Culturally Specific Trauma History is Associated with Dietary Intake Outcomes of a Healthy Eating Intervention Among Cambodian American Refugees: A Retrospective Cohort Study

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior Pub Date : 2025-10-01 DOI:10.1016/j.jneb.2025.06.006

Julie A. Wagner PhD , Angela Bermúdez-Millán PhD, MPH , S. Megan Berthold PhD, LCSW , Thomas E. Buckley MPH, RPh , Orfeu M. Buxton PhD , Richard S. Feinn PhD , Sengly Kong PhD , Theanvy Kuoch MA, LPC , Mary F. Scully APRN

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Abstract

Objective

In a retrospective cohort study, we examined associations between trauma indicators and changes to dietary intake among Cambodian Americans who received the culturally-derived Eat, Walk, Sleep intervention.

Methods

Participants had depression and a high risk of developing type 2 diabetes (n = 135). Trauma indicators included experiences under the Pol Pot regime and current symptoms of posttraumatic stress and baksbat, a culture-bound syndrome of distress. Measurement of dietary intake at baseline, 12 months, and 15 months included self-reported brown rice, white rice, sweetened drinks, sodium, and fat.

Results

Longer exposure to Pol Pot was associated with a greater increase (improvement) in brown rice; longer exposure to Pol Pot and higher baksbat were associated with greater effort to reduce fat.

Conclusions and Implications

Eat, Walk, Sleep was most beneficial for those with certain trauma characteristics. Future work includes investigation of potential mechanisms of action of Eat, Walk, Sleep, such as self-efficacy and peer support.

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文化特异性创伤史与柬埔寨裔美国难民健康饮食干预的饮食摄入结果相关：一项回顾性队列研究

目的：在一项回顾性队列研究中，我们研究了接受文化衍生的“吃、走、睡”干预的柬埔寨裔美国人的创伤指标与饮食摄入变化之间的关系。方法：参与者患有抑郁症和患2型糖尿病的高风险（n = 135）。创伤指标包括在波尔布特政权下的经历和目前的创伤后压力和baksbat症状，这是一种受文化限制的痛苦综合征。在基线、12个月和15个月测量饮食摄入量，包括自我报告的糙米、白米、甜饮料、钠和脂肪。结果：波尔布特暴露时间越长，糙米的增加（改善）越大；接触波尔布特的时间越长，摄入的食物越多，减少脂肪的努力就越大。结论和启示：吃、走、睡对那些有一定创伤特征的人最有益。未来的工作包括研究饮食、行走、睡眠的潜在作用机制，如自我效能感和同伴支持。

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来源期刊

Journal of Nutrition Education and Behavior 医学-学科教育

CiteScore

4.20

自引率

11.50%

发文量

379

审稿时长

44 days

期刊介绍： The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas. The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.