College of Nursing, Rutgers, The State University of New Jersey, Newark, 07102, USA.
Biol Res Nurs. 2012 Oct;14(4):364-74. doi: 10.1177/1099800412457017. Epub 2012 Aug 23.
The prevalence of obesity and obesity-related illnesses is higher among Hispanics (Latinos) than other racial and ethnic groups, and rates increase exponentially with the number of years living in the United States. Mounting evidence suggests that the origins of many chronic illnesses among disadvantaged minority groups may lie with cumulative exposure to chronic psychological and physiological stressors through the biobehavioral process of allostatic load (AL). Among immigrant Latinos, acculturation stress may contribute to an increase in AL and thus may be an independent risk factor for the development of obesity and obesogenic illnesses. The purpose of this theoretical article is to present a proposed model of the effects of acculturation stress on AL and obesity among Latino immigrants. Such a model can be useful to guide intervention efforts to decrease obesity among immigrant Latinos by adding education, skill building, and social integration strategies to healthy eating and physical activity to reduce the deleterious impact of acculturation stress.
肥胖症和肥胖相关疾病在西班牙裔（拉丁裔）人群中的发病率高于其他种族和族裔群体，并且随着在美国生活的年数呈指数级增长。越来越多的证据表明，许多弱势少数群体的慢性疾病的根源可能在于通过适应负荷（AL）的生物行为过程中对慢性心理和生理压力源的累积暴露。在移民拉丁裔中，文化适应压力可能导致 AL 的增加，因此可能是肥胖和肥胖相关疾病发展的一个独立危险因素。本文的目的是提出一个关于文化适应压力对拉丁裔移民 AL 和肥胖影响的理论模型。这样的模型可以通过增加教育、技能培养和社会融合策略来指导干预措施，以减少移民拉丁裔的肥胖，从而有助于通过健康饮食和体育锻炼来减少文化适应压力的有害影响。
