Skip to main content
Top
Published in: Journal of Immigrant and Minority Health 6/2011

01-12-2011 | Original Paper

Acculturation, Body Perception, and Weight Status Among Vietnamese American Students

Authors: Jin Young Choi, Jessica Hwang, Jenny Yi

Published in: Journal of Immigrant and Minority Health | Issue 6/2011

Login to get access

Abstract

The effects of acculturation, body perception, and health behaviors on weight status among Vietnamese American students in Houston, Texas were examined for our research. A survey was mailed to 600 randomly selected Vietnamese American students at one university, and 261 complete surveys (response rate, 43.5%) were used for final analyses. Respondents were classified as overweight or normal weight based on the World Health Organization recommended overweight cutoff for Asians (BMI of 23 kg/m2). About 32% of respondents were overweight. Men, undergraduate students, and those with an acceptable body perception were more likely to be overweight. Nativity and its interaction with length of US residence were significant predictors of weight status after controlling for other variables. Foreign-born respondents were less likely to be overweight than US-born respondents, but the risk of being overweight with increasing years of US residence was much greater for the foreign-born than for the US-born. The results suggest the need for culturally tailored overweight and obesity prevention programs for Vietnamese Americans.
Literature
1.
go back to reference Ogden CL, Carroll MD, Curtin LR, Lamb MM, Flegal KM. Prevalence of high body mass index in US children, adolescents, 2007–2008. JAMA. 2010;303(3):242–9.PubMedCrossRef Ogden CL, Carroll MD, Curtin LR, Lamb MM, Flegal KM. Prevalence of high body mass index in US children, adolescents, 2007–2008. JAMA. 2010;303(3):242–9.PubMedCrossRef
2.
go back to reference Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303(3):235–41.PubMedCrossRef Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303(3):235–41.PubMedCrossRef
3.
go back to reference Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. JAMA. 2004;291(10):1238–45.PubMedCrossRef Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. JAMA. 2004;291(10):1238–45.PubMedCrossRef
4.
go back to reference Visscher TL, Seidell JC. The public health impact of obesity. Annu Rev Public Health. 2001;22:355–75.PubMedCrossRef Visscher TL, Seidell JC. The public health impact of obesity. Annu Rev Public Health. 2001;22:355–75.PubMedCrossRef
6.
go back to reference Center for Disease Control (CDC). Differences in prevalence of obesity among Black, White, and Hispanic adults—United States, 2006–2008. MMWR. 2009;58(27):740–4. http://www.cdc.gov/mmwr. Accessed Feb 1 2010. Center for Disease Control (CDC). Differences in prevalence of obesity among Black, White, and Hispanic adults—United States, 2006–2008. MMWR. 2009;58(27):740–4. http://​www.​cdc.​gov/​mmwr. Accessed Feb 1 2010.
7.
go back to reference Hao L, Kim J. Immigration and the American obesity epidemic. Int Migr Rev. 2009;43(2):237–62.CrossRef Hao L, Kim J. Immigration and the American obesity epidemic. Int Migr Rev. 2009;43(2):237–62.CrossRef
8.
go back to reference Wang Y, Beydoun MA. The obesity epidemic in the United States-gender, age, socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and meta-regression analysis. Epidemiol Rev. 2007;29:6–28.PubMedCrossRef Wang Y, Beydoun MA. The obesity epidemic in the United States-gender, age, socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and meta-regression analysis. Epidemiol Rev. 2007;29:6–28.PubMedCrossRef
9.
go back to reference Zhang Q, Wang Y. Trends in the association between obesity and socioeconomic status in US adults: 1971–2000. Obes Res. 2004;12:1622–32.PubMedCrossRef Zhang Q, Wang Y. Trends in the association between obesity and socioeconomic status in US adults: 1971–2000. Obes Res. 2004;12:1622–32.PubMedCrossRef
10.
