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Guerra ZC, Moore JR, Londoño T, Castro Y. Associations of Acculturation and Gender with Obesity and Physical Activity among Latinos. Am J Health Behav 2022; 46:324-336. [PMID: 35794757 PMCID: PMC10877675 DOI: 10.5993/ajhb.46.3.11] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Objective: Latinos disproportionately experience overweight/obesity (OWOB) and insufficient physical activity (PA), which are risk factors for numerous health conditions. Whereas numerous studies investigate acculturation as a determinant of OWOB and PA, few have examined acculturation multidimensionally, and none has examined its interaction with gender. Methods: Participants were 140 Latino adults. Primary outcomes were status as OWOB and endorsement of insufficient PA. Acculturation was measured with the Multidimensional Acculturation Scale II. Logistic regression analyses were used to examine the moderating effect of gender on the relationship between each acculturation scale and outcome, controlling for education, nativity, and smoking status. Results: Greater Spanish proficiency was significantly associated with lower odds of insufficient PA. Greater American Cultural Identity was significantly associated with higher odds of OWOB. Women had significantly higher odds of endorsing insufficient PA compared to men. Gender did not moderate the relationship between acculturation and either OWOB or PA. Conclusions: Acculturation is similarly associated with OWOB and insufficient PA for Latino men and women. Cultural identity may need to be considered to target OWOB interventions. Acculturation may be less important, and gender more important, to consider for appropriate targeting of PA interventions.
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Affiliation(s)
- Zully C Guerra
- Steve Hicks School of Social Work, The University of Texas, Austin, TX, United States; zguerra@utexas. edu
| | - John R Moore
- Steve Hicks School of Social Work, The University of Texas, Austin, TX, United States
| | - Tatiana Londoño
- Steve Hicks School of Social Work, The University of Texas, Austin, TX, United States
| | - Yessenia Castro
- Steve Hicks School of Social Work, The University of Texas, Austin, TX, United States
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2
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Moderating Effects of Socio-Demographic Factors in Associations Between Acculturation and Dietary and Physical Activity Behaviours: a Study of Australian Residents Born in Sub-Saharan Africa. JOURNAL OF INTERNATIONAL MIGRATION AND INTEGRATION 2022. [DOI: 10.1007/s12134-021-00930-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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3
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Johansen C, Reynolds KD, Xie B, Palmer P. Exploring Potential Mediation Pathways on the Relationship Between Acculturation and Body Mass Index (BMI) Among Latino Adolescents. HISPANIC HEALTH CARE INTERNATIONAL 2021; 20:89-97. [PMID: 34291690 DOI: 10.1177/15404153211029893] [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: 11/16/2022]
Abstract
BACKGROUND Positive associations have been observed between acculturation and body mass index (BMI), but the mediators of this relationship are not well established. Acculturation researchers have called for investigating the influence of socio-contextual variables as mediators. The objective of this study was to test the mediating effects of salty snacks, sweet snacks, physical activity, and sedentary behavior on the relationship between acculturation and BMI among Latino adolescents. METHODS Adolescents who self-identified as Latino (n = 431) at public high schools in Southern California were recruited and completed a self-report survey. A bootstrapped multiple mediation model was used to test mediation pathways. RESULTS Acculturation was positively associated with physical activity (B = 0.09, p < .05). The indirect effects of salty snacks, sweet snacks, physical activity, and sedentary behavior were not associated with BMI, suggesting no mediation. CONCLUSIONS Future research should examine additional mediating variables on the relationship between acculturation and BMI.
