James R. Bindon

Modernization, migration and obesity among Samoan adults

Modernization and migration have biological as well as social effects on people. In this study, 2657 Samoan adults from Western Samoa, American Samoa and Hawaii were surveyed in an attempt to examine the relationships between modernization, migration and obesity. The Samoan men showed an increase in the frequency of obesity with increasing modernity of residence or occupation. While the women in American Samoa had the highest frequency of obesity of any subsample, Samoan women also demonstrated a pattern of higher adiposity in more modern jobs. Young women tended to show a negative relationship between obesity frequency and education, with college-educated women having the lowest average levels of adiposity. Time since migration to Hawaii was not found to exert a major effect on frequency of obesity.

John Henryism, gender, and arterial blood pressure in an African American community.

Objective To examine the interaction between gender and John Henryism in relationship to arterial blood pressure in an African American community in the Southern United States. It was hypothesized that, within this specific social and cultural context, John Henryism would be associated with blood pressure differently for men and women. Methods A cross-sectional survey of 600 persons, aged 25 to 65, was conducted in the African American community of a small Southern city. John Henryism was assessed using the 12-item John Henryism Scale for Active Coping. Blood pressure was assessed by conventional methods. Results The interaction effect between gender and John Henryism was assessed as a cross-product term in ordinary least squares regression analysis using arterial blood pressure as the dependent variable, and with logistic regression using hypertension as the dependent variable. This interaction effect was significant (p < .05) in relation to systolic blood pressure and hypertension, with the effect evident (p < .07) in relation to diastolic blood pressure. For men, as John Henryism increases, blood pressure and the risk of hypertension increases. For women, as John Henryism increases, blood pressure and the risk of hypertension decreases. Conclusions The association of the behavioral disposition of John Henryism with blood pressure is dependent on the gender of the individual. Men and women face differing cultural expectations and social structural constraints in this community. The sociocultural context modifies the meaning of the behavioral disposition, and hence its effects.

Culture, Socioeconomic Status, and Coronary Heart Disease Risk Factors in an African American Community

In this paper, cultural influences are examined in the relationship between socioeconomic status and health. Cultural definitions of material lifestyles are investigated as a correlate of disease risk in an African American community in the rural South. A new technique—called “cultural consensus analysis”—is used to test for a cultural model of lifestyles indicative of success. Survey data are then used to operationalize the degree to which individuals adhere in their own behavior to that cultural model; this measure is referred to as “cultural consonance in lifestyle.” Cultural consonance in lifestyle is more strongly associated with hypertension and smoking (but not serum lipids) than are conventional measures of socioeconomic status (occupation, income, and education). These results suggest that the extent to which individuals are unable to live in accordance with cultural norms regarding lifestyles may contribute to the risk of coronary heart disease in the African American community.

Social context and psychosocial influences on blood pressure among American Samoans

This study explores social and explores social and economic influences on health within a model formulated to address explicitly both individual and household level phenomena. Dresslers lifestyle incongruity model is used as a basis from which to predict the effects of intracultural contexts of variability on blood pressure. The sample for this survey consists of 134 Samoan men and women living in American Samoa. Based on previous experience and ethnographic sources, two key intracultural contexts were examined; gender, i.e., male-female differences in response to psychosocial stress, and household employment as indicated by whether or not both spouses in a household are employed. Our analysis indicates that lifestyle incongruity, defined as the difference between the material culture presented by a household and the economic resources of the family, is significantly associated with both systolic and diastolic blood pressure. Furthermore, males and females show opposite blood pressure associations with both lifestyle incongruity (male blood pressure increases with increasing incongruity while female blood pressure does not) and household employment (male blood pressure is higher when both spouses work but female blood pressure is lower).

Caloric requirements of human populations: A model

Currently available models used for predicting human caloric requirements do not reflect the great variability in activity patterns observed among populations, and are insensitive to important anthropometric, demographic, and environmental variables. They are thus inadequate for application to many populations and problems of anthropological interest. We present a model for determining caloric requirements which more accurately accommodates the effects of variation in activity and in anthropometries on individual needs, and which predicts population requirements based on individual needs and demographic parameters. The model is tested on four populations (the Andean community of Nuñoa, Peru, the Dobe !Kung of Botswana, and two New Guinean villages) and is found to provide consistently better estimates of caloric requirements than are generated by the Food and Agriculture/World Health Organizations model. This model should be useful to anthropologists and human ecologists concerned with problems involving human energy consumption, such as the efficiency of subsistence strategies, optimum family composition, or certain consequences of increased labor migration or technological change.

Breadfruit, banana, beef, and beer: Modernization of the Samoan diet

The Samoans traditionally based their diet on breadfruit, banana, taro, yam and coconut, supplemented with fish and shellfish from coral reefs. Ocean fish, pigs and fowl were foods reserved for festive occasions. After 150 years of exposure to missionaries, traders and military personnel, the Samoan diet has been substantially altered. This paper provides a preliminary description of these changes. A 24‐hour recall questionnaire was administered to 330 Samoan adults residing in American Samoa and Hawaii. The subjects were categorized as more traditional, intermediate or modernized on the basis of residence. The data reveal a trend for increasing reliance on purchased foods. Canned corned beef, canned fish and fresh beef are important sources of calories and protein for the Samoans, while bread and rice partially substitute for the traditional starchy Samoan crops.

