Country of birth and language are uniquely associated with intakes of fat, fiber, and fruits and vegetables among Mexican-American women in the United States
Country of birth and language are uniquely associated with intakes of fat, fiber, and fruits and vegetables among Mexican-American women in the United States
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DOI：
10.1016/j.jada.2007.12.008
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发表时间：
2008-03-01
影响因子：
--
通讯作者：
Eschbach, Karl
中科院分区：
文献类型：
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作者：
Montez, Jennifer Karas;Eschbach, Karl
目的以往关于西班牙裔美国人饮食与文化适应之间关系的研究结果不一致。本研究探讨饮食，出生国，和语言涵化规模之间的关联在墨西哥裔美国women.Design-研究采用了横截面设计，从2000年全国健康访谈调查和癌症控制模块的数据。该模块对每个家庭的一名成年人进行管理，包括17个饮食摄入问题。245名年龄在25岁至64岁之间的墨西哥裔非怀孕妇女居住在美国，她们在家中接受了采访。采用带有抽样权重的平方回归和对调查设计影响的标准误差进行调整来估计出生国，结果在多变量模型中，美国出生的妇女每天消耗较少克的纤维，（β =-2.44; P < 0.01）和来自脂肪的能量百分比（β =2.06; P < 0.01）高于墨西哥出生的妇女。更多地使用英语与纤维摄入量的减少有关（P < 0.01），水果和蔬菜摄入量的减少与美国出生者的下降幅度更大有关（P < 0.10）。与墨西哥出生的女性相比，在美国出生的女性饮食质量下降的风险更大，而在美国出生的讲英语的女性的饮食状况更不利。关于饮食摄入的研究和公共卫生教育应考虑出生国和语言。
Objective Previous research on the relationship between diet and acculturation among Hispanics has produced inconsistent results. This study examined the association between diet, country of birth, and a language acculturation scale among Mexican-American women.Design The study used a cross-sectional design with data from the 2000 National Health Interview Survey and its Cancer Control Module. The module was administered to one adult per household and included 17 dietary intake questions.Subjects/setting Subjects were 1,245 nonpregnant women of Mexican descent between 25 and 64 years of age residing in the United States who were interviewed in their homes.Statistical analysis performed Least-squares regression with sampling weights and adjustment of standard errors for survey design effects was used to estimate the associations between country of birth, language acculturation, and percent energy from fat, intake of fiber, and intake of fruits and vegetables, with statistical control for age, education, and marital status.Results In multivariate models, US-born women consumed fewer grams of fiber per day (beta=-2.44; P < 0.01) and a larger percentage of energy from fat (beta=2.06; P < 0.01) than Mexican-born women. Greater English language use was associated with decreased consumption of fiber (P < 0.01), and a decline in fruit and vegetable intake with a greater decline for US-born (P < 0.10).Conclusions Acculturation is associated with several unfavorable dietary changes. Women who were born in the United States are at greater risk of declining dietary quality compared to Mexican-born women, and US-born English-speaking women have more unfavorable dietary profiles. Research and public health education concerning dietary intake should consider both country of birth and language.