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Affiliation(s)
- Christopher Johansen
- School of Community and Global Health, Claremont Graduate University, CA, USA.,Department of Environmental and Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA
| | - Kim D Reynolds
- School of Community and Global Health, Claremont Graduate University, CA, USA
| | - Bin Xie
- School of Community and Global Health, Claremont Graduate University, CA, USA
| | - Paula Palmer
- School of Community and Global Health, Claremont Graduate University, CA, USA
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4
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Jung M, Kim H, Loprinzi PD, Kang M. Association among length of residence, physical activity, and obesity in the US immigrants: A regression-based mediation analysis. Am J Hum Biol 2021; 34:e23576. [PMID: 33565207 DOI: 10.1002/ajhb.23576] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Revised: 01/13/2021] [Accepted: 01/18/2021] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES To examine the mediated relationship between objectively measured obesity, accelerometer-based moderate-to-vigorous physical activity (MVPA), and length of residence among US immigrants. METHODS A total of 885 adults (≥18 years) who were born outside the United States from the 2003 to 2006 National Health and Nutrition Examination Survey were included in the analysis. The participants were categorized into two groups (i.e., living in the United States ≥15 years vs. <15 years). MVPA time (minutes/day) was measured by ActiGraph accelerometry. Obesity was defined as body fat percentage measured by dual-energy X-ray absorptiometry. Regression-based mediation analysis was conducted using SURVEY procedures in SAS version 9.4. RESULTS When controlling for covariates, immigrants living in the United States for ≥15 years were significantly less likely to spend time participating in MVPA (c; β = -4.50, p = .04), and more likely to be at high risk of obesity (a; β = 1.70, p = .01) compared to those living in the United States for <15 years. Also, the relationship between obesity and MVPA was statistically significant (b; β = -0.80, p = .003). Length of residence was indirectly associated with MVPA (ab; β = -1.37, p = .03), suggesting that obesity mediated the association of length of residence on MVPA (c'; β = -3.13, p = .20). CONCLUSIONS Obesity mediated the association between length of residence and MVPA in the US immigrants. These findings may encourage long-term US immigrants to prevent and treat obesity for increasing the amount of MVPA time.
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Affiliation(s)
- Myungjin Jung
- Health and Sport Analytics Laboratory, Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, University, Mississippi, USA.,Exercise and Memory Laboratory, Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, University, Mississippi, USA
| | - Heontae Kim
- Institute of Child Nutrition, School of Applied Sciences, The University of Mississippi, University, Mississippi, USA
| | - Paul D Loprinzi
- Exercise and Memory Laboratory, Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, University, Mississippi, USA
| | - Minsoo Kang
- Health and Sport Analytics Laboratory, Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, University, Mississippi, USA
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5
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Camplain R, Sotres-Alvarez D, Alvarez C, Wilson R, Perreira KM, Castañeda SF, Merchant G, Gellman MD, Chambers EC, Gallo LC, Evenson KR. The association of acculturation with accelerometer-assessed and self-reported physical activity and sedentary behavior: The Hispanic Community Health Study/Study of Latinos. Prev Med Rep 2020; 17:101050. [PMID: 32021761 PMCID: PMC6994298 DOI: 10.1016/j.pmedr.2020.101050] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Revised: 12/16/2019] [Accepted: 01/11/2020] [Indexed: 01/09/2023] Open
Abstract
Associations between acculturation and physical activity varied across measurements. Higher social acculturation was positively associated with self-reported physical activity. Language acculturation, but not language preference, was positively associated with leisure-time physical activity. Language acculturation, but not language preference, was negatively associated with occupational physical activity. Among workers, greater acculturation was associated with lower occupational physical activity. Longer residency in the US was associated with higher accelerometer-assessed moderate-to-vigorous physical activity. Most acculturation measures were positively associated with self-report, but not accelerometer-assessed sedentary behavior.
The adoption of US culture among immigrants has been associated with higher leisure-time physical activity and sedentary behavior. However, most research to date assesses this association using single measures of acculturation and physical activity. Our objective was to describe the cross-sectional association between acculturation and both physical activity and sedentary behavior among US Hispanic/Latino adults. Participants included Hispanic/Latinos 18–74 years living in four US locations enrolled in the Hispanic Community Health Study/Study of Latinos from 2008 to 2011. Acculturation was measured using acculturation scales (language and social), years in the US, language preference, and age at immigration. Physical activity and sedentary behavior were measured using the Global Physical Activity Questionnaire (N = 15,355) and Actical accelerometer (N = 11,954). Poisson, logistic, and linear regression were used, accounting for complex design and sampling weights. English-language preference was positively associated with self-reported leisure-time and transportation physical activity and accelerometer-assessed moderate-to-vigorous physical activity (MVPA). Social acculturation was positively associated with self-reported leisure-time and transportation physical activity and MVPA. Years in the US and age at immigration were positively associated with accelerometer-assessed MVPA. Language acculturation, years in the US, and age at immigration were associated with occupational physical activity among those who reported employment. Most acculturation measures were associated with self-reported sitting but not with accelerometer-assessed sedentary behavior. Different measures of acculturation, capturing various domains acculturation, were associated with physical activity and sedentary behavior. However, the direction of the association was dependent on the measures of acculturation physical activity/sedentary behavior, highlighting the complexity of these relationships.
