Ethnicity & Health最新文献

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The association between work-related activities and leisure-time physical activity among Latinos. 拉丁美洲人工作相关活动与闲暇时间体育活动之间的关联。
IF 3.1 3区 医学
Ethnicity & Health Pub Date : 2024-04-01 Epub Date: 2024-02-15 DOI: 10.1080/13557858.2024.2311432
Shreya Desai, Tailisha Gonzalez, Sandra Echeverria, Elizabeth Vasquez, Rosenda Murillo
{"title":"The association between work-related activities and leisure-time physical activity among Latinos.","authors":"Shreya Desai, Tailisha Gonzalez, Sandra Echeverria, Elizabeth Vasquez, Rosenda Murillo","doi":"10.1080/13557858.2024.2311432","DOIUrl":"10.1080/13557858.2024.2311432","url":null,"abstract":"<p><strong>Objectives: </strong>Latinos engage in high levels of occupational physical activity, yet low levels of leisure-time physical activity. Limited research has examined specific work-based activities that may contribute to leisure-time physical activity for meeting current physical activity recommendations among Latinos. The purpose of our study was to examine associations between frequency of work-related exertion and standing/walking with meeting the aerobic and muscle-strengthening physical activity guidelines among Latinos and whether associations varied by nativity.</p><p><strong>Design: </strong>We used cross-sectional 2015 National Health Interview Survey data on Latinos ≥18 years of age (n = 3162). Logistic regression models were used to estimate associations between the frequency of work-related activities with meeting the aerobic and muscle-strengthening physical activity guidelines. Models were adjusted for age, sex, education, Latino subpopulation, shift work, and nativity. We also examined whether associations varied by nativity.</p><p><strong>Results: </strong>In adjusted models, compared with those never engaging in exertion at work, participants always exerting themselves were significantly less likely to meet the aerobic activity guideline (Odds Ratio [OR]: 0.66, 95% Confidence Interval [CI]: 0.51-0.87). Compared with those never standing/walking at work, participants seldom standing/walking were also less likely to meet the aerobic activity guideline (OR: 0.57, 95% CI: 0.34, 0.95). Models were adjusted for age, sex, education, Latino subpopulation, shift work, and nativity. When stratified by nativity, the patterns in the strength of the associations were similar, while differences were observed in the associations of work-related activities with meeting guidelines.</p><p><strong>Conclusion: </strong>Our findings suggest that engaging in higher frequency of exertion and standing/walking at work are associated with being less likely to meet the aerobic physical activity guideline during leisure time among Latinos, with variation observed in meeting guidelines by nativity. Insight into physical activities performed at work could inform efforts aimed at promoting recommended levels of physical activity among Latinos.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"423-434"},"PeriodicalIF":3.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Raising awareness of prostate cancer amongst black communities in the south of England. 提高英格兰南部黑人社区对前列腺癌的认识。
IF 3.1 3区 医学
Ethnicity & Health Pub Date : 2024-04-01 Epub Date: 2024-03-01 DOI: 10.1080/13557858.2024.2323465
Obrey Alexis, Sarah Mansbridge, William Garbrah
{"title":"Raising awareness of prostate cancer amongst black communities in the south of England.","authors":"Obrey Alexis, Sarah Mansbridge, William Garbrah","doi":"10.1080/13557858.2024.2323465","DOIUrl":"10.1080/13557858.2024.2323465","url":null,"abstract":"<p><p><b>Background</b>: Black men are more likely to be diagnosed with prostate cancer than white men and may present with prostate cancer at a much later stage during the cancer journey. This could be due to a lower awareness of the signs and symptoms of prostate cancer, an unwillingness to report symptoms or a lack of trust in the healthcare system or a combination of these.<b>Aim</b>: The aims of this study were to raise awareness of prostate cancer in black communities in South of England and to evaluate the engagement and raising awareness campaigns.<b>Method</b>: This project involved two phases. The first phase focused on raising awareness of prostate cancer in black men and their families. The awareness was delivered using public facing activities such as stands and talks with participants. Additionally, online awareness activities were undertaken with either black men alone or black men and their families. The second phase of the project involved an evaluation of the raising awareness campaigns through interviews. A total of 320 black men and their families were involved in the awareness sessions and of these, 12 black men were interviewed. The interview transcripts were analysed using thematic analysis.<b>Results</b>: Analysis of the data generated three main themes including: increased knowledge and mindset change regarding prostate cancer, empowered to take community and personal action, as well as strategies and tools to raise awareness of prostate cancer among black communities.<b>Conclusion</b>: The raising awareness campaigns had a positive effect in terms of increasing black men's awareness of the risk factors associated with prostate cancer. Moreover, the campaigns enabled them to make lifestyle adjustments that could help them to reduce their likelihood of developing prostate cancer. Additionally, the participant's knowledge had improved, and they were empowered and motivated to make a difference to their lives and that of their communities.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"328-342"},"PeriodicalIF":3.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk of sleep apnea associated with higher blood pressure among Chinese and Korean Americans. 睡眠呼吸暂停与华裔和韩裔美国人血压升高有关。