go back to reference Gordon-Larsen P, Adair LS, Popkin BM. The relationship of ethnicity, socioeconomic factors, and overweight in US adolescents. Obes Res. 2003;11(1):121–9.PubMedCrossRef Gordon-Larsen P, Adair LS, Popkin BM. The relationship of ethnicity, socioeconomic factors, and overweight in US adolescents. Obes Res. 2003;11(1):121–9.PubMedCrossRef
11.
go back to reference Goel MS, McCarthy EP, Phillips RS, Wee CC. Obesity among US immigrant subgroups by duration of residence. JAMA. 2004;292:2860–7.PubMedCrossRef Goel MS, McCarthy EP, Phillips RS, Wee CC. Obesity among US immigrant subgroups by duration of residence. JAMA. 2004;292:2860–7.PubMedCrossRef
12.
go back to reference Lauderdale DS, Rathouz P. Body mass index in a US national sample of Asian Americans: effects of nativity, years since immigration and socioeconomic status. Int J Obes Relat Metab Disord. 2000;24(9):1188–94.PubMedCrossRef Lauderdale DS, Rathouz P. Body mass index in a US national sample of Asian Americans: effects of nativity, years since immigration and socioeconomic status. Int J Obes Relat Metab Disord. 2000;24(9):1188–94.PubMedCrossRef
13.
go back to reference Popkin BM, Udry JR. Adolescent obesity increases significantly in second and third generation US immigrants: the National Longitudinal Study of Adolescent Health. J Nutr. 1998;128:701–6.PubMed Popkin BM, Udry JR. Adolescent obesity increases significantly in second and third generation US immigrants: the National Longitudinal Study of Adolescent Health. J Nutr. 1998;128:701–6.PubMed
14.
go back to reference Abraído-Lanza AF, Armbrister AN, Florez KR, Aguirre AN. Toward a theory-driven model of acculturation in public health research. Am J Public Health. 2006;96(8):1342–6.PubMedCrossRef Abraído-Lanza AF, Armbrister AN, Florez KR, Aguirre AN. Toward a theory-driven model of acculturation in public health research. Am J Public Health. 2006;96(8):1342–6.PubMedCrossRef
15.
go back to reference Jasso G, Massey DS, Rosenzweig MR, Smith JP. Immigrant health: selectivity and acculturation: In: Anderson NB, Bulatao RA, Cohen B, editors. Critical perspectives on racial and ethnic differences in health in late life. Washington, DC: National Academy Press; 2004. pp. 227–66. Jasso G, Massey DS, Rosenzweig MR, Smith JP. Immigrant health: selectivity and acculturation: In: Anderson NB, Bulatao RA, Cohen B, editors. Critical perspectives on racial and ethnic differences in health in late life. Washington, DC: National Academy Press; 2004. pp. 227–66.
16.
go back to reference Pallon A, Arias E. Paradox lost: explaining the Hispanic adult mortality advantage. Demography. 2004;41(3):385–415.CrossRef Pallon A, Arias E. Paradox lost: explaining the Hispanic adult mortality advantage. Demography. 2004;41(3):385–415.CrossRef
17.
go back to reference Chen JL, Kennedy C. Factors associated with obesity in Chinese-American children. Pediatr Nurs. 2005;31(2):110–5.PubMed Chen JL, Kennedy C. Factors associated with obesity in Chinese-American children. Pediatr Nurs. 2005;31(2):110–5.PubMed
18.
go back to reference Chen JL, Wu Y. Cardiovascular risk factors in Chinese American children: associations between overweight, acculturation, and physical activity. J Pediatr Health Care. 2008;22(2):103–10.PubMedCrossRef Chen JL, Wu Y. Cardiovascular risk factors in Chinese American children: associations between overweight, acculturation, and physical activity. J Pediatr Health Care. 2008;22(2):103–10.PubMedCrossRef
19.
go back to reference Liou D, Bauer KD. Exploratory investigation of obesity risk and prevention in Chinese Americans. J Nutr Educ Behav. 2007;39:134–41.PubMedCrossRef Liou D, Bauer KD. Exploratory investigation of obesity risk and prevention in Chinese Americans. J Nutr Educ Behav. 2007;39:134–41.PubMedCrossRef
20.
