{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T08:37:08Z","timestamp":1768552628496,"version":"3.49.0"},"reference-count":37,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T00:00:00Z","timestamp":1351728000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980012004582_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>Hispanics with lower acculturation may be at higher risk for neural tube defects compared with those with higher acculturation due to lower total folic acid intake or other undetermined factors. Modelling has indicated that fortification of corn masa flour with folic acid could selectively target Mexican Americans more than other race\/ethnicities. We assessed whether fortification of corn masa flour with folic acid could selectively increase folic acid intake among Mexican-American women with lower acculturation, as indicated by specific factors (language preference, country of origin, time living in the USA).<\/jats:p><\/jats:sec><jats:sec id=\"S1368980012004582_abs2\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>We used dietary intake and dietary supplement data from the National Health and Nutrition Examination Survey 2001\u20132008, to estimate the amount of additional total folic acid that could be consumed if products considered to contain corn masa flour were fortified at 140 \u03bcg of folic acid per 100 g of corn masa flour.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980012004582_abs3\" sec-type=\"general\"><jats:title>Setting<\/jats:title><jats:p>USA.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980012004582_abs4\" sec-type=\"subjects\"><jats:title>Subjects<\/jats:title><jats:p>Non-pregnant women aged 15\u201344 years (<jats:italic>n<\/jats:italic> 5369).<\/jats:p><\/jats:sec><jats:sec id=\"S1368980012004582_abs5\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Mexican-American women who reported speaking Spanish had a relative percentage change in usual daily total folic acid intake of 30\u00b75 (95 % CI 27\u00b78, 33\u00b74) %, compared with 8\u00b73 (95 % CI 7\u00b73, 9\u00b74) % for Mexican-American women who reported speaking English. We observed similar results for other acculturation factors. An increase of 6\u00b70 percentage points in the number of Mexican-American women who would achieve the recommended intake of \u2265400 \u03bcg folic acid\/d occurred with fortification of corn masa flour; compared with increases of 1\u00b71 percentage points for non-Hispanic whites and 1\u00b73 percentage points for non-Hispanic blacks. An even greater percentage point increase was observed among Mexican-American women who reported speaking Spanish (8\u00b72).<\/jats:p><\/jats:sec><jats:sec id=\"S1368980012004582_abs6\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>Fortification of corn masa flour could selectively increase total folic acid intake among Mexican-American women, especially targeting Mexican-American women with lower acculturation, and result in a decrease in the number of pregnancies affected by neural tube defects.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980012004582","type":"journal-article","created":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T11:41:15Z","timestamp":1351770075000},"page":"912-921","source":"Crossref","is-referenced-by-count":25,"title":["Modelling fortification of corn masa flour with folic acid and the potential impact on Mexican-American women with lower acculturation"],"prefix":"10.1017","volume":"16","author":[{"given":"Heather C","family":"Hamner","sequence":"first","affiliation":[]},{"given":"Sarah C","family":"Tinker","sequence":"additional","affiliation":[]},{"given":"Alina L","family":"Flores","sequence":"additional","affiliation":[]},{"given":"Joe","family":"Mulinare","sequence":"additional","affiliation":[]},{"given":"Aliki P","family":"Weakland","sequence":"additional","affiliation":[]},{"given":"Nicole F","family":"Dowling","sequence":"additional","affiliation":[]}],"member":"56","published-online":{"date-parts":[[2012,11,1]]},"reference":[{"key":"S1368980012004582_ref22","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/133.2.601S"},{"key":"S1368980012004582_ref5","first-page":"8781","article-title":"Food standards: amendment of standards of identity for enriched grain products to require addition of folic acid, final rule","volume":"61","year":"1996","journal-title":"Federal Register"},{"key":"S1368980012004582_ref16","volume-title":"Analytic and Reporting Guidelines","year":"2006"},{"key":"S1368980012004582_ref26","doi-asserted-by":"publisher","DOI":"10.1177\/07399863870092005"},{"key":"S1368980012004582_ref31","doi-asserted-by":"publisher","DOI":"10.3945\/jn.111.141473"},{"key":"S1368980012004582_ref33","doi-asserted-by":"publisher","DOI":"10.1177\/1524839906289167"},{"key":"S1368980012004582_ref34","first-page":"1","article-title":"Evaluation of Salud Para Su Coraz\u00f3n (Health for Your Heart) \u2013 National Council of La Raza Promotora outreach program","volume":"2","author":"Balc\u00e1zar","year":"2005","journal-title":"Prev Chronic Dis"},{"key":"S1368980012004582_ref27","first-page":"199","article-title":"An acculturation scale for Mexican American normal and clinical populations","volume":"2","author":"Cuellar","year":"1980","journal-title":"Hisp J Behav Sci"},{"key":"S1368980012004582_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.20582"},{"key":"S1368980012004582_ref28","unstructured":"US Census Bureau (2010) American Community Survey 2005\u20132009. 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