Steve Hicks School of Social Work, The University of Texas, Austin, TX, United States; zguerra@utexas. edu.
Steve Hicks School of Social Work, The University of Texas, Austin, TX, United States.
Am J Health Behav. 2022 Jun 23;46(3):324-336. doi: 10.5993/AJHB.46.3.11.
Latinos disproportionately experience overweight/obesity (OWOB) and insufficient physical activity (PA), which are risk factors for numerous health conditions. Whereas numerous studies investigate acculturation as a determinant of OWOB and PA, few have examined acculturation multidimensionally, and none has examined its interaction with gender. Participants were 140 Latino adults. Primary outcomes were status as OWOB and endorsement of insufficient PA. Acculturation was measured with the Multidimensional Acculturation Scale II. Logistic regression analyses were used to examine the moderating effect of gender on the relationship between each acculturation scale and outcome, controlling for education, nativity, and smoking status. Greater Spanish proficiency was significantly associated with lower odds of insufficient PA. Greater American Cultural Identity was significantly associated with higher odds of OWOB. Women had significantly higher odds of endorsing insufficient PA compared to men. Gender did not moderate the relationship between acculturation and either OWOB or PA. Acculturation is similarly associated with OWOB and insufficient PA for Latino men and women. Cultural identity may need to be considered to target OWOB interventions. Acculturation may be less important, and gender more important, to consider for appropriate targeting of PA interventions.
拉丁裔人群不成比例地经历超重/肥胖（OWOB）和体力活动不足（PA），这是许多健康状况的风险因素。尽管许多研究将文化适应作为 OWOB 和 PA 的决定因素进行了调查，但很少有研究从多维角度研究文化适应，也没有研究其与性别之间的相互作用。 参与者为 140 名拉丁裔成年人。主要结局是 OWOB 状态和体力活动不足的情况。采用多维文化适应量表 II 测量文化适应。使用逻辑回归分析来检验性别对每个文化适应量表与结局之间关系的调节作用，控制教育程度、出生地和吸烟状况。 西班牙语熟练度越高，体力活动不足的可能性越低。美国文化认同度越高，OWOB 的可能性越高。与男性相比，女性体力活动不足的可能性明显更高。性别并未调节文化适应与 OWOB 或 PA 之间的关系。 文化适应与拉丁裔男女的 OWOB 和体力活动不足均相关。为了针对 OWOB 干预措施，可能需要考虑文化认同。对于适当的 PA 干预措施，文化适应可能不太重要，而性别则更为重要。
