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PubMed2003

Chinese immigrant mothers of adolescents: self-perceptions of acculturation effects on parenting.

Immigrant families in the United States experience many adjustments, including the challenge of parenting in a new context. The relationship between self-perceptions of parenting behavior and mothers' perceived acculturation levels for themselves and their children was examined in 95 Chinese immigrant mothers. Data showed that mothers perceived their children as more acculturated than themselves, mothers reported a great need to learn more about how their children are growing up today, a larger perceived acculturation gap was associated with more parenting difficulties, and several factors contributed to perceptions of a more favorable parenting experience. Culturally responsive methodologies used in the translation and administration of measures, and specific modifications made to develop the Chinese version of the Parent Success Indicator, are discussed.

Acculturation↗
PubMed2002

Acculturative hassles and immigrant adolescents: a life-domain assessment for Soviet Jewish refugees.

In a sample of 146 adolescents, the authors developed and validated a measure of acculturative hassles for Soviet Jewish refugees. They based the measure on an ecological perspective, which focuses on hassles involving person-environment transactions occurring in life domains of school, family, peers, and language. The authors reviewed conceptual and methodological issues in existing instruments and incorporated efforts to address current limitations into instrument development. The measure was correlated with psychological distress, level of acculturation to Russian and U.S. cultures, and outcomes in life domains; it contributed to outcomes over and above effects of nonacculturative hassles. Implications for measurement of acculturative hassles are discussed.

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PubMed1982

Acculturation and stress in a low-income Puerto Rican community.

In this study, the acculturative stress experienced by Puerto Rican migrants to the urban U.S. is examined. Acculturative stress is defined as length of residence in a novel cultural environment while lacking psychosocial resources to support adaptation to that environment. In a sample of 67 patients seen in a public health nursing agency, it was found that acculturative stress was associated with poorer health status, more behavioral problems, and higher levels of ethnomedical belief. The implications of these results for research on stress and adaptation are discussed.

Acculturation↗
PubMed2002

Cervical cancer screening among South Asian women in Canada: the role of education and acculturation.

Cervical cancer screening by Papanicolaou (Pap) smear lowers the incidence and provides early detection of cervical cancer and is a preventative health care measure that should be available on a regular basis to all women at risk. As the population of ethnic women increases, it is important to assess whether these women are aware of and are utilizing this health service. A self-administered questionnaire was completed by 124 South Asian women, aged 18 to 60 years. Sixty-two South Asian students were selected from a university setting and 62 Tamil women were selected from a community center for South Asian women. This study examined the knowledge and use of Pap smears in South Asian women in Canada, and whether their level of acculturation or formal education influenced whether they know about and receive Pap smears. Low level of knowledge about the Pap test and a low prevalence of Pap testing behaviour was significantly correlated (p < 0.001) with a low level of formal education, education taking place outside of Canada, and a low index of acculturation. South Asian students were significantly more acculturated than Tamil women (p < 0.001). In conclusion, there was a low level of knowledge and prevalence of cervical cancer screening among South Asian women. This study highlights the need for educational interventions in Canada directed to ethnic women especially from South Asia.

Acculturation↗
PubMedDate not supplied

The lived experience of Korean immigrant women acculturating into the United States.

Immigration to a different country and a new way of life affects immigrants in many different ways. The changes that occur can influence the way they live and think as well as their personal health. This is especially true with Korean women. However, we still do not have sufficient knowledge about how these women adjust to their new environments. The rate of Korean immigration to the United States has gradually increased since 1965. According to Bouvier and Arnold, the Korean immigrant population is estimated to reach 1.3 million in the year 2000. Korea ranks fourth in number of emigrants, closely following the Philippines, China, and Vietnam. Research reveals that approximately 45% of recent emigrants are women, and this percentage is rapidly increasing. Research concerning this population's lives, their process of acculturation, and, above all, their health and well-being is lacking greatly in quantity and quality. This study demonstrates that the change of women's roles, due to their process of acculturation, cannot be considered separate from their well-being. For this study, 6 Korean women immigrants living in New York were chosen to provide information. The participants volunteered under the condition that their privacy and confidentiality would be protected. A pattern of acculturation experience was revealed in four successive, principal stages: dreams, conflicts, renunciation, and remorse. Hopefully, the following descriptive data will provide knowledge for implementing qualitative care requirements for Korean women immigrants in the United States.

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PubMed2006

Complementary and alternative medicine use among Asian-American subgroups: prevalence, predictors, and lack of relationship to acculturation and access to conventional health care.

