Abstract
Acculturation has been associated with health-related behaviors in African Americans. We sought to determine if there is a relationship between acculturation and dietary intake in African Americans. African Americans in the PREMIER trial completed the African American Acculturation Scale (AAAS) and 2 nonconsecutive 24-h dietary recalls (n = 238). Analysis of variance (ANOVA) and canonical correlation were used to assess relationships between acculturation and dietary intakes. Canonical correlation (p = 0.05) showed that traditional African Americans had lower intakes of fruits/vegetables and milk/dairy with higher intakes of fats, meat, and nuts. This pattern was supported by differences in the ANOVA. African American acculturation is related to dietary intake. These findings have implications for the design of cancer-related public health messages targeted to African Amercans.
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Abrams, K. K., Allen, L. R., and Gray, J. J. (1993). Disordered eating attitudes and behaviors, psychological adjustment, and ethnic identity: A comparison of black and white female college students. Int. J. Eating Disord. 14(1): 49–57.
Airhihenbuwa, C. O., Kumanyika, S., Agurs, T. D., Lowe, A., Saunders, D., and Morssink, C. B. (1996). Cultural aspects of African American eating patterns. Ethn. Health 1(3): 245–260.
Ard, J. D., Carter-Edwards, L., and Svetkey, L. P. (2003). A new model for developing and executing culturally appropriate behavior modification clinical trials for African Americans. Ethn. Dis. 13(2): 279–285.
Campbell, M. K., Demark-Wahnefried, W., Symons, M., Kalsbeek, W. D., Dodds, J., Cowan, A., Jackson, B., Motsinger, B., Hoben, K., Lashley, J., Demissie, S., and McClelland, J. W. (1999). Fruit and vegetable consumption and prevention of cancer: The Black Churches United for Better Health project. Am. J. Public Health 89(9): 1390–1396.
Doll, R., and Peto, R. (1981). The causes of cancer: Quantitative estimates of avoidable risks of cancer in the United States today. J. Natl. Cancer Inst. 66(6): 1191–1308.
Gans, K. M., Burkholder, G. J., Risica, P. M., and Lasater, T. M. (2003). Baseline fat-related dietary behaviors of white, Hispanic, and black participants in a cholesterol screening and education project in New England. J. Am. Diet. Assoc. 103(6): 699–706; discussion 706.
Gersovitz, M., Madden, J. P., and Smiciklas-Wright, H. (1978). Validity of the 24-hr. dietary recall and seven-day record for group comparisons. J. Am. Diet. Assoc. 73(1): 48–55.
Hines, A. M., Snowden, L. R., and Graves, K. L. (1998). Acculturation, alcohol consumption and AIDS-related risky sexual behavior among African American women. Women Health 27(3): 17–35.
Johnson, R. A., and Wichernm, D. W. (2002). Applied Multivariate Statistical Analysis, Prentice Hall, Upper Saddle River, NJ.
Karvetti, R. L., and Knuts, L. R. (1985). Validity of the 24-hour dietary recall. J. Am. Diet. Assoc. 85(11): 1437–1442.
Klonoff, E. A., and Landrine, H. (1999a). Acculturation and cigarette smoking among African Americans: Replication and implications for prevention and cessation programs. J. Behav. Med. 22(2): 195–204.
Klonoff, E. A., and Landrine, H. (1999b). Do blacks believe that HIV/AIDS is a government conspiracy against them? Prev. Med. 28(5): 451–7.
Kumanyika, S. K., Mauger, D. Mitchell, D. C., Phillips, B., Smiciklas-Wright, H., and Palmer, J. R. (2000). Revising and improving the African American Acculturation Scale. J. Black Psychol. 26(2): 235–261.
Kumanyika, S. K., Mauger, D. Mitchell, D. C., Phillips, B., Smiciklas-Wright, H. and Palmer, J. R. (2003). Relative validity of food frequency questionnaire nutrient estimates in the Black Women’s Health Study. Ann. Epidemiol. 13(2): 111–118.
