Journal of Immigrant and Minority Health

, Volume 21, Issue 1, pp 80–88 | Cite as

Acculturation and Adherence to Physical Activity Recommendations Among Chinese American and Non-Hispanic White Breast Cancer Survivors

  • Yen Le
  • Zan Gao
  • Scarlett Lin Gomez
  • Zachary Pope
  • Ruocheng Dong
  • Laura Allen
  • Mei-Wei Chang
  • Judy Huei-yu WangEmail author
Original Paper


Chinese American breast cancer survivors’ adherence to recommended physical activity (PA) guidelines has been understudied. This study investigated their PA adherence by acculturation level (vs. non-Hispanic White (NHW) survivors). One hundred ninety five Chinese and 202 NHW breast cancer survivors (stage 0–III) responded to a cross-sectional survey including a self-reported PA questionnaire. PA adherence referred to meeting PA recommendations for cancer survivors. Acculturation among Chinese was defined by proxies of U.S. residency, English proficiency, and interview language. Logistic regression was performed to examine factors associated with PA adherence. More-acculturated Chinese survivors’ PA adherence rate was 76%. Less-acculturated Chinese survivors’ adherence rate (60%) was significantly lower than that of NHWs (80%) (OR 0.38, 95%CI 0.19, 0.75). Less-acculturated Chinese survivors were also less likely to engage in vigorous-intensity PA than NHWs (p < 0.01). Future research on less-acculturated Chinese survivors’ motivation for PA to promote their adherence is needed.


Acculturation Breast cancer survivors Chinese American Physical activity 



This research study was supported by a Lance Armstrong Foundation Young Investigator Award and a National Cancer Institute R21 Grant# CA139408. The collection of cancer incidence data used in this study was supported by the California Department of Public Health as part of the statewide cancer reporting program mandated by California Health and Safety Code Section 103885; the National Cancer Institute’s Surveillance, Epidemiology and End Results Program under contract HHSN261201000140C awarded to the Cancer Prevention Institute of California, contract HHSN261201000035C awarded to the University of Southern California, and contract HHSN261201000034C awarded to the Public Health Institute; and the Centers for Disease Control and Prevention’s National Program of Cancer Registries, under agreement # U58DP003862-01 awarded to the California Department of Public Health. The ideas and opinions expressed herein are those of the author(s). Endorsement by the State of California Department of Public Health, the National Cancer Institute, the National Institutes of Health, and the Centers for Disease Control and Prevention or their Contractors and Subcontractors is not intended nor should be inferred.

Compliance with Ethical Standards

Conflict of interest

The authors have no financial disclosures and declare no conflicts of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Milken Institute School of Public HealthThe George Washington UniversityWashingtonUSA
  2. 2.School of KinesiologyUniversity of MinnesotaMinneapolisUSA
  3. 3.Department of Epidemiology and Biostatistics, Helen Diller Family Comprehensive Cancer CenterUniversity of CaliforniaSan FranciscoUSA
  4. 4.Cancer Prevention Institute of CaliforniaFremontUSA
  5. 5.Department of Oncology, Cancer Prevention and Control Program of Lombardi Comprehensive Cancer CenterGeorgetown University Medical CenterWashingtonUSA
  6. 6.Department of Epidemiology and BiostatisticsUniversity of CaliforniaSan FranciscoUSA
  7. 7.College of NursingThe Ohio State UniversityColumbusUSA

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