Nicolaou M, van Dam R M, Stronks K
Department of Social Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands.
J Hum Nutr Diet. 2006 Oct;19(5):383-93. doi: 10.1111/j.1365-277X.2006.00720.x.
To consider the changes in overall diet quality following migration we examined the associations of acculturation variables and education level with diet in Surinamese South Asian and Surinamese Afro-Caribbean origin on the one hand, and ethnic Dutch residents of the Netherlands on the other. Surinam is a former Dutch colony in South America.
We randomly selected men and women aged 35-60 years: ethnic Dutch, n = 552; South Asian, n = 306; Afro-Caribbean, n = 660. Intakes of fruit, vegetables, red meat, fish, vegetable oils, breakfast and salt were measured using a short questionnaire that formed the basis for a 'diet quality indicator' score. Highest education was measured and acculturation of the Surinamese groups was assessed by age at migration, number of resident years and a scale measure of social contacts with ethnic Dutch.
Compared with ethnic Dutch, both Surinamese groups scored higher on overall diet quality (P < or = 0.001) but some aspects of diet (breakfast and salt use) were less prudent. Education was positively associated with diet quality in ethnic Dutch (P < or = 0.01), but not consistently so in Surinamese. Associations with social contact with ethnic Dutch varied for different quality aspects of the diet. Residence duration (mean = 22 years) and age at migration (mean = 21 years) were not associated with diet.
A greater degree of acculturation does not necessarily lead to a less healthful diet in migrants. In addition, the association of education level with diet may differ for migrant groups. The diet of migrants differ from host populations, suggesting that migrant groups should be considered in the development of nutrition health promotion activities.
为了研究移民后总体饮食质量的变化，我们一方面考察了苏里南的南亚裔和非洲裔加勒比裔移民的文化适应变量及教育水平与饮食之间的关联，另一方面考察了荷兰的荷兰族裔居民的上述关联。苏里南是南美洲的一个前荷兰殖民地。
我们随机选取了年龄在35至60岁之间的男性和女性：荷兰族裔，n = 552；南亚裔，n = 306；非洲裔加勒比裔，n = 660。使用一份简短问卷测量水果、蔬菜、红肉、鱼类、植物油、早餐和盐的摄入量，该问卷构成了“饮食质量指标”得分的基础。测量了最高学历，并通过移民年龄、居住年限以及与荷兰族裔的社会交往量表来评估苏里南群体的文化适应情况。
与荷兰族裔相比，两个苏里南群体在总体饮食质量上得分更高（P≤0.001），但在饮食的某些方面（早餐和盐的摄入）不够合理。教育与荷兰族裔的饮食质量呈正相关（P≤0.01），但在苏里南群体中并非始终如此。与荷兰族裔的社会交往与饮食不同质量方面的关联各不相同。居住时长（平均 = 22年）和移民年龄（平均 = 21年）与饮食无关。
更大程度的文化适应并不一定会导致移民的饮食更不健康。此外，教育水平与饮食的关联在移民群体中可能有所不同。移民的饮食与东道国人群不同，这表明在开展营养健康促进活动时应考虑移民群体。
