López Erick B, Yamashita Takashi
a Department of Sociology , University of Nevada Las Vegas , Las Vegas , USA.
Ethn Health. 2018 Oct;23(7):797-812. doi: 10.1080/13557858.2017.1294664. Epub 2017 Feb 28.
Latinos have poorer health outcomes among certain conditions (e.g. diabetes, obesity, mental health) compared to non-Latino Whites in the U.S., in part due to difference in the amount of physical activity, which are heavily influenced by sociocultural factors such as educational attainment and acculturation. Vigorous-intensity leisure time physical activity (VLTPA) may provide health benefits with a shorter amount of time than moderate-to-light physical activity. However, VLTPA has been significantly understudied compared to LTPA in general. The purpose of this study is to examine the associations between educational attainment, acculturation, and VLTPA by gender among Latino adults in the U.S.
Nationally representative samples of Latino adults aged 25 years and older (n = 4393) from the 2010 National Health Interview Survey were analyzed. VLTPA was measured as the number of hours per week of VLTPA consisting of heavy sweating or large increases in breathing and heart rate. Acculturation was measured as the degree to which the English language versus the Spanish language was spoken most often. The zero-inflated Poisson regression model was constructed using the full information maximum likelihood estimation and controlling for a series of sociodemographic characteristics and relevant health behaviors.
Educational attainment was positively associated with VLTPA among Latino adults [exp(b) = 1.09, p < 0.05)]. Similarly, greater acculturation was associated with greater hours/week of VLTPA [exp(b) = 1.10, p < 0.05)]. Lastly, the effect of educational attainment on VLTPA significantly varied by gender.
Education had a positive association and acculturation had negative association with the hours/week of VLTPA among Latinos. Also, the association between education and VLTPA was significantly stronger among women than men. These findings inform culturally and socially sensitive approaches to improve the health of Latinos, in hopes to address health disparities by race/ethnicity the U.S.
与美国非拉丁裔白人相比，拉丁裔在某些疾病（如糖尿病、肥胖症、心理健康）方面的健康状况较差，部分原因是体育活动量的差异，而体育活动量受教育程度和文化适应等社会文化因素的严重影响。剧烈强度的休闲时间体育活动（VLTPA）可能比中低强度体育活动在更短时间内带来健康益处。然而，与一般的长期体育活动（LTPA）相比，VLTPA的研究明显不足。本研究的目的是检验美国拉丁裔成年人中教育程度、文化适应与按性别划分的VLTPA之间的关联。
对2010年全国健康访谈调查中25岁及以上的拉丁裔成年人（n = 4393）的具有全国代表性样本进行分析。VLTPA通过每周剧烈出汗或呼吸及心率大幅增加的VLTPA小时数来衡量。文化适应程度通过最常说英语还是西班牙语来衡量。使用全信息最大似然估计构建零膨胀泊松回归模型，并控制一系列社会人口学特征和相关健康行为。
拉丁裔成年人的教育程度与VLTPA呈正相关[exp(b)=1.09，p < 0.05]。同样，更高的文化适应程度与每周更多的VLTPA小时数相关[exp(b)=1.10，p < 0.05]。最后，教育程度对VLTPA的影响因性别而异。
教育与拉丁裔每周的VLTPA小时数呈正相关，文化适应与VLTPA呈负相关。此外，教育与VLTPA之间的关联在女性中比男性中显著更强。这些发现为改善拉丁裔健康状况的文化和社会敏感方法提供了依据，希望解决美国按种族/族裔划分的健康差距问题。