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Affiliation(s)
- Ricky Camplain
- Northern Arizona University, Center for Health Equity Research, 1395 S. Knoles Drive, ARD Building, Suite 140, Flagstaff, AZ 86011, USA.,University of North Carolina, Department of Epidemiology, 123 W. Franklin St. Building C CB 8050, Suite 410, Chapel Hill, NC 27599-8050, USA
| | - Daniela Sotres-Alvarez
- University of North Carolina at Chapel Hill, Department of Biostatistics, 123 W. Franklin St., Building C, Suite 450, Chapel Hill, NC 27516, USA
| | - Carolina Alvarez
- University of North Carolina at Chapel Hill, Thurston Arthritis Research Center, 3300 Thurston Bldg., CB #7280, Chapel Hill, NC 27599-7280, USA
| | - Rebbecca Wilson
- University of North Carolina at Chapel Hill, Department of Biostatistics, 123 W. Franklin St., Building C, Suite 450, Chapel Hill, NC 27516, USA
| | - Krista M Perreira
- University of North Carolina, Department of Social Medicine, 333 S. Columbia St., 342B MacNider Hall, Chapel Hill, NC 27599, USA
| | - Sheila F Castañeda
- San Diego State University, South Bay Latino Research Center, 780 Bay Blvd, Sute 200 Chula Vista, CA 91910, USA
| | - Gina Merchant
- University of California, San Diego, Department of Medicine, 9500 Gilman Drive #0881, La Jolla, CA 92093-0881, USA
| | - Marc D Gellman
- University of Miami, Department of Psychology, Flipse Building, 5665 Ponce de Leon Blvd., Coral Gables, FL 33146, USA
| | - Earle C Chambers
- Albert Einstein College of Medicine, Department of Family and Social Medicine, Jack and Pearl Resnick Campus, 1300 Morris Park Avenue, Block Room 408, Bronx, NY 10461, USA
| | - Linda C Gallo
- San Diego State University, Department of Psychology, 5500 Campanile Drive, San Diego, CA 92182-4611, USA
| | - Kelly R Evenson
- University of North Carolina, Department of Epidemiology, 123 W. Franklin St. Building C CB 8050, Suite 410, Chapel Hill, NC 27599-8050, USA
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6
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Prince SA, Reed JL, McFetridge C, Tremblay MS, Reid RD. Correlates of sedentary behaviour in adults: a systematic review. Obes Rev 2017; 18:915-935. [PMID: 28524615 DOI: 10.1111/obr.12529] [Citation(s) in RCA: 103] [Impact Index Per Article: 14.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Revised: 02/03/2017] [Accepted: 02/07/2017] [Indexed: 12/26/2022]
Abstract
OBJECTIVE The objective of this study was to systematically review evidence to identify intrapersonal, social environmental, physical environmental and policy correlates of sedentary behaviour (SB) among adults. METHODS Six databases were searched to identify studies that reported on intrapersonal, social, physical environmental and/or policy correlates of SB across domains (i.e. occupational, leisure and transportation) in adults (mean ≥ 18 years old). Subgroup differences (sex, age, disease status, publication status and date, weekdays vs. weekend) were examined. Risk of bias was assessed, and a qualitative synthesis completed. PROSPERO CRD42014009814 RESULTS: Searching identified 22,779 articles; 257 were used in the analysis. Most studies used self-reported SB and were cross-sectional. The most studied domain of SB and correlate was leisure and intrapersonal, respectively. Consistent evidence found positive relationships between full-time employment and higher transportation and lower leisure SB; higher income/socioeconomic status and greater transportation and occupation SB; living in more urban areas and greater sitting time and total SB; ownership of televisions and greater leisure SB; and, active workstations and lower occupational SB. CONCLUSIONS The review identifies the need for longitudinal studies, as well as further research on factors in the physical, social and policy environments. The review also recognizes the need to standardize methodology for collecting, defining and reporting SB and correlates.
