Rural-to-Urban Migration: Socioeconomic Status But Not Acculturation was Associated with Overweight/Obesity Risk

Angela Hilmers, Antonio Bernabé-Ortiz, Robert H Gilman, Ann Y McDermott, Liam Smeeth, J Jaime Miranda, Angela Hilmers, Antonio Bernabé-Ortiz, Robert H Gilman, Ann Y McDermott, Liam Smeeth, J Jaime Miranda

Abstract

To investigate whether socioeconomic status (SES) and acculturation predict overweight/obesity risk as well as the mediating effect of physical activity (PA) in the context of internal migration. Cross-sectional study of 587 rural-to-urban migrants participating in the PERU MIGRANT study. Analyses were conducted using logistic regression and structured equation modeling. Interaction effects of SES and acculturation were tested. Models were controlled for age, gender and education. Only SES was a significant predictor of overweight/obesity risk. Lower SES decreased the odds of being overweight/obese by 51.4 %. This association did not vary by gender nor was it explained by PA. Mechanisms underlying the relationship between SES and overweight/obesity may differ depending on the geographic location and sociocultural context of the population studied. Research on internal migration and health would benefit from the development of tailored acculturation measures and the evaluation of exploratory models that include diet.

Keywords: Acculturation; Latin America; Migration; Physical activity; Socioeconomic status.

