{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:57:47Z","timestamp":1760144267278,"version":"build-2065373602"},"reference-count":45,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,4,6]],"date-time":"2024-04-06T00:00:00Z","timestamp":1712361600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000199","name":"USDA, Agriculture and Food Research Initiative","doi-asserted-by":"publisher","award":["2011-68001-30335","2018-69001-27551","2021-68012-35899","1P20GM139753","P30CA071789"],"award-info":[{"award-number":["2011-68001-30335","2018-69001-27551","2021-68012-35899","1P20GM139753","P30CA071789"]}],"id":[{"id":"10.13039\/100000199","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NIH, National Institute of Health Centers of Biomedical Research Excellence (COBRE)","award":["2011-68001-30335","2018-69001-27551","2021-68012-35899","1P20GM139753","P30CA071789"],"award-info":[{"award-number":["2011-68001-30335","2018-69001-27551","2021-68012-35899","1P20GM139753","P30CA071789"]}]},{"name":"NCI, National Cancer Institute","award":["2011-68001-30335","2018-69001-27551","2021-68012-35899","1P20GM139753","P30CA071789"],"award-info":[{"award-number":["2011-68001-30335","2018-69001-27551","2021-68012-35899","1P20GM139753","P30CA071789"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Acculturation\/enculturation has been found to impact childhood health and obesity status. The objective of this study is to use cross-sectional data to examine the association between proxies of adult\/caregiver acculturation\/enculturation and child health status (Body Mass Index [BMI], waist circumference [WC], and acanthosis nigricans [AN]) in the U.S.-Affiliated Pacific Islands (USAPI), Alaska, and Hawai\u02bbi. Study participants were from the Children\u2019s Healthy Living (CHL) Program, an environmental intervention trial and obesity prevalence survey. Anthropometric data from 2\u20138 year olds and parent\/caregiver questionnaires were used in this analysis. The results of this study (n = 4121) saw that those parents\/caregivers who identified as traditional had children who were protected against overweight\/obesity (OWOB) status and WC &gt; 75th percentile (compared to the integrated culture identity) when adjusted for significant variables from the descriptive analysis. AN did not have a significant association with cultural classification. Future interventions in the USAPI, Alaska, and Hawai\u02bbi may want to focus efforts on parents\/caregivers who associated with an integrated cultural group as an opportunity to improve health and reduce child OWOB prevalence.<\/jats:p>","DOI":"10.3390\/ijerph21040448","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T10:11:55Z","timestamp":1712571115000},"page":"448","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acculturation and Health Status in the Children\u2019s Healthy Living Program in the Pacific Region"],"prefix":"10.3390","volume":"21","author":[{"given":"Kalanikiekie S.","family":"Sparks","sequence":"first","affiliation":[{"name":"Public Health Division, Acute and Communicable Disease Section, Oregon Health Authority, Salem, OR 97301, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0909-7577","authenticated-orcid":false,"given":"Marie K.","family":"Fialkowski","sequence":"additional","affiliation":[{"name":"Nutrition Support Shared Resource, University of Hawai\u02bbi Cancer Center, University of Hawai\u02bbi at M\u0101noa, Honolulu, HI 96813, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rica","family":"Dela Cruz","sequence":"additional","affiliation":[{"name":"Human Nutrition, Food and Animal Sciences Department, College of Tropical Agriculture and Human Resources, University of Hawai\u02bbi at M\u0101noa, Honolulu, HI 96822, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Grandinetti","sequence":"additional","affiliation":[{"name":"Office of Public Health Studies, University of Hawai\u02bbi at M\u0101noa, Honolulu, HI 96822, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8408-4536","authenticated-orcid":false,"given":"Lynne","family":"Wilkens","sequence":"additional","affiliation":[{"name":"Biostatistics Shared Resource, University of Hawai\u02bbi Cancer Center, University of Hawai\u02bbi at M\u0101noa, Honolulu, HI 96813, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0695-1205","authenticated-orcid":false,"given":"Jinan C.","family":"Banna","sequence":"additional","affiliation":[{"name":"Human Nutrition, Food and Animal Sciences Department, College of Tropical Agriculture and Human Resources, University of Hawai\u02bbi at M\u0101noa, Honolulu, HI 96822, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Bersamin","sequence":"additional","affiliation":[{"name":"Department of Biology and Wildlife, College of Natural Sciences and Mathematics, University of Alaska Fairbanks, Fairbanks, AK 99775, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvette","family":"Paulino","sequence":"additional","affiliation":[{"name":"Margaret Perez Hattori-Uchima School of Health, University of Guam, Mangilao, GU 96913, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanisha","family":"Aflague","sequence":"additional","affiliation":[{"name":"Cooperative Extension and Outreach, College of Natural and Applied Sciences, University of Guam, Mangilao, GU 96913, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Coleman","sequence":"additional","affiliation":[{"name":"Cooperative Research, Extension, and Education Services, Northern Marianas College, Saipan, MP 96950, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5338-6363","authenticated-orcid":false,"given":"Jonathan","family":"Deenik","sequence":"additional","affiliation":[{"name":"Tropical Plant and Social Sciences Department, College of Tropical Agriculture and Human Resources, University of Hawai\u02bbi at M\u0101noa, Honolulu, HI 96822, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Travis","family":"Fleming","sequence":"additional","affiliation":[{"name":"Agriculture, Community and Natural Resources Division, American Samoa Community College, Pago Pago, AS 96799, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9503-9471","authenticated-orcid":false,"given":"Rachel","family":"Novotny","sequence":"additional","affiliation":[{"name":"Human Nutrition, Food and Animal Sciences Department, College of Tropical Agriculture and Human Resources, University of Hawai\u02bbi at M\u0101noa, Honolulu, HI 96822, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1089\/chi.2014.0127","article-title":"Maternal cultural orientation and child growth in New Zealand Pacific families","volume":"11","author":"Tseng","year":"2015","journal-title":"Child. 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