1
|
Tchoua PP, Brannock M, Quesenberry D. Application of the Social Cognitive Theory amid food parenting practices of Black immigrant mothers in the US: A qualitative study. PLoS One 2024; 19:e0298847. [PMID: 39116188 PMCID: PMC11309485 DOI: 10.1371/journal.pone.0298847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 07/23/2024] [Indexed: 08/10/2024] Open
Abstract
BACKGROUND Children of Black immigrant parents living in the US are at elevated risk of being overweight or obese, thus increasing their risks of morbidity and mortality as they age. Parents play a crucial role in shaping their children's nutrition through their food parenting practices. The Social Cognitive Theory (SCT) can explain Black immigrant mother's FPP and their children's dietary behavior. This study aimed to assess SCT's constructs, personal (maternal knowledge, attitudes, beliefs) and environmental factors (acculturation) in relation to the behavioral factor (food parenting practices) among a sample of Black immigrant mothers living in Metro Atlanta, Georgia. METHODS Convenience sampling was employed to recruit 30 Black immigrant mothers who lived in seven Metro Atlanta, Georgia counties in the summer of 2022. Four focus group interviews were conducted over two weeks. The qualitative data analysis was thematic. RESULTS Focus group data analysis revealed seven major themes: knowledge, attitude, belief, modeling, acculturation, coercive control, and structure, and six subthemes. Mothers discussed being intentional about encouraging healthy foods and limiting unhealthy foods for their children. Overall, acculturation influenced mothers' food parenting practices. Since migrating to the US, some mothers' nutrition changed in positive (e.g., eating more fruits) and negative ways (e.g., snacking more) because of schedules, cost, and access. Children ate a mixed diet, the mother's native diet and the American diet, and the former was considered healthier and affordable by most. CONCLUSION This is the first study to look at the food parenting practices of Black immigrants in the US. By identifying key factors that influence the food parenting practices of this population and their children's dietary habits, this study's findings are useful to practitioners or researchers who work with this population on nutrition.
Collapse
Affiliation(s)
- Phoebe P. Tchoua
- Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, Tennessee, United States of America
| | - Mary Brannock
- Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, Tennessee, United States of America
| | - Deborah Quesenberry
- Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, Tennessee, United States of America
| |
Collapse
|
2
|
Jones-Antwi RE, Haardörfer R, Riosmena F, Patel SA, Cunningham SA. Role of country of origin and state of residence for dietary change among foreign-born adults in the US. Health Place 2023; 83:103106. [PMID: 37659156 PMCID: PMC10869268 DOI: 10.1016/j.healthplace.2023.103106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 08/16/2023] [Accepted: 08/17/2023] [Indexed: 09/04/2023]
Abstract
Place of origin and place of current residence may shape migrants' health-related behaviors. Using the nationally-representative US New Immigrant Survey (n = 7930), we examined associations between country of origin, state of residence, and dietary changes among foreign-born adults. 65% of migrants reported dietary change since immigration (mean score = 7.3; range = 1-10); 6% of the variance was explained by country of origin characteristics; 1.6% by US state of residence; 1.4% by their interaction. Country of origin factors, specifically availability of animal source foods and sweets, were associated with dietary change, availability of sweets also including greater abandonment of specific foods and adoption of others.
Collapse
Affiliation(s)
- Rebecca E Jones-Antwi
- Hubert Department of Global Health, Emory University USA; Department of Public Health, Baylor University, Waco USA One Bear Place #97343, Waco, TX 76798, USA; Department of Epidemiology, Emory University USA.
