Fruit and vegetable consumption of older Mexican-American women is associated with their acculturation level

Division of Nutrition and Physical Activity, CDC, Atlanta, Georgia 30341, USA.
Ethnicity & disease (Impact Factor: 1). 01/2006; 16(1):89-95.
Source: PubMed


Little is known about the association between acculturation and fruit and vegetable (FV) consumption among older Mexican-American (MA) women. Environmental and lifestyles changes experienced by immigrants to the United States may markedly affect their diet and health and increase their risk for chronic diseases. Our objectives were to: 1) describe FV consumption by ethnicity, acculturation, and sociodemographic characteristics, and 2) compare effects of acculturation and sociodemographic variables on FV intake in a population of older MA and non-Hispanic White (NHW) women from the Well-Integrat-ed Screening and Evaluation for Women Across the Nation (WISEWOMAN) Study. This report examines baseline FV intake of 346 underinsured women aged 50-76 years, assessed through 24-hour dietary recalls. Acculturation was measured with a five-item Likert-type scale. Twenty percent of more acculturated MA women, 24% of less acculturated MA women, and 36% of White women consumed > or = 5 servings of FV servings per day. Fruit and vegetable (FV) intake was associated with acculturation, education, and smoking status. Being more acculturated was associated with lower consumption of FVs among MAs, while having a higher education and no smoking was associated with higher intakes of FV servings among NHWs. Public health efforts to improve the intake of FVs among MA women should be sensitive to their acculturation status.

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    • "Unsurprisingly, stark disparities in intake by gender can be observed in both countries. Education, arguably a proxy for income/socioeconomic status, has been shown to be one of the strongest influences on fruit and vegetable intake in the United States (Adler and Newman, 2002; Stables et al., 2002; Gregory-Mercado et al., 2006). In France, we found this relationship holds true to a lesser degree. "
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    ABSTRACT: To observe fruit and vegetable consumption as it relates to body mass index (BMI) and other variables, by analyzing the health surveys of two countries -- the United States and France -- with traditionally distinct diets, and identifying factors that may explain the differences. Two nationally representative surveys that assess food intake via 24-h diet recalls. Respondents include 2126 women and 1911 men from the US National Health and Nutrition Examination Survey, and 1572 women and 1141 men from the French Nutrition Barometer Survey. Standard linear regression models and t-tests of both simple and predictive marginal means were run employing the software package SUDAAN. Americans appear to consume fruits and vegetables less often than their French counterparts (1.04 vs 1.33 times per day fruits; 1.98 vs 2.29 times per day vegetables). American men consume fruits and vegetables least often (0.98 times per day fruits; 1.88 times per day vegetables) than do American women or French men (1.10 vs 1.25 times per day fruits; 2.07 vs 2.18 times per day vegetables). French women consume fruits and vegetables most often (1.41 times per day fruits; 2.41 times per day vegetables). The French have lower mean BMI than Americans (23.34 vs 28.22 women; 25.20 vs 28.02 men). Regression analyses showed that age, BMI and educational attainment are strongly associated with frequency of consumption. These results support our hypothesis that the French tend to eat fruits and vegetables more often than Americans. This study proves to be an important first step in determining some of the influential factors that may affect various populations' consumption of fruits and vegetables.
    Full-text · Article · Mar 2008 · European journal of clinical nutrition
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    • "African-Americans respondents (Oster et al., 2006). Eating less fruits and vegetables was associated with being more acculturated in a group of Mexican-Americans (Neuhouser, Thompson, Coronado & Solomon, 2004; Gregory-Mercado et al., 2006). "

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