Acculturation and Adherence to Physical Activity Recommendations Among Chinese American and Non-Hispanic White Breast Cancer Survivors

J Immigr Minor Health. 2019 Feb;21(1):80-88. doi: 10.1007/s10903-018-0721-x.


Chinese American breast cancer survivors' adherence to recommended physical activity (PA) guidelines has been understudied. This study investigated their PA adherence by acculturation level (vs. non-Hispanic White (NHW) survivors). One hundred ninety five Chinese and 202 NHW breast cancer survivors (stage 0-III) responded to a cross-sectional survey including a self-reported PA questionnaire. PA adherence referred to meeting PA recommendations for cancer survivors. Acculturation among Chinese was defined by proxies of U.S. residency, English proficiency, and interview language. Logistic regression was performed to examine factors associated with PA adherence. More-acculturated Chinese survivors' PA adherence rate was 76%. Less-acculturated Chinese survivors' adherence rate (60%) was significantly lower than that of NHWs (80%) (OR 0.38, 95%CI 0.19, 0.75). Less-acculturated Chinese survivors were also less likely to engage in vigorous-intensity PA than NHWs (p < 0.01). Future research on less-acculturated Chinese survivors' motivation for PA to promote their adherence is needed.

Keywords: Acculturation; Breast cancer survivors; Chinese American; Physical activity.

MeSH terms

  • Acculturation*
  • Adolescent
  • Adult
  • Aged
  • Asian Americans / statistics & numerical data*
  • Body Mass Index
  • Breast Neoplasms / ethnology*
  • Cancer Survivors / statistics & numerical data*
  • China / ethnology
  • Comorbidity
  • Cross-Sectional Studies
  • European Continental Ancestry Group / statistics & numerical data*
  • Exercise*
  • Female
  • Humans
  • Middle Aged
  • Socioeconomic Factors
  • United States / epidemiology
  • Young Adult