OBJECTIVES: Acculturation and access to conventional health care have been found to be predictors of complementary and alternative medicine (CAM) use in the general population. We hypothesized that these factors would be predictors of CAM use in Asian-American subgroups. Because of differences in health and cultural beliefs, we also hypothesized that patterns and predictors of CAM use would vary among Asian-American subgroups. METHODS: Cross-sectional survey of a sample of 9187 adults representative of the California population. RESULTS: Nearly three quarters of Asian-Americans used at least one type of CAM in the past 12 months, which was significantly higher than the national prevalence rate. Chinese Americans had the highest prevalence of any CAM use, whereas South Asians had the lowest prevalence (86% vs. 67%, respectively). Acculturation and access to conventional medical care was unrelated to any CAM use for most Asian-American subgroups. Spirituality was the strongest predictor of any CAM use for most Asian-American subgroups. CONCLUSIONS: CAM use varies across Asian-American subgroups. Acculturation and access to conventional medical care is unrelated to any CAM use for most Asian-American subgroups.

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PubMed1992

Acculturation and psychological distress in three groups of elderly Hispanics.

The goal of this study was to evaluate the relationship between acculturation and psychological distress in three groups of older adults who have immigrated from Mexico, Cuba, and Puerto Rico. Financial strain and social isolation are specified as intervening mechanisms that are thought to link acculturation with well-being in late life. Data from a recent nationwide survey of older Hispanics suggest that levels of psychological distress tend to vary across Hispanic groups and that these differences may be attributed in part to the complex interplay between educational attainment, language acculturation, financial strain, and social isolation.

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PubMed1993

Nativity, acculturation, and economic status: explanations of Asian American living arrangements in later life.

Using 1980 Census data, we examined the household and nonhousehold living arrangements for older, unmarried women of Japanese, Chinese, Filipino, and Korean descent, finding substantial variation across ethnic groups. We tested three hypotheses regarding the effects of acculturation, economic status, and nativity/immigration status. The results from our multivariate analyses show that Chinese-origin and Filipino-origin women who are less acculturated are more likely to live with others than those who are more acculturated. Members from each Asian American group who can afford independent living are more likely to purchase their privacy. The most consistent finding shows that older, unmarried Asian American women who have migrated to the United States since 1965 are more likely than similar native-born women to live in a complex household as compared to living alone.

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PubMed1998

Acculturation and Pap smear screening practices among college-aged Vietnamese women in the United States.

The purposes of this study were both to gather information on the prevalence of Pap smear screening among college-aged Vietnamese women and to identify predictive factors that influence Vietnamese women to engage in early cervical cancer detection behavior. This study also examines the role of acculturation in explaining cervical cancer screening behavior. Data were collected through mail and telephone surveys. Of those respondents (n = 207), approximately one-third (36.8%) reported having had a Pap smear. More than one-third (39.3%) of sexually active respondents reported never having had a Pap smear. Acculturated women were more likely to be sexually active and to be obtaining regular Pap smears. In the logistic regression model, marital status, sexual activity, and a belief that only married women should have a Pap smear were important predictors of prior reported Pap smear experience. These study findings suggest that less-acculturated women appear to have the belief that cervical cancer screening is more important for married women than for unmarried women, regardless of their sexual activity. The existence of such misconceptions underscores the importance of offering culturally relevant cancer education that addresses related misconceptions.

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PubMed2000

Impact of ethnicity, violence and acculturation on displaced migrants: psychological distress and psychosomatic complaints among refugees in Sweden.

This study uses data collected in 1996 by the Swedish National Board of Health and Welfare. By means of interviews with 1980 foreign-born immigrants, an attempt was made to determine the impact of a) migration status (country of birth/ethnicity), b) exposure to violence, c) Antonovsky's sense of coherence, d) acculturation status (knowledge of Swedish), e) sense of control over one's life, f) economic difficulties, and g) education, both on psychological distress (using General Health Questionnaire 12) and psychosomatic complaints (daytime fatigue, sleeping difficulties, and headache/migraine). Iranians and Chileans (age-adjusted) were at great risk for psychological distress as compared with Poles, whereas Turks and Kurds exhibited no such risk. When the independent factors were included in the model, the migration status effect decreased to insignificance (with the exception of Iranian men). A low sense of coherence, poor acculturation (men only), poor sense of control, and economic difficulties were strongly associated with the outcomes, generally accounting for a convincing link between migration status and psychological distress. Furthermore, a low sense of coherence, poor acculturation (men only), poor sense of control, and economic difficulties in exile seemed to be stronger risk factors for psychological distress in this group than exposure to violence before migration.

