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PubMed1987

Acculturation, drinking and social settings among U.S. Hispanics.

This paper reports survey data on drinking in different social settings and the acculturation of Hispanics to U.S. society. Respondents comprise a household probability sample of U.S. Hispanics. The acculturation scale resulted from the factor analysis of respondents' answer to questions on daily use and ability to speak, read and write English and Spanish; preference for media (books, radio TV, music) in English or in Spanish; ethnicity of people they interact with in their church, parties and neighborhood now and when growing up, as well as questions about values thought to be characteristic of the Hispanic way of life. Seven different social settings are considered: when having an evening meal at a restaurant; when having lunch at a restaurant; when attending clubs or organizational meetings; in bars, taverns or cocktail lounges; at parties; during evenings at home; and when friends are visiting. Analysis of these data confirm the hypothesis that Hispanics who are more acculturated go more frequently and drink more frequently than less acculturated Hispanics in a number of social settings. The effect of acculturation is independent of income and work status.

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PubMed1994

Acculturation and the initiation of breastfeeding.

Despite the fact that breastfeeding is the most appropriate form of nutrition for the healthy term infant, the rate of initiation in the U.S. is declining. One demographic factor associated with this low rate is ethnicity and so in this study we measured acculturation (one aspect of ethnicity) into the U.S. and its relationship to the successful initiation of breastfeeding in a sample of women recruited approximately 2 months prenatally in a U.S.-Mexico border city. Interviews were administered in English or Spanish by bilingual interviewers prenatally (n = 906), natally (n = 788), and postnatally (n = 715). Acculturation (measured with a 20 item instrument) was strongly related to the intent to (p < 0.001) or the successful initiation of breastfeeding (p < 0.001). Marital status (p = 0.014) and education (p = 0.002) were related to breastfeeding prenatally and natally. Initiation of breastfeeding was highest among those women least acculturated (52.9%) and lowest in those most acculturated (36.1%) indicating an inhibiting effect of acculturation. To improve the rate of initiation of breastfeeding in the U.S. (a national health goal) intervention programs must consider cultural factors.

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PubMed2006

Acculturation status and heavy alcohol use among Mexican American college students: investigating the moderating role of gender.

We examined whether gender moderates the association between acculturation and heavy alcohol use. The sample consisted of 126 Mexican American college students (Mean age=24.7 years; 57% female) who completed self-report measures of heavy alcohol use, acculturation status (global acculturation and ethnic identity), and relevant control variables (age, peer alcohol use). Multivariable regression revealed that higher levels of ethnic identity were associated with greater frequency of heavy alcohol among men. Conversely, neither measure of acculturation was associated with heavy alcohol use among women. These findings suggest that interventions for Latino/a students should consider the role of culturally relevant variables in heavy alcohol use, particularly for men. They also have implications regarding how acculturation is operationalized in alcohol studies, and suggest directions for future research.

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PubMed2004

Acculturation and physical activity among North Carolina Latina immigrants.

The objective of this study was to examine the association between acculturation and physical activity among first generation Latina (Hispanic women) immigrants living in North Carolina. As part of the multi-site Women's Cardiovascular Health Network, 671 first generation Latina immigrants 20-50 years of age completed in-person interviews on physical activity, acculturation (measured by a language scale, length of residence in the US, and age at arrival in the US) and other potential individual and contextual correlates of physical activity. All statistical models were adjusted for age, general health, number of children in the home, marital status, and education, with self-reported physical activity as the dependent variable. Among participants, 37.4% met recommendations for physical activity, 41.9% reported insufficient activity, and 20.7% reported no moderate or vigorous activity. Latinas with higher English language acculturation were more likely to be physically active than women with lower English language acculturation. Likewise, women who arrived to the US when they were younger than 25 years were more likely to be physically active than women who arrived when they were 25 years or older. Length of residence in the US was not associated with physical activity. These relationships persisted when restricting the sample to Mexican born women. We conclude that among first generation immigrants living in North Carolina, those with higher English language acculturation or who arrived to the US at younger ages were more likely to report being physically active. These findings suggest that future epidemiologic studies and physical activity interventions should measure and tailor programs based on English-language use and age of arrival to the US among Latina immigrants.

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PubMed2000

The role of acculturation in explaining ethnic differences in the prenatal health-risk behaviors, mental health, and parenting beliefs of Mexican American and European American at-risk women.

