Journal
PUBLIC HEALTH NUTRITION
Volume 20, Issue 11, Pages 1983-1992Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S1368980016000914
Keywords
South-Asian Surinamese; Dietary acculturation; Migration; Kocturk's model; HELIUS study
Funding
- Dutch Heart Foundation
- Netherlands Organization for Health Research and Development (ZonMw)
- European Union
- Higher Education Commission of Pakistan
- VU University, Amsterdam, the Netherlands
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Objective To test Kocturk's model of dietary change among South-Asian Surinamese in the Netherlands. The model categorizes foods into staple, complementary and accessory foods and postulates that dietary change after migration begins with accessory foods while foods associated with ethnic identity (staple foods) change at a slower rate. Design Cross-sectional data from the HELIUS study. Dietary intake was assessed with an FFQ. Acculturation was based on social contacts and sense of belonging and was translated into four strategies of acculturation: assimilation, integration, separation and marginalization. Other indicators of acculturation included residence duration, age at migration and migration generation status. Setting Amsterdam, the Netherlands. Subjects Participants of Dutch (n 1456) and South-Asian Surinamese origin (n 968). Results Across all acculturation strategies, South-Asian Surinamese participants reported significantly higher intakes of rice (staple food) and chicken (complementary food) and significantly lower intakes of red meat and vegetables (complementary foods) and cookies and sweets (accessory food) than Dutch participants. Men, second-generation and assimilated South-Asian Surinamese were inclined towards Dutch foods such as potato, pasta and red meat. Accessory foods like fruits showed variation across acculturation strategies. Conclusions Consistent with the Kocturk model, the intake of staple foods was stable among South-Asian Surinamese irrespective of acculturation strategy while the intake of accessory foods like fruit varied. Contrary to expectations, South-Asian Surinamese showed consistently high intakes of complementary foods like chicken and fish irrespective of acculturation strategy. Public health practitioners should take into consideration the complex and dynamic nature of dietary acculturation.
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