Acculturation and self-reported health among Hispanics using a socio-behavioral model: The North Texas Healthy Heart Study

Katandria L. Johnson; Joan F. Carroll; Kimberly G. Fulda; Kathryn Cardarelli; Roberto Cardarelli

doi:10.1186/1471-2458-10-53

Acculturation and self-reported health among Hispanics using a socio-behavioral model: The North Texas Healthy Heart Study

Katandria L. Johnson
, Joan F. Carroll
, Kimberly G. Fulda
, Kathryn Cardarelli
, Roberto Cardarelli

Producción científica: Article › revisión exhaustiva

34 Citas (Scopus)

Resumen

Background. Acculturation is a continuous, firsthand contact with other cultures functioning at both group and individual levels and is reflected in our culturally diverse society, calling for a greater understanding of the environmental and cultural impact on health. Self-reported health (SRH), a robust and well validated predictor of future mortality for all racial/ethnic groups, has been differentially reported by Hispanics compared to whites, especially based on their acculturation status. This study investigated the relationship between acculturation and SRH among Hispanics. An adapted Andersen framework was used to develop logistic regression models to assess for an association between acculturation and general health status. Methods. Hispanic participants (n = 135), as part of the North Texas Healthy Heart Study, were administered standardized questionnaires on acculturation, psychosocial measures which included sense of control, stress, depression and social support and a single item SRH measure. In addition, physiological measurements and demographic characteristics including age, gender, body mass index, medical history, and socioeconomic status were also obtained. Results. Bivariate analyses found Mexican-oriented participants 3.16 times more likely to report fair/poor SRH compared to Anglo-oriented Hispanics. Acculturation was also associated with SRH in multiple regression models controlling for enabling, need, and predisposing factors together (OR: 3.53, 95% CI: 1.04, 11.97). Conclusions. Acculturation status was associated with SRH after accounting for other underlying factors. Medical and public health professionals should promote the use of acculturation measures in order to better understand its role in Hispanic behaviors, health outcomes and health care use. Such research findings will contribute to the design of culturally sensitive prevention and treatment strategies for diverse and immigrant populations.

Idioma original	English
Número de artículo	53
Publicación	BMC Public Health
Volumen	10
DOI	https://doi.org/10.1186/1471-2458-10-53
Estado	Published - 2010

Nota bibliográfica

Funding Information:
The authors are grateful for the assistance of Ana L. Chiapa, Mayra Rodriguez and the Primary Care Research Institute staff of the University of North Texas Health Science Center. We also want to thank the clinicians of the North Texas Primary Care Practice-Based Research Network who helped recruit study participants. The project described was supported by Grant Number P20MD001633 from the National Center on Minority Health and Health Disparities. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center on Minority Health and Health Disparities or the National Institutes of Health.

Financiación

The authors are grateful for the assistance of Ana L. Chiapa, Mayra Rodriguez and the Primary Care Research Institute staff of the University of North Texas Health Science Center. We also want to thank the clinicians of the North Texas Primary Care Practice-Based Research Network who helped recruit study participants. The project described was supported by Grant Number P20MD001633 from the National Center on Minority Health and Health Disparities. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center on Minority Health and Health Disparities or the National Institutes of Health.

Financiadores	Número del financiador
National Center on Minority Health and Health Disparities
National Institute on Minority Health and Health Disparities (NIMHD)	P20MD001633

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

Good health and well being

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

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10.1186/1471-2458-10-53

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title = "Acculturation and self-reported health among Hispanics using a socio-behavioral model: The North Texas Healthy Heart Study",

