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The Role of Acculturation in the Health Belief Model for Mexican-Americans with Type II Diabetes

Description: Diabetes has alarming prevalence rates not only in the U.S., but also worldwide. Ethnicity plays a large role with Hispanic-Americans having one of the highest prevalence rates. Diabetes is a complicated disease that requires significant lifestyle modifications. The health belief model (HBM) has been investigated as a theory to explain behavior change. However, little research has been done to determine its utility to Mexican-Americans. In the current study, participants were Mexican-American adults (N = 66) with type II diabetes who were recruited from family medicine clinics. Self-report questionnaires included the General Acculturation Index (GAI) and the Multidimensional Diabetes Questionnaire (MDQ). Participants had the option to complete them in either Spanish or English. Laboratory values were collected from medical charts. A MANCOVA indicated that two variables were significant, perceived severity (PS) and misguided support behaviors (MSB), p < .05. With respect to the HBM, PS was identified as a component of an individual's perception, acculturation was a modifying factor, and MSB was a component of the likelihood to change factors. These three affected glycemic control. Odds ratios determined that individuals with better glycemic control had less perceived severity and less misguided supportive behavior. Individuals with the least acculturation were more likely to have best glycemic control. Significant results were found for each of the three main columns of the model suggesting that the HBM has utility for the Hispanic-American population with type II diabetes. Results suggest that health care personnel should be aware of the ramifications of patients' perceived severity of their illness as well as the amount the "nagging" type support they receive from friends and family on glycemic control. This awareness can lead to the development of interventions aimed at improving glycemic control and the quality of life in Mexican-Americans with diabetes. Specifically, programs focused on incorporating the family ...
Date: August 2007
Creator: Bereolos, Nicole Margaret
Partner: UNT Libraries

Evaluating Social Factors in Diabetes Management by Mexican American Ethnicity

Description: Differences in Mexican American ethnicity, family and friend social support, and importance of diabetes self-management as related to diabetes management in the older adult population were evaluated with the University of Michigan Health and Retirement Study (HRS) 2003 Diabetes Study. Comparisons were made between Mexican Americans with Type II diabetes and similar non-Hispanic Caucasian and African American individuals with Type II diabetes. Neither family/friend social support nor importance of diabetes self-management were significant predictors of HbA1c levels. Results did not support the idea that perception of receiving support from family/friends or placing importance on diabetes self-management covaried with lower HbAlc level (family/friend: beta = -.13, t = -1.47, p = .143; self management: beta = .08, t = .55, p = .584).
Date: December 2010
Creator: Huerta, Serina
Partner: UNT Libraries

Ethnic Identity of Mexican American Children in the Post Industrial Age

Description: Ethnic identity of Mexican American children under the current socio-political climate was studied. Mexican American children were expected to display symptoms of ethnic ambivalence and self-rejection. Using the Kenneth and Mamie Clark (1947) Brown doll/White doll experiment as a model, data were gathered using a mixed model. This approach combed features of experimental designs, survey research, and qualitative methods. Both quantitative and qualitative data were gathered from a purposive sample of 104 children and some of their parents. They were between the ages of 3 to 15, resided in northeastern Texas, and most were White (n=70) or Hispanics (mostly Mexican American) (n=21) the remainder being Asian (n=13). Children self-identified across ethnic lines, and treated play preference, self-identification, and attractiveness separately. Children did not reflect social stereotypes and society's hierarchy. Instead, they portrayed other ethnic groups positively. Current theoretical approaches provided argue that strong ethnic identification and cultural incorporation displayed by the children may be a result of better integration and assimilation; conversely, it may be a product of the “false consciousness” driven by a global market and the culture of individualistic consumerism. An alternative theoretical perspective argues that the apparent cultural incorporation of children was a result of the social cultural evolution of race and ethnic relations in America. Children in this study were merely showing the next stage of the evolution explaining why Mexican American ethnic identity remained strong amidst the current socio-political climate. Implications and suggestions suggest that educators and policy makers should remain vigilant in promoting and facilitating multicultural programs in schools. Parents should play a role in promoting ethnic pride and appreciation of other cultures in order to ensure cultural incorporation. It is important for the social scientist to remain vigilant on the topic and not lose focus under the guise of greater assimilation between minorities ...
Date: May 2007
Creator: Tan, Adrian James
Partner: UNT Libraries

Acculturative Processes and Their Impact on Self-Reports of Psychological Distress in Mexican-American Adolescents

