美国西班牙裔/拉丁裔青年的文化适应、种族认同与饮食质量之间的关联：来自 HCHS/SOL 青年研究的结果。
Associations between acculturation, ethnic identity, and diet quality among U.S. Hispanic/Latino Youth: Findings from the HCHS/SOL Youth Study.
机构信息
Department of Health Behavior, University of North Carolina at Chapel Hill, 135 Dauer Drive, 302 Rosenau Hall, CB #7440, Chapel Hill, NC, 27599-7440, USA.
Collaborative Studies Coordinating Center, Department of Biostatistics, University of North Carolina at Chapel Hill, 123 W. Franklin Street, Suite 450, CB #8030, Chapel Hill, NC 27516, USA.
出版信息
Appetite. 2018 Oct 1;129:25-36. doi: 10.1016/j.appet.2018.06.017. Epub 2018 Jun 19.
BACKGROUND
Acculturation among Hispanic/Latinos has been linked to deteriorating dietary quality that may contribute to obesity risks. This study examined the relationship between acculturation, ethnic identity, and dietary quality in U.S. Hispanic/Latino youth.
METHODS
This cross-sectional study included 1298 Hispanic/Latino youth ages 8-16 from the Hispanic Community Health Study/Study of Latino Youth (HCHS/SOL Youth), an ancillary study of offspring of participants in the adult HCHS/SOL cohort. Multivariable regression analyses assessed relationships between acculturation and ethnic identity with dietary quality as measured by Healthy Eating Index (HEI) scores, accounting for covariates, design effects, and sample weights. We also compared HEI scores by immigrant generation and language of interview.
RESULTS
Youth were 12 ± 2.5 -years and 49.3% female. They were placed into five acculturation categories-including 48% integrated (bicultural orientation), 32.7% assimilated (high U.S. and low Latino orientation), 5.9% separated (high Latino and low U.S. orientation) or marginalized (neither U.S. nor Latino orientation), and 13.3% unclassified. Mean HEI was 53.8; there were no differences in HEI scores by acculturation category, but integrated youth had higher whole grains scores, lower sodium scores, and lower empty calories scores compared to assimilated youth. There were no differences in HEI scores by ethnic identity scores, and no consistent trend between dietary quality and ethnic identity. First- and second-generation youth had higher HEI scores, compared to third-generation youth, and, Spanish-speaking youth had higher HEI scores compared to English-speaking youth.
CONCLUSION
Results suggest that integrated youth in the U.S. may engage in healthier eating behaviors than those who are assimilated. Additional research on Hispanic/Latino youths' acculturation and diet can inform health promotion efforts to improve eating habits and health outcomes among this population.
背景
西班牙裔/拉丁裔的文化适应与饮食质量恶化有关，这可能会增加肥胖的风险。本研究探讨了美国西班牙裔/拉丁裔青少年的文化适应、族裔认同与饮食质量之间的关系。
方法
本横断面研究纳入了来自西班牙裔社区健康研究/拉丁裔青年研究（HCHS/SOL Youth）的 1298 名 8-16 岁的西班牙裔/拉丁裔青少年，这是成年 HCHS/SOL 队列参与者后代的辅助研究。多变量回归分析评估了文化适应和族裔认同与饮食质量之间的关系，饮食质量用健康饮食指数（HEI）评分来衡量，同时考虑了协变量、设计效果和样本权重。我们还比较了不同代际移民和访谈语言的 HEI 评分。
结果
青少年的平均年龄为 12±2.5 岁，其中 49.3%为女性。他们被分为五个文化适应类别，包括 48%的整合型（双文化取向）、32.7%的同化型（高度美国化和低度拉丁裔取向）、5.9%的分离型（高度拉丁裔和低度美国化取向）或边缘化（既非美国化也非拉丁裔取向），以及 13.3%的未分类。HEI 的平均得分为 53.8；文化适应类别与 HEI 评分之间无差异，但与同化型青少年相比，整合型青少年的全谷物评分较高、钠含量评分较低、空卡路里评分较低。族裔认同评分与 HEI 评分之间无差异，且饮食质量与族裔认同之间也无一致趋势。与第三代青少年相比，第一代和第二代青少年的 HEI 评分更高，与说英语的青少年相比，说西班牙语的青少年的 HEI 评分更高。
结论
结果表明，与同化型青少年相比，美国的整合型青少年可能更倾向于健康的饮食习惯。进一步研究西班牙裔/拉丁裔青少年的文化适应和饮食可以为促进健康的努力提供信息，以改善这一人群的饮食习惯和健康结果。
Zotero 插件