An evaluation of the diet of three groups of samoan adults: Modernization and dietary adequacy

This report presents the findings of a dietary survey on three groups of Samoan adults who have been exposed to varying degrees of modernization. The nutrient intakes of 330 Samoan adults living in American Samoa and Hawaii were estimated from a 24‐hour recall survey. Dietary adequacy was assessed against the 1980 RDAs. Energy intakes were lower, but skinfold measurements were higher for females than for males. There was no sexual differentiation for other nutrients. Nutrient intake and dietary adequacy decreased with increasing modernization; and women of child‐bearing age in Hawaii were most at risk. Increases in educational or occupational status were associated with decreased dietary adequacy. Calcium, iron, thiamin and riboflavin intakes were potential nutritional problems. Suggestions for remedies include the use of foods of low caloric density that provide the above nutrients, as well as increasing activity to bring the diet into energetic balance.

Growth patterns of height and weight among three groups of Samoan preadolescents

The Samoan population affords an excellent opportunity to study the influences of modernization and migration on growth. Moreover, since Samoan adults in some settings have very high rates of obesity, the childhood precursors to obesity can be studied among Samoans. This study reports the results of a survey of 786 Samoan children between 5.5 and 11.5 years of age living in traditional, modern or migrant situations. It was found that the children from Western Samoa (traditional) were significantly shorter, lighter and lighter for height than their counterparts in American Samoa (modern) and Hawaii (migrant). The major influence on height and weight appears to be modernization (Western versus American Samoa), with migration (American Samoa versus Hawaii) playing only a small incremental role (significant only for weight among boys). The influences of modernization are likely to be exerted through changes in diet and activity among the children. Modernization and migration are associated with obesity among Samoan adults, and this pattern also seems to be established in preadolescents.

The relationship between zinc and copper status and lipid levels in African-Americans.

Studies examining the role of zinc and copper nutriture as risk factors for cardiovascular disease in European Americans have produced conflicting results. This study assessed the associations between zinc and copper status and serum lipid levels in an adult African-American community. A cross-sectional study was conducted on 600 individuals (233 males, 367 females) from 25 to 65 yr of age using a random sampling design in a small city in Alabama. Anthropometric, dietary, and serum zinc, copper, and lipid measurements were made. The mean serum zinc and copper levels and dietary zinc intake were similar to that reported previously for European Americans. There were no significant associations between serum zinc, copper, or zinc/copper ratio and total serum cholesterol, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), or triglyceride levels. For males, there was a small but significant association between dietary zinc and the total cholesterol/HDL-C ratio (r=−0.17, p=0.03). Similarly, females taking either zinc supplements or a multivitamin including zinc had higher HDL-C values than nonsupplementing females. Further prospective studies of the relationship between zinc status and lipid levels in African Americans are needed to verify these results.

Changes in some health status characteristics of American Samoan men: Preliminary observations from a 12-year follow-up study

One of the concomitants of the rapid socioeconomic and medical changes which occurred in American Samoa beginning with World War II has been an increase in chronic diseases, especially cardiovascular disease and diabetes. As part of the Samoan Studies Project, a 1976 survey focusing on obesity and blood pressure was conducted in American Samoa. A total of 624 men age 18 or greater were seen at that time. In 1989 we conducted a follow‐up examination of 31 of these men, reassessing blood pressure, and also examining blood glucose and previously diagnosed health problems, focusing on chronic diseases such as hypertension, stroke, cancer, and diabetes. In a prospective analysis of mortality, Crews (Hum. Biol. 60:417–433, 1988) found that 111 American Samoan men who had blood pressures measured in a public health department survey in 1975 and subsequently died between 1975 and 1981, had higher average systolic and diastolic blood pressures than the 2,588 survivors (140/88 vs. 129/84). Using these data, the 1989 sample was stratified according to the 1976 blood pressure measurement of the men and a sample of 14 normotensive men (1976 blood pressure <140/90) and 17 hypertensives (1976 blood pressure ≥140/90) was selected. The average age, weight, and number of cigarettes smoked per day was not significantly different for these two groups at the 12‐year follow‐up. However, several indicators of health status did differ. The hypertensive group had significantly higher systolic and diastolic blood pressures (P ≤ 0.001). Additionally, the hypertensive group had higher random blood glucose values (P ≤ 0.005) and were significantly more likely to be hypertensive and/or have impaired glucose tolerance (P ≤ 0.001). Change in weight was predictive of change in blood pressure, but not of absolute value of blood pressure. This paper notes the importance of elevated blood pressure as a predictor of future chronic disease risk for Samoan men.