Abstract
Puerto Ricans are burdened by nutrition-related diseases, with greater disease prevalence among Puerto Ricans residing in the continental U.S. compared to those in Puerto Rico (PR). However, little is known about diet quality of these two groups. To compare diet quality of Puerto Ricans in Massachusetts (MA) and PR. Puerto Rican patients from health centers in MA (n = 42) and PR (n = 52) completed a food frequency questionnaire. Diet quality was assessed with the Healthy Eating Index-2010 (HEI). Analysis included Mann–Whitney, Chi square and logistic and quantile regressions. 57.1 % of participants in MA and 19.6 % in PR had a poor diet. Adjusting for age and education, participants in MA were more likely to have a poor diet (OR 3.4; p = 0.02) and lower HEI scores than participants in PR. Diet quality among Puerto Ricans is poor, and is worse among mainland Puerto Ricans compared to islanders.
References
Ennis S, Rios-Vargas M, Albert N. The Hispanic population: 2010 (Internet). 2010 Census Briefs. 2011. https://www.census.gov/prod/cen2010/briefs/c2010br-04.pdf.
Ho G, Quian H, Kim M, Melnik T, Tucker K, Jimenez-Vazquez I. Health disparities between island and mainland Puerto Ricans. Rev Panam Salud Publica. 2006;19(5):531–9.
Ho G, Figueroa-Vallés N, De La Torre-Feliciano T, Tucker K, Tortolero-Luna G, Rivera W. Cancer disparities between mainland and island Puerto Ricans. Rev Panam Salud Publica. 2009;25(5):394–400.
Durazo-Arvizu R, Barquera S, Franco M, Lazo M, Seuc A, Orduñez P, Palloni A, Cooper R. Cardiovascular diseases mortality in Cuba, Mexico, Puerto Rico and US Hispanic populations. Prev Control. 2006;2(2):63–71.
Sotos-Prieto M, Bhupathiraju S, Mattei J, Fung T, Li Y, Pan A, Willet W, Rimm E, Hu F. Changes in diet quality scores and risk of cardiovascular disease among US men and women. Circulation. 2015;132(23):2212–9.
Ye X, Scott T, Gao X, Maras J, Bakun P, Tucker K. Mediterranean diet, healthy eating index 2005, and cognitive function in middle-aged and older Puerto Rican adults. J Acad Nutr Diet. 2013;113(2):276–81.
Fabián C, Pagán I, Ríos JL, Betancourt J, Cruz SY, González AM, Palacios C, Gonzalez MJ, Rivera-Soto WT. Dietary patterns and their association with sociodemographic characteristics and perceived academic stress of college students in Puerto Rico. PR Health Sci J. 2013;32(1):36–43.
Litwin H, Sapir EV. Perceived income adequacy among older adults in 12 countries: findings from the survey of health, ageing, and retirement in Europe. Gerontologist. 2009;49(3):397–406.
Palacios C, Trak M, Betancourt J, Joshipura K, Tucker KL. Validation and reproducibility of a semi-quantitative FFQ as a measure of dietary intake in adults from Puerto Rico. Public Health Nutr. 2015;18(14):2550–8.
Guenther P, Casavale K, Reedy J, Kirkpatrick S, Hiza H, Kuczynski K. Update of the healthy eating index: HEI-2010. J Acad Nutr Diet. 2013;113(4):569–80.
Basiotis PP, Carlson A, Gerrior S, Juan W, Lino M. The healthy eating index: 1999–2000. Washington: USDA, Center for Nutrition Policy and Promotion; 2002.
Colby S, Morrison S, Haldeman L. What changes when we move? A transnational exploration of dietary acculturation. Ecol Food Nutr. 2009;48(4):327–43.
Gray V, Cossman J, Dodson W, Byrd S. Dietary acculturation of Hispanic immigrants in Mississippi. Salud Pública Mex. 2005;47(5):351–60.
Castellanos DC, Downey L, Graham-Kresge S, Yadrick K, Zoellner J, Connel C. Examining the diet of post-migrant Hispanic males using the precede-proceed model: predisposing, reinforcing, and enabling dietary factors. J Nutr Educ Behav. 2013;45(2):109–18.
Park Y, Quinn J, Florez K, Jacobson J, Neckerman K, Rundle A. Hispanic immigrant women’s perspective on healthy foods and the New York City retail environment: a mixed methods study. Soc Sci Med. 2001;73(1):13–21.
Vargas Ramos C, García-Ellín J. Demographic transitions: settlement and distribution of the Puerto Rican population in the United States. Research Brief. 2013. http://centropr.hunter.cuny.edu/sites/default/files/Data_Briefs/Centro_RB2013-05_Demographic_Transitions.pdf.
Acknowledgments
This work was funded by grants from the National Institute of Mental Health (R01 MH085653-04), Ponce Health Sciences University Seed Program, National Institute of Minority Health and Health Disparities (5 P60 MD006912-03), and Centers for Disease Control and Prevention (1 U48 DP005031-01). We acknowledge the contributions of our community partners and organizations who made this research possible: Lawrence Mayor’s Health Task Force, the Lawrence Senior Center, the YWCA, the Greater Lawrence Family Health Center, Polyclinic Morell Campos and Glenview, Polyclinic Ana Beuchamp, Dr. Magraner’s clinic and our University of Massachusetts Medical School and Ponce Health Sciences University colleagues, students and staff.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lopez-Cepero, A., Valencia, A., Jimenez, J. et al. Comparison of Dietary Quality Among Puerto Ricans Living in Massachusetts and Puerto Rico. J Immigrant Minority Health 19, 494–498 (2017). https://doi.org/10.1007/s10903-016-0480-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-016-0480-5