| | | | - Fernando Riosmena
- Department of Sociology & Demography and Institute for Health Disparities Research, University of Texas - San Antonio USA
| | - Shivani A Patel
- Hubert Department of Global Health, Emory University USA; Department of Epidemiology, Emory University USA
| | - Solveig A Cunningham
- Hubert Department of Global Health, Emory University USA; Department of Epidemiology, Emory University USA
| |
Collapse
|
3
|
Kouritzin T, Spence JC, Lee K. Food Intake and Food Selection Following Physical Relocation: A Scoping Review. Public Health Rev 2023; 44:1605516. [PMID: 36817863 PMCID: PMC9928753 DOI: 10.3389/phrs.2023.1605516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 01/16/2023] [Indexed: 02/04/2023] Open
Abstract
Objectives: To synthesize the current available evidence on the changes in food intake and food selection after physical relocation in non-refugee populations. Methods: The inclusion criteria were studies with a measurement of food selection and/or food intake in non-refugee populations where physical relocation had occurred with self-reported or objective assessment of the neighbourhood physical environment before and after relocation. Databases searched included MEDLINE, EMBASE, CINAHL and SCOPUS from 1946 to August 2022. Results: A total of four articles met the inclusion criteria. Overall, these studies gave longitudinal (n = 2) and cross-sectional (n = 2) evidence to suggest that moving to an urban neighbourhood with more convenience stores, cafés and restaurants around the home was associated with an increase in unhealthy food intake in adult populations. Additional factors such as income, vehicle access, cost, availability and perceptions of the local food environment played a role in shaping food selection and food intake. Conclusion: Four internal migration studies were found. The limited evidence base calls for more research. Future studies should include children and apply appropriate research designs to account for neighbourhood self-selection and concurrent life events. International migration studies should include assessment of neighbourhood physical environments pre- and post-relocation.
Collapse
Affiliation(s)
- Trevor Kouritzin
- Division of Preventive Medicine, Department of Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada,*Correspondence: Trevor Kouritzin,
| | - John C. Spence
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada
| | - Karen Lee
- Division of Preventive Medicine, Department of Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada
| |
Collapse
|
4
|
MacMillan Uribe AL, Leung CW, Crawford SD, Leak TM. Association Between Birthplace and Time in the United States With Diet Quality in US Adolescents: Findings from the National Health and Nutrition Examination Survey, 2007 to 2018. J Nutr 2022; 152:2505-2513. [PMID: 36774116 DOI: 10.1093/jn/nxac117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 04/25/2022] [Accepted: 05/24/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND During adolescence, diet quality reaches its lowest point compared to other childhood life stages. Acculturation is associated with decreased diet quality among many groups of US immigrant adults, but research is limited among adolescents. OBJECTIVES We investigated the associations between birthplace and length of time living in the United States, 2 proxy measures of acculturation, and diet quality among adolescents (12-19 years old). METHODS Data were from the NHANES (2007-2018), which included two 24-hour dietary recalls (n = 6113) to estimate Healthy Eating Index 2015 (HEI-2015) total scores and component scores. Multivariate linear regression and generalized linear models were performed to compare HEI-2015 total scores and component scores between US-born adolescents (n = 5342) and foreign-born adolescents with <5 years (n = 244), 5 to <10 years (n = 201), and ≥10 years (n = 290) of US residency. RESULTS Foreign-born adolescents with <5 years (53.3 ± 1.2), 5 to <10 years (51.4 ± 1.5), and ≥10 years of US residency (49.9 ± 0.8) had higher HEI-2015 total scores than US-born adolescents (47.0 ± 0.3; P < 0.0001) and higher component scores for total vegetables, seafood and plant proteins, and added sugars (P values ≤ 0.0001). Foreign-born adolescents with more years of US residency had higher component scores for total fruits, whole fruits, and saturated fats than those with fewer years of US residency. A sensitivity analysis revealed this pattern held for Mexican-American and other Hispanic adolescents. CONCLUSIONS Being born outside the United States and living in the United States for less time (among foreign-born adolescents) are associated with higher diet quality. Culturally informed health promotion programs may help to reduce diet-related disparities related to acculturation among adolescents.
Collapse
Affiliation(s)
| | - Cindy W Leung
- School of Public Health, University of Michigan, Ann Arbor, MI, USA
| | - Scott D Crawford
- Department of Statistics, Texas A&M University, College Station, TX, USA
| | - Tashara M Leak
- Division of Nutritional Science, Cornell University, Ithaca, NY, USA
| |
Collapse
|
5
|
Hartono S, Cochrane T, Niyonsenga T, Kinfu Y. Children's longitudinal bodyweight in Australia: Influence of migrant mothers' long-term residency, attachment to, and level of childhood overweight in country-of-birth. Health Place 2022; 75:102791. [PMID: 35334333 DOI: 10.1016/j.healthplace.2022.102791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Revised: 03/02/2022] [Accepted: 03/11/2022] [Indexed: 11/04/2022]
Abstract
Immigration creates opportunities and imposes constraints associated with acculturation. We used the Australian national longitudinal survey of children aged 2 to 17 to evaluate the influence of mothers' long-term residency in Australia, mothers' attachment to country-of-birth, and macro indicators of childhood overweight environment at mothers' country-of-birth on children's longitudinal bodyweight. Both mothers' long-term exposure to the Australian environment and attachment to country-of-birth were associated with increased children's bodyweight z-scores. The childhood overweight environment in mothers' country-of-birth continued to influence their children's bodyweight after immigration. A better understanding of factors related to mothers' migration and children's bodyweight status is necessary to identify risk factors and migrant sub-groups needing extra support.