IF 2.6 3区 医学
Ethnicity & Health Pub Date : 2024-04-01 Epub Date: 2024-02-02 DOI: 10.1080/13557858.2024.2311417
Brittany N Morey, Yuxi Shi, Soomin Ryu, Susan Redline, Ichiro Kawachi, Hye Won Park, Sunmin Lee
{"title":"Risk of sleep apnea associated with higher blood pressure among Chinese and Korean Americans.","authors":"Brittany N Morey, Yuxi Shi, Soomin Ryu, Susan Redline, Ichiro Kawachi, Hye Won Park, Sunmin Lee","doi":"10.1080/13557858.2024.2311417","DOIUrl":"10.1080/13557858.2024.2311417","url":null,"abstract":"<p><strong>Objective: </strong>This study examines associations between sleep apnea risk and hypertension in a sample of immigrant Chinese and Korean Americans.</p><p><strong>Design: </strong>The dataset included Chinese and Korean patients ages 50-75 recruited from primary care physicians' offices from April 2018 to June 2020 in the Baltimore-Washington DC Metropolitan Area (<i>n</i> = 394). Hypertension risk was determined using a combination of blood pressure measurements, self-reported diagnosis of hypertension by a medical professional, and/or self-reported use of antihypertensive medications. Linear regression models examined the associations between sleep apnea risk and blood pressure (systolic blood pressure [SBP] and diastolic blood pressure [DBP]). Poisson regression models examined associations sleep apnea risk and hypertension. Models controlled for body mass index (BMI), demographic, and socioeconomic risk factors. We further examined models for potential effect modification by age, gender, Asian subgroup, and obesity, as well as effect modification of daytime sleepiness on the association between snoring and hypertension risk.</p><p><strong>Results: </strong>High risk of sleep apnea appeared to be associated positively with SBP (<i>β</i> = 6.77, 95% CI: 0.00-13.53), but not with DBP. The association was positive for hypertension, but it was not statistically significant (PR = 1.11, 95% CI: 0.87-1.41). We did not find effect modification of the associations between sleep apnea and hypertension risk, but we did find that daytime sleepiness moderated the effect of snoring on SBP. Snoring was associated with higher SBP, primarily in the presence of daytime sleepiness, such that predicted SBP was 133.27 mmHg (95% CI: 126.52, 140.02) for someone with both snoring and daytime sleepiness, compared to 123.37 mmHg (95% CI: 120.40, 126.34) for someone neither snoring nor daytime sleepiness.</p><p><strong>Conclusion: </strong>Chinese and Korean immigrants living in the U.S. who are at high risk of sleep apnea have higher SBP on average, even after accounting for sociodemographic characteristics and BMI.</p><p><strong>Clinical trail registration: </strong>: NCT03481296, date of registration: 3/29/2018.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"295-308"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10987275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A qualitative study of ethnic Korean women and men's experiences of HPV and HPV vaccination in the United States. 美国朝鲜族女性和男性HPV和HPV疫苗接种经历的定性研究。
IF 3.1 3区 医学
Ethnicity & Health Pub Date : 2024-02-01 Epub Date: 2024-01-24 DOI: 10.1080/13557858.2023.2279933
Minjin Kim, Ayse Güler, Deogwoon Kim, Rebecca C Lee
{"title":"A qualitative study of ethnic Korean women and men's experiences of HPV and HPV vaccination in the United States.","authors":"Minjin Kim, Ayse Güler, Deogwoon Kim, Rebecca C Lee","doi":"10.1080/13557858.2023.2279933","DOIUrl":"10.1080/13557858.2023.2279933","url":null,"abstract":"<p><strong>Introduction: </strong>Approximately 42.5% of adults aged 18-59 in the United States is estimated to be affected by human papillomavirus (HPV) infection. However, Asian Americans have the lowest HPV vaccination initiation rate compared to other racial groups. This study aims to explore the experiences of HPV and the HPV vaccination among ethnic Korean women and men in the United States.</p><p><strong>Methods: </strong>A total of 33 ethnic Korean and Korean Americans aged 27-45 years living in the U.S. were recruited via word-of-mouth and social media using a purposive sampling strategy. They participated in an online survey. Of the 33 participants, 29 (14 females and 15 males) participated in in-depth interviews via password-protected Zoom. A content analysis approach was used to analyze the interviews.</p><p><strong>Results: </strong>Only 32% of participants had received the HPV vaccine at least once (female: 35.3%, male: 12.5%). Six major themes emerged from data analysis: (1) awareness of HPV, HPV vaccine, and HPV-associated cancers; (2) attitudes toward the HPV vaccine; (3) barriers to HPV vaccination; (4) women's experiences and preferences for pap smear testing; (5) experiences with HPV diagnosis; and (6) HPV and HPV vaccination education preferences.</p><p><strong>Conclusion: </strong>The findings highlight cultural factors that may impede the discussion about and uptake of HPV vaccination and HPV-associated cancer screening, which emphasize the need for culturally appropriate interventions to overcome stigma around HPV and enhance vaccination rates. Healthcare providers should consider ethnic and cross-cultural differences perceptions to effectively HPV-related health information. This study provides insight into the experiences and understanding of HPV and vaccination among ethnic Korean men and women, laying the groundwork for developing culturally-tailored programs that sim to increase HPV vaccination rates and mitigate the stigma and impact of HPV-related disease in this community.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"179-198"},"PeriodicalIF":3.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Economic disadvantage and depressive symptoms among Arab and Jewish women in Israel: the role of social support and formal services. 以色列阿拉伯和犹太妇女的经济劣势和抑郁症状:社会支持和正规服务的作用。
