Is duration of residence a proxy for acculturation? The case of health risk behaviors among international immigrants.

Autor:	Juárez SP; Department of Public Health Sciences, Stockholm University, Sweden.; Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Sweden., Honkaniemi H; Department of Public Health Sciences, Stockholm University, Sweden.; Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Sweden., Gustafsson NK; Department of Public Health Sciences, Stockholm University, Sweden.; Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Sweden., Berg L; Department of Public Health Sciences, Stockholm University, Sweden.; Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Sweden.
Jazyk:	angličtina
Zdroj:	Scandinavian journal of public health [Scand J Public Health] 2024 Nov; Vol. 52 (7), pp. 884-892. Date of Electronic Publication: 2023 Sep 18.
DOI:	10.1177/14034948231199534
Abstrakt:	Aims: Among international immigrants, health changes by duration of residence are commonly interpreted as an expression of acculturation to the receiving country context. This study compares changes in immigrants' health risk behaviors by duration of residence to changes by acculturation levels, in order to assess whether duration of residence can be regarded as a proxy for acculturation. Methods: Using data from a previous systematic review, we identified 17 quantitative studies examining changes in alcohol, tobacco and drug use, physical inactivity, and diet by both duration of residence and acculturation level in the same population. We compared the directionality and consistency of these associations through tabulation and vote counting. Results: The majority of studies reported no or inconsistent changes in health risk behaviors by duration of residence versus by acculturation, including with opposite directionality. Four studies reported significant estimates with consistent directionality, while five reported consistent, non-significant estimates. Conclusions: Our findings suggest that duration of residence should not be used as a proxy for acculturation when studying health risk behaviors among immigrants. Researchers should consider additional time-dependent factors to explain behavioral changes by duration of residence . Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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