Belinda Reininger1, MinJae Lee2, Rose Jennings3, Alexandra Evans3, Michelle Vidoni1. 1. 1University of Texas Health Science Center at Houston,School of Public Health,Brownsville Regional Campus,One West University Blvd,RAHC,Brownsville,TX 78520,USA. 2. 2University of Texas Health Science Center at Houston,Houston,TX,USA. 3. 3University of Texas Health Science Center at Houston,School of Public Health,Austin Regional Campus,Austin,TX,USA.
Abstract
OBJECTIVE: Examine relationships of healthy and unhealthy dietary patterns with BMI, sex, age and acculturation among Mexican Americans. DESIGN: Cross-sectional. Participants completed culturally tailored Healthy and Unhealthy Eating Indices. Multivariable mixed-effect Poisson regression models compared food pattern index scores and dietary intake of specific foods by BMI, sex, age and acculturation defined by language preference and generational status. SETTING: Participants recruited from the Cameron County Hispanic Cohort study, Texas-Mexico border region, between 2008 and 2011. SUBJECTS: Mexican-American males and females aged 18-97 years (n 1250). RESULTS: Participants were primarily female (55·3 %), overweight or obese (85·7 %), preferred Spanish language (68·0 %) and first-generation status (60·3 %). Among first-generation participants, bilingual participants were less likely to have a healthy eating pattern than preferred Spanish-speaking participants (rate ratio (RR)=0·79, P=0·0218). This association was also found in males (RR=0·81, P=0·0098). Preferred English-speaking females were less likely to consume healthy foods than preferred Spanish-speaking females (RR=0·84, P=0·0293). Among second-generation participants, preferred English-speaking participants were more likely to report a higher unhealthy eating pattern than preferred Spanish-speaking participants (RR=1·23, P=0·0114). Higher unhealthy eating patterns were also found in females who preferred English v. females who preferred Spanish (RR=1·23, P=0·0107) or were bilingual (RR=1·26, P=0·0159). Younger, male participants were more likely to have a higher unhealthy eating pattern. BMI and diabetes status were not significantly associated with healthy or unhealthy eating patterns. CONCLUSIONS: Acculturation, age, sex and education are associated with healthy and unhealthy dietary patterns. Nutrition interventions for Mexican Americans should tailor approaches by these characteristics.
OBJECTIVE: Examine relationships of healthy and unhealthy dietary patterns with BMI, sex, age and acculturation among Mexican Americans. DESIGN: Cross-sectional. Participants completed culturally tailored Healthy and Unhealthy Eating Indices. Multivariable mixed-effect Poisson regression models compared food pattern index scores and dietary intake of specific foods by BMI, sex, age and acculturation defined by language preference and generational status. SETTING:Participants recruited from the Cameron County Hispanic Cohort study, Texas-Mexico border region, between 2008 and 2011. SUBJECTS: Mexican-American males and females aged 18-97 years (n 1250). RESULTS:Participants were primarily female (55·3 %), overweight or obese (85·7 %), preferred Spanish language (68·0 %) and first-generation status (60·3 %). Among first-generation participants, bilingual participants were less likely to have a healthy eating pattern than preferred Spanish-speaking participants (rate ratio (RR)=0·79, P=0·0218). This association was also found in males (RR=0·81, P=0·0098). Preferred English-speaking females were less likely to consume healthy foods than preferred Spanish-speaking females (RR=0·84, P=0·0293). Among second-generation participants, preferred English-speaking participants were more likely to report a higher unhealthy eating pattern than preferred Spanish-speaking participants (RR=1·23, P=0·0114). Higher unhealthy eating patterns were also found in females who preferred English v. females who preferred Spanish (RR=1·23, P=0·0107) or were bilingual (RR=1·26, P=0·0159). Younger, male participants were more likely to have a higher unhealthy eating pattern. BMI and diabetes status were not significantly associated with healthy or unhealthy eating patterns. CONCLUSIONS: Acculturation, age, sex and education are associated with healthy and unhealthy dietary patterns. Nutrition interventions for Mexican Americans should tailor approaches by these characteristics.
Authors: Mayra Arias-Gastélum; Nangel M Lindberg; Michael C Leo; Meg Bruening; Corrie M Whisner; Cheryl Der Ananian; Steven P Hooker; Erin S LeBlanc; Victor J Stevens; Elizabeth Shuster; Richard T Meenan; Sara Gille; Katherine A Vaughn; Ann Turner; Sonia Vega-López Journal: J Racial Ethn Health Disparities Date: 2020-06-03
Authors: Pramil N Singh; Karen Jaceldo-Siegl; Wendy Shih; Nancy Collado; Lap T Le; Krystal Silguero; Dennys Estevez; Michael Jordan; Hector Flores; David E Hayes-Bautista; William J McCarthy Journal: Front Nutr Date: 2019-04-09
Authors: Gerardo Vasquez; Jennifer Salinas; Jennifer Molokwu; Gurjeet Shokar; Silvia Flores-Luevano; Adam Alomari; Navkiran K Shokar Journal: Int J Environ Res Public Health Date: 2018-08-23 Impact factor: 3.390