Leveraging Cultural Knowledge to Improve Diet and Health among Affiliated Pacific Islander Populations

Cassel, Kevin; Boushey, Carol J.

doi:10.1016/j.jand.2015.02.009

Cited by 2 publications

(3 citation statements)

References 28 publications

(34 reference statements)

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“…Also, obesity already co-exists together with food insecurity [20, 21]. As a result of the forces described, there has been a shift from acute, infectious diseases to chronic, degenerative diseases (the epidemiological revolution, [22, 23]). All of these forces are at work around the world, with developed countries such as the United States, Germany, Japan and France much further along in this change or transition than developing countries, such as India, Ghana and Brazil.…”

Section: Introductionmentioning

confidence: 99%

Understanding traditional and modern eating: the TEP10 framework

Sproesser

Ruby

Arbit³

et al. 2019

BMC Public Health

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Across the world, there has been a movement from traditional to modern eating, including a movement of traditional eating patterns from their origin culture to new cultures, and the emergence of new foods and eating behaviors. This trend toward modern eating is of particular significance because traditional eating has been related to positive health outcomes and sustainability. Yet, there is no consensus on what constitutes traditional and modern eating. The present study provides a comprehensive compilation of the various facets that seem to make up traditional and modern eating. Specifically, 106 facets were mentioned in the previous literature and expert discussions, combining international and interdisciplinary perspectives. The present study provides a framework (the TEP10 framework) systematizing these 106 facets into two major dimensions, what and how people eat, and 12 subdimensions. Hence, focusing only on single facets of traditional and modern eating is an oversimplification of this complex phenomenon. Instead, the multidimensionality and interplay between different facets should be considered to gain a comprehensive understanding of the trends, consequences, and underlying factors of traditional and modern eating.

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Section: Introductionmentioning

confidence: 99%

Understanding traditional and modern eating: the TEP10 framework

Sproesser

Ruby

Arbit³

et al. 2019

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…Other studies have similarly identified family (extended versus nuclear) and community collectivistic culture as core factors driving dietary choices in the NHPI population [ 51 , 52 ]. Sāmoans, for example, may engage in a weekly feast, or to’onai , during which an average of 6,000 kcal per person may be consumed [ 53 ]. Typical dishes include meat-based soups, palusami (e.g., onion and coconut milk wrapped in taro leaves with or without meat), breadfruit-based recipes, and fa'I (green banana/coconut) recipes.…”

Section: Discussionmentioning

confidence: 99%

“…The targeted sample, however, differentiates our study from existing population-based studies in which NHPIs are often aggregated with Asian Americans, attenuating prevalent health disparities [ 78 ]. In Utah, where the NHPI community constitutes 1.5% of the population, our study provides invaluable insights into dietary patterns and sociocultural influences on food intake among NHPIs that ultimately contribute to their prevalent chronic diseases, which are heavily influenced by diet [ 53 ]. Moreover, since NHPI women experience unique social and cultural barriers, we focused participant recruitment—with the facilitation of our NHPI ComC—on community groups that provide services exclusively to NHPIs.…”

Section: Discussionmentioning

confidence: 99%

Sociocultural influences on dietary behavior and meal timing among Native Hawaiian and Pacific Islander women at risk of endometrial cancer: a qualitative investigation

Playdon

Rogers

Brooks

et al. 2022

Cancer Causes Control

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Purpose Determine sociocultural influences on dietary behavior, body image, weight loss, and perceptions of the cultural appropriateness of a meal-timing intervention design and menu among Native Hawaiian and Pacific Islander (NHPI) women at risk of endometrial cancer. Methods Six 90-min videoconference focus groups among NHPI women ( n = 35) recruited by a community champion in Utah. Eligible women were aged ≥ 18 years at risk of endometrial cancer (i.e., BMI ≥ 25 kg/m 2 , history of non-insulin-dependent diabetes or complex atypical endometrial hyperplasia) had a working cell phone capable of downloading a phone app, could use their cell phone during the day, and were not night-shift workers. Twelve semi-structured questions were posed during the focus groups. Using inductive qualitative methods based on Hatch’s 9-step approach, de-identified transcript data were analyzed. Results Overarching themes included economic factors, cultural influences, meal choice and timing, and perceptions of health. Subthemes included affordability, waste avoidance, inundated schedules, and cultural influences. Perceptions of body size and weight loss were influenced by family, community, and social media, whose messages could be conflicting. Important intervention components included satisfying, convenient pre-made meals, while barriers included the need to cook for family members. Conclusions Dietary interventions targeting metabolic health among NHPI women should consider the multitude of sociocultural and economic factors that influence food choices and meal timing in this population, including affordability, hectic schedules, and immigrant adjustment. Promoting the link between physical and mental well-being as opposed to weight loss is a key approach to reaching this population.

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Leveraging Cultural Knowledge to Improve Diet and Health among Affiliated Pacific Islander Populations

Cited by 2 publications

References 28 publications

Understanding traditional and modern eating: the TEP10 framework

Understanding traditional and modern eating: the TEP10 framework

Sociocultural influences on dietary behavior and meal timing among Native Hawaiian and Pacific Islander women at risk of endometrial cancer: a qualitative investigation

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