Use of Qualitative Methods to Study Diet, Acculturation, and Health in Chinese-American Women
Improving the health status of minority populations in the United States is a major public health challenge. This report describes an anthropological approach to obtaining information needed for designing and evaluating a culturally appropriate dietary intervention for Chinese-Americans. Ninety-minu...
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Published in | Journal of the American Dietetic Association Vol. 100; no. 8; pp. 934 - 940 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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New York, NY
Elsevier Inc
01.08.2000
Elsevier Elsevier Science Publishers Elsevier Limited |
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Abstract | Improving the health status of minority populations in the United States is a major public health challenge. This report describes an anthropological approach to obtaining information needed for designing and evaluating a culturally appropriate dietary intervention for Chinese-Americans. Ninety-minute qualitative interviews were conducted with 30 less-acculturated Chinese-American women in their native language (Cantonese or Mandarin), soliciting information from participants regarding usual food consumption; knowledge, attitude, and beliefs about diet and disease; and factors that influence food choices. Interviews were recorded, translated, transcribed, and coded for themes. Two focus groups with 6 participants each were conducted to cross-validate the interview findings. Among our participants, breakfast was usually the first meal to be “Westernized,” largely for reasons of convenience. Food quality, cost, and availability were some of the most important predictors of dietary change after immigration to the United States. Respondents said that there was a strong connection between diet and disease. However, they were not familiar with US dietary guidelines, food labels, or other sources of dietary information, but reported that friends and Chinese newspapers were their primary source of nutrition information. We used these findings to develop quantitative dietary survey instruments adapted for Chinese-Americans. This type of qualitative groundwork is an important precursor to the design, implementation, and evaluation of dietary interventions for minorities.
J Am Diet Assoc. 2000; 100: 934-940. |
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AbstractList | Improving the health status of minority populations in the United States is a major public health challenge. This report describes an anthropological approach to obtaining information needed for designing and evaluating a culturally appropriate dietary intervention for Chinese-Americans. Ninety-minute qualitative interviews were conducted with 30 less-acculturated Chinese-American women in their native language (Cantonese or Mandarin), soliciting information from participants regarding usual food consumption; knowledge, attitude, and beliefs about diet and disease; and factors that influence food choices. Interviews were recorded, translated, transcribed, and coded for themes. Two focus groups with 6 participants each were conducted to cross-validate the interview findings. Among our participants, breakfast was usually the first meal to be "Westernized," largely for reasons of convenience. Food quality, cost, and availability were some of the most important predictors of dietary change after immigration to the United States. Respondents said that there was a strong connection between diet and disease. However, they were not familiar with US dietary guidelines, food labels, or other sources of dietary information, but reported that friends and Chinese newspapers were their primary source of nutrition information. We used these findings to develop quantitative dietary survey instruments adapted for Chinese-Americans. This type of qualitative groundwork is an important precursor to the design, implementation, and evaluation of dietary interventions for minorities. Improving the health status of minority populations in the US is a major public health challenge. Satia et al describe an anthropological approach to obtaining information needed for designing and evaluating a culturally appropriate dietary intervention for Chinese-Americans. Improving the health status of minority populations in the United States is a major public health challenge. This report describes an anthropological approach to obtaining information needed for designing and evaluating a culturally appropriate dietary intervention for Chinese-Americans. Ninety-minute qualitative interviews were conducted with 30 less-acculturated Chinese-American women in their native language (Cantonese or Mandarin), soliciting information from participants regarding usual food consumption; knowledge, attitude, and beliefs about diet and disease; and factors that influence food choices. Interviews were recorded, translated, transcribed, and coded for themes. Two focus groups with 6 participants each were conducted to cross-validate the interview findings. Among our participants, breakfast was usually the first meal to be “Westernized,” largely for reasons of convenience. Food quality, cost, and availability were some of the most important predictors of dietary change after immigration to the United States. Respondents said that there was a strong connection between diet and disease. However, they were not familiar with US dietary guidelines, food labels, or other sources of dietary information, but reported that friends and Chinese newspapers were their primary source of nutrition information. We used these findings to develop quantitative dietary survey instruments adapted for Chinese-Americans. This type of qualitative groundwork is an important precursor to the design, implementation, and evaluation of dietary interventions for minorities. J Am Diet Assoc. 2000; 100: 934-940. |
Audience | Professional Academic |
Author | KRISTAL, ALAN R CHENEY, CARRIE L CHITNARONG, KAMOLTHIP PATTERSON, RUTH E SATIA, JESSIE A TAYLOR, VICKY M SHIU-THORNTON, SHARYNE |
Author_xml | – sequence: 1 givenname: JESSIE A surname: SATIA fullname: SATIA, JESSIE A organization: J. A. Satia is a postdoctoral fellow, R. E. Patterson is an associate member, V. M. Taylor is an associate member, and A. R. Kristal is a member of the Fred Hutchinson Cancer Research Center, Cancer Prevention Research Program, Seattle, Wash, USA – sequence: 2 givenname: RUTH E surname: PATTERSON fullname: PATTERSON, RUTH E organization: J. A. Satia is a postdoctoral fellow, R. E. Patterson is an associate member, V. M. Taylor is an associate member, and A. R. Kristal is a member of the Fred Hutchinson Cancer Research Center, Cancer Prevention Research Program, Seattle, Wash, USA – sequence: 3 givenname: VICKY M surname: TAYLOR fullname: TAYLOR, VICKY M organization: J. A. Satia is a postdoctoral fellow, R. E. Patterson is an associate member, V. M. Taylor is an associate member, and A. R. Kristal is a member of the Fred Hutchinson Cancer Research Center, Cancer Prevention Research Program, Seattle, Wash, USA – sequence: 4 givenname: CARRIE L surname: CHENEY fullname: CHENEY, CARRIE L organization: C. L. Cheney is an affiliate assistant professor in the Department of Nutritional Sciences and S. Shiu-Thorton is a lecturer in the Department of Health Services, University of Washington, Seattle, USA – sequence: 5 givenname: SHARYNE surname: SHIU-THORNTON fullname: SHIU-THORNTON, SHARYNE organization: C. L. Cheney is an affiliate assistant professor in the Department of Nutritional Sciences and S. Shiu-Thorton is a lecturer in the Department of Health Services, University of Washington, Seattle, USA – sequence: 6 givenname: KAMOLTHIP surname: CHITNARONG fullname: CHITNARONG, KAMOLTHIP organization: K. Chitnarong is part of the project staff of the Chinese and Cambodian Cancer Projects, Seattle, USA – sequence: 7 givenname: ALAN R surname: KRISTAL fullname: KRISTAL, ALAN R organization: J. A. Satia is a postdoctoral fellow, R. E. Patterson is an associate member, V. M. Taylor is an associate member, and A. R. Kristal is a member of the Fred Hutchinson Cancer Research Center, Cancer Prevention Research Program, Seattle, Wash, USA |
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SubjectTerms | Acculturation Air. Soil. Water. Waste. Feeding Asian Americans Biological and medical sciences China - ethnology Chinese American women Diet Diet Records Diet Surveys Environment. Living conditions Ethnic foods Evaluation Feeding Behavior - ethnology Feeding Behavior - psychology Female Focus Groups Food and nutrition Health aspects Humans Interviews as Topic Medical sciences Mental Recall Middle Aged Minority & ethnic groups Minority Groups Nutrition Nutrition policy Nutrition surveys Public health. Hygiene Public health. Hygiene-occupational medicine Social aspects Washington Women Women's Health |
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Title | Use of Qualitative Methods to Study Diet, Acculturation, and Health in Chinese-American Women |
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