Ultimately, the results on the analysis do not inform you big variations created into metropolitan perspective, since evaluations of your own Ny try that have either a complete Colombian take to and/or test limited to this new four fundamental Colombian metropolitan areas did not tell you people distinctions. This means that that nutrients and you may epidemiologic change into the Colombia will get have become widespread nowadays, consistent with the economic development and you will modern world present in the world. Operate in most other Latin american regions document high number of the many food types stores when you look at the cities; but not, the absolute most radical transform was basically found in low-cities and socioeconomically deprived areas , although the expansion of brand new comfort locations you to definitely normally have so much more food that are fat dense but nutrient poor . A more detailed study of these changes around the Colombia seems warranted.
Whenever you are Colombians living in Nyc feel large rates of obesity compared so you’re able to Colombians in their home nation, so it research including unmasked disparities by the sex, that have extreme distinctions by-place of house receive only for guys although not for ladies
Not only is it the initial examination of the type, a major strength with the paper is based on the fact that the fresh binational investigation originated population-affiliate samples of Colombia (ENSIN 2015) and you will New york (Nyc CHS 2013–2017) making it possible for evaluations away from each other sending and having nations. Each survey made use of tight and you can universally accepted complex testing methods, making it possible for the initial chance to confer enough strength getting comparative analysis. 2nd, this research examined study off immigrant Colombians in addition to their compatriots who don’t immigrate. This method desired a more appropriate comparison classification to possess benefit, decisions, and you will socio-demographics so you’re able to determine in the event the migration to your U.S. was in the carrying excess fat. Third, not the main focus from the report, i remember that brand new assistance and you may power of your contacts ranging from being obese and you may socio-group variables was indeed just like those people reported during the earlier education in Colombia and the You.S., and that confer external authenticity into conclusions. Eventually, this research put half dozen probably confounding details common to help you both surveys to have chance improvement, as well as socio-class variables and something eating plan-related adjustable.
This research comes with particular faults. Earliest, this research used mix-sectional studies; ergo, this is simply not you’ll to determine causality. 2nd, in place of the fresh new ENSIN dataset, top and you can lbs is actually care about-stated about Ny CHS dataset, which can keeps put dimension mistake due to garota sexy romeno quente remember and you will public desirability biases . However, training suggest that notice-said Bmi is typically underreported, but Latino immigrants from the You.S. is less likely to underreport Bmi as compared to non-Latino Whites . Another limitation ’s the insufficient migration recommendations found in each other datasets. Such as, it was not you can to assess amount of stay-in the new U.S. for immigrant Colombians residing in New york. At the same time, it was not you can to assess migration sites (i.age., family members one resides in Nyc otherwise overseas) which will influence lifetime behavior away from nonimmigrant Colombians. Additionally, there is going to be recurring and other unmeasured confounders not seized in this data (age.grams., acculturation tips, most other wellness routines, and you will scientific diagnoses). Eventually, the fresh results of the studies are certain in order to New york and might end up being maybe not generalizable with other Colombian immigrants throughout the You.S.
Achievement
Regardless of the limits, the analysis conclusions are an alternative share in order to transnational obesity search, specifically for a good Latino people on the U.S. that is understudied. This research causes subsequent knowledge of the new heterogeneity away from being obese and you may associated dangers to own Latino immigrants on the U.S. Colombians into the Nyc portray one of the largest South Western populations regarding You.S., and this research means that he could be experience disproportionately highest cost of obesity and that one cover certainly one of dudes inside Colombia is actually not any longer introduce once immigration for the U.S. Upcoming studies are had a need to comprehend the experiences from Colombians within the the brand new You.S., also acculturation, racial discrimination and you can architectural traps (age.g., procedures one to limitation societal health and health care functions). With each other, the findings of research secure the urgent importance of social wellness look and you will step strongly concerned about adult women in Colombia and you may each other Colombian individuals regarding U.S. so you can avert the newest a lot of time-name effects out of obesity.