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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Psychiatry | doi: 10.3389/fpsyt.2019.00619

Culture Change and Eating Patterns: A Study of Georgian Women

  • 1Ilia State University, Georgia
  • 2King's College London, United Kingdom

Immigration and culture change have been thought to affect various aspects of psychological wellbeing, including eating behaviours. This study aimed to examine the association between immigration, acculturation strategies and eating patterns. Acculturation was conceptualised and measured by acculturation strategies of integration (maintaining original culture and adopting the new culture), assimilation (adopting the new culture and leaving behind the old), separation (sticking with the original culture only) and marginalization (maintaining/adopting neither culture). Eating patterns were conceptualised by dietary restriction, eating concern, shape concern and weight concern. Links between demographic variables, acculturation strategies, and eating patterns were also examined.
Five hundred and six Georgian women took part in the study: 253 living abroad (UK and USA) and 253 living in Georgia. Measures included East Asian Acculturation Measure (EAAM) for acculturation strategies (assimilation, integration, separation and marginalization subscales) and Eating Disorder Examination Questionnaire (EDEQ) for eating patterns (dietary restriction, eating concern, weight concern, shape concern subscales and global score). Relevant demographic variables and Body Mass Index (BMI) were recorded.
Comparisons of immigrant and nonimmigrant groups using Multivariate Analysis of Covariance (MANCOVA) with BMI as a covariate found a difference in dietary restriction only, with immigrants yielding higher mean score than non-immigrants. The global EDEQ scores of immigrant and nonimmigrant groups were almost identical though. Correlations between separation and marginalization and four EDEQ scores were statistically significant and positive, while correlations between integration and two EDEQ subscales were mildly significant and negative. Regression analysis showed that separation and marginalization strategies of acculturation were significantly linked with EDEQ eating concern, shape concern, weight concern and global scores thereby representing predictors of elevated eating outcomes.
Findings suggested that moving to Western countries increased dietary restriction among Georgian women. Furthermore, while living abroad, the lack of integration in a host culture, as a common denominator of separation and marginalization strategies of acculturation, may predict elevated eating, shape and weight concerns among women relocated over six years ago. Acculturation conditions may also be linked with integration or wellbeing outcomes.

Keywords: Acculturation, immigration, cross culture, Eastern Europe, Eating patterns, Disordered eating

Received: 20 Mar 2019; Accepted: 01 Aug 2019.

Copyright: © 2019 Shekriladze, Javakhishvili and Tchanturia. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Prof. Kate Tchanturia, King's College London, London, United Kingdom,