go back to reference McDonald JT, Kennedy S. Insights into the ‘healthy immigrant effect’: health status and health service use of immigrants to Canada. Soc Sci Med. 2004;59(8):1613–27.PubMedCrossRef McDonald JT, Kennedy S. Insights into the ‘healthy immigrant effect’: health status and health service use of immigrants to Canada. Soc Sci Med. 2004;59(8):1613–27.PubMedCrossRef
21.
go back to reference Nielsen SJ, Siega-Riz AM, Popkin BM. Trends in energy intake in the US between 1977 and 1996: similar shifts seen across age groups. Obes Res. 2002;10:370–8.PubMedCrossRef Nielsen SJ, Siega-Riz AM, Popkin BM. Trends in energy intake in the US between 1977 and 1996: similar shifts seen across age groups. Obes Res. 2002;10:370–8.PubMedCrossRef
22.
go back to reference Singh GK, Kogan MD, Yu SM. Disparities in obesity and overweight prevalence among US immigrant children and adolescents by generational status. J Commun Health. 2009;34:271–81.CrossRef Singh GK, Kogan MD, Yu SM. Disparities in obesity and overweight prevalence among US immigrant children and adolescents by generational status. J Commun Health. 2009;34:271–81.CrossRef
23.
go back to reference Antecol H, Bedard K. Unhealthy assimilation: why do immigrants converge to American health status levels? Demography. 2006;43(2):337–60.PubMedCrossRef Antecol H, Bedard K. Unhealthy assimilation: why do immigrants converge to American health status levels? Demography. 2006;43(2):337–60.PubMedCrossRef
24.
go back to reference Bates LM, Acevedo-Garcia D, Alegría M, Krieger N. Immigration and generational trends in body mass index and obesity in the United States: results of the National Latino and Asian American Survey, 2002–2003. Am J Public Health. 2008;98(1):70–7.PubMedCrossRef Bates LM, Acevedo-Garcia D, Alegría M, Krieger N. Immigration and generational trends in body mass index and obesity in the United States: results of the National Latino and Asian American Survey, 2002–2003. Am J Public Health. 2008;98(1):70–7.PubMedCrossRef
25.
go back to reference Cho J, Juon HS. Assessing overweight and obesity risk among Korean Americans in California using World Health Organization body mass index criteria for Asians. Prev Chronic Dis. 2006;3(3):A79.PubMed Cho J, Juon HS. Assessing overweight and obesity risk among Korean Americans in California using World Health Organization body mass index criteria for Asians. Prev Chronic Dis. 2006;3(3):A79.PubMed
26.
go back to reference Levy A. Rational eating: can it lead to overweightness or underweightness? J Health Econ. 2002;21(5):887–99.PubMedCrossRef Levy A. Rational eating: can it lead to overweightness or underweightness? J Health Econ. 2002;21(5):887–99.PubMedCrossRef
27.
go back to reference Gordon-Larsen P, Harris KM, Ward DS, Popkin BM. Acculturation and overweight-related behaviors among Hispanic immigrants to the US: the National Longitudinal Study of Adolescent Health. Soc Sci Med. 2003;57:2023–34.PubMedCrossRef Gordon-Larsen P, Harris KM, Ward DS, Popkin BM. Acculturation and overweight-related behaviors among Hispanic immigrants to the US: the National Longitudinal Study of Adolescent Health. Soc Sci Med. 2003;57:2023–34.PubMedCrossRef
28.
go back to reference McNeely MJ, Boyko DJ. Type 2 diabetes prevalence in Asian Americans. Diabetes Care. 2004;27(1):66–9.PubMedCrossRef McNeely MJ, Boyko DJ. Type 2 diabetes prevalence in Asian Americans. Diabetes Care. 2004;27(1):66–9.PubMedCrossRef
29.
go back to reference Nelson T, Gortmaker S, Subramanian S, Cheung L, Wechsle H. Disparities in overweight and obesity among US college students. Am J Health Behav. 2007;31(4):363–73.PubMed Nelson T, Gortmaker S, Subramanian S, Cheung L, Wechsle H. Disparities in overweight and obesity among US college students. Am J Health Behav. 2007;31(4):363–73.PubMed
30.