OBJECTIVE: To assess: (1) ethnic differences in the health-risk behaviors, mental health problems, and adverse parenting beliefs during pregnancy of low-income Mexican American and European American women; and, (2) the extent to which these risks varied with levels of acculturation among low-income Mexican American women. METHOD: Participants were 594 primiparous, low-income, urban women. A cross-sectional design was used to compare the 331 Mexican American women to the 263 European American. Language was used to assess the level of acculturation of the Mexican American women. Interviews were used to evaluate health-risk behaviors, mental health problems, and adverse parenting beliefs. RESULTS: In comparison to European American women, Mexican American women were at lower risk for cigarette smoking during pregnancy and higher risk for adverse parenting beliefs. Among Mexican American women, Spanish speakers were at lower risk for cigarette smoking and mental health problems during pregnancy, and higher risk for adverse parenting beliefs than bilingual and English speakers. CONCLUSIONS: The findings indicate that ethnic differences in cigarette smoking and parenting beliefs during pregnancy were concentrated on the less acculturated, low-income, and primarily unmarried Spanish speaking Mexican American women. Moreover, acculturation is differentially related to cigarette smoking and parenting beliefs. Therefore, acculturation needs to be considered in the development of preventive interventions in order to appropriately target the specific needs of different sub-populations of Mexican Americans.

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PubMed2003

Measuring culture: a critical review of acculturation and health in Asian immigrant populations.

The number of studies examining how acculturation affects the health of Asian immigrants has increased in recent years. The proliferation of studies reflects the growing size and heterogeneity of Asian immigrant populations in the United States, Canada, Australia, New Zealand, and the United Kingdom. This paper compares various approaches to acculturation within the health literature on Asian immigrants by reviewing the literature in three-health domains (1) mental health (2) physical health and (3) health services use. The review critically examines the conceptualizations and measures of acculturation in these three domains and presents major findings. We observe that measurement difficulties posed by the experiences of heterogeneous Asian groups compound theoretical and disciplinary disparities between acculturation instruments. The extent to which conceptual and methodological critiques of acculturation studies in Hispanic populations apply to studies of Asian populations is also discussed. The critical review thus provides insights into the diverse ways that the relationship between culture and health is measured in this complicated and growing literature.

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PubMed2005

Depression in the Chinese: the impact of acculturation.

BACKGROUND: Studies of depression in the Chinese have long identified low rates and a greater likelihood of somatization, findings which could reflect cultural influences or real differences. We report a study from a western region examining the impact of acculturation on depression to clarify the role of cultural factors. METHOD: In a Sydney-based study, Chinese subjects (n = 385) and a matched control group of 143 non-Chinese subjects completed either a Chinese or English questionnaire assessing state and lifetime depression, attributional style, depression recognition and help-seeking. The impact of acculturation was examined by several strategies. RESULTS: Any tendency by the Chinese to somatize depression appeared to be attenuated by acculturation. State depression levels countered the view that Chinese necessarily deny depression. Lifetime depression rate differences were also attenuated by acculturation, with Chinese subjects being less likely than controls to judge episodes as a distinct disorder and to seek professional help. CONCLUSIONS: Results suggest that Australian Chinese do not differ intrinsically in recognizing and ascribing depressive symptoms, and that the greater the degree of acculturation, the greater the tendency for reporting persistent and impairing depressive episodes.

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PubMed1989

Age differences in the acculturation process.

Age differences were assessed in a conceptual model that seeks to explain how acculturation affects psychological well-being among Mexican Americans. The data were from a national probability sample of 859 persons of Mexican decent. It was hypothesized that low acculturation creates financial stress. Moreover, low acculturation and financial stress were in turn predicted to erode feelings of personal control and self-esteem. Finally, diminished feelings of control and low self-esteem were hypothesized to exert a negative impact on psychological well-being. When data from respondents of all ages was assessed, empirical support was found for all of the hypotheses except the linkage between acculturation and financial stress. However, few age differences emerged in the model. The authors conclude that older Mexican Americans may not be more vulnerable to the stressors associated with acculturation.

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PubMed2002

East meets west: ethnic identity, acculturation, and conflict in Asian Indian families.

This study examined the influence of the family on adolescents' acculturation, ethnic identity achievement, and psychological functioning. One hundred eighty American-born Asian Indian adolescents and one of their immigrant parents completed questionnaires assessing their acculturation, ethnic identity, and family conflict. Adolescents also completed anxiety and self-esteem measures. The results showed that parents' and adolescents' ratings of their self-identification and ethnic identity were positively associated. Parents who had a separated or marginalized style of acculturation reported higher family conflict than those who had an integrated or assimilated acculturation style. Adolescents reported higher self-esteem, less anxiety, and less family conflict when there was no acculturation gap between them and their parents. The findings suggest that how parents relate to their natal, as well as to the host, culture has direct effects on adolescents' ethnic identity achievement and their psychological functioning.

