Acculturation and changes in body mass index, waist circumference, and waist-hip ratio among Filipino Americans with hypertension

J Am Soc Hypertens. 2016 Sep;10(9):733-40. doi: 10.1016/j.jash.2016.07.002. Epub 2016 Jul 26.

Abstract

The purpose of this research study was to examine whether level of acculturation is a predictor of body mass index, waist circumference, and waist-hip ratio in Filipino Americans with hypertension in the United States. The Filipino Americans (N = 108) were recruited from a primary care clinic in the United States. Two instruments were used to collect and operationalize the variables, specifically: (1) Socioeconomic/Demographic Questionnaire and (2) A Short Acculturation Scale for Filipino Americans. Descriptive statistics and partial least squares were used to calculate the results. The partial least square path model identified acculturation as a predictor of body mass index, wait circumference, and waist-hip ratio among Filipino Americans. The positive path coefficient (β = 0.384) was statistically significant (t = 5.92, P < .001). Health care providers need to stress the importance of the degree of acculturation when developing culturally appropriate lifestyle and health promotion interventions among immigrant patients with hypertension.

Keywords: Bicultural; blood pressure; immigrants; weight gain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acculturation*
  • Adult
  • Aged
  • Aged, 80 and over
  • Asian / psychology
  • Body Mass Index
  • Emigrants and Immigrants / psychology
  • Female
  • Health Promotion / ethics*
  • Humans
  • Hypertension / epidemiology
  • Hypertension / ethnology*
  • Male
  • Middle Aged
  • Obesity
  • Prevalence
  • Risk Factors
  • Surveys and Questionnaires
  • United States
  • Waist Circumference
  • Waist-Hip Ratio