Collapse
Affiliation(s)
- Susan Hartono
- Health Research Institute, University of Canberra, Bruce, A.C.T., Australia.
| | - Tom Cochrane
- Health Research Institute, University of Canberra, Bruce, A.C.T., Australia.
| | - Theo Niyonsenga
- Health Research Institute, University of Canberra, Bruce, A.C.T., Australia; Faculty of Health, University of Canberra, Bruce, A.C.T., Australia.
| | - Yohannes Kinfu
- Faculty of Health, University of Canberra, Bruce, A.C.T., Australia; College of Medicine, Qatar University, Doha, Qatar; Department of Health Metrics, University of Washington, Seattle, USA; Murdoch Children's Research Institute, Melbourne, Australia.
| |
Collapse
|
6
|
Alsubhi M, Goldthorpe J, Epton T, Khanom S, Peters S. What factors are associated with obesity-related health behaviours among child refugees following resettlement in developed countries? A systematic review and synthesis of qualitative and quantitative evidence. Obes Rev 2020; 21:e13058. [PMID: 32608177 DOI: 10.1111/obr.13058] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Revised: 04/30/2020] [Accepted: 05/01/2020] [Indexed: 11/30/2022]
Abstract
Refugee children are likely to become less active and eat more unhealthily after their resettlement in developed countries. This review aims to identify and synthesize research about factors that influence unhealthy behaviours related to obesity in this population. Six electronic databases were searched systematically to identify studies that sampled refugee children or parents of refugee children aged 2 to 16 years who have resettled in a developed country. Methodological and cultural study quality was assessed and factors associated with obesity-related health behaviours investigated. Twenty studies fulfilled the inclusion criteria. Five major themes, representing factors influencing health behaviours, were identified from the data synthesis process: Acculturation, Environmental, Socioeconomic, Cognitive, and Family. The analysis revealed that refugee's health behaviours are influenced by several complex factors that are common to immigrant groups but have a greater influence among refugees. The review also revealed parental practices influence the health behaviours of children, especially those aged 2 to 10 years. Research is needed to understand further the role that parents have in influencing health behaviours and weight trajectories of children following resettlement.
Collapse
Affiliation(s)
- Maha Alsubhi
- Manchester Centre for Health Psychology, Division of psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, University of Manchester, Manchester, UK
| | - Joanna Goldthorpe
- Manchester Centre for Health Psychology, Division of psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, University of Manchester, Manchester, UK
| | - Tracy Epton
- Manchester Centre for Health Psychology, Division of psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, University of Manchester, Manchester, UK
| | - Sonia Khanom
- Centre for Epidemiology Versus Arthritis, School of Biological Sciences, University of Manchester, Manchester, UK
| | - Sarah Peters
- Manchester Centre for Health Psychology, Division of psychology and Mental Health, School of Health Sciences, Faculty of Biological, Medical and Health Sciences, University of Manchester, Manchester, UK
| |
Collapse
|
7
|
Ahmed S, Uddin R, Ziviani J, Khan A. Global Prevalence of Physical Activity, Sedentary Behaviour, and Sleep of Immigrant Children: a Systematic Review. J Racial Ethn Health Disparities 2020; 8:1364-1376. [PMID: 33124002 DOI: 10.1007/s40615-020-00898-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 09/18/2020] [Accepted: 10/12/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Although insufficient physical activity (PA), high sedentary behaviour (SB), and inadequate sleep are fairly common among children, little is known about these behaviours in immigrant children. This systematic review examined the prevalence of PA, SB, and sleep among immigrant children aged 5-17 years around the globe. METHODS Four electronic databases were searched to retrieve the English language peer-reviewed original articles published between 2000 and 2019. Cross-sectional, cohort, or longitudinal studies that reported on the prevalence of PA, SB, or sleep-related outcomes among immigrant children were included. RESULTS Of 2724 retrieved articles, 55 were selected for full-text screening and 12 met the eligibility criteria. Five studies were based on nationally representative samples. Over half (n = 7; 58%) of the studies assessed only PA, one reported only sleep, three reported both PA and SB, and one reported all three behaviours. Only one study used device-based measure. Assessment of PA and SB varied greatly across the studies with their differing definitions. The prevalence of doing PA ranged from 48 to 72%. Three studies reported an average sedentary time ranging from 1 to 3 h/day. One study reported that 10-13% of immigrant children in the USA had inadequate sleep. All of the studies reviewed were from Western countries with no study from non-Western countries. CONCLUSIONS Future studies should include all three movement behaviours and use standard assessment tools and definitions. Future research should extend beyond Western countries to non-Western countries with immigrant children.
