Fifty years ago, the term model minority was coined to describe the extraordinary ability of Asian Americans to overcome hardship to succeed in American society. Less well-known is how the model minority stereotype was cultivated within the context of Black-White race relations during the second half of the 20th century, and how this stereotype, in turn, has contributed to the understanding and prioritization of health disparities experienced by Asian Americans. The objectives of this article are to define the model minority stereotype, present its controversies, and provide examples of its social and health-related consequences (ie, implications for obesity and tobacco) across multiple levels of society and institutions. A salient theme throughout the examples provided is the limitation of data presented at the aggregate level across all Asian subgroups which masks meaningful disparities. The intent is to increase the visibility of Asian Americans as a racial/ethnic minority group experiencing chronic disease health disparities and deserving of health-related resources and consideration.
Objective: Observational studies highlight a possible relationship between sodium intake and obesity. This investigation explores the cross-sectional relationships between sodium intake and measures of body size and fatness (body mass index [BMI], weight, waist circumference, predictive body fatness). Methods: Analyses were performed using data from participants in the National Health and Nutrition Examination Survey (NHANES) 2009-10 with two 24-h dietary recalls and measures of body size and fatness (n 5 4,613). Regression analyses assessed the relationships of sodium (1,000 mg/day) with outcomes, adjusting for caloric intake. Analyses are presented overall and by sex; data were weighted to be representative of the non-institutionalized US adult population. Results: Positive associations between sodium intake and measures of body size and predictive body fatness were observed, and the magnitude of association was larger in women than in men. For each 1,000 mg/day higher sodium intake, BMI was 1.03 kg/m 2 higher; weight was 2.75 kg higher; waist circumference was 2.15 cm higher; and predictive body fatness was 1.18% higher after adjustment for energy intake. Conclusions: Longitudinal analyses examining associations between sodium intake and measures of body size and body fatness are needed.
Objective: Chronic conditions such as cardiovascular disease and cancer can result from a number of diet-related environmental and behavioral factors. Screening for poor diet is helpful in developing interventions to prevent chronic disease, but measuring dietary behavior can be costly and time-consuming. The purpose of this study was to test the ability of a self-rated, single-item measure for evaluating diet quality among individuals and populations. Methods: A 24-h dietary recall and single-item self-rated diet quality measure were collected for 485 adults. From dietary recalls, Healthy Eating Index-2010 (HEI) scores were computed and compared with self-rated diet quality. Data were collected in 2013 among adult (18 years and older) New York City residents. Results: The study sample was 57% female, 47% white, 56% college educated, and 45% in the highest income tertile. The mean HEI score was 56.5 out of a possible 100. Women averaged higher HEI scores compared to men (58.1 vs 54.3, p = .01). There was a modest yet significant correlation between HEI scores and self-rated diet quality (ρ = 0.29, p < .01). Overall, mean HEI score increased as self-rated diet quality improved (from 48.2 for “poor” to 63.0 for “excellent”). Conclusions: The single-item measure of self-rated diet quality may provide a simple method of identifying those with the worst diet quality. Further investigation of this measure's validity is needed with alternative measures of dietary intake and with health outcomes.
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