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Affiliation(s)
- S A Prince
- Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada
| | - J L Reed
- Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada
| | - C McFetridge
- Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - M S Tremblay
- Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.,Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - R D Reid
- Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada
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7
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Cespedes EM, Dudley KA, Sotres-Alvarez D, Zee PC, Daviglus ML, Shah NA, Talavera GA, Gallo LC, Mattei J, Qi Q, Ramos AR, Schneiderman N, Espinoza-Giacinto RA, Patel SR. Joint associations of insomnia and sleep duration with prevalent diabetes: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). J Diabetes 2016; 8:387-97. [PMID: 25952169 PMCID: PMC5021506 DOI: 10.1111/1753-0407.12308] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2014] [Revised: 04/08/2015] [Accepted: 04/29/2015] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Inadequate sleep quantity and quality are associated with a higher risk of type 2 diabetes. This relationship is not well-examined in U.S. Hispanics/Latinos, and prior analyses may be confounded by sleep apnea. This cross-sectional study examined joint associations of sleep duration and insomnia with diabetes among diverse U.S. Hispanic/Latinos. METHODS Baseline data on sleep quantity and quality were obtained from 15,227 participants (mean age 41; range 18-74 years) from the Hispanic Community Health Study/Study of Latinos. Complex survey multinomial logistic regression was used to examine associations between prevalent diabetes and six phenotypes defined by cross-classifying sleep duration (short ≤6 h, average >6-9 h, long >9 h) and insomnia, adjusting for sex, age, site and Hispanic/Latino background interaction, education, physical activity, diet quality, and sleep apnea. RESULTS In the weighted population, 14% had diabetes, 28% had insomnia, 9% were short sleepers, and 19% were long sleepers. Compared with those with average sleep and no insomnia, those with short sleep and insomnia were more likely to have diabetes (odds ratio [OR] 1.46; 95% confidence interval [CI] 1.02, 2.11). Average sleepers with insomnia (1.28; 95% CI 1.02, 1.61) and long sleepers without insomnia (1.33; 95% CI 1.07, 1.65) also had elevated odds of diabetes. Further adjustment for body mass index attenuated associations, except with long sleep without insomnia. CONCLUSIONS Both decreased quantity and quality of sleep are associated with diabetes in Hispanic/Latinos, with the greatest odds among those with short sleep duration and insomnia. The association is largely explained by obesity.
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Affiliation(s)
- Elizabeth M Cespedes
- Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts, USA
- Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts, USA
| | - Katherine A Dudley
- Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Daniela Sotres-Alvarez
- Department of Biostatistics, Collaborative Studies Coordinating Center, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Phyllis C Zee
- Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
- Institute for Minority Health Research, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Martha L Daviglus
- Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
- Institute for Minority Health Research, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Neomi A Shah
- Montefiore Medical Center, Albert Einstein College of Medicine, Yeshiva University, Bronx, New York, USA
| | - Gregory A Talavera
- Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University, San Diego, California, USA
| | - Linda C Gallo
- Departments of Psychology, University of California San Diego, San Diego, California, USA
| | - Josiemer Mattei
- Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts, USA
| | - Qibin Qi
- Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA
| | - Alberto R Ramos
- Department of Neurology, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Neil Schneiderman
- Department of Psychology, University of Miami, Coral Gables, Florida, USA
| | - Rebeca A Espinoza-Giacinto
- Medicine, Division of Global Public Health, University of California San Diego, San Diego, California, USA
| | - Sanjay R Patel
- Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, Massachusetts, USA
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8
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Abraído-Lanza AF, Echeverría SE, Flórez KR. Latino Immigrants, Acculturation, and Health: Promising New Directions in Research. Annu Rev Public Health 2016; 37:219-36. [PMID: 26735431 DOI: 10.1146/annurev-publhealth-032315-021545] [Citation(s) in RCA: 179] [Impact Index Per Article: 22.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
This article provides an analysis of novel topics emerging in recent years in research on Latino immigrants, acculturation, and health. In the past ten years, the number of studies assessing new ways to conceptualize and understand how acculturation-related processes may influence health has grown. These new frameworks draw from integrative approaches testing new ground to acknowledge the fundamental role of context and policy. We classify the emerging body of evidence according to themes that we identify as promising directions--intrapersonal, interpersonal, social environmental, community, political, and global contexts, cross-cutting themes in life course and developmental approaches, and segmented assimilation--and discuss the challenges and opportunities each theme presents. This body of work, which considers acculturation in context, points to the emergence of a new wave of research that holds great promise in driving forward the study of Latino immigrants, acculturation, and health. We provide suggestions to further advance the ideologic and methodologic rigor of this new wave.