Figures

Fig. 1
Fig. 1
Conceptual model

References

    1. Finucane MM, Stevens GA, Cowan MJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet. 2011;377(9765):557–567. doi: 10.1016/S0140-6736(10)62037-5.
    1. Kelly T, Yang W, Chen CS, Reynolds K, He J. Global burden of obesity in 2005 and projections to 2030. Int J Obes (Lond) 2008;32(9):1431–1437. doi: 10.1038/ijo.2008.102.
    1. Institute of Medicine . Promoting cardiovascular health in the developing world: a critical challenge to achieve global health. Washington, D.C.: National Academies Press; 2010.
    1. Aballay LR, Eynard AR, Díaz MP, Navarro A, Muñoz SE. Overweight and obesity: their relationship to metabolic syndrome, cardiovascular disease, and cancer in South America. Nutr Rev. 2013;71(3):168–179. doi: 10.1111/j.1753-4887.2012.00533.x.
    1. Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2012;70(1):3–21. doi: 10.1111/j.1753-4887.2011.00456.x.
    1. Subramanian SV, Perkins JM, Özaltin E, Davey-Smith G. Weight of nations: socioeconomic analysis of women in low- to middle-income countries. Am J Clin Nutr. 2011;93(2):413–421. doi: 10.3945/ajcn.110.004820.
    1. Venters H, Gany F. African immigrant health. J Immigr Minor Health. 2011;13(2):333–344. doi: 10.1007/s10903-009-9243-x.
    1. Asgary R, Ramesh N, Swedish KA, Smith CL, Sckell B, Doorley S. Communicable and non-communicable diseases among recent immigrants with implications for primary care: a comprehensive immigrant health approach. J Immigr Minor Health. 2011;13(6):990–995. doi: 10.1007/s10903-011-9476-3.
    1. Delavari M, Sonderlund AL, Swinburn B, Mellor D, Renzaho A. Acculturation and obesity among migrant populations in high income countries: a systematic review. BMC Public Health. 2013;13:458. doi: 10.1186/1471-2458-13-458.
    1. Fitzgerald N. Acculturation, Socioeconomic status, and health among Hispanics. NAPA bulletin. Special issue: anthropological perspectives on migration and health. 2010; 34(1):28–46.
    1. Weiss JW, Rubin D, Gomel JN. Physical activity among newly immigrated Latino adults. Californian J Health Promot 2009; 7(Special Issue):131–38.
    1. Buttenheim A, Goldman N, Pebley AR, Wong R, Chung C. Do Mexican immigrant “import” social gradients in health to the US? Soc Sci Med. 2010;71(7):1268–1276. doi: 10.1016/j.socscimed.2010.06.025.
    1. Ayala G, Baquero B, Klinger S. A systematic review of the relationship between acculturation and diet among latinos in the United States: implications for future research. J Am Diet Assoc. 2008;108(8):1330–1344. doi: 10.1016/j.jada.2008.05.009.
    1. Berrigan D. Physical activity and acculturation among adult hispanics in the United States. Res Q Exerc Sport. 2006;77(2):147–157. doi: 10.1080/02701367.2006.10599349.
    1. Evenson KR, Sarmiento OL, Ayala GX. Acculturation and physical activity among North Carolina Latina immigrants. Soc Sci Med. 2004;59(12):2509–2522. doi: 10.1016/j.socscimed.2004.04.011.
    1. Afable-Munsuz A, Ponce NA, Rodriguez M. Pérez- Stable EJ. Immigrant generation and physical activity among Mexican, Chinese and Filipino adults in the US. Soc Sci Med. 2010;70(12):1997–2005. doi: 10.1016/j.socscimed.2010.02.026.
    1. Hunt LM. Health research: what’s culture got to do with it? Lancet. 2005;366(9486):617–618. doi: 10.1016/S0140-6736(05)67118-8.
    1. Lara M, Gamboa C, Kahramanian MI, Morales LS, Bautista DEH. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Publ Health. 2005;26:367–397. doi: 10.1146/annurev.publhealth.26.021304.144615.
    1. Redfield R, Linton R, Herskovits MJ. Memorandum for the Study of Acculturation. Am Anthropol. 1936;38:149–152. doi: 10.1525/aa.1936.38.1.02a00330.
    1. Colón-López V, Haan MN, Aiello AE, Ghosh D. The effect of age at migration on cardiovascular mortality among elderly Mexican immigrants. Ann Epidemiol. 2009;19(1):8–14. doi: 10.1016/j.annepidem.2008.08.010.
    1. Negy C, Woods DJ. The importance of acculturation in understanding research with Hispanic-Americans. Hisp J Behav Sci. 1992;14(2):224–247. doi: 10.1177/07399863920142003.
    1. Berry JW. Conceptual approaches to acculturation. In: Chun KM, Organista PB, Marín G, editors. Acculturation: advances in theory, measurement and applied research. 2003; pp. 17–Washington, DC: American Psychological Association. Available at: .
    1. Donato KM and Patterson E. “Women and men on the move: undocumented border crossing.” In: Durand J, Massey DS, editors. Crossing the border: research from the Mexican migration project. New York: Russell Sage Foundation; 2004. p 111–30.
    1. Hondagneu-Sotelo P, Cranford C. “Gender and Migration.”In: Chafetz JS, editor. Handbook of the sociology of gender. New York: Klewer Academic/Plenum Publishers; 1999. Pp. 105–26.
    1. Kanaiaupuni SM. Reframing the migration question: an analysis of men, women, and gender in Mexico. Soc Forces. 2000;78(4):1311–1347. doi: 10.1093/sf/78.4.1311.
    1. Ebrahim S, Kinra S, Bowen L, Andersen E, Ben-Shlomo Y, et al. The effect of rural-to-urban migration on obesity and diabetes in India: a cross-sectional study. PLoS Med. 2010;7(4):e1000268. doi: 10.1371/journal.pmed.1000268.