Collapse
Affiliation(s)
- Shahnawaz Ahmed
- School of Health and Rehabilitation Sciences, Therapies Annexe (84A), The University of Queensland, St. Lucia, Brisbane, QLD, 4072, Australia.
| | - Riaz Uddin
- School of Health and Rehabilitation Sciences, Therapies Annexe (84A), The University of Queensland, St. Lucia, Brisbane, QLD, 4072, Australia.,Institute for Physical Activity and Nutrition (IPAN), Deakin University, Geelong, Australia
| | - Jenny Ziviani
- School of Health and Rehabilitation Sciences, Therapies Annexe (84A), The University of Queensland, St. Lucia, Brisbane, QLD, 4072, Australia
| | - Asaduzzaman Khan
- School of Health and Rehabilitation Sciences, Therapies Annexe (84A), The University of Queensland, St. Lucia, Brisbane, QLD, 4072, Australia
| |
Collapse
|
8
|
Collo A, Ferro A, Belci P, Cerutti F, Rabbone I, Ignaccolo MG, Carletto G, Vallini C, Cadario F, Savastio S, Carrera D, Gruden G, Siliquini R, Traversi D, Durazzo M. Nutritional behavior in Italian and immigrant children. Minerva Pediatr 2019; 71:481-487. [PMID: 31840968 DOI: 10.23736/s0026-4946.19.05654-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND There are 1.2 million of immigrant children living in Italy. However, data on their nutritional habits are limited. The aim of this study was to assess the nutritional profile in a cohort of both Italian and immigrant children. METHODS The study included 86 children aged 5-15 consecutively enrolled from January 2016 to May 2017 within a larger epidemiological study on determinants of diabetes. Immigrant state was defined on the basis of the parent origin. Data on nutritional profile, frequency of food group consumption, and eating habits were collected using the 24-hour dietary recall method and a questionnaire. Anthropometric parameters were measured. RESULTS In the cohort of immigrant children there was a higher prevalence of both overweight (27.3 vs. 14.1%) and obesity (18.2 vs. 3.1%) subjects and a greater total calorie intake compared to Italian children, mainly due to excess simple carbohydrate intake. Immigrant children had a higher consumption of sweets, snacks, and drinks with added sugar. Moreover, unhealthy habits, such as eating alone and eating while watching TV, were more frequent among immigrant children. CONCLUSIONS In this cohort, immigrant children had a higher prevalence of overweight/obesity possibly due to less healthy nutritional habits. Culturally-tailored nutritional interventions may help preventing the development of obesity-related diseases in this population.