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Affiliation(s)
- Ana F Abraído-Lanza
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY 10032;
| | - Sandra E Echeverría
- Department of Community Health Education, School of Urban Public Health, City University of New York-Hunter College, New York, NY 10035;
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9
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Merchant G, Buelna C, Castañeda SF, Arredondo EM, Marshall SJ, Strizich G, Sotres-Alvarez D, Chambers EC, McMurray RG, Evenson KR, Stoutenberg M, Hankinson AL, Talavera GA. Accelerometer-measured sedentary time among Hispanic adults: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Prev Med Rep 2015; 2:845-53. [PMID: 26844159 PMCID: PMC4721303 DOI: 10.1016/j.pmedr.2015.09.019] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Excessive sedentary behavior is associated with negative health outcomes independent of physical activity. Objective estimates of time spent in sedentary behaviors are lacking among adults from diverse Hispanic/Latino backgrounds. The objective of this study was to describe accelerometer-assessed sedentary time in a large, representative sample of Hispanic/Latino adults living in the United States, and compare sedentary estimates by Hispanic/Latino background, sociodemographic characteristics and weight categories. This study utilized baseline data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) that included adults aged 18-74 years from four metropolitan areas (N = 16,415). Measured with the Actical accelerometer over 6 days, 76.9% (n = 12,631) of participants had > 10 h/day and > 3 days of data. Participants spent 11.9 h/day (SD 3.0), or 74% of their monitored time in sedentary behaviors. Adjusting for differences in wear time, adults of Mexican background were the least (11.6 h/day), whereas adults of Dominican background were the most (12.3 h/day), sedentary. Women were more sedentary than men, and older adults were more sedentary than younger adults. Household income was positively associated, whereas employment was negatively associated, with sedentary time. There were no differences in sedentary time by weight categories, marital status, or proxies of acculturation. To reduce sedentariness among these populations, future research should examine how the accumulation of various sedentary behaviors differs by background and region, and which sedentary behaviors are amenable to intervention.
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Affiliation(s)
- Gina Merchant
- Department of Family Medicine and Public Health, University of California, San Diego, San Diego, CA, United States
- Center for Wireless and Population Health Systems, University of California, San Diego, San Diego, CA, United States
| | - Christina Buelna
- Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA, United States
| | - Sheila F. Castañeda
- Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA, United States
| | - Elva M. Arredondo
- Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA, United States
| | - Simon J. Marshall
- Department of Family Medicine and Public Health, University of California, San Diego, San Diego, CA, United States
- Center for Wireless and Population Health Systems, University of California, San Diego, San Diego, CA, United States
| | - Garrett Strizich
- Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, United States
| | - Daniela Sotres-Alvarez
- Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States
| | - Earle C. Chambers
- Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY, United States
| | - Robert G. McMurray
- Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States
| | - Kelly R. Evenson
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States
| | - Mark Stoutenberg
- Department of Public Health Sciences, University of Miami, Miami, FL, United States
| | - Arlene L. Hankinson
- Chronic Disease Division, Chicago Department of Public Health, Chicago, IL, United States
| | - Gregory A. Talavera
- Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA, United States
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Baseline Socio-demographic characteristics and self-reported diet and physical activity shifts among recent immigrants participating in the randomized controlled lifestyle intervention: "Live Well". J Immigr Minor Health 2015; 16:457-65. [PMID: 23334749 DOI: 10.1007/s10903-013-9778-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
The goal of this paper is to describe the baseline characteristics of Live Well (intervention to prevent weight gain in recent immigrant mother-child dyads from Brazil, Haiti, and Latin America) participants, and to explore self-reported changes in diet and physical activity post-immigration. Baseline data from 383 mothers were used for this study. Dyads attended a measurement day where they completed self-administered surveys collecting information about socio-demographics, diet, physical activity, other psychosocial variables, and height and weight. Haitian mothers' socio-demographic profile differed significantly from that of Brazilians' and Latinas': they have been in the US for a shorter period of time, have higher rates of unemployment, are less likely to be married, more likely to have ≥3 children, more likely to be obese, and have immigrated for family or other reasons. In multivariate models, self-reported changes in diet and physical activity since migrating to the US were significantly associated with BMI with non-linear relationships identified. Future research is needed to understand how diet and physical activity change while acculturating to the US and explore the adoption of both healthy and unhealthy dietary changes.