    1. Abraido-Lanza AF, Chao MT, Florez KR. Do healthy behaviors decline with greater acculturation? Implications for the Latino mortality paradox. Soc Sci Med. 2005;61(6):1243–1255. doi: 10.1016/j.socscimed.2005.01.016.
    1. Miranda JJ, Gilman RH, García HH, Smeeth L. The effect on cardiovascular risk factors of migration from rural to urban areas in Peru: PERU MIGRANT Study. BMC Cardiovas Disord. 2009;9:23. doi: 10.1186/1471-2261-9-23.
    1. Sallis J, Owen N, Fisher EB. Ecological models of health behaviour. In: Glanz K, Rimer BK and Viswanath K, editords. Health behavior and health education: theory, research, and practice. 4th ed. ed. San Francisco: Jossey-Bass; 2008.
    1. Pérez-Escamilla R, Putnik P. The role of acculturation in nutrition, lifestyle, and incidence of type 2 diabetes among Latinos. J Nutr. 2007;137(4):860–870.
    1. Bandura A. Social cognitive theory: an agentive perspective. Annu Rev Psychol. 2001;52:1–26. doi: 10.1146/annurev.psych.52.1.1.
    1. Fitzgerald N. Acculturation, socioeconomic status, and health among Hispanics. NAPA bulletin. Special issue: anthropological perspectives on migration and health. 2010; 34(1):28–46.
    1. Weiss JW, Rubin D, Gomel JN. Physical activity among newly immigrated Latino adults. Californian J Health Promot 2009; 7(Special Issue):131–38.
    1. Saracoglu DS and Roe TL. Rural-urban migration and economic growth in developing Countries, 2004 Meeting Papers 241, Society for Economic Dynamics.
    1. Heikkila M, Moisio P, Ritakallio VM, Bradshaw J, Kuivalainen S, Hellsten K, Kajoja J. Poverty policies, structures and outcomes in the EU 25. Report to the Fifth European round table on poverty and social exclusion, stakes Helsinki, Finland, 2006. Available at: .
    1. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva: World Health Organization, 2000.
    1. Craig CL, Marshall AL, Sjöström M, et al. International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–1395. doi: 10.1249/01.MSS.0000078924.61453.FB.
    1. Sallis JF, Saelens BE. Assessment of physical activity by self-report: status, limitations and future directions. Res Q Exerc Sport. 2000;71:S1–S14. doi: 10.1080/02701367.2000.11082780.
    1. Deyo RA, Diehl AK, Hazuda H, Stern MP. A simple language-based acculturation scale for Mexican Americans: validation and application to health care research. Am J Public Health. 1985;75(1):51–55. doi: 10.2105/AJPH.75.1.51.
    1. Marín G, Saboga F, VanOss Marín B, Otero-Sabogal F, Pérez–Stable EJ. Development of a short acculturation scale for Hispanics. Hispanic J Behav Sci. 1987;9:183–205. doi: 10.1177/07399863870092005.
    1. Álvarez-Dongo D, Sánchez-Abanto J, Gómez-Guizado G, Tarqui-Mamani C. Sobrepeso y obesidad: prevalencia y determinantes sociales del exceso de peso en la población peruana (2009–2010). [Overweight and obesity: prevalence and determining social factors of overweight in the Peruvian population (2009–2010)]. Rev Peru Med Exp Salud Publica 2012; 29(3):303–13.
    1. Monteiro CA, Conde WL, Popkin BM. Income–specific trends in obesity in Brazil: 1975–2003. Am J Public Health. 2007;97(10):1808–1812. doi: 10.2105/AJPH.2006.099630.
    1. Bernstein A. Emerging patterns in overweight and obesity in Ecuador. Rev Panam Salud Publica. 2008;24(1):71–74. doi: 10.1590/S1020-49892008000700010.
    1. McDonald CM, Baylin A, Arsenault JE, Mora-Plazas M, Villamor E. Overweight is more prevalent than stunting and is associated with socioeconomic status, maternal obesity, and a snacking dietary pattern in school children from Bogota, Colombia. J Nutr. 2009;139(2):370–376. doi: 10.3945/jn.108.098111.
    1. Dogra S, Meisner BA, Ardern CI. Variation in mode of physical activity by ethnicity and time since immigration: a cross-sectional analysis. Int J Behav Nutr Phys Act. 2010;7:75. doi: 10.1186/1479-5868-7-75.
    1. Kaczynski AT, Potwarka LR, Saelens BE. Association of park size, distance, and features with physical activity in neighborhood parks. Am J Public Health. 2008;98(8):1451–1456. doi: 10.2105/AJPH.2007.129064.
    1. Ferreira I, Van der Horst K, Wendel-Vos W, Kremers S, Van Lenthe FJ, Brug J. Environmental correlates of physical activity in review: a review and update. Obes Rev. 2006;8(2):129–154. doi: 10.1111/j.1467-789X.2006.00264.x.
    1. Romero AJ. Low-incomeneighborhood barriers and resources for adolescents’ physical activity. J Adolesc Health. 2005;36(3):253–259. doi: 10.1016/j.jadohealth.2004.02.027.
    1. Masterson-Creber RM, Smeeth L, Gilman RH, Miranda JJ. Physical activity and cardiovascular risk factors among rural and urban groups and rural-to-urban migrants in Peru: a cross-sectional study. Rev Panam Salud Publica 2010; 28(1):1–8.
    1. Mayer E. Poder y violencia en los Andes. Centro de Estudios Regionales Andinos: Bartolomé de Las Casas; 1991. p. 419.
    1. Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the international physical activity questionnaire short form (IPAQ–SF): a systematic review. Int J Behav Nutr Phys Act. 2011;8:115. doi: 10.1186/1479-5868-8-115.

Source: PubMed

3
Iratkozz fel