Landrine, H., and Klonoff, E. A. (1994). The African American Acculturation Scale: Development, reliability, and validity. J. Black Psychol. 20(2): 104–127.
Landrine, H., and Klonoff, E. A. (1995). The African American Acculturation Scale II: Cross-validation and short form. J. Black Psychol. 21(2): 124–152.
Landrine, H., and Klonoff, E. A. (1996). African American acculturation: Deconstructing race and reviving culture, Sage Publications, Thousand Oaks.
McClelland, J. W., Demark-Wahnefried, W., Mustian, R. D., Cowan, A. T., and Campbell, M. K. (1998). Fruit and vegetable consumption of rural African Americans: Baseline survey results of the Black Churches United for Better Health 5 A Day Project. Nutr. Cancer 30(2): 148–157.
Morland, K., Wing, S., and Diez Roux, A. (2002a). The contextual effect of the local food environment on residents’ diets: The atherosclerosis risk in communities study. Am. J. Public Health 92(11): 1761–1767.
Morland, K., Wing, S., Diez Roux, A., and Poole, C. (2002b). Neighborhood characteristics associated with the location of food stores and food service places. Am. J. Prev. Med. 22(1): 23–9.
Patterson, B. H., Krebs-Smith, S. M., Subar, A. F., Popkin, B. M., Siega-Riz, A. M., Haines, P. S., and Kumanyika, S. (1997). Correction and revision of conclusions—Dietary trends in the United States. N. Engl. J. Med. 337(25): 1846–1848.
Popkin, B. M., Zizza, C., and Siega-Riz, A. M. (2003). Who is leading the change?. U.S. dietary quality comparison between 1965 and 1996. Am. J. Prev. Med. 25(1): 1–8.
Resnicow, K., Odom, E., Wang, T., Dudley, W. N., Mitchell, D., Vaughan, R., Jackson, A., and Baranowski, T. (2000a). Validation of three food frequency questionnaires and 24-hour recalls with serum carotenoid levels in a sample of African-American adults. Am. J. Epidemiol. 152(11): 1072–1080.
Resnicow, K., Wallace, D. C., Jackson, A., Digirolamo, A., Odom, E., Wang, T., Dudley, W. N., Davis, M., Mitchell, D., and Baranowski, T. (2000b). Dietary change through African American churches: Baseline results and program description of the eat for life trial. J. Cancer Educ. 15(3): 156–163.
Subar, A. F., Heimendinger, J., Patterson, B. H., Krebs-Smith, S. M., Pivonka, E., and Kessler, R. (1995). Fruit and vegetable intake in the United States: the baseline survey of the Five A Day for Better Health Program. Am. J. Health Promot. 9(5): 352–360.
Svetkey, L. P., Harsha, D. W., Vollmer, W. M., Stevens, V. J., Obarzanek, E., Elmer, P. J., Lin, P. H., Champagne, C., Simons-Morton, D. G., Aickin, M., Proschan, M. A., and Appel, L. J. (2003). Premier: A clinical trial of comprehensive lifestyle modification for blood pressure control: Rationale, design and baseline characteristics. Ann. Epidemiol. 13(6): 462–471.
Thompson, B. (1984). Canonical Correlation Analysis : Uses and Interpretation, Sage, Beverly Hills, CA.
Trichopoulos, D., and Willett, W. C. (1996). Nutrition and cancer. Cancer Causes Control 7(1): 3–4.
Writing Group of the PREMIER Collaborative Research Group (2003). Effects of Comprehensive Lifestyle Modification on Blood Pressure Control: Main Results of the PREMIER Clinical Trial. JAMA 289(16): 2083–2093.
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Ard, J.D., Skinner, C.S., Chen, C. et al. Informing Cancer Prevention Strategies for African Americans: The Relationship of African American Acculturation to Fruit, Vegetable, and Fat Intake. J Behav Med 28, 239–247 (2005). https://doi.org/10.1007/s10865-005-4660-3
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DOI: https://doi.org/10.1007/s10865-005-4660-3