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11
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Benitez TJ, Dodgson JE, Coe K, Keller C. Utility of Acculturation in Physical Activity Research in Latina Adults. HEALTH EDUCATION & BEHAVIOR 2015; 43:256-70. [DOI: 10.1177/1090198115601042] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Latina adults in the United States have a disproportionately higher prevalence of chronic diseases related to low physical activity levels than non-Hispanic women. Literature indicates that acculturation may be a contributing factor to being physically active, but the extent of this association remains unclear. An integrative review of literature was conducted on studies that examined acculturation as it relates to physical activity in Latinas in the United States. Our review of 33 studies revealed inconsistent measurement and conceptualization of acculturation and physical activity across studies. Findings from this review reinforce the importance and continued use of acculturation by behavioral researchers; however, acculturation, as conceptualized in the studies reviewed, may not have had an influence on health as much as traditions, life patterns, and resources of Latinas.
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Affiliation(s)
| | | | - Kathryn Coe
- Indiana University-Purdue University, Indianapolis, IN, USA
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12
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Race and health profiles in the United States: an examination of the social gradient through the 2009 CHIS adult survey. Public Health 2014; 128:1076-86. [PMID: 25457801 DOI: 10.1016/j.puhe.2014.10.003] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2013] [Revised: 08/13/2014] [Accepted: 10/05/2014] [Indexed: 12/29/2022]
Abstract
OBJECTIVE To examine the role of the social gradient on multiple health outcomes and behaviors. It was predicted that higher levels of SES, measured by educational attainment and family income, would be associated with positive health behaviors (i.e., smoking, drinking, physical activity, and diet) and health status (i.e., limited physical activity due to chronic condition, blood pressure, obesity, diabetes, BMI, and perceived health condition). The study also examined the differential effects of the social gradient in health among different racial/ethnic groups (i.e., non-Hispanic Whites, Blacks, Asian, Hispanics, and American Indians). STUDY DESIGN Cross-sectional study. METHODS The data were from the adult 2009 California Health Interview Survey (CHIS). Weighted multivariable linear and logistic regression models were conducted to examine trends found between SES and health conditions and health behaviors. Polynomial trends were examined for all linear and logistic models to test for the possible effects (linear, quadratic, and cubic) of the social gradient on health behaviors and outcomes stratified by race/ethnicity. RESULTS Findings indicated that, in general, Whites had more favorable health profiles in comparison to other racial/ethnic groups with the exception of Asians who were likely to be as healthy as or healthier than Whites. Predicted marginals indicated that Asians in the upper two strata of social class display the healthiest outcomes of health status among all other racial/ethnic groups. Also, the social gradient was differentially associated with health outcomes across race/ethnicity groups. While the social gradient was most consistently observed for Whites, education did not have the same protective effect on health among Blacks and American Indians. Also, compared to other minority groups, Hispanics and Asians were more likely to display curvilinear trends of the social gradient: an initial increase from low SES to mid-level SES was associated with worse health outcomes and behaviors; however, continued increase from mid-SES to high SES saw returns to healthy outcomes and behaviors. CONCLUSION The study contributes to the literature by illustrating unique patterns and trends of the social gradient across various racial/ethnic populations in a nationally representative sample. Future studies should further explore temporal trends to track the impact of the social gradient for different racial and ethnic populations in tandem with indices of national income inequalities.
