How Socioeconomic Status and Acculturation Relate to Dietary Behaviors Within Latino Populations

How Socioeconomic Status and Acculturation Relate to Dietary Behaviors Within Latino Populations
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DOI:
10.1177/08901171211059806
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发表时间:
2022-01-17
影响因子:
2.7
通讯作者:
Song, Anna, V
Song, Anna, V
中科院分区:
医学4区
文献类型:
--
作者:
Alegria, Katie;Fleszar-Pavlovic, Sara;Song, Anna, V

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目的:尽管社会经济地位较低,但美国的拉丁裔经历的不良健康后果比非拉丁裔少。然而,他们受饮食相关疾病的影响不成比例。在其他种族/民族群体中,高文化适应和低社会经济地位与更差的饮食摄入量相关,然而,很少有研究调查拉丁美洲人之间的这些关系。设计:2013-2014 NHANES分析,以检查文化适应,收入,出生和食品安全与饮食行为相关的途径。设置:美国人口为基础的调查。样本:调查受访者>18岁,被确定为拉丁裔/西班牙裔(N = 1 197; 53.88%为女性;法师= 44.61)。(文化适应)、家庭总收入(收入)、出生地(出生),食品安全和灵活的消费者行为调查(饮食行为)。分析:单变量和多变量回归STATA。协变量包括在美国的时间长度、种族/西班牙裔(即,结果:出生(β = -1.16; SE = 0.19; P <0.001)和收入(β = 0.39; SE = 0.07; P <0.001)是饮食行为的重要预测因素。外国出生的拉丁美洲人和收入较低的人消费的快餐或比萨饼数量显着减少。食品安全不是饮食行为的显著预测因子(β = .16; SE = .1; P > .05)。结论:结果表明,收入不是不健康饮食行为的保护因素,出生作为拉丁美洲人健康行为的预测因子的重要性重新得到了重视。
Purpose: Despite having lower socioeconomic status, Latinos in the US experience fewer adverse health outcomes than non-Latinos. However, they are disproportionately affected by diet-related diseases. Among other racial/ethnic groups, high acculturation and low socioeconomic status are associated with worse dietary intake, yet, few studies have investigated these relationships among Latinos.Design: 2013-2014 NHANES analyzed to examine pathways through which acculturation, income, nativity, and food security are associated with dietary behaviors.Setting: U.S. population-based survey.Sample: Survey respondents >18 years old and identified as Latino/Hispanic (N = 1197; 53.88% female; Mage = 44.61).Measures: Primary language spoken (acculturation), total household income (income), place of birth (nativity), Food security, and the Flexible Consumer Behavior Survey (dietary behavior).Analysis: Univariate and multivariate regressions in STATA. Covariates include length of time in the US, ethnicity/Hispanic origin (i.e., "Mexican American" or "Other Hispanic"), and gender.Results: Nativity (beta = -1.16; SE = .19; P < .001) and income (beta = .39; SE = .07; P < .001) were significant predictors of dietary behavior. Foreign-born Latinos and those with lower income consumed significantly lower numbers of fast-food or pizza. Food security was not a significant predictor of dietary behavior (beta = .16; SE = .1; P > .05).Conclusions: Results suggest that income is not a protective factor against unhealthy dietary behavior and a renewed importance of nativity as a predictor of health behavior among Latinos.