Acculturation and Adherence to Physical Activity Recommendations Among Chinese American and Non-Hispanic White Breast Cancer Survivors

• Published in: Journal of immigrant and minority health Vol. 21; no. 1; pp. 80 - 88
• Main Authors: Le, Yen, Gao, Zan, Gomez, Scarlett Lin, Pope, Zachary, Dong, Ruocheng, Allen, Laura, Chang, Mei-Wei, Wang, Judy Huei-yu
• Format: Journal Article
• Language: English
• Published: New York Springer Science + Business Media 01.02.2019; Springer US; Springer Nature B.V
• Subjects: Acculturation; Adherence; Adolescent; Adult; African Languages; Aged; Asian - statistics & numerical data; Asian Americans; Body Mass Index; Breast cancer; Breast Neoplasms - ethnology; Cancer; Cancer Survivors - statistics & numerical data; China - ethnology; Chinese Americans; Comorbidity; Comparative Law; Cross-Sectional Studies; Cultural factors; Departments; Employment Level; English language; Epidemiology; Ethnic Groups; Exercise; Family Income; Female; Health Behavior; Hispanic Americans; Humans; International & Foreign Law; Medicine; Medicine & Public Health; Meetings; Middle Aged; Motivation; ORIGINAL PAPER; Physical Activities; Physical activity; Private International Law; Public Health; Questionnaires; Socioeconomic Factors; Sociology; Standard Spoken Usage; Survivor; United States - epidemiology; Validity; White people; White People - statistics & numerical data; Young Adult; United States; China; Chinese American; Breast cancer survivors; Acculturation; Physical activity
• ISSN: 1557-1912; 1557-1920; 1557-1920
• DOI: 10.1007/s10903-018-0721-x

Chinese American breast cancer survivors’ adherence to recommended physical activity (PA) guidelines has been understudied. This study investigated their PA adherence by acculturation level (vs. non-Hispanic White (NHW) survivors). One hundred ninety five Chinese and 202 NHW breast cancer survivors (stage 0–III) responded to a cross-sectional survey including a self-reported PA questionnaire. PA adherence referred to meeting PA recommendations for cancer survivors. Acculturation among Chinese was defined by proxies of U.S. residency, English proficiency, and interview language. Logistic regression was performed to examine factors associated with PA adherence. More-acculturated Chinese survivors’PA adherence rate was 76%. Less-acculturated Chinese survivors’adherence rate (60%) was significantly lower than that of NHWs (80%) (OR 0.38, 95%CI 0.19, 0.75). Less-acculturated Chinese survivors were also less likely to engage in vigorous-intensity PA than NHWs (p < 0.01). Future research on less-acculturated Chinese survivors’ motivation for PA to promote their adherence is needed.