Associations between acculturation, ethnic identity, and diet quality among US Hispanic/Latino Youth: Findings from the HCHS/SOL Youth Study
Associations between acculturation, ethnic identity, and diet quality among US Hispanic/Latino Youth: Findings from the HCHS/SOL Youth Study
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DOI：
10.1016/j.appet.2018.06.017
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发表时间：
2018-10-01
期刊：
影响因子：
5.4
通讯作者：
Perreira, Krista M.
中科院分区：
文献类型：
--
作者：
Arandia, Gabriela;Sotres-Alvarez, Daniela;Perreira, Krista M.
背景：西班牙裔/拉丁美洲人的文化适应与可能导致肥胖风险的饮食质量恶化有关。本研究探讨了文化适应，种族认同，饮食质量之间的关系，在美国西班牙裔/拉丁裔youth.Methods：这一横断面研究包括1298西班牙裔/拉丁裔青年8-16岁的西班牙裔社区健康研究/拉丁裔青年研究（HCHS/SOL青年），参与者的后代在成人HCHS/SOL队列的辅助研究。多变量回归分析评估了文化适应和种族认同与饮食质量之间的关系，以健康饮食指数（HEI）评分为衡量标准，考虑协变量，设计效应和样本权重。我们还比较了移民一代和语言的interview.Results：青年的HEI分数为12 +/- 2.5年，49.3%的女性。他们被分为五个文化适应类别，包括48%的融合（双文化取向），32.7%的同化（高美国和低拉丁美洲取向），5.9%的分离（高拉丁美洲和低美国取向）或边缘化（既不是美国也不是拉丁美洲取向），以及13.3%的未分类。平均HEI为53.8;有没有差异，在HEI分数的文化适应类别，但整合青年有较高的全谷物分数，较低的钠分数，和较低的空热量分数相比，同化青年。不同种族的HEI评分没有差异，饮食质量和种族认同之间也没有一致的趋势。与第三代青少年相比，第一代和第二代青少年的HEI分数更高，并且与说英语的青少年相比，说西班牙语的青少年的HEI分数更高。结论：结果表明，美国的融合青少年可能会从事更健康的饮食行为比那些被同化的人。对西班牙裔/拉丁裔青年的文化适应和饮食的进一步研究可以为健康促进工作提供信息，以改善这一人群的饮食习惯和健康结果。
Background: Acculturation among Hispanic/Latinos has been linked to deteriorating dietary quality that may contribute to obesity risks. This study examined the relationship between acculturation, ethnic identity, and dietary quality in U.S. Hispanic/Latino youth.Methods: This cross-sectional study included 1298 Hispanic/Latino youth ages 8-16 from the Hispanic Community Health Study/Study of Latino Youth (HCHS/SOL Youth), an ancillary study of offspring of participants in the adult HCHS/SOL cohort. Multivariable regression analyses assessed relationships between acculturation and ethnic identity with dietary quality as measured by Healthy Eating Index (HEI) scores, accounting for covariates, design effects, and sample weights. We also compared HEI scores by immigrant generation and language of interview.Results: Youth were 12 +/- 2.5 -years and 49.3% female. They were placed into five acculturation categories including 48% integrated (bicultural orientation), 32.7% assimilated (high U.S. and low Latino orientation), 5.9% separated (high Latino and low U.S. orientation) or marginalized (neither U.S. nor Latino orientation), and 13.3% unclassified. Mean HEI was 53.8; there were no differences in HEI scores by acculturation category, but integrated youth had higher whole grains scores, lower sodium scores, and lower empty calories scores compared to assimilated youth. There were no differences in HEI scores by ethnic identity scores, and no consistent trend between dietary quality and ethnic identity. First- and second-generation youth had higher HEI scores, compared to third-generation youth, and, Spanish-speaking youth had higher HEI scores compared to English-speaking youth.Conclusion: Results suggest that integrated youth in the U.S. may engage in healthier eating behaviors than those who are assimilated. Additional research on Hispanic/Latino youths' acculturation and diet can inform health promotion efforts to improve eating habits and health outcomes among this population.