go back to reference Nicdao E, Hong S, Takeuchi D. Prevalence and correlates of eating disorders among Asian Americans: results from the National Latino and Asian American Study. Int J Eat Disord. 2007;40:S22–6.PubMedCrossRef Nicdao E, Hong S, Takeuchi D. Prevalence and correlates of eating disorders among Asian Americans: results from the National Latino and Asian American Study. Int J Eat Disord. 2007;40:S22–6.PubMedCrossRef
31.
go back to reference Yeh M, Fahs M, Shelley D, Yerneni R, Parikh NS, Burton D. Body weight and length of residence in the US among Chinese Americans. J Immigr Minor Health. 2009;11:422–7.PubMedCrossRef Yeh M, Fahs M, Shelley D, Yerneni R, Parikh NS, Burton D. Body weight and length of residence in the US among Chinese Americans. J Immigr Minor Health. 2009;11:422–7.PubMedCrossRef
32.
go back to reference Deurenberg P, Yap M, van Staveren WA. Body mass index and percent body fat: a meta analysis among different ethnic groups. Int J Obes Relat Metab Disord. 1998;22:1164–71.PubMedCrossRef Deurenberg P, Yap M, van Staveren WA. Body mass index and percent body fat: a meta analysis among different ethnic groups. Int J Obes Relat Metab Disord. 1998;22:1164–71.PubMedCrossRef
33.
go back to reference World Health Organization Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–63.CrossRef World Health Organization Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–63.CrossRef
34.
go back to reference Pan WH, Flegal KM, Chang HY, Yeh WT, Yeh CJ, Lee WC. Body mass index and obesity-related metabolic disorders in Taiwanese and US whites and blacks: implications for definitions of overweight and obesity for Asians. Am J Clin Nutr. 2004;79:31–9.PubMed Pan WH, Flegal KM, Chang HY, Yeh WT, Yeh CJ, Lee WC. Body mass index and obesity-related metabolic disorders in Taiwanese and US whites and blacks: implications for definitions of overweight and obesity for Asians. Am J Clin Nutr. 2004;79:31–9.PubMed
35.
go back to reference Wildman RP, Gu D, Reynolds K, Duan X, He J. Appropriate body mass index and waist circumference cutoffs for categorization of overweight and central adiposity among Chinese adults. Am J Clin Nutr. 2004;80:1129–36.PubMed Wildman RP, Gu D, Reynolds K, Duan X, He J. Appropriate body mass index and waist circumference cutoffs for categorization of overweight and central adiposity among Chinese adults. Am J Clin Nutr. 2004;80:1129–36.PubMed
36.
go back to reference Ball K, Crawford D. Socioeconomic status and weight change in adults: a review. Soc Sci Med. 2005;60(9):1987–2011.PubMedCrossRef Ball K, Crawford D. Socioeconomic status and weight change in adults: a review. Soc Sci Med. 2005;60(9):1987–2011.PubMedCrossRef
37.
go back to reference Dey AN, Lucas JW. Physical and mental health characteristics of US- and foreign-born adults: United States, 1998–2003. Adv Data. 2006;369:1–19.PubMed Dey AN, Lucas JW. Physical and mental health characteristics of US- and foreign-born adults: United States, 1998–2003. Adv Data. 2006;369:1–19.PubMed
38.
go back to reference Kaplan MS, Huguet N, Newsom JT, McFarland BH. The association between length of residence and obesity among Hispanic immigrants. Am J Prev Med. 2004;27(4):323–6.PubMedCrossRef Kaplan MS, Huguet N, Newsom JT, McFarland BH. The association between length of residence and obesity among Hispanic immigrants. Am J Prev Med. 2004;27(4):323–6.PubMedCrossRef
39.