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13
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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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14
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Marquez B, Elder JP, Arredondo EM, Madanat H, Ji M, Ayala GX. Social network characteristics associated with health promoting behaviors among Latinos. Health Psychol 2014; 33:544-53. [PMID: 24884908 PMCID: PMC10005843 DOI: 10.1037/hea0000092] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE This study examined the relationship between social network characteristics and health promoting behaviors (having a routine medical check-up, consuming no alcohol, consuming no fast food, and meeting recommendations for leisure-time physical activity and sleep duration) among Latinos to identify potential targets for behavioral interventions. METHOD Personal network characteristics and health behavior data were collected from a community sample of 393 adult Latinos (73% women) in San Diego County, California. Network characteristics consisted of size and composition. Network size was calculated by the number of alters listed on a name generator questionnaire eliciting people with whom respondents discussed personal issues. Network composition variables were the proportion of Latinos, Spanish-speakers, females, family, and friends listed in the name generator. Additional network composition variables included marital status and the number of adults or children in the household. RESULTS Network members were predominately Latinos (95%), Spanish-speakers (80%), females (64%), and family (55%). In multivariate logistic regression analyses, gender moderated the relationship between network composition, but not size, and a health behavior. Married women were more likely to have had a routine medical check-up than married men. For both men and women, having a larger network was associated with meeting the recommendation for leisure-time physical activity. CONCLUSION Few social network characteristics were significantly associated with health promoting behaviors, suggesting a need to examine other aspects of social relationships that may influence health behaviors.
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Affiliation(s)
- Becky Marquez
- Department of Family & Preventive Medicine, University of California-San Diego
| | - John P Elder
- Graduate School of Public Health, San Diego State University, San Diego Prevention Research Center
| | - Elva M Arredondo
- Graduate School of Public Health, San Diego State University, San Diego Prevention Research Center
| | - Hala Madanat
- Graduate School of Public Health, San Diego State University, San Diego Prevention Research Center
| | - Ming Ji
- Graduate School of Public Health, San Diego State University, San Diego Prevention Research Center
| | - Guadalupe X Ayala
- Graduate School of Public Health, San Diego State University, San Diego Prevention Research Center
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15
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Gaskins RB, Baskin ML, Person SD. Language, duration of United States residency, and leisure time physical activity among women from the Third National Health and Nutrition Examination Survey (NHANES III). J Womens Health (Larchmt) 2012; 21:1170-9. [PMID: 23051069 DOI: 10.1089/jwh.2012.3477] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND AND PURPOSE Physical inactivity is a leading public health concern, particularly among women and ethnic minority groups, where Latinas are among the largest and fastest growing U.S. populations. Acculturation, known to affect other health behaviors, may explain low physical activity (PA) among these underserved women. Research on the effects of acculturation on PA, however, is scarce or limited by methodology. The study purpose was to evaluate the association between acculturation (i.e., language, birth country, and duration of U.S. residency) and PA in a national sample of women within the framework of the socioecologic model of health promotion. METHODS A total of 5,861 women (86% white, mean age 37.2) were sampled from the Third National Health and Nutrition Examination Survey (NHANES III). RESULTS Hierarchical multivariable regression modeling results indicate significant associations among language, duration of U.S. residency, and age, after controlling for confounders (all p<0.05). Most women reported less than recommended PA. CONCLUSIONS These findings indicate that age, duration of U.S. residency, and language are important to consider in combination when understanding women's PA, findings that have implications for future research, theory, and clinical practice (e.g., making available PA assessments in multiple languages additionally tailored on age and investigating sociopolitical factors unique to Latinas).
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Affiliation(s)
- Ronnesia B Gaskins
- Department of Behavioral and Social Sciences, Brown Alpert Medical School, Providence, RI 02912, USA.
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