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PubMed2002

Construct validity of a measure of acculturative stress in African Americans.

The properties of the main measure of acculturative stress have not been systematically examined. The authors conducted a study of the construct validity of the Social, Attitudinal, Familial, and Environmental Acculturative Stress Scale (A. M. Padilla, Y. Wagatsuma, & K. J. Lindholm, 1985) in a sample of 248 African American university students (156 of whom attended a historically Black college). After controlling for general life stress, the authors found that the relations of acculturative stress to depressive and anxious (but not suicidal) symptoms remained. Also, African American students at a historically Black college reported less acculturative stress than African American students at a large state university. These findings clarify the nature of a key construct and measure of acculturative stress.

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PubMed2001

Unidimensional versus multidimensional approaches to the assessment of acculturation for Asian American populations.

This study used generational status and the Suinn-Lew Asian Self-Identity Acculturation scale to examine unidimensional versus multidimensional approaches to the conceptualization and measurement of acculturation and their relationships to relevant cultural indicator variables, including measures of Individualism-Collectivism, Independent-Interdependent Self-Construal, Loss of Face, and Impression Management. Multivariate analyses of covariance and partial correlations were used to examine the relationship between the acculturation models and each set of cultural indicator variables while controlling for socioeconomic status. Given that acculturation differences are often cited as evidence for a culture effect between groups, the present findings of an uneven nature of these relationships as a function of the particular acculturation measurement strategy have important implications for research on Asian Americans.

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PubMed2001

Holding on and letting go: identity and acculturation among Chinese immigrants.

This study addresses the general question of whether ethnic identity and general acculturation would prove unique discriminators of quality of life for Chinese immigrants. Eighty-three Chinese immigrants served as participants. Survey data were collected regarding acculturation, Asian identity, and quality of life; observers provided ratings of certain home environment characteristics; and participants responded to open-ended interview questions about their immigration experiences that allowed for qualitative data analysis on perspectives of culture. Significant analysis of covariance and post hoc comparison results revealed meaningful main effects and interactions between acculturation and Asian identity in explaining the immigrants' quality of life and ecocultural aspects of their home environments. Interview responses illuminated important distinctions between groups distinguished by level of acculturation and ethnic identity. Findings are discussed in terms of methodological and conceptual issues in studying acculturation and ethnic identity in immigration experiences and practical implications for immigrants and those working with them.

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PubMed2001

The relationship of acculturation and gender to attitudes toward counseling in Italian and Greek American college students.

This exploratory study examined attitudes toward professional psychological services and help provider characteristics among 232 self-identified Italian and Greek American college students in 3 Northeast colleges. Regarding general attitudes toward psychological services in the Italian American sample, women had a greater recognition of personal need for help and higher confidence in the ability of mental health professionals to meet these needs than did men. With regard to preferred counselor demographic characteristics, regardless of gender, lower acculturated Italian American students had a stronger preference for seeing an ethnically similar counselor. With the Greek American sample, there was an interaction effect between acculturation level and gender on attitudes toward services. Among the higher acculturated Greek students, women were more open regarding their personal concerns than men; however, within the lower acculturated cohort, no gender differences were found. With regard to counselor characteristic variables, and similar to Italian Americans, regardless of gender, lower acculturated Greek Americans had a stronger preference for seeing an ethnically similar counselor to discuss a personal problem. Limitations and implications for further research are noted.

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PubMed2001

Gender, ethnicity, and acculturation in intergenerational conflict of Asian American college students.

This study examined differences in patterns of intergenerational conflict according to gender, ethnicity, and acculturation level of Asian American college students. A survey containing a measure of acculturation and intergenerational conflict was completed by 342 participants. A 2 (gender) x 5 (ethnicity) x 3 (acculturation) multivariate analysis of variance for the 3 subscales of the Intergenerational Conflict Inventory revealed significant F values for all 3 main effects, but none for the interactions. On the subscale of Dating and Marriage, male students reported less conflict than female students, and Japanese Americans reported less conflict than Chinese, Filipino, Korean, and Southeast Asian Americans. On the subscale of Family Expectations, Japanese Americans also reported less conflict than Koreans and Southeast Asians. On both of these and a 3rd subscale of Education and Career, the acculturated group reported lower conflict than both the low-acculturated and bicultural groups. The implications of these findings for research and practice are discussed.

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PubMed1998

Illicit drug use among Mexicans and Mexican Americans in California: the effects of gender and acculturation.