Collapse
Affiliation(s)
- Alessandro Collo
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - Arianna Ferro
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - Paola Belci
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - Franco Cerutti
- Unit of Pediatric Endocrinology and Diabetology, Regina Margherita Children's Hospital, Turin, Italy
| | - Ivana Rabbone
- Unit of Pediatric Endocrinology and Diabetology, Regina Margherita Children's Hospital, Turin, Italy
| | - Maria G Ignaccolo
- Unit of Pediatric Endocrinology and Diabetology, Regina Margherita Children's Hospital, Turin, Italy
| | - Giulia Carletto
- Department of Public Health and Pediatrics, University of Turin, Turin, Italy
| | - Camilla Vallini
- Unit of Pediatric Endocrinology and Diabetology, Regina Margherita Children's Hospital, Turin, Italy
| | - Francesco Cadario
- Unit of Pediatric Endocrinology, Maggiore della Carità Hospital, Novara, Italy
| | - Silvia Savastio
- Unit of Pediatric Endocrinology, Maggiore della Carità Hospital, Novara, Italy
| | - Deborah Carrera
- Unit of Pediatric Endocrinology, Maggiore della Carità Hospital, Novara, Italy
| | - Gabriella Gruden
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - Roberta Siliquini
- Department of Public Health and Pediatrics, University of Turin, Turin, Italy
| | - Deborah Traversi
- Department of Public Health and Pediatrics, University of Turin, Turin, Italy
| | - Marilena Durazzo
- Department of Medical Sciences, University of Turin, Turin, Italy -
| |
Collapse
|
9
|
The Association of Acculturation and Complementary Infant and Young Child Feeding Practices Among New Chinese Immigrant Mothers in England: A Mixed Methods Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16183282. [PMID: 31500137 PMCID: PMC6765794 DOI: 10.3390/ijerph16183282] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Revised: 09/03/2019] [Accepted: 09/04/2019] [Indexed: 12/13/2022]
Abstract
Acculturation has an influence on mothers' beliefs and the perceived behaviours of different ethnicities. Few studies have been conducted on complementary infant and young child feeding practices (CIYCFP) in minorities in England, particularly in Chinese immigrants. This mixed study aims to explore the association of acculturation and IYCF among new Chinese immigrant mothers using purposive snowball sampling from an informal Chinese community. The participants' responses to the Infant Feeding Style Questionnaire (IFSQ) and Mutual Intercultural Relations in Plural Societies (MIRIPS), questionnaire (n = 32) were collected. A sub-set of 15 also participated in semi-structured interviews. Pearson's correlation coefficient analysis and thematic analysis were performed to analyse the survey and semi-structured interview data, and triangulation was employed to integrate quantitative and qualitative findings. This study indicated that Chinese mothers who scored high in integration were more likely to respond to satiety and attention; those inclined to be marginalised were more likely to indulge their children. Those who were more culturally separated were more likely to restrict the food quality offered to their children. This study also indicated that Chinese immigrants balanced western and Chinese feeding practices to combat feeding and culture conflict. This study presents preliminary findings of the association between acculturation and CIYCFP, which can improve culturally appropriate CIYCFP in minorities. Further studies are needed to explore intervention programs to tailor CIYCFP with consideration for acculturation in the minority.
Collapse
|
10
|
Chatham RE, Mixer SJ. Cultural Influences on Childhood Obesity in Ethnic Minorities: A Qualitative Systematic Review. J Transcult Nurs 2019; 31:87-99. [PMID: 31423926 DOI: 10.1177/1043659619869428] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Introduction: Childhood obesity remains an unrelenting public health problem disproportionately affecting ethnic minorities. Although research has examined ethnicity as a factor of childhood obesity, few studies have examined cultural influences. The purpose of this systematic review was to examine the qualitative evidence of cultural influences on childhood obesity in ethnic minority groups. Methodology: Selective sampling of studies since 2008 yielded 251 articles. Twelve articles that addressed cultural influences on childhood obesity were identified for review. The Culture Care Theory Sunrise Enabler factors were used as an a priori framework for theme coding. Results: Nine themes emerged: child feeding, family, gender roles, food, healthy child appearance, physical activity, sedentary activity, food cost, and obesogenic environment. Discussion: Cultural care practices such as traditional foods and family meals are protective factors in childhood obesity and should be encouraged by nurses caring for and working with ethnic minority populations.
