Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Subject: search.filters.subject.acculturation

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Now showing 1 - 9 of 9
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    Health Disparities and Children in Immigrant Families: A Research Agenda
    (2009) Mendoza, F. S.
    Abstract available at publisher's website.
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    Gender, Acculturation, and Health among Mexican Americans
    (2010) Gorman, B. K.; Read, J. G.; Krueger, P. M.
    Abstract available at publisher's website.
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    Overweight and Depressive Symptoms among African-American Women
    (2000) Siegel, Judith M; Yancey, Antronette K; McCarthy, William J
    Abstract available at publisher's web site.
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    Advancing health disparities research: can we afford to ignore measurement issues?
    (2003) Stewart, Anita L; Nápoles-Springer, Anna M
    Abstract available at publisher's web site.
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    Immigration and the health of Asian and Pacific Islander adults in the United States.
    (2001) Frisbie, W P; Cho, Y; Hummer, R A
    The authors used the 1992-1995 National Health Interview Survey to examine the effect of immigrant status (both nativity and duration of residence in the United States) on the health of Asian and Pacific Islander adults by constructing models in which national origin was also specified. In logistic regression models adjusted for age, marital status, living arrangement, family size, and several socioeconomic indicators, immigrants were found to be in better health than their US-born counterparts, but their health advantages consistently decreased with duration of residence. For example, for Asian and Pacific Islander immigrants whose duration of residence was less than 5 years, 5-9 years, and 10 years or more, the odds ratios for activity limitations were 0.45 (95% confidence interval (CI): 0.33, 0.62), 0.65 (95% CI: 0.46, 0.93), and 0.73 (95% CI: 0.60, 0.90), respectively. Similar findings emerged for respondent-reported health and bed days due to illness. These results support the validity and complementarity of the migration selectivity and acculturation hypotheses. However, the picture was not uniformly positive. The health of certain Asian and Pacific Islander groups, notably Pacific Islanders and Vietnamese, was found to be less favorable than average. Finally, after adjustment for health status, immigrants seemed to have less adequate access to formal medical care.
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    Acculturation and Cigarette Smoking Among Pregnant Hispanic Women Residing in the United States
    (2007) Detjen, M. Gabrielle; Nieto, F. Javier; Trentham-Dietz, Amy; Fleming, Michael; Chasan-Taber, Lisa
    Objectives. We explored whether higher levels of acculturation were associated with higher rates of cigarette smoking among pregnant Hispanic women residing in the United States. Methods. We evaluated data from the Latina Gestational Diabetes Mellitus Study, a prospective study of 1231 Hispanic prenatal care patients conducted from 2000 to 2004 in Massachusetts. Self-reported data on acculturation, cigarette smoking, and covariates were collected by bilingual interviewers using a questionnaire. We conducted logistic regression multivariate analyses to examine the impact of acculturation level on the odds of smoking. Results. Overall, 21% of women reported smoking during pregnancy. Acculturation was associated with elevated smoking rates in pregnant Hispanic women. US-born Hispanic women who preferred English had more than twice the odds of smoking compared with Puerto Rican or foreign-born Hispanic women who preferred Spanish (odds ratio [OR]=2.76, 95% confidence interval [CI] 1.36, 5.63). Conclusions. Our findings suggest that higher-acculturated Hispanic women living in the United States are more likely to smoke cigarettes during pregnancy than are less-acculturated Hispanic women. These results will inform interventions aimed at reducing cigarette smoking during pregnancy among US Hispanic women.
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    Immigration and Acculturation in Relation to Health and Health-Related Risk Factors Among Specific Asian Subgroups in a Health Maintenance Organization
    (2004) Gomez, Scarlett L; Kelsey, Jennifer L; Glaser, Sally L; Lee, Marion M; Sidney, Stephen
    Objectives. We sought to determine how risk factors for disease vary among Asian subgroups. Methods. Using data from a case-control study conducted at Northern California Kaiser Medical Centers (from 1996 to 2001), we compared prevalence of selected risk factors among Asian subgroups and evaluated the associations of these risk factors with sociodemographics factors. Results. Chinese and Japanese patients had a lower body mass index (kg/m2) than did other Asians. In all subgroups, being born in the United States was associated with having a body mass index greater than 25 kg/m2. Compared with other Asians, more Japanese and multiple-race Asians, smoked, and more Filipino and multiple-race Asian smokers started smoking at 18 years or younger. Filipinos and multiple-race Asians also were more likely to report diabetes. Conclusions. These data support the importance of efforts to distinguish among Asian subgroups in public health practice and research.
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    Acculturation and Tobacco Use Among Chinese Americans
    (2004) Shelley, Donna; Fahs, Marianne; Scheinmann, Roberta; Swain, Susan; Qu, Jiaojie; Burton, Dee
    Objectives: We examined the relationship between acculturation and tobacco behaviors among Chinese Americans. Methods: Using a Chinese-language instrument based on validated questions from several national surveys, we conducted in-person, household-based interviews with 712 representative adults aged 18-74 years. Results: Observed smoking prevalence was 29% for men and 4% for women. Predictors of smoking cessation included being 35 years and older and having a high level of tobacco-related knowledge. Acculturation was positively associated with a histroy of never smoking, as was being younger than 35 years and having a high level of tobacco-related knowledge. Conclusions: Acculturation was positively associated with never smoking among men but not with smoking cessation. However, knowledge of tobacco-related health risks was associated with both. Results indicate a need for language-specific educational interventions.
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    Culture Change and Ethnic-Minority Health Behavior: An Operant Theory of Acculturation
    (2004) Landrine, Hope; Klonoff, Elizabeth
    Data on acculturation and ethnic-minority health indicate that acculturation has opposite effects on the same health behavior among different ethnic groups; opposite effects on different health behaviors within an ethnic group; opposite effects on the same health behavior for the women vs. the men of most ethnic groups; and no effect whatsoever on some health behaviors for some ethnic groups. This evidence is so incoherent that it is unintelligible, and hence it continues to be largely useless to health psychology and behavioral medicine. This paper presents a new theory of acculturation that renders these confusing data coherent by predicting such changes in minority health behavior a priori. By so doing, the operant model of acculturation has the potential to improve health promotion and disease prevention and thereby reduce ethnic health disparities.