AIMS: To examine the effects of gender and acculturation on illicit drug use among the Mexican-origin population in California. DESIGN: The 3012 subjects between 18 and 59 years of age were selected under a stratified, multi-stage cluster sampling method. SETTING: Fresno County in California is primarily agricultural, with only one metropolitan area. Over 30% of the total population of 764,800, are Hispanics, of Mexican origin. MEASUREMENTS: A modified version of the World Health Organization's Composite International Diagnostic Instrument (WHO-CIDI) was used to ascertain drug use. Respondents were considered drug users if they had ever used marijuana, cocaine, hallucinogens, heroin or inhalants. Acculturation was measured with a Likert scale, assessing English vs. Spanish language preference. Other covariates of interest were nativity and place of residence. FINDINGS: Men had higher rates of use than women for every drug (men = 46.3%, women = 23.2%). Urban rates were higher than rural rates, for both women (urban = 32.8% vs. rural = 16.6%) and men (urban = 57.0% vs. rural = 36.8%). In logistic regression models, men were more likely than women to have ever used illicit drugs or inhalants (adjusted OR = 4.8), cocaine (adjusted OR = 5.3) or marijuana (OR = 4.3). However, the combined effect of United States nativity and acculturation, on drug use, was greater among women (adjusted OR = 29.3) than among men (adjusted OR = 7.4). The effect of acculturation was stronger among urban, than among town or rural residents. CONCLUSIONS: Acculturation and United States nativity are risk factors for illicit drug use among Mexican origin men and women. However, women have increased vulnerability compared with men. Findings reinforce the need for culturally based public health interventions.

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PubMed1996

Acculturation and its effects on self-esteem among immigrant Latina women.

Relationships in the stress-process model, examining level of acculturation, social support, marital status, religion, education, and ethnicity associated with self-esteem in 491 immigrant women from Latin America at baseline and 1 year later were studied. The mediating/moderating effects of social support, marital status, religion, and education on the relation between level of acculturation and self-esteem were analyzed. Findings, based on correlations and various multiple regression analyses, showed that the Latina immigrant women experienced increases in both level of acculturation and self-esteem over the 1-year period. When baseline self-esteem was controlled for, only ethnicity and change in level of acculturation were significantly related to follow-up self-esteem; no significant mediators or moderators of acculturation change were found. Differences between Mexican and other Central American participants were noted.

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PubMed2003

Diet and food insufficiency among Hispanic youths: acculturation and socioeconomic factors in the third National Health and Nutrition Examination Survey.

BACKGROUND: Low socioeconomic status is associated with poor diet, food insufficiency, and poor child health. Hispanic households have disproportionately low incomes. Acculturation-related changes may augment the effects of poverty on children's diet and health. OBJECTIVE: The goal was to determine the associations that acculturation, measured by parents' language use, and income have with dietary intakes and food insufficiency among Hispanic youths. DESIGN: Data on 2985 Hispanic youths aged 4-16 y were from the third National Health and Nutrition Examination Survey (1988-1994). Nutrient intake data were from one 24-h dietary recall. The analysis was controlled for demographic, socioeconomic, and program variables. RESULTS: Parents' exclusive use of Spanish was associated in bivariate analyses with differences in intakes of energy, protein, sodium, and folate and in percentages of energy from fat and saturated fat. When other factors were controlled for, less acculturation was associated with differences in intakes of energy and sodium and in percentages of energy from fat and saturated fat. Individuals in poorer households had higher intakes of energy, protein, sodium, and some micronutrients. Although not significant for all indicators of food insufficiency, consistent patterns showed that household food insufficiency decreased with less acculturation (odds ratio: 0.4; 95% CI: 0.2, 0.7 for adult meal size reduced) and increased with low income [odds ratio: 5.9 (3.0, 11.7) for not enough food and 5.4 (2.2, 13.4) for child meal size reduced]. CONCLUSIONS: Both acculturation and poverty have roles in children's diets and in household food insufficiency. Culturally specific public health and nutrition education should complement efforts to improve the financial security of low-income households.

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PubMedDate not supplied

Acculturation: implications for perinatal research.

It is estimated that by 2009, Hispanics will have the highest birthrates for any minority group in the United States. Acculturation in Hispanic women of childbearing age is a critical aspect that researchers and clinicians need to consider with this population. Conceptualization and measurement issues of acculturation are addressed in this article. A framework for the complex task of acculturation research is presented. In the latter part of the article, a review of perinatal studies, in which measurement of acculturation in Hispanic women was included, is summarized for research on birthweight, breastfeeding, and postpartum depression. Implications for clinical practice with Hispanic women are hindered owing to methodological limitations of perinatal acculturation research identified in this article.

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