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PubMed2000

Acculturation and the lifetime risk of psychiatric and substance use disorders among Hispanics.

Between 1981 and 1995, approximately 5 million people from either Mexico, Cuba, Central America, or South America immigrated to the United States. Some regional studies have suggested that as Hispanic immigrants become acculturated to American society, their risk of mental illness increases sharply. This study examined the lifetime risk of psychiatric and substance use disorders among U.S. Hispanic subgroups and the specific role of nativity, parental nativity, language preferences, and other sociodemographic characteristics as risk factors for these disorders. The study used the National Comorbidity Survey (NCS), a national probability sample of 8098 U.S. adults aged 15 to 54. Selected DSM-III-R psychiatric diagnoses were collapsed into eight categories. When compared with non-Hispanic whites, Mexican-Americans were less likely to have any psychiatric disorder. After multivariate adjustment, acculturation items predicted greater risk of having any DSM-III-R disorders for Mexican-Americans and "other" Hispanics and greater risk of having a substance abuse disorder for Puerto Ricans, among other significant relationships. The results suggest that there is likely to be an increasing prevalence of psychiatric and substance use disorders among Hispanics that may be attributable to increasing levels of acculturation among the more than 5 million recent immigrants from Latin America.

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PubMed2002

Acculturation and perinatal outcomes in Mexican immigrant childbearing women: an integrative review.

Despite several sociocultural factors associated with increased risk for low birth weight and infant mortality, the rate for infants born to first-generation and less acculturated Mexican immigrant women is the same as that of non-Hispanic whites, and half that of African Americans with similar risks. It appears that sociocultural rather than genetic variables are the primary factors associated with this phenomenon. Higher levels of acculturation to North American values and lifestyle in Mexican American childbearing women have been correlated with poor perinatal outcomes, including low birth weight. Acculturation is emerging as an important variable that should be considered when providing health care to Mexican immigrant childbearing women and their families.

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PubMedDate not supplied

Acculturation, resilience, and depression in midlife women from the former Soviet Union.

BACKGROUND: A growing body of literature has demonstrated that demographic factors and acculturative stress contribute to depression in recent immigrants from many countries. Few studies examine potentially protective personality factors, such as resilience, for dealing with the challenges related to the early postmigration transition period. OBJECTIVES: The purpose of this analysis is to examine relationships among demographic characteristics, acculturation, psychological resilience, and symptoms of depression in midlife women from the former Soviet Union who recently immigrated to the United States. METHOD: Data for this analysis are from a larger cross-sectional study that explored the impact of immigration during midlife on women's health. The volunteer sample included 200 women from the former Soviet Union, 45-65 years old, who had lived in the U.S. fewer than 6 years. This analysis involves measures of acculturation, demands of immigration, resilience, and depressed mood. RESULTS: Findings include very high scores on the depression scale compared to U.S. norms. Older women, and those reporting greater demands of immigration, had higher scores on the depression scale. However, lower depression scores were found for women reporting greater English usage and resilience. DISCUSSION: The results corroborate previous studies that suggest high levels of depression in immigrant women, but additional validation is suggested to differentiate symptoms of depressed mood from clinical depression in this culture. Findings also suggest that interventions that encourage use of English language and enhance resilience may help decrease symptoms of depression in midlife women who are recent immigrants from the former Soviet Union.

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PubMed2001

Psychometric critique of acculturation psychology: the case of Iranian migrants in Norway.

The presumptions, terminology, psychometrics, statistical analyses, and ethics of the fourfold acculturation paradigm are criticized in detail. Illustrative data came from Iranian refugees in Norway (N = 80) answering: 1) the Satisfaction with Life Scale (SWLS), 2) Zung's Self-Rating Depression Scale (ZSRDS), 3) ipsative fourfold scales of Integration, Assimilation, Separation, and Marginalization, 4) orthogonal scales of attitudes towards Norwegian and Iranian cultures, measured independently and using balanced reverse-keying, and 5) ipsative forced-choice preferences for cultural practices of Norway, Iran, both, or from other societies as well. Iranians in Norway favored global multiculturalism and, as a group. did not show distress. The SWLS and ZSRDS were correlated, but the measures of acculturation failed to replicate one another. As unconstrained ipsative measures, the fourfold scales showed acquiescence response bias contamination and doubtful operationalization of scale constructs. Recommendations are discussed for improving acculturation research.