go back to reference Singh GK, Siahpush M. Ethnic-immigrant differentials in health behaviors, morbidity and cause specific mortality in the United States: an analysis of two national data bases. Hum Biol. 2002;74(1):83–109.PubMedCrossRef Singh GK, Siahpush M. Ethnic-immigrant differentials in health behaviors, morbidity and cause specific mortality in the United States: an analysis of two national data bases. Hum Biol. 2002;74(1):83–109.PubMedCrossRef
40.
go back to reference Yates A, Edman J, Aruguete M. Ethnic differences in BMI and body/self-dissatisfaction among Whites, Asian subgroups, Pacific Islanders, and African-Americans. J Adolesc Health. 2004;34:300–7.PubMed Yates A, Edman J, Aruguete M. Ethnic differences in BMI and body/self-dissatisfaction among Whites, Asian subgroups, Pacific Islanders, and African-Americans. J Adolesc Health. 2004;34:300–7.PubMed
41.
go back to reference Davis J, Busch J, Hammatt Z, Novotny R, Harrigan R, Grandinetti A, Easa D. The relationship between ethnicity and obesity in Asian and Pacific Islander populations: a literature review. Ethn Dis. 2004;14:111–8.PubMed Davis J, Busch J, Hammatt Z, Novotny R, Harrigan R, Grandinetti A, Easa D. The relationship between ethnicity and obesity in Asian and Pacific Islander populations: a literature review. Ethn Dis. 2004;14:111–8.PubMed
42.
go back to reference Reeves TJ, Bennett CE. The Asian and Pacific Islander population in the United States. Washington, DC: US Census Bureau; Current Population Reports P20–540. 2003. Reeves TJ, Bennett CE. The Asian and Pacific Islander population in the United States. Washington, DC: US Census Bureau; Current Population Reports P20–540. 2003.
44.
go back to reference Nguyen TT, Liao Y, Gildengorin G, Tsoh J, Bui-Tong N, McPhee SJ. Cardiovascular risk factors and knowledge of symptoms among Vietnamese Americans. J Gen Intern Med. 2009;24(2):238–43.PubMedCrossRef Nguyen TT, Liao Y, Gildengorin G, Tsoh J, Bui-Tong N, McPhee SJ. Cardiovascular risk factors and knowledge of symptoms among Vietnamese Americans. J Gen Intern Med. 2009;24(2):238–43.PubMedCrossRef
45.
go back to reference Hogan DP, Astone NM. The transition to adulthood. Ann Rev Soc. 1986;12:109–30.CrossRef Hogan DP, Astone NM. The transition to adulthood. Ann Rev Soc. 1986;12:109–30.CrossRef
46.
go back to reference Wharton CM, Adams T, Hampl JS. Weight loss practices and body weight perceptions among US college students. J Am Coll Health. 2008;56(5):579–84.PubMedCrossRef Wharton CM, Adams T, Hampl JS. Weight loss practices and body weight perceptions among US college students. J Am Coll Health. 2008;56(5):579–84.PubMedCrossRef
49.
go back to reference Barnes PM, Adams PF, Powell-Griner E. Health characteristics of the Asian adult population: United States, 2004–2006. Advance data from vital and health statistics. Hyattsville, MD: National Center for Health Statistics; 2008. p. 394. http://www.cdc.gov/nchs/data/ad/ad394.pdf. Accessed 15 Oct 2010. Barnes PM, Adams PF, Powell-Griner E. Health characteristics of the Asian adult population: United States, 2004–2006. Advance data from vital and health statistics. Hyattsville, MD: National Center for Health Statistics; 2008. p. 394. http://​www.​cdc.​gov/​nchs/​data/​ad/​ad394.​pdf. Accessed 15 Oct 2010.
51.
go back to reference Wang LH, Chen YC, Chung AK, Poon G, Polong L, Tam CF. Age, gender and ethnic differences in prevalence of overweight and obesity in Asian American college students and their parents using different BMI cutoffs. Coll Stud J. 2007;41(3):583–600. Wang LH, Chen YC, Chung AK, Poon G, Polong L, Tam CF. Age, gender and ethnic differences in prevalence of overweight and obesity in Asian American college students and their parents using different BMI cutoffs. Coll Stud J. 2007;41(3):583–600.
