Acculturation in Mexican American Mothers and Family Nutritional

Health Practices

Donna R. Williams, MS, RN, CPNP

Childhood Obesity tripled over last decadeMajor FactorsAcculturationInitiativesFamily approach

SWOT Analysis

Positive Attributes

• Reliable/Valid Tools• Power Analysis• Clinical Site• Education

Negative Attributes

• Single setting• Language Barriers• Illiteracy • Busy Clinic

Purpose

• Examine acculturation on nutrition & physical health

• Develop strategies for weight management

• Improve outcomes

Problem Statement

• Increased Childhood Obesity• Increased Comorbidities• Maternal feeding practices• Hispanics increased incidence• Acculturation association

Research Questions

1. Does the level of acculturation of Mexican American mothers affect their familial nutritional and physical health habits?

2. Is the relationship between acculturation and familial nutritional and physical health habits in this group moderated by the eldest child’s age?

PICO

• In Mexican American families, is there a relationship between the mother’s level of acculturation and the family’s nutritional and physical health habits?

• In Mexican American families, is there a relationship between unhealthy habits and the children’s ages?

Evidence Based Practice Model

Preparation Validation

Decision Making/Comparative Evaluation

Translation/Application Evaluation

Theoretical Framework

• Leininger’s Cultural Care Diversity & Universality Theory

Operational Definitions

• Acculturation

• Mexican American

• Nutritional Health Practices

Review of Literature

Role of Maternal Acculturation on Childhood Obesity

Acculturation & Obesity

Hispanics, Latino, Mexican American Terminology

Family Nutrition & Physical Health Habits

Childhood Obesity Among Cultural Ethnic Groups

Population & Sample

• Mexican American Americans/Hispanics• Private Practice• Houston, Texas (Harris County)• Children ages 2-12 years old• Inclusion/Exclusion Criteria• Convenience Sample• Power Analysis

Instrumentation

• Healthy Habits Quiz• ARMSA II- Acculturation Scale• Demographic Questionnaire

Implementation/Methodology

• Site: Underserved Pediatric Private Practice• Participant identification• Bilingual assistant (Script)• Allowed to withdraw without penalty• Consent• Complete Tools• Secure tools

Project Objectives• Investigate the effect of acculturation on nutritional and

physical health habits among Mexican American mothers.

• Explore the relationship between acculturation, nutrition, and physical health habits among Mexican Americans and the differences that the age of the child makes.

• Assess the factors which contribute to the prevention and management of childhood obesity.

Timeline

Permission for use of tools &

site Sept-Nov. 2014

Proposal Defense

Dec. 2014

IRB approval

Dec. 2014 & Jan. 2015

Data Collection

Dec. 2014-Feb.

2015

Analysis of Data &

Results Jan.-

March 2015

Capstone Defense

April 2015

Results: Frequencies/Percentages

Categorical Demographics• Marital Status• Gender of Eldest Child• Race/Ethnicity• School Country• Employment Status• Annual Income• Generation• Level of Education

Results: Means & Std. DeviationContinuous Variables

Results:Acculturation

Elevated in HispanicsElevated in 3-5th generation

Research Question #1: No significant findings

Results Healthy Habits Quiz

Note. *p < .05, **p < .01.

Research Question #2: No significant findings

ResultsTable 15

Summary of Multiple Regression Analysis Predicting Healthy Habits Scores Using Acculturation, Eldest Child’s Age, and Other Potential Covariates.

    B SE Beta t p

Model 1Gender of Eldest Child -.755 .36 -.186 2.12 .036

Generation - 2nd Gen. .418 .41 .100 1.03 .304

Generation - 3rd Gen. .984 .50 .185 1.97 .051

Annual Income .671 .37 .165 1.83 .070

Model 2Gender of Eldest Child -.690 .37 -.170 1.87 .064

Generation - 2nd Gen. .413 .41 .099 1.02 .310

Generation - 3rd Gen. .901 .51 .169 1.77 .080

Annual Income .702 .37 .173 1.89 .061

Acculturation .569 .35 .311 1.62 .109

Eldest Child’s Age -.175 .10 -.285 1.73 .086

Acculturation x Eld. Child’s -.055 .05 -.268 1.15 .254

Note. Model one: F (4, 119) = 3.12, p = .018, R2 = .095. Model two: F (7, 116) = 2.51, p = .019, R2 = .132. Model change: F (3, 116) = 1.64, p = .185, R2 = .037.

Discussion

Acculturation

Healthy Habits

Annual Income

Recommendations• Larger sample size• Different setting to decrease coercion• Child Body Mass Index assessment• More programs with cultural

incorporation

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Questions???

Thank You!!!

To my Chair & Committee Members