Hwang Ji-Yun, Lee Sang Eun, Kim Sun Hye, Chung Hye Won, Kim Wha Young
Department of Nutritional Science and Food Management, Ewha Womans University, Korea.
J Am Diet Assoc. 2010 May;110(5):779-85. doi: 10.1016/j.jada.2010.02.004.
Previous studies have reported that the nutritional status of Vietnamese female marriage immigrants in Korea is inadequate. And the mediation of acculturation stress can contribute to problems in their eating practices and dietary intakes. This study examines an association between psychological distress and inadequate dietary intake in Vietnamese female marriage immigrants living in Korea. A cross-sectional study analyzed baseline data (n=570) from the Cohort of Intermarried Women in Korea. Daily nutrient intakes were compared according to the quartiles of distress scores assessed by the Psychological Well-Being Index-Short Form. One-way analysis of variance and chi(2) tests were used to compare eating practices and nutrient intake across quartiles of psychological distress. Subjects in the highest stress scores were more likely to skip breakfast and to change their dietary habits after living in Korea than those in groups with low stress scores. Analyses of the subjects' Mini Dietary Assessments revealed that those with the highest stress scores were less likely to consume milk or dairy products, eat regular meals, or have balanced diets than those with the lowest stress scores. Nutrient intakes were found to be inadequate in the subjects, and those with the highest stress scores showed lower consumptions of energy, carbohydrate, protein, fat, calcium, zinc, thiamin, riboflavin, and folate compared to those with the lowest scores. The prevalence of underweight (body mass index [calculated as kg/m(2)] <18.5) increased from the lowest to highest quartiles of psychological distress scores. Psychological distress in Vietnamese female marriage immigrants living in Korea was negatively associated with dietary intake. These findings can assist dietetics practitioners working with minority immigrants because such information is important in designing appropriate strategies for dietary counseling. A follow-up study should address the underlying mechanisms of the observed diet-distress association in Vietnamese marriage immigrant women in Korea, as well as other various ethnic minority immigrants in Korea.
以往研究报告称，在韩国的越南女性婚姻移民营养状况不佳。文化适应压力的中介作用可能导致她们的饮食行为和饮食摄入出现问题。本研究调查了居住在韩国的越南女性婚姻移民心理困扰与饮食摄入不足之间的关联。一项横断面研究分析了韩国跨国婚姻女性队列的基线数据（n = 570）。根据简易心理幸福感指数评估的困扰得分四分位数比较每日营养素摄入量。采用单因素方差分析和卡方检验比较心理困扰四分位数之间的饮食行为和营养素摄入情况。压力得分最高的受试者比压力得分低的组更有可能不吃早餐，并且在韩国生活后改变饮食习惯。对受试者简易饮食评估的分析显示，压力得分最高的受试者比得分最低的受试者摄入牛奶或乳制品、规律进餐或保持均衡饮食的可能性更小。研究发现受试者的营养素摄入不足，与得分最低的受试者相比，压力得分最高的受试者能量、碳水化合物、蛋白质、脂肪、钙、锌、硫胺素、核黄素和叶酸的摄入量更低。体重过轻（体重指数[以kg/m²计算]<18.5）的患病率从心理困扰得分最低四分位数到最高四分位数呈上升趋势。居住在韩国的越南女性婚姻移民的心理困扰与饮食摄入呈负相关。这些发现可以帮助从事少数族裔移民工作的饮食从业者，因为这些信息对于设计适当的饮食咨询策略很重要。后续研究应探讨韩国越南婚姻移民女性以及其他各种少数族裔移民中观察到的饮食与困扰关联的潜在机制。