52.
go back to reference Ryder AG, Alden LE, Paulhus DL. Is acculturation unidimensional or bidimensional? a head-to-head comparison in the prediction of personality, self-identity, and adjustment. J Pers Soc Psychol. 2000;79:49–65.PubMedCrossRef Ryder AG, Alden LE, Paulhus DL. Is acculturation unidimensional or bidimensional? a head-to-head comparison in the prediction of personality, self-identity, and adjustment. J Pers Soc Psychol. 2000;79:49–65.PubMedCrossRef
53.
go back to reference Yeh MC, Viladrich A, Bruning N, Roye C. Determinants of Latina obesity in the US: the role of selective acculturation. J Transcult Nurs. 2009;20:105–15.PubMedCrossRef Yeh MC, Viladrich A, Bruning N, Roye C. Determinants of Latina obesity in the US: the role of selective acculturation. J Transcult Nurs. 2009;20:105–15.PubMedCrossRef
54.
go back to reference Millstein RA, Carlson SA, Fulton JE, Galuska DA, Zhang J, Blanck HM, Ainsworth BE. Relationships between body size satisfaction and weight control practices among US adults. Medscape J Med. 2008;10(5):119.PubMed Millstein RA, Carlson SA, Fulton JE, Galuska DA, Zhang J, Blanck HM, Ainsworth BE. Relationships between body size satisfaction and weight control practices among US adults. Medscape J Med. 2008;10(5):119.PubMed
55.
go back to reference Kemper KA, et al. Black and white females’ perception of ideal body size and social norms. Obes Res. 1994;2(2):117–26.PubMed Kemper KA, et al. Black and white females’ perception of ideal body size and social norms. Obes Res. 1994;2(2):117–26.PubMed
56.
go back to reference Brener ND, Eaton DK, Lowry R, McManus T. The association between weight perception and BMI among high school students. Obes Res. 2004;12(11):1866–74.PubMedCrossRef Brener ND, Eaton DK, Lowry R, McManus T. The association between weight perception and BMI among high school students. Obes Res. 2004;12(11):1866–74.PubMedCrossRef
57.
go back to reference Wang Y, Liang H, Chen X. Measured body mass index, body weight perception, dissatisfaction and control practices in urban, low-income African American Adolescents. BMC Public Health. 2009;9:183–95.PubMedCrossRef Wang Y, Liang H, Chen X. Measured body mass index, body weight perception, dissatisfaction and control practices in urban, low-income African American Adolescents. BMC Public Health. 2009;9:183–95.PubMedCrossRef
58.
go back to reference Fortenberry JD. Reliability of adolescents’ reports of height and weight. J Adolesc Health. 1992;13:114–7.PubMedCrossRef Fortenberry JD. Reliability of adolescents’ reports of height and weight. J Adolesc Health. 1992;13:114–7.PubMedCrossRef
59.
go back to reference Goodman E, Hinden BR, Khandelwal S. Accuracy of teen and parental reports of obesity and body mass index. Pediatrics. 2000;106:52–8.PubMedCrossRef Goodman E, Hinden BR, Khandelwal S. Accuracy of teen and parental reports of obesity and body mass index. Pediatrics. 2000;106:52–8.PubMedCrossRef
60.
go back to reference Brener ND, McManus T, Galuska DA, Lowry R, Wechsler H. Reliability and validity of self-reported height and weight among high school students. J Adolesc Health. 2003;32(4):281–7.PubMedCrossRef Brener ND, McManus T, Galuska DA, Lowry R, Wechsler H. Reliability and validity of self-reported height and weight among high school students. J Adolesc Health. 2003;32(4):281–7.PubMedCrossRef
Metadata
Title
Acculturation, Body Perception, and Weight Status Among Vietnamese American Students
Authors
Jin Young Choi
Jessica Hwang
Jenny Yi
Publication date
01-12-2011
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 6/2011
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-011-9468-3

Other articles of this Issue 6/2011

Journal of Immigrant and Minority Health 6/2011 Go to the issue