abstract = "Background. Acculturation is a continuous, firsthand contact with other cultures functioning at both group and individual levels and is reflected in our culturally diverse society, calling for a greater understanding of the environmental and cultural impact on health. Self-reported health (SRH), a robust and well validated predictor of future mortality for all racial/ethnic groups, has been differentially reported by Hispanics compared to whites, especially based on their acculturation status. This study investigated the relationship between acculturation and SRH among Hispanics. An adapted Andersen framework was used to develop logistic regression models to assess for an association between acculturation and general health status. Methods. Hispanic participants (n = 135), as part of the North Texas Healthy Heart Study, were administered standardized questionnaires on acculturation, psychosocial measures which included sense of control, stress, depression and social support and a single item SRH measure. In addition, physiological measurements and demographic characteristics including age, gender, body mass index, medical history, and socioeconomic status were also obtained. Results. Bivariate analyses found Mexican-oriented participants 3.16 times more likely to report fair/poor SRH compared to Anglo-oriented Hispanics. Acculturation was also associated with SRH in multiple regression models controlling for enabling, need, and predisposing factors together (OR: 3.53, 95\% CI: 1.04, 11.97). Conclusions. Acculturation status was associated with SRH after accounting for other underlying factors. Medical and public health professionals should promote the use of acculturation measures in order to better understand its role in Hispanic behaviors, health outcomes and health care use. Such research findings will contribute to the design of culturally sensitive prevention and treatment strategies for diverse and immigrant populations.",

author = "Johnson, \{Katandria L.\} and Carroll, \{Joan F.\} and Fulda, \{Kimberly G.\} and Kathryn Cardarelli and Roberto Cardarelli",

note = "Funding Information: The authors are grateful for the assistance of Ana L. Chiapa, Mayra Rodriguez and the Primary Care Research Institute staff of the University of North Texas Health Science Center. We also want to thank the clinicians of the North Texas Primary Care Practice-Based Research Network who helped recruit study participants. The project described was supported by Grant Number P20MD001633 from the National Center on Minority Health and Health Disparities. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center on Minority Health and Health Disparities or the National Institutes of Health.",

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AU - Carroll, Joan F.

AU - Fulda, Kimberly G.

AU - Cardarelli, Kathryn

AU - Cardarelli, Roberto

N1 - Funding Information: The authors are grateful for the assistance of Ana L. Chiapa, Mayra Rodriguez and the Primary Care Research Institute staff of the University of North Texas Health Science Center. We also want to thank the clinicians of the North Texas Primary Care Practice-Based Research Network who helped recruit study participants. The project described was supported by Grant Number P20MD001633 from the National Center on Minority Health and Health Disparities. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center on Minority Health and Health Disparities or the National Institutes of Health.

PY - 2010

Y1 - 2010

N2 - Background. Acculturation is a continuous, firsthand contact with other cultures functioning at both group and individual levels and is reflected in our culturally diverse society, calling for a greater understanding of the environmental and cultural impact on health. Self-reported health (SRH), a robust and well validated predictor of future mortality for all racial/ethnic groups, has been differentially reported by Hispanics compared to whites, especially based on their acculturation status. This study investigated the relationship between acculturation and SRH among Hispanics. An adapted Andersen framework was used to develop logistic regression models to assess for an association between acculturation and general health status. Methods. Hispanic participants (n = 135), as part of the North Texas Healthy Heart Study, were administered standardized questionnaires on acculturation, psychosocial measures which included sense of control, stress, depression and social support and a single item SRH measure. In addition, physiological measurements and demographic characteristics including age, gender, body mass index, medical history, and socioeconomic status were also obtained. Results. Bivariate analyses found Mexican-oriented participants 3.16 times more likely to report fair/poor SRH compared to Anglo-oriented Hispanics. Acculturation was also associated with SRH in multiple regression models controlling for enabling, need, and predisposing factors together (OR: 3.53, 95% CI: 1.04, 11.97). Conclusions. Acculturation status was associated with SRH after accounting for other underlying factors. Medical and public health professionals should promote the use of acculturation measures in order to better understand its role in Hispanic behaviors, health outcomes and health care use. Such research findings will contribute to the design of culturally sensitive prevention and treatment strategies for diverse and immigrant populations.

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JF - BMC Public Health

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ER -

Acculturation and self-reported health among Hispanics using a socio-behavioral model: The North Texas Healthy Heart Study

Resumen

Nota bibliográfica

Financiación

ODS de las Naciones Unidas

ASJC Scopus subject areas

Acceder al documento

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