Acculturation, Discrimination and 24-h Activity in Asian American Immigrant Women

Park, Chorong; Larsen, Britta; Kwon, Simona; Xia, Yuhe; Dickson, Victoria Vaughan; Kim, Soonsik S.; Garcia-Dia, Mary Joy; Reynolds, Harmony R.; Spruill, Tanya M.

doi:10.1007/s10903-022-01361-5

Cited by 2 publications

(5 citation statements)

References 43 publications

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“…In comparison, 4,867 (67.8%) had valid accelerometer data, resulting in 4 or more days with more than 10 hours of wear time, excluding sleep time (Troiano et al, 2008). In another recent study with Asian American immigrant women, 75 out of 86 (87%) participants had valid accelerometer data (both hip and wrist); however, the definition of valid data was at least 4 days with 10 hours of wear time from midnight to midnight including sleep time as wear time (Park et al, 2022). Hence, both studies had lower adherence rates to accelerometer-related study protocols than the study reported here.…”

Section: Discussionmentioning

confidence: 99%

“…However, variance in acceptability was reported by race/ethnicity (Pollard & Guell, 2012) and possibly age, with American women preferring to wear monitors on their upper arm (Huberty et al, 2015) and South Asian Muslin women preferring to wear monitors on their hip (Pollard & Guell, 2012). In a recent study among Asian American immigrant women, 75 out of 86 (87%) participants had valid hip and wrist accelerometer data (at least 4 days with 10 hours of wear time from midnight to midnight), suggesting it was feasible to use both hip and wrist accelerometers in an Asian immigrant population (Park et al, 2022). However, in this study, the average age of the participants was 61 years, and they might have different preferences for accelerometer wear than reproductive-age women.…”

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confidence: 99%

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Study Recruitment, Retention, and Adherence Among Chinese American Immigrants During the COVID-19 Pandemic

Huang,

Nam,

Ash

et al. 2024

Nursing Research

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Background Chinese American immigrants have been underrepresented in health research partly due to challenges in recruitment. Objectives This study aims to describe recruitment and retention strategies and report adherence in a 7-day observational physical activity study of Chinese American immigrants with prior gestational diabetes during the COVID-19 pandemic. Methods Foreign-born Chinese women aged 18–45 years, with a gestational diabetes index pregnancy of 0.5–5 years, who were not pregnant and had no current diabetes diagnosis were recruited. They wore an accelerometer for 7 consecutive days and completed an online survey. Multiple recruitment strategies were used: (a) culturally and linguistically tailored flyers, (b) social media platforms (e.g., WeChat [a popular Chinese platform] and Facebook), (c) near-peer recruitment and snowball sampling, and (d) a study website. Retention strategies included flexible scheduling and accommodation, rapid communications, and incentives. Adherence strategies included a paper diary and/or automated daily text reminders with a daily log for device wearing, daily email reminders for the online survey, close monitoring, and timely problem-solving. Results Participants were recruited from 17 states; 108 were enrolled from August 2020 to August 2021. There were 2,479 visits to the study webpage, 194 screening entries, and 149 inquiries about the study. Their mean age was 34.3 years, and the mean length of U.S. stay was 9.2 years. Despite community outreach, participants were mainly recruited from social media (e.g., WeChat). The majority were recruited via near-peer recruitment and snowball sampling. The retention rate was 96.3%; about 99% had valid actigraphy data, and 81.7% wore the device for 7 days. The majority of devices were successfully returned, and the majority completed the online survey on time. Discussion We demonstrated the feasibility of recruiting and retaining a geographically diverse sample of Chinese American immigrants with prior gestational diabetes during the COVID-19 pandemic. Recruiting Chinese immigrants via social media (e.g., WeChat) is a viable approach. Nonetheless, more inclusive recruitment strategies are needed to ensure broad representation from diverse socioeconomic groups of immigrants.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Study Recruitment, Retention, and Adherence Among Chinese American Immigrants During the COVID-19 Pandemic

Huang,

Nam,

Ash

et al. 2024

Nursing Research

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“…Between August 2018 and August 2019, participants were recruited from Asian faith-based organizations and community-based organizations located in New York City. The detailed recruitment procedure is described elsewhere [ 18 ] and was approved by the institutional review board of NYU Grossman School of Medicine (IRB # i18-00268). We adhered to the principles of the Helsinki Declaration, obtained informed consent from participants after explaining the study’s purpose, potential risks, and benefits, and ensured the confidentiality and privacy of all participants throughout the study.…”

Section: Methodsmentioning

confidence: 99%

“…For 7 consecutive days, participants wore two triaxial accelerometers (ActiGraph GT3X; ActiGraph Corp., Pensacola, Florida) for the entire 24-hour period. Accelerometer data processing was performed using the ActiLife software (version 6.13.3, ActiGraph Corp.) as described elsewhere [ 18 ]. In summary, the sleep period was identified from wrist accelerometer data, using the Cole-Kripke algorithm [ 25 ] and a sleep diary.…”

Section: Methodsmentioning

confidence: 99%

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Reallocating time between device-measured 24-hour activities and cardiovascular risk in Asian American immigrant women: An isotemporal substitution model

Park,

Larsen,

Kwon

et al. 2024

PLoS ONE

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The 24-hour day consists of physical activity (PA), sedentary behavior, and sleep, and changing the time spent on one activity affects the others. Little is known about the impact of such changes on cardiovascular risk, particularly in Asian American immigrant (AAI) women, who not only have a higher cardiovascular risk but also place greater cultural value on family and domestic responsibilities compared to other racial/ethnic groups. The purpose of this study was to evaluate the effects of reallocating 30 minutes of each 24-hour activity component for another on BMI, waist circumference, and blood pressure in AAI women. Seventy-five AAI women completed 7 days of hip and wrist actigraphy monitoring and were included in the analysis (age = 61.5±8.0 years, BMI = 25.5±3.6 kg/m2, waist circumference = 85.9±10.2 cm). Sleep was identified from wrist actigraphy data, and moderate-to-vigorous PA (MVPA), light PA, and sedentary behavior identified from hip actigraphy data. On average, the women spent 0.5 hours in MVPA, 6.2 hours in light PA, 10 hours in sedentary activities, and 5.3 hours sleeping within a 24-hour day. According to the isotemporal substitution models, replacing 30 minutes of sedentary behavior with MVPA reduced BMI by 1.4 kg/m2 and waist circumference by 4.0 cm. Replacing that same sedentary time with sleep reduced BMI by 0.5 kg/m2 and waist circumference by 1.4 cm. Replacing 30 minutes of light PA with MVPA decreased BMI by 1.6 kg/m2 and waist circumference by 4.3 cm. Replacing 30 minutes of light PA with sleep also reduced BMI by 0.8 kg/m2 and waist circumference by 1.7 cm. However, none of the behavioral substitutions affected blood pressure. Considering AAI women’s short sleep duration, replacing their sedentary time with sleep might be a feasible strategy to reduce their BMI and waist circumference.

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Acculturation, Discrimination and 24-h Activity in Asian American Immigrant Women

Cited by 2 publications

References 43 publications

Study Recruitment, Retention, and Adherence Among Chinese American Immigrants During the COVID-19 Pandemic

Study Recruitment, Retention, and Adherence Among Chinese American Immigrants During the COVID-19 Pandemic

Reallocating time between device-measured 24-hour activities and cardiovascular risk in Asian American immigrant women: An isotemporal substitution model

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