Latinos, Culture, and Obesity

拉丁裔、文化和肥胖

• 批准号: 8262764
• 负责人: LISA SANCHEZ-JOHNSEN
• 金额: $ 7.66万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-21 至 2013-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8262764
• 关键词: Latinos; Culture; Obesity

DESCRIPTION (provided by applicant): Overweight and obesity are linked to certain types of cancers and Hispanics/Latinos-the largest ethnic minority group in the United States-are disproportionately affected by obesity. Diet, physical activity, and body image are three factors that influence obesity. Unfortunately, the diets of many Latinos tend to be unhealthy, Latinos have low levels of physical activity, and Latinos hold a general cultural value favoring a degree of overweight-all factors that may increase rates of obesity. Although ethnic and racial differences in correlates of obesity have been examined, little research has been conducted to understand the factors that underlie these differences. This kind of research is important because racial categories and phenotypic characteristics exhibit more within-group than between-group variation. Recently, replacing the word `race' as an explanatory construct in research with conceptual variables such as ethnic identity has also been emphasized, placing more emphasis on cultural aspects of this construct. The purpose of this cross-sectional study is to explore the role of four cultural variables (acculturation, acculturative stress, ethnic identity, and cultural values) that may help to explain the ethnic disparities in correlates of obesity (diet, physical activity, and body image) among Mexican and Puerto Rican women. Specific aims are to: 1) Explore the role of acculturation in diet, physical activity, and body image in 176 adult female Mexicans and Puerto Ricans; 2) Explore the role of acculturative stress in diet, physical activity, and body image in Mexicans and Puerto Ricans; 3) Explore the role of ethnic identity in diet, physical activity, and body image in Mexicans and Puerto Ricans; 4) Explore the relationships between Latino cultural values and diet, physical activity, and body image; and 5) Identify logistical/practical, and cultural considerations regarding the development of culturally proficient obesity interventions for Mexicans and Puerto Ricans. The rationale for this study derives from the PEN-3 Model (Airhihenbuwa, 1995), as well as models on cultural proficiency and tailoring and community participatory research. The PEN-3 theoretical model emphasizes culture as the central reason for health behavior and the primary consideration for health promotion programs. Culturally proficient research emphasizes the role of culture on affect, thoughts, and behaviors and encourages active community involvement. The findings from this study will aid in understanding the role of ethnicity and culture in obesity-related variables and identify cultural factors to consider when developing obesity interventions for Mexicans and Puerto Ricans. This project will position the principal investigator to apply for future federal research funding. Pilot data from this project will be used to develop and implement a culture-based, community participatory obesity intervention for Mexican and Puerto Rican females. The future R01 grant application will incorporate role of acculturation, acculturative stress, ethnic identity, and cultural values into a diet, physical activity, and body image intervention for Mexican and Puerto Rican females. Therefore, the findings from this present R21 grant application are a necessary and critical component to understanding the independent and interactive influences of Latino cultural variables and their relationship to correlates of obesity. Public Health Relevance: This research is important because it will enable the exploration of four cultural variables (acculturation, acculturative stress, ethnic identity, and cultural values) and their relationship to diet, physical activity, and body image in overweight Mexican and Puerto Rican women. Pilot data from this project will be used to develop and implement a culture-based diet, physical activity, and body image intervention for overweight Mexican and Puerto Rican women that will incorporate the role of acculturation level and the stress associated with the acculturation process, ethnic identity, and Latino cultural values.

描述（由申请人提供）：超重和肥胖与某些类型的癌症和西班牙裔/拉丁美洲人 - 美国最大的少数民族群体 - 受肥胖的影响不成比例。饮食，体育锻炼和身体形象是影响肥胖症的三个因素。不幸的是，许多拉丁美洲人的饮食往往是不健康的，拉丁美洲人的体育锻炼水平较低，而拉丁美洲人的文化价值则有利于一定程度的超重因素，这些因素可能会增加肥胖率。尽管已经研究了肥胖相关性的种族和种族差异，但很少进行研究以了解这些差异的因素。这种研究很重要，因为种族类别和表型特征比组间变异表现出更多的组内。最近，还强调了诸如种族认同之类的概念变量的研究中，将“种族”一词替换为一种解释性结构，也已被强调，更加强调这种结构的文化方面。这项横断面研究的目的是探索四种文化变量（适应性，适应性压力，种族认同和文化价值）的作用，这些变量可能有助于解释墨西哥和波多黎各妇女中肥胖（饮食，身体活动和身体形象）相关的种族差异。具体目的是：1）探索176名成年女性墨西哥人和波多黎各人的适应性在饮食，体育锻炼和身体形象中的作用； 2）探讨墨西哥人和波多黎各人在饮食，体育锻炼和身体形象中的作用； 3）探讨墨西哥人和波多黎各人中种族认同在饮食，体育锻炼和身体形象中的作用； 4）探索拉丁裔文化价值与饮食，体育锻炼和身体形象之间的关系； 5）确定有关墨西哥人和波多黎各人的文化熟练肥胖干预措施的发展的后勤/实用和文化考虑。这项研究的基本原理源自PEN-3模型（Airhihihenbuwa，1995），以及有关文化水平和裁缝以及社区参与性研究的模型。 PEN-3理论模型强调文化是健康行为的主要原因和健康促进计划的主要考虑因素。文化熟练的研究强调文化在情感，思想和行为上的作用，并鼓励社区积极参与。这项研究的发现将有助于理解种族和文化在与肥胖相关的变量中的作用，并确定为墨西哥人和波多黎各人开发肥胖干预时要考虑的文化因素。该项目将把主要研究人员定位为申请未来的联邦研究资金。该项目的试点数据将用于为墨西哥和波多黎各女性开发和实施基于文化的，社区参与性的肥胖干预措施。未来的R01赠款应用将纳入墨西哥和波多黎各女性的饮食，体育锻炼和身体形象干预措施的适应性，适应性压力，种族认同和文化价值观的作用。因此，目前R21赠款应用的发现是理解拉丁裔文化变量的独立和互动影响及其与肥胖相关的关系的必要和关键组成部分。公共卫生相关性：这项研究很重要，因为它将能够探索四个文化变量（适应性，适应性压力，种族认同和文化价值）及其与饮食，体育锻炼和身体形象的关系，在超重的墨西哥和波多黎各人妇女中。该项目的试点数据将用于开发和实施针对超重墨西哥和波多黎各妇女的基于文化的饮食，体育锻炼和身体形象干预措施，该妇女将纳入适应水平的作用以及与适应过程，种族认同和拉丁裔文化价值相关的压力。