Life Sciences & Biomedicine Nutrition & Dietetics Science & Technology
Acculturation is associated with increased chronic disease risk among Asian Americans, but its association with different aspects of diet quality remains unclear. Associations of acculturation with diet quality were examined in a convenience sample of 243 Chinese participants in a study of diet and mammographic density in the Philadelphia region between January 2002 to May 2003. An acculturation index was created based on self-reported English proficiency and within- and cross-ethnicity social interactions. Diet Quality Index-International (DQI-I) scores were based on responses to an 88-item food frequency questionnaire. Odds ratios (ORs) for falling into a higher vs lower quartile for DQI-I and its components (ie, variety, adequacy, moderation, balance) were estimated with logistic regression analysis for polytomous outcomes. In the sample, mean age was 53.2 (standard deviation=10.5) years, body mass index (calculated as kg/m(2)) was 24.1 (standard deviation=3.5), and acculturation was significantly associated with improved dietary variety (OR: 2.4; 95% confidence interval [CI]: 1.5 to 3.8) and adequacy (OR: 1.6; 95% CI: 1.0 to 2.6) and lower dietary moderation (OR: 0.6; 95% CI 0.4 to 0.9), but these associations were evident only among women with less than a high school education. Acculturation and education were not associated with overall diet quality or balance. Although an association of less dietary moderation with acculturation suggests the likely importance of acculturation-related dietary change to chronic disease risk, these findings highlight the need for flexible dietary interventions among immigrant populations to discourage the adoption of some new dietary habits, while encouraging the retention of other, traditional ones. J Am Diet Assoc. 2010;110:457-462.
Improved Dietary Variety and Adequacy but Lower Dietary Moderation with Acculturation in Chinese Women in the United States
Creators
Amy Liu - Comer Children's Hospital
Zekarias Berhane - Drexel University
Marilyn Tseng - Calif Polytech State Univ San Luis Obispo, San Luis Obispo, CA 93405 USA
Publication Details
Journal of the American Dietetic Association, v 110(3), pp 457-462
Publisher
Amer Dietetic Assoc
Number of pages
6
Grant note
P30CA006927 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
CRTG-01-018-01-CCE / American Cancer Society
P30 CA006927 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
Resource Type
Journal article
Language
English
Academic Unit
Epidemiology and Biostatistics
Web of Science ID
WOS:000276994100019
Scopus ID
2-s2.0-76849112193
Other Identifier
991019167128804721
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