Satia J A, Patterson R E, Kristal A R, Hislop T G, Yasui Y, Taylor V M
Fred Hutchinson Cancer Research Center, Cancer Prevention Research Program, 1100 Fairview Ave, N, MP-702, Seattle, WA 98109-1024, USA.
J Am Diet Assoc. 2001 May;101(5):548-53. doi: 10.1016/S0002-8223(01)00137-7.
To develop simple scales to measure a Chinese immigrant's adoption of Western eating patterns (dietary acculturation).
Data are from 244 less-acculturated women of Chinese ethnicity living in Seattle, Wash, and Vancouver, British Columbia, Canada. Interviewers collected information on sociodemographic characteristics, acculturation indices, items that reflect Western and Chinese dietary behavior, and consumption of fruits, vegetables, and fat.
Analysis of variance and linear regression analyses examined associations among dietary measures and acculturation variables, controlling for age, education, and city of residence.
We developed 2 scales to assess dietary acculturation: the Western Dietary Acculturation Scale and the Chinese Dietary Acculturation Scale, measuring Western and Chinese eating behavior, respectively. Although the population in this study was a less-acculturated sample, most participants reported some Western dietary practices, such as drinking milk (78%), eating cheese (78%), eating at Western fast-food restaurants (56%), and eating between meals (72%). Younger, highly educated women employed outside the home had the highest Western dietary acculturation scores (P < .001). Women with high scores on the Western scale reported higher-fat dietary behaviors and had increased fruit and vegetable intake since immigration compared to those with lower scores (P < .001). There was good agreement between the dietary acculturation scales and traditional acculturation indicators (P < .001).
Nutrition programs for immigrant/minority groups may be more effective if they are tailored to level of dietary acculturation. Therefore, the ability to accurately assess dietary acculturation is an important component of nutrition education, interventions, and counseling in these populations.
开发简单量表以衡量中国移民对西方饮食模式的接受程度（饮食文化适应）。
数据来自居住在华盛顿州西雅图市和加拿大不列颠哥伦比亚省温哥华市的244名文化适应程度较低的华裔女性。访谈者收集了社会人口学特征、文化适应指数、反映西方和中国饮食行为的项目以及水果、蔬菜和脂肪摄入量等信息。
方差分析和线性回归分析检验了饮食指标与文化适应变量之间的关联，并对年龄、教育程度和居住城市进行了控制。
我们开发了2个量表来评估饮食文化适应：西方饮食文化适应量表和中国饮食文化适应量表，分别衡量西方和中国饮食行为。尽管本研究中的人群是文化适应程度较低的样本，但大多数参与者报告了一些西方饮食习惯，如喝牛奶（78%）、吃奶酪（78%）、在西式快餐店就餐（56%）以及加餐（72%）。在家外工作的年轻、高学历女性西方饮食文化适应得分最高（P <.001）。西方量表得分高的女性报告的高脂肪饮食行为更多，且与得分低的女性相比，移民后水果和蔬菜摄入量增加（P <.001）。饮食文化适应量表与传统文化适应指标之间具有良好的一致性（P <.001）。
针对移民/少数群体的营养项目若能根据饮食文化适应水平进行调整，可能会更有效。因此，准确评估饮食文化适应的能力是这些人群营养教育、干预和咨询的重要组成部分。
