In Latin America, generational acculturation and assimilation took place via intermarriage. Westernization can also be compared to acculturation and enculturation. Some scholars also believed that assimilation and acculturation were synonymous. Attitudes are not innate; rather, they stem from a process of acculturation. Identity development among immigrant groups has been studied across a multi-dimensional view of acculturation. Anthropologists make a semantic distinction between group and individual levels of acculturation. Education was viewed as the primary method in the acculturation process for minorities. Scholars making this distinction use the term "acculturation" only to address large-scale cultural transactions. This contradicted traditional Chinese worldview requiring acculturation of "barbarians". One of the most significant impacts of acculturation on Latino health is birth outcomes. With increased growth came increased acceptance and acculturation. Food habits and food consumption are affected by acculturation on different levels. The fourfold model is a bilinear model that categorizes acculturation strategies along two dimensions. Immediate environment also impacts the availability, advantage, and selection of different acculturation strategies. This is intended to explain the different degrees of influence or acculturation.