Acculturation and Health Behaviors Among African Americans: A Systematic Review

This systematic review examines the relationship between acculturation and health behaviors in African Americans. To meet inclusion criteria, studies published in English had to examine the relationship between acculturation and a health behavior among African Americans of any age (including children and adults). Twenty-one studies met criteria for inclusion. Studies assessed the relationship of acculturation to one or more of six different health behaviors: tobacco use, alcohol use, illicit drug use, risky sexual behavior, health-promoting behaviors (e.g., physical activity), and cancer screening. Although some studies found that a traditional African American orientation was associated with unhealthy behaviors, other studies found the opposite or no relationship. Also, for several health behaviors, only one or two studies were available, making it difficult to make definitive conclusions about the relationship of acculturation to these health behaviors. Thus, findings should be considered preliminary. Studies examining the relationship between acculturation and health behaviors among African Americans are needed.