Pathways between acculturation and health behaviors among residents of low-income housing: The mediating role of social and contextual factors
Pathways between acculturation and health behaviors among residents of low-income housing: The mediating role of social and contextual factors
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DOI：
10.1016/j.socscimed.2014.10.034
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发表时间：
2014-12-01
影响因子：
5.4
通讯作者：
Sorensen, Glorian C.
中科院分区：
文献类型：
--
作者：
Allen, Jennifer Dacey;Caspi, Caitlin;Sorensen, Glorian C.
文化适应可能会影响健康行为，但其作用机制还不清楚。在这项研究中，我们描述了低收入住房居民的文化适应和健康行为之间的关系，并检查这些关系是否是由社会和背景因素介导的。波士顿大都市区20个低收入住房点的居民完成了评估文化适应特征、社会/环境因素和健康行为的调查。使用潜在类别分析开发了复合文化适应量表，产生了四个不同的文化适应群体。路径分析被用来检查文化适应，健康行为和社会/环境因素之间的相互关系，特别是自我报告的社会关系，社会支持，压力，物质困难，和discrimination. The 828受访者，69%的人出生在美国以外的地区。文化适应对饮食和吸烟有直接影响，但对身体活动没有影响。文化适应还通过其与物质困难的关系对饮食产生间接影响。我们发现物质困难介导了文化适应和饮食之间的关系，这表明有必要解释财政资源在促进低收入移民群体健康饮食的干预措施中的重要作用。未来的研究应该使用更大的，基于人群的样本，最好是纵向数据来检查这些社会和背景介质。(C)2014作者爱思唯尔有限公司出版
Acculturation may influence health behaviors, yet mechanisms underlying its effect are not well understood. In this study, we describe relationships between acculturation and health behaviors among low-income housing residents, and examine whether these relationships are mediated by social and contextual factors. Residents of 20 low-income housing sites in the Boston metropolitan area completed surveys that assessed acculturative characteristics, social/contextual factors, and health behaviors. A composite acculturation scale was developed using latent class analysis, resulting in four distinct acculturative groups. Path analysis was used to examine interrelationships between acculturation, health behaviors, and social/contextual factors, specifically self-reported social ties, social support, stress, material hardship, and discrimination.Of the 828 respondents, 69% were born outside of the U.S. Less acculturated groups exhibited healthier dietary practices and were less likely to smoke than more acculturated groups. Acculturation had a direct effect on diet and smoking, but not physical activity. Acculturation also showed an indirect effect on diet through its relationship with material hardship.Our finding that material hardship mediated the relationship between acculturation and diet suggests the need to explicate the significant role of financial resources in interventions seeking to promote healthy diets among low-income immigrant groups. Future research should examine these social and contextual mediators using larger, population-based samples, preferably with longitudinal data. (C) 2014 The Authors. Published by Elsevier Ltd.