Description: The current study examined the effects of acculturative processes on the self-report of behavioral problems in Hispanic children ages 11-14. Acculturation was measured by the Acculturation Rating Scale for Mexican Americans-II (ARSMA-II) (ã Sage Publications, Thousand Oaks, CA, www.sagepub.com) (Cuellar, Arnold, and Maldonado, 1995) and the self-report of behavioral symptoms was assessed using the Youth Self-Report (ã T.M. Achenbach, Burlington, VT, www.aseba.com) (Achenbach, 1991). It was hypothesized that while both the linear and orthogonal categories of acculturation would account for a significant proportion of the variance in behavior problems in this age group, the orthogonal model would account for a larger proportion of variance due to its multidimensional nature. As well, it was hypothesized that the experimental Marginalization scales of the ARSMA-II would be predictive of behavioral problems. Multivariate analysis of variance was used to test these hypotheses and results were non-significant for the linear, orthogonal, and marginalization categories. The effects of the ethnic/cultural homogeneity of the region from which the sample was drawn, the buffering of social support, and the developmental aspects of ethnic identity are discussed as factors which may have influenced the potential impact of acculturative stress on psychological and behavioral functioning.
Date: May 2003
Creator: Garrison, Lance A.
Partner: UNT Libraries

Educational Attainment among High-Risk Teenage Mothers

Description: Decreased educational attainment has been associated with numerous factors such as teenage pregnancy, repeat pregnancy, risky sexual behavior, substance use, depression, and parental distress. Educational attainment was examined among a group of predominantly Mexican American teenage mothers who were considered at high risk to have a repeat pregnancy, contract sexually transmitted diseases (STDs), and use substances. Project Success Longitudinal Study is part of a national study funded by the Center for Substance Abuse Prevention. Participants were recruited from eight traditional high schools in a large South Texas school district, an area with a high rate of teenage pregnancy and substance use. The treatment intervention included a multidimensional curriculum that was implemented in the participants' high schools in addition to home- and school-based case management services. It was hypothesized that participants who received the intervention would be more likely to attain their high school degree or equivalent and that amount of treatment received would be associated with educational attainment. Additionally, it was hypothesized that profiles of participants who attained their high school degree or equivalent would differ in the areas of parental distress, social support, symptoms of depression, and substance use when compared to participants who did not attain their high school degree or equivalent. Results indicated that participants who received the intervention reported increased educational attainment during the first two years of the study. Additionally, all participants experienced positive changes on various psychosocial measures.
Date: August 2007
Creator: Ortiz, Lisa M.
Partner: UNT Libraries

Acculturation and Depression in Older Mexican American Adults: the Role of Social Support

Description: Despite socioeconomic disadvantages, less acculturated Mexican Americans tend to exhibit better mental health than their more acculturated counterparts. However, in the case of older Mexican American adults, research has demonstrated the opposite to be true (Gonzalez, Haan, & Hinton, 2001). A variable of interest potentially responsible for this difference is social support. Thus, the current study proposed to investigate the mediation and moderation effects that social support has on the relationship between acculturation and depression in older Mexican American adults age 60 or older. Data from the Health and Retirement Study (HRS) was analyzed. Results showed that the mediating effect of contact with one’s children (-.109*) and the moderating effect of total social support and contact with one’s children (-.127*; -.103*) were statistically significant in the relationship between acculturation and depression. Although these effects are small they may still hold important implications for better understanding this population.
Date: August 2012
Creator: Caballero, Daniela
Partner: UNT Libraries

Evaluating the Role of C-reactive Protein on Cognition and Depressive Symptoms Among Women by Mexican American Ethnicity

Description: C-reactive protein (CRP) is a protein found in the blood that is synthesized by the liver and has been extensively studied due to its role in inflammatory and atherosclerotic processes. The importance of this biomarker in its role in vascular risk factors is increased with several lines of evidence pointing to its association with cognitive decline. The association between CRP and depression has been increasingly analyzed by various cross-sectional studies. The research between CRP and depressive symptoms in older women has yet to generate consistent trends. In the present study, a series of regression analyses was used to explore the association between CRP and both cognitive function and depressive symptomatology among a group of rural-dwelling women. Associations were evaluated through the use of data from Project FRONTIER, a rural-based research looking at both physical and cognitive aspects of health in rural-dwelling adults and elders. Comparisons were made between Mexican American women and a group of non-Hispanic Caucasian women. CRP was a significant independent predictor of total depression (beta = -.11, t = -1.99, p =.048). CRP was also a significant independent predictor of symptoms associated with meaningless within depression (beta = -.16, t = -2.94, p =.004). Contrary to prediction, CRP was not a significant independent predictor of overall cognitive function or performance in five specific cognitive domains. There is still needed evaluation on racial/ethnic differences present in regard to the impact of varied health factors on mental health within a culturally rich, rural cohort. It is recommended that future studies utilize standardized measurement of cognitive function to facilitate a more thorough understanding and comparison of change in this particular population.
Date: August 2014
Creator: Huerta, Serina
Partner: UNT Libraries