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PubMed2006

Acculturation and education level in relation to quality of the diet: a study of Surinamese South Asian and Afro-Caribbean residents of the Netherlands.

BACKGROUND: To consider the changes in overall diet quality following migration we examined the associations of acculturation variables and education level with diet in Surinamese South Asian and Surinamese Afro-Caribbean origin on the one hand, and ethnic Dutch residents of the Netherlands on the other. Surinam is a former Dutch colony in South America. METHODS: We randomly selected men and women aged 35-60 years: ethnic Dutch, n = 552; South Asian, n = 306; Afro-Caribbean, n = 660. Intakes of fruit, vegetables, red meat, fish, vegetable oils, breakfast and salt were measured using a short questionnaire that formed the basis for a 'diet quality indicator' score. Highest education was measured and acculturation of the Surinamese groups was assessed by age at migration, number of resident years and a scale measure of social contacts with ethnic Dutch. RESULTS: Compared with ethnic Dutch, both Surinamese groups scored higher on overall diet quality (P < or = 0.001) but some aspects of diet (breakfast and salt use) were less prudent. Education was positively associated with diet quality in ethnic Dutch (P < or = 0.01), but not consistently so in Surinamese. Associations with social contact with ethnic Dutch varied for different quality aspects of the diet. Residence duration (mean = 22 years) and age at migration (mean = 21 years) were not associated with diet. CONCLUSIONS: A greater degree of acculturation does not necessarily lead to a less healthful diet in migrants. In addition, the association of education level with diet may differ for migrant groups. The diet of migrants differ from host populations, suggesting that migrant groups should be considered in the development of nutrition health promotion activities.

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PubMed2004

Exploring the effects of psychosocial and acculturation factors on drinking behavior among aboriginal adolescents in Taiwan.

The purpose of this study was to examine the effects of psychosocial and acculturation factors on drinking behavior among Taiwanese aboriginal teenagers. Stratified random sampling was used to select six of the 19 aboriginal schools in Taipei, Pingtung, Hualien, and Taitung counties. A total of 495 student subjects were enrolled in the study, including 290 boys and 205 girls, with classification by tribe of 206 Amis, 97 Atayal, 94 Paiwan, 47 Bunun, 19 Rukai, 15 Yami, 10 Puyuma, two Saisiyat, one Tsou, and four unknown. The analysis indicated that the psychosocial and acculturation factors that directly influenced drinking behaviors of aboriginal teenagers were: self-efficacy, drinking behaviors of parents, peer alcohol use, social assimilation, social attitude, and territorial attitude. In this model, peer alcohol use had the most prominent impact on drinking behavior among aboriginal teenagers. The findings suggest that parents' behaviors play a significant role in the development of problematic drinking behavior in the aboriginal teenager through observation and imitation, and also that self-efficacy and the level of acculturation influences drinking behavior in aboriginal teenagers.

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PubMedDate not supplied

Maternal intrusiveness, maternal warmth, and mother-toddler relationship outcomes: variations across low-income ethnic and acculturation groups.

The present study investigated the extent to which maternal intrusiveness and warmth during play, observed in 579 European American, 412 African American, and 110 more and 131 less acculturated Mexican American low-income families when children were approximately 15 months old, predicted 3 dimensions of the mother-toddler relationship 10 months later. Intrusiveness predicted increases in later child negativity in all 4 groups. Among African Americans only, this association was moderated by maternal warmth. Intrusiveness predicted negative change in child engagement with mothers only in European American families. Finally, near-significant trends suggested that intrusiveness predicted later decreased dyadic mutuality in European American and more acculturated Mexican American families, but not in African American or less acculturated Mexican American families.

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PubMedDate not supplied

Relations between parent-child acculturation differences and adjustment within immigrant Chinese families.

The relations between parent and child acculturation and family and child adjustment were examined among 91 immigrant Chinese families in Canada with early adolescents (average age of 12). Acculturation was assessed in public (e.g., language use) and private (e.g., values) domains separately in Chinese and Canadian cultures. With one exception, interactions between parent and child acculturation in Canadian domains were unrelated to adjustment (conflict intensity, depressive feelings, and achievement motivation). Interactions in Chinese domains were more clearly associated with adjustment. Specifically, mother-child interactions in Chinese public domains and father-child interactions in the Chinese private domain predicted adjustment. In all interactions, when parents were strongly orientated toward Chinese culture, lower levels of Chinese orientation among children were associated with lower adjustment.

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