Department of Dietetics & Nutrition, School of Health Professions, University of Kansas Medical Center, Kansas City, KS 66160, USA.
Department of Urology, School of Medicine, University of Kansas Medical Center, Kansas City, KS 66160, USA.
Int J Environ Res Public Health. 2022 Oct 26;19(21):13895. doi: 10.3390/ijerph192113895.
Acculturation contributes to low diet quality and can foster health inequities for Latina women during pregnancy. Conversely, nutrition literacy (NL) increases diet quality and could promote health equity. This study assessed the associations between the diet quality, acculturation, and NL of Latina women (n = 99) participating in the Assessment of Docosahexaenoic Acid On Reducing Early Preterm Birth (ADORE) study. Acculturation and nutrition literacy factored together tended to modify diet quality, but this was not statistically significant. Diet quality was associated with acculturation, age, and nativity. Most (76.8%) demonstrated low nutrition literacy. Women who were bicultural and were born in Latin American countries other than Mexico had lower diet quality scores than women who had lower acculturation and were born in Mexico. Women who were 35 years or older had better diet quality than those who were younger. Future studies are needed to explore diet quality differences for pregnant Latina women with high nutrition literacy and high acculturation, as well as for women from the Caribbean, Central and South American countries living in the US, to promote nutrition and maternal health for Latina women.
文化适应会导致孕期拉美裔妇女的饮食质量低下，并可能造成健康不平等。相反，营养素养（NL）可以提高饮食质量，并促进健康公平。本研究评估了参与评估二十二碳六烯酸减少早期早产研究（ADORE）的拉美裔妇女（n=99）的饮食质量、文化适应和 NL 之间的关联。文化适应和营养素养综合起来往往会改变饮食质量，但这在统计学上并不显著。饮食质量与文化适应、年龄和出生地有关。大多数（76.8%）妇女表现出低营养素养。与文化适应度较低且出生于墨西哥的妇女相比，具有双重文化背景且出生于拉丁美洲其他国家的妇女的饮食质量得分较低。35 岁或以上的妇女饮食质量优于年轻妇女。未来的研究需要探索具有高营养素养和高文化适应度的怀孕拉美裔妇女以及居住在美国的加勒比、中美洲和南美洲国家的妇女的饮食质量差异，以促进拉美裔妇女的营养和产妇健康。
