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Residence in Hispanic/Latino immigrant neighborhoods, away-from-home food consumption, and diet quality: The Hispanic Community Health Study/Study of Latinos
Journal article   Open access   Peer reviewed

Residence in Hispanic/Latino immigrant neighborhoods, away-from-home food consumption, and diet quality: The Hispanic Community Health Study/Study of Latinos

Gabriela Vatavuk-Serrati, Kiarri N. Kershaw, Daniela Sotres-Alvarez, Krista M. Perreira, Jenny S. Guadamuz, Carmen R. Isasi, Jana A. Hirsch, Linda V. Van Horn, Martha L. Daviglus and Sandra S. Albrecht
Journal of the Academy of Nutrition and Dietetics
22 Jun 2023
DOI: https://doi.org/10.1016/j.jand.2023.06.283
PMID: 37355040
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1016/j.jand.2023.06.283View
Accepted (AM)Open Access (Publisher-Specific),  Open

Abstract

diet Hispanic neighborhoods Segregation Immigrants
Background Hispanics/Latinos are disproportionately burdened by nutrition-related diseases but immigrants appear healthier than their US-born counterparts. Neighborhoods characterized by high Hispanic/Latino immigrant segregation may provide environments to support healthier diets. Objective To examine whether Hispanic/Latino immigrant segregation is associated with frequency of away-from-home food (AFHF) consumption and diet quality in a large, diverse sample of Hispanic/Latino adults. Design Cross-sectional baseline data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) were analyzed (2008-2011). Residential addresses were geocoded and linked to census tract-level 2008-2012 American Community Survey data. Hispanic/Latino immigrant segregation was characterized using the local Getis-Ord Gi* statistic, a spatial clustering measure that quantifies the extent to which demographically similar neighborhoods group together. Participants/setting Participants were 15,661 adults in the HCHS/SOL, a population-based study of Hispanic/Latinos aged 18-74 years from 4 US regions (Bronx, New York; Chicago, Illinois; Miami, Florida; and San Diego, California). Main outcome measures AFHF consumption was assessed using a modified dietary behavior questionnaire. Diet quality was assessed using the Alternate Healthy Eating Index (AHEI)-2010 (range: 0-110) from two 24-hour recalls. Statistical analysis Multi-level linear and logistic regression with multi-level weights were used to estimate associations between Hispanic/Latino immigrant segregation (low, medium, high) with AHEI-2010 score, and AFHF consumption (≥ 3 vs. < 3 times/week) in separate models, respectively. The mediating role of neighborhood poverty and whether associations differed by nativity were also assessed. Results Higher levels of segregation were associated with higher adjusted mean AHEI scores; estimates were further magnified after accounting for neighborhood poverty (low segregation: referent; medium segregation: β=2.43, 95% CI: 1.10-3.77; high segregation: β= 1.63, 95% CI: 0.43-2.82). Associations were strongest among the foreign-born compared to the US-born. There was no association between segregation and AFHF consumption. Conclusion These results highlight the potential role of Hispanic/Latino immigrant neighborhoods in supporting healthy diets among residents, especially immigrants.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Nutrition & Dietetics
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