华裔美国人和非西班牙裔白人乳腺癌幸存者的文化适应与对体育活动建议的依从性
Acculturation and Adherence to Physical Activity Recommendations Among Chinese American and Non-Hispanic White Breast Cancer Survivors.
作者信息
Le Yen, Gao Zan, Gomez Scarlett Lin, Pope Zachary, Dong Ruocheng, Allen Laura, Chang Mei-Wei, Wang Judy Huei-Yu
机构信息
Milken Institute School of Public Health, The George Washington University, Washington, DC, USA.
School of Kinesiology, University of Minnesota, Minneapolis, MN, USA.
出版信息
J Immigr Minor Health. 2019 Feb;21(1):80-88. doi: 10.1007/s10903-018-0721-x.
Chinese American breast cancer survivors' adherence to recommended physical activity (PA) guidelines has been understudied. This study investigated their PA adherence by acculturation level (vs. non-Hispanic White (NHW) survivors). One hundred ninety five Chinese and 202 NHW breast cancer survivors (stage 0-III) responded to a cross-sectional survey including a self-reported PA questionnaire. PA adherence referred to meeting PA recommendations for cancer survivors. Acculturation among Chinese was defined by proxies of U.S. residency, English proficiency, and interview language. Logistic regression was performed to examine factors associated with PA adherence. More-acculturated Chinese survivors' PA adherence rate was 76%. Less-acculturated Chinese survivors' adherence rate (60%) was significantly lower than that of NHWs (80%) (OR 0.38, 95%CI 0.19, 0.75). Less-acculturated Chinese survivors were also less likely to engage in vigorous-intensity PA than NHWs (p < 0.01). Future research on less-acculturated Chinese survivors' motivation for PA to promote their adherence is needed.
美籍华裔乳腺癌幸存者对推荐的体育活动（PA）指南的依从性研究较少。本研究按文化适应水平（与非西班牙裔白人（NHW）幸存者相比）调查了他们对体育活动的依从性。195名华裔和202名NHW乳腺癌幸存者（0-III期）对一项横断面调查做出了回应，该调查包括一份自我报告的体育活动问卷。体育活动依从性是指符合癌症幸存者的体育活动建议。华裔的文化适应程度由在美国的居住时间、英语水平和访谈语言来衡量。进行逻辑回归以检查与体育活动依从性相关的因素。文化适应程度较高的华裔幸存者的体育活动依从率为76%。文化适应程度较低的华裔幸存者的依从率（60%）显著低于NHW（80%）（比值比0.38，95%置信区间0.19，0.75）。文化适应程度较低的华裔幸存者进行高强度体育活动的可能性也低于NHW（p<0.01）。需要对文化适应程度较低的华裔幸存者进行体育活动的动机进行未来研究，以提高他们的依从性。
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