Collapse
|
11
|
Kinnunen TI, Richardsen KR, Sletner L, Torgersen L, Sommer C, Waage CW, Mdala I, Jenum AK. Ethnic differences in body mass index trajectories from 18 years to postpartum in a population-based cohort of pregnant women in Norway. BMJ Open 2019; 9:e022640. [PMID: 30798304 PMCID: PMC6398684 DOI: 10.1136/bmjopen-2018-022640] [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] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES To explore ethnic differences in changes in body mass index (BMI) from the age of 18 years to 3 months postpartum. DESIGN A population-based cohort study. SETTING Child Health Clinics in Oslo, Norway. PARTICIPANTS Participants were 811 pregnant women (mean age 30 years). Ethnicity was categorised into six groups. PRIMARY OUTCOME MEASURES The outcome variable was BMI (kg/m2) measured at the age of 18 and 25 years, at prepregnancy and at 3 months postpartum. Body weight at 18 years, 25 years and prepregnancy were self-reported in early pregnancy, while body height and weight at 3 months postpartum were measured. The main statistical method was generalised estimating equations, adjusted for age. The analyses were stratified by parity due to ethnicity×time×parity interaction (p<0.001). RESULTS Primiparous South Asian women had a 1.45 (95% CI 0.39 to 2.52) kg/m² higher and Middle Eastern women had 1.43 (0.16 to 2.70) kg/m2 higher mean BMI increase from 18 years to postpartum than Western European women. Among multiparous women, the mean BMI increased 1.99 (1.02 to 2.95) kg/m2 more in South Asian women, 1.48 (0.31 to 2.64) kg/m2 more in Middle Eastern women and 2.49 (0.55 to 4.42) kg/m2 more in African women than in Western European women from 18 years to prepregnancy. From 18 years to postpartum, the mean increase was 4.40 (2.38 to 6.42) kg/m2 higher in African women and 1.94 to 2.78 kg/m2 higher in the other groups than in Western European women. CONCLUSIONS Multiparous women of ethnic minority origin seem substantially more prone to long-term weight gain than multiparous Western European women in Norway.
Collapse
Affiliation(s)
- Tarja I Kinnunen
- Unit of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Kåre R Richardsen
- Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, Norway
| | - Line Sletner
- Department of Child and Adolescents Medicine, Akershus University Hospital, Lørenskog, Norway
| | - Leila Torgersen
- Department of Child Development, Norwegian Institute of Public Health, Oslo, Norway
| | - Christine Sommer
- Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, Norway
| | - Christin W Waage
- Institute of Health and Society, Department of General Practice, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Ibrahimu Mdala
- General Practice Research Unit (AFE), Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway
| | - Anne Karen Jenum
- General Practice Research Unit (AFE), Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway
| |
Collapse
|
12
|
Babatunde-Sowole OO, Power T, Davidson P, Ballard C, Jackson D. Exploring the diet and lifestyle changes contributing to weight gain among Australian West African women following migration: A qualitative study. Contemp Nurse 2018; 54:150-159. [PMID: 29635959 DOI: 10.1080/10376178.2018.1459760] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
AIMS AND OBJECTIVES This paper reports on women's experiences of weight gain and obesity as they became acculturated to the Australian diet and lifestyle. BACKGROUND Migrants from sub-Saharan Africa have a much higher risk of obesity than the native population when settling in industrialised countries. METHOD Qualitative. RESULTS Women in this study reported weight gain post-migration. This was attributed to increased access to a wide variety of food including takeaway food and more sedentary lifestyles. CONCLUSIONS Obesity has long-term consequences for health and well-being. Further research is needed to support a healthy transition to life in Australia. RELEVANCE TO CLINICAL PRACTICE Gaining insight into the underlying reasons that West African immigrants to Australia become obese could contribute to assisting health professionals design culturally appropriate interventions and health education programmes to support new arrivals.
Collapse
Affiliation(s)
| | - Tamara Power
- a Faculty of Health , University of Technology Sydney , Broadway , New South Wales , Australia
| | - Patricia Davidson
- b School of Nursing , Johns Hopkins University , Baltimore , MD , USA
| | - Charlotte Ballard
- c Oxford Institute for Nursing, Midwifery & Allied Health Research (OxINMAHR), Oxford Brookes University , Oxford , UK
| | - Debra Jackson
- a Faculty of Health , University of Technology Sydney , Broadway , New South Wales , Australia.,c Oxford Institute for Nursing, Midwifery & Allied Health Research (OxINMAHR), Oxford Brookes University , Oxford , UK
| |
Collapse
|
13
|
Blanchet R, Nana CP, Sanou D, Batal M, Giroux I. Dietary acculturation among black immigrant families living in Ottawa—a qualitative study. Ecol Food Nutr 2018; 57:223-245. [DOI: 10.1080/03670244.2018.1455674] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Rosanne Blanchet
- School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
| | - Constance P. Nana
- School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
| | - Dia Sanou
- FAO Sub Regional Office for Eastern Africa, Addis Abeba, Ethiopia
| | - Malek Batal
- TRANSNUT, Department of Nutrition, Faculty of Medicine, University of Montreal, Montreal, Canada
| | - Isabelle Giroux
- School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
| |
Collapse
|