for CVD risk factors in Australian- versus overseas-born participants were calculated using modified Poisson regression, adjusting for age, sex and socioeconomic factors and focusing on Asian migrants. The association between time resident in Australia and age at migration and CVD risk factors in Asian migrants was also examined. Migrants from Northeast (n = 3,213) and Southeast Asia (n = 3,942) had lower levels of overweight/obesity, physical activity and female smoking than Australian-born participants (n = 199,356), although differences in prevalence of overweight/obesity were sensitive to body-mass-index cut-offs used. Compared to Australian-born participants, migrants from Northeast Asia were 20–30% less likely, and from Southeast Asia 10–20% more likely, to report being treated for hypertension and/or hypercholesterolaemia; Southeast Asian migrants were 40–60% more likely to report diabetes. Northeast Asian-born individuals were less likely than Australian-born to have 3 or more CVD risk factors. Diabetes, treated hypertension and hypercholesterolaemia occurred at relatively low average body-mass-index in Southeast Asian migrants. The CVD risk factor profiles of migrants tended to approximate those of Australian-born with increasing acculturation, in both favourable (e.g., increased physical activity) and unfavourable directions (e.g., increased female smoking). Minimizing CVD risk in migrant populations may be achieved through efforts to retain the healthy facets of the traditional lifestyle, such as a normal body mass index and low prevalence of smoking in women, in addition to adopting healthy aspects of the host country lifestyle, such as increased physical activity.
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Association between Physical Activity Knowledge and Levels of Physical Activity in Chinese Adults with Type 2 Diabetes. PLoS One 2014; 9:e115098. [PMID: 25493559 PMCID: PMC4262475 DOI: 10.1371/journal.pone.0115098] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2014] [Accepted: 11/17/2014] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Physical activity (PA) is an important treatment regimen for diabetes. The purposes of this study were to evaluate people's knowledge of how exercise influences wellbeing (termed "PA knowledge" or "knowledge of PA" in this paper) and the resulting association with levels of PA in Chinese adults with Type 2 diabetes, and to identify the valuable demographic and lifestyle factors that possibly influence the association between PA knowledge and level of PA. METHODS Two hundred and fifty-eight adults with Type 2 diabetes completed an interviewer-administered survey at a diabetes clinic in Hong Kong. Data on demographics, lifestyle factors and diabetes-related medical indicators were obtained. A 20-item questionnaire was developed to measure PA-related knowledge (one point scored for each correct answer; aggregate score up to 20 points). level of PA was measured by the International Physical Activity Questionnaire. RESULTS The proportions of correct answers to each question ranged from 19.4 to 90.7%. Compared with poorly educated participants, those with university education level and above had PA knowledge scores 1.7 points higher (14.3 vs. 12.6, P<0.05). Younger, female, and obese participants were more likely to have lower level of PA (all P<0.05). After adjustment for age, gender, (BMI) and education level, the odds of having a moderate-to-high level of PA was 19% greater with 1 unit increase in PA knowledge score [95% confidence interval (CI): 1.09-1.29; P<0.001], this association was strongest in participants with tertiary education level or above [odds ratio (OR): 1.35; 95% CI: 1.03-1.77; P<0.05]. CONCLUSIONS PA knowledge was positively associated with level of PA. Education level significantly influenced the association between PA knowledge and level of PA, leading to the suggestion of vulnerable groups to target for PA improvement in the face of diabetes.
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Koca C, Lapa TY. Analysis of physical activity and acculturation among Turkish migrants in Germany and England (.). Percept Mot Skills 2014; 119:698-716. [PMID: 25387040 DOI: 10.2466/06.pms.119c29z7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Recent literature shows that migrant populations in Western countries are generally less physically active than their host populations. The purpose of the present study was to expand research investigating associations between physical activity (PA) and acculturation and their relationship with several socio-demographic factors among Turkish migrants in Germany and England. The sample consisted of 521 Turkish migrants. Migrant generation, length of residence, and language proficiency were used as indicators of acculturation. Acculturation was not associated with PA among migrants in Germany and England. PA of migrants was significantly associated with migrant's host country, age, sex, marital status, and education. The total PA of migrants in Germany was higher than that of migrants in England; the large majority of females in both Germany and England had low PA, whereas most males had moderate PA. Seemingly, PA in Turkish migrant populations will not necessarily increase as a result of greater acculturation to the host society.
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Affiliation(s)
- Canan Koca
- 1 Faculty of Sport Sciences, Hacettepe University, Beytepe, Ankara, Turkey
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