“…22,35,36 Hispanic women residing in a U.S.-Mexico border county, a measure of lower acculturation, had a lower risk of excess GWG than women residing in a nonborder county. 36 Hispanic women born in the U.S., a commonly used measure of acculturation, gained more weight during pregnancy than women born outside the U.S. 22,35 A recent study among Puerto Rican women in Massachusetts measured acculturation using the Psychological Acculturation Scale and measures of generation in the U.S., place of birth, and language preference. 22 They found that women with grandparents and at least one parent born in Puerto Rico or the Dominican Republic gained, on average, 2.2 kg and 0.9 kg, respectively, more over the course of pregnancy than women who were born in Puerto Rico or the Dominican Republic; however, no association was found using other acculturation measures.…”