Mbe Kougang Anne, Fedyk Mark, Catz Sheryl L, Drake Christiana, Bidwell Julie T, Bell Janice F
Betty Irene Moore School of Nursing, University of California Davis Sacramento, CA 95817, USA.
School of Medicine, University of California Davis, Sacramento, CA 95817, USA.
J Migr Health. 2025 Feb 12;11:100315. doi: 10.1016/j.jmh.2025.100315. eCollection 2025.
No studies examine associations between acculturation and physical activity (PA) in California's foreign-born Black population, even though rates of PA are lower in Black populations, lower PA rates are a risk for cardiovascular disease, and this population is growing. Further, despite differences in CVD and PA by sex and mental health status; no studies have examined whether these factors modify associations between acculturation and PA.
We used the California Health Interview Survey (2012-2017) and fully adjusted, survey-weighted regression models to examine associations between time in the US as a proxy for acculturation (i.e., foreign-born <10 years in the US, foreign-born ≥10 years in the US) and walking for PA [leisure time (LTPA) and transportation-related (TRPA)] among Black Californians ( = 5,952). We also tested effect modification by sex and mental health status.
About 7 % in the sample were foreign-born. In the adjusted model of TRPA, the odds of walking for PA were significantly higher in the foreign-born group living <10 years in the US (OR = 8.63; 95 %CI: 2.49, 29.86; < 0.01) and no different in the foreign-born group living ≥10 years in the US (OR = 1.05; 95 % CI: 0.62, 1.75; = 0.85), compared to US-born Black Californians. We found no effect modification of the associations by sex or mental health, except by frequency of feeling depressed.
Some foreign-born Black Californians have higher odds of walking for PA related to transportation than their US-born counterparts. Future research is needed to examine the role of mental health status on PA levels of this immigrant group.
尽管黑人人群的身体活动（PA）率较低，较低的PA率是心血管疾病的一个风险因素，且该人群数量正在增加，但尚无研究探讨加利福尼亚州出生在国外的黑人人群中文化适应与身体活动之间的关联。此外，尽管心血管疾病和身体活动在性别和心理健康状况方面存在差异，但尚无研究考察这些因素是否会改变文化适应与身体活动之间的关联。
我们使用加利福尼亚健康访谈调查（2012 - 2017年）和完全调整的、经调查加权的回归模型，来研究在美国居住的时间作为文化适应的替代指标（即在美国出生不满10年、在美国出生10年及以上）与加利福尼亚州黑人（n = 5952）中为进行身体活动而步行[休闲时间（LTPA）和与交通相关的（TRPA）]之间的关联。我们还检验了性别和心理健康状况的效应修正作用。
样本中约7%为出生在国外的。在TRPA的调整模型中，与在美国出生的加利福尼亚州黑人相比，在美国居住不满10年的出生在国外的人群中为进行身体活动而步行的几率显著更高（OR = 8.63；95%CI：2.49，29.86；P < 0.01），而在美国居住10年及以上的出生在国外的人群中则无差异（OR = 1.05；95%CI：0.62，1.75；P = 0.85）。除了感到抑郁的频率外，我们未发现性别或心理健康对这些关联有效应修正作用。
一些出生在国外的加利福尼亚州黑人因交通相关原因进行身体活动而步行的几率高于在美国出生的同龄人。未来需要开展研究以考察心理健康状况对这一移民群体身体活动水平的作用。
