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Tseng M , Fang CY
Socio-economic position and lower dietary moderation among Chinese immigrant women in the USA
Public Health Nutrition. 2012 Mar;15(3) :415-423
AbstractObjective: To examine associations of education and occupation, as indicators of socio-economic position (SEP), with dietary intake and diet quality in a sample of Chinese immigrant women. Design: Cross-sectional. Data collection included four days of dietary recalls and information on education and current occupation for participants and their spouses. Setting: Philadelphia, PA, USA. Subjects: Chinese immigrant women (n 423) recruited from October 2005 to April 2008. Results: In multivariate models, both higher education level and occupation category were significantly associated with higher energy density and intake of energy and sugar. Education was additionally associated with intake of sugar-sweetened beverages (P=0.01) and lower dietary moderation (P=0.01). With joint categorization based on both education and occupation, we observed significant trends indicating higher energy density (P=0.004) and higher intake of energy (P=0.001) and sugar (P=0.04), but less dietary moderation (P=0.02) with higher SEP. Conclusions: In this sample of US Chinese immigrants, higher SEP as indicated by education level and occupation category was associated with differences in dietary intake and with less dietary moderation. While higher SEP is typically linked to healthier diet in higher-income nations, in these immigrants the association of SEP with diet follows the pattern of their country of origin - a lower-income country undergoing the nutrition transition.
NotesTseng, Marilyn Fang, Carolyn Y. National Institutes of Health[R01 CA106606, P30 CA006927] This work was supported by grants R01 CA106606 and P30 CA006927 from the National Institutes of Health. There are no conflicts of interest. M.T. was responsible for initiating the study, analysing the data and drafting the manuscript. C.Y.F. contributed to interpretation of results and suggestions towards subsequent drafts of the manuscript. The authors are indebted to Ms Wanzi Yang, Ms Qi He, Ms Rong Cheng, Ms Bingqin Zheng, Dr Zemin Liu and Ms Yun Song for their crucial work in the collection and management of data for this study. The authors also thank Dr Yu-Wen Ying for her assistance with the General Ethnicity Questionnaire; Mr Andrew Balshem and the Fox Chase Cancer Center Population Studies Facility for their data management support; and Dr Philip Siu and Dr Thomas Yuen of China-town Medical Services for their generous assistance in participant recruitment. 38 Cambridge univ press Cambridge 886wn