Impact of Acculturation and Acculturative Stress on Diet and Body Weight among International Students Moving from China to the United States
Notice bibliographique
Résumé
Objective To explore the impact of acculturation and acculturative stress on dietary intake, dietary behaviors, and body weight among international students in their sojourning experience from China to the United States. Methods This prospective observational study was conducted between August and December 2016 at a southeastern US university. Ninety‐three Chinese university sojourning students (55 male and 38 female) were recruited into the study within their first month of arrival to the US. Upon enrollment, participants completed a series of questionnaires about their health behaviors in China and had their height and weight assessed. Anthropometric assessments and the same questionnaires were repeated in December with two additional questionnaires: the Vancouver Index of Acculturation and the Acculturative Stress Scale. Results Participants experienced a significant decrease in dietary fiber, whole grains and vegetables intake, with a significant increase of sugar, sugar‐sweetened beverages, dairy and calcium consumption when compared to reported intake in China. Chinese students decreased the frequency of eating takeout foods, but consumed convenience foods more frequently. Students that indicated a high degree of acculturation had less of a decrease in fiber (p<0.05), fruit (p<0.01) and vegetables (p<0.05) intake, but acculturation exacerbated the increase in sugar consumption (p<0.05). Students with higher acculturative stress reported a greater decrease in vegetable consumption (p<0.05), increased consumption of takeout foods (p<0.05) and skipped breakfast more frequently (p<0.05) in the US compared with those reporting lower acculturative stress. Using a hierarchical regression model, the interaction of acculturative stress and acculturation was significantly associated with the change of whole grain intake (p<0.05); specifically, as acculturative stress increased, students reporting high acculturation had a greater decrease in whole grain intake than those reporting low acculturation. There was a significant increase in body weight (1.03kg ± 0.35) among female subjects but no change among males. Conclusion This three‐month prospective study showed that Chinese international students had less healthy eating behaviors and dietary intake after moving to the US. Moreover, the impact of acculturation and acculturative stress on these health behaviors is complex. Findings from this study support the rationale for researchers and university administrators to provide supportive programs to reduce stress associated with acculturation and support healthy living for Chinese international students.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».