IF 3.1 3区 医学
Ethnicity & Health Pub Date : 2024-02-01 Epub Date: 2024-01-24 DOI: 10.1080/13557858.2023.2279479
Meital Simhi, Miriam Schiff, Ruth Pat-Horenczyk
{"title":"Economic disadvantage and depressive symptoms among Arab and Jewish women in Israel: the role of social support and formal services.","authors":"Meital Simhi, Miriam Schiff, Ruth Pat-Horenczyk","doi":"10.1080/13557858.2023.2279479","DOIUrl":"10.1080/13557858.2023.2279479","url":null,"abstract":"<p><strong>Objectives: </strong>Depression is a major public health concern due to its high prevalence and association with functioning. Ethnic minorities in Western countries are more likely to experience economic disadvantage and exposure to stressors that may put them at higher risk of developing depression. One major protective factor associated with reduced depressive symptoms is an existing support network. This study examined the associations between economic disadvantage, formal and informal social support, and depressive symptoms among two ethnicity groups in Israel: Arab and Jewish mothers of young children, as well as the potential mediating role of formal and informal social support in the associations between economic disadvantage and depressive symptoms.</p><p><strong>Design: </strong>We recruited a representative sample of 837 Jewish and Arab mothers of children aged 2-6 years. We collected data via structured face-to-face interviews following approval of the university ethic committee. We used the Center for Epidemiologic Studies Depression Scale (CES-D), the Medical Outcomes Study (MOS) scale to measure maternal perceived social support, and a measure designed for this study to quantify formal social support.</p><p><strong>Results: </strong>Compared to the Jewish mothers, Arab mothers reported more depressive symptoms, greater economic disadvantage, and fewer informal and formal support networks. Economic disadvantage was negatively associated with informal support but positively associated with formal support among both Jewish and Arab mothers. Results further revealed that informal and formal social support mediated the associations between economic disadvantage and symptoms of depression.</p><p><strong>Conclusions: </strong>More attention should be paid to the associations between social determinants and mothers' mental health, with a possible shift of focus to macro-level factors, such as economic inequality and minority status.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"220-238"},"PeriodicalIF":3.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Attention-Deficit Hyperactivity Disorder among children of immigrants: immigrant generation and family poverty. 移民子女的注意力缺陷多动症:移民一代与家庭贫困。
IF 3.1 3区 医学
Ethnicity & Health Pub Date : 2024-02-01 Epub Date: 2024-01-24 DOI: 10.1080/13557858.2023.2293657
Jina Chang, Yeonjung J Lee, Hannah Lex, Christina Kerns, Katie Lugar, Maya Wright
{"title":"Attention-Deficit Hyperactivity Disorder among children of immigrants: immigrant generation and family poverty.","authors":"Jina Chang, Yeonjung J Lee, Hannah Lex, Christina Kerns, Katie Lugar, Maya Wright","doi":"10.1080/13557858.2023.2293657","DOIUrl":"10.1080/13557858.2023.2293657","url":null,"abstract":"<p><strong>Objectives: </strong>Attention-Deficit Hyperactivity Disorder (ADHD) is one of the most common disorders diagnosed among children in the US. However, little knowledge is available about ADHD prevalence among children of immigrants, the fastest-growing population in the US. This study seeks to examine ADHD rates among children of immigrants in different generations compared to children of US-born parents and their association with family poverty.</p><p><strong>Design: </strong>The sample includes 83,362 children aged 0-17 from the National Health Interview Survey (NHIS) 2010-2018 data. Multivariate logistic regression model is used to estimate prevalence of ADHD among children of immigrants compared to children of US-born parents. We then compare ADHD rates among the children sample in different immigrant generations. For all analyses, we examine ADHD occurrence separately for children in families living below the poverty threshold and those at or above the poverty threshold.</p><p><strong>Results: </strong>The odds of having ADHD were significantly lower among children of immigrants compared to children of US-born parents. Both first-generation children and second-generation children of immigrants had significantly lower odds of having ADHD than children of US-born parents. Post hoc tests find that first-generation children had lower odds of having ADHD compared to second-generation children. Likewise, additional analyses showed that children of immigrants, first-generation children in particular, were less likely to have ADHD compared to children of US-born parents, in both lower- and higher-income families.</p><p><strong>Conclusion: </strong>Using a nationally representative sample of children, we find that the likelihood of having ADHD increases with higher generations, detecting differences in ADHD prevalence by immigration generation. Importantly, first-generation children had a significantly lower risk of having ADHD conditions compared to second-generation children and children of US-born parents, regardless of family socio-economic status. Public health policy and program development would gain from a clear comprehension of the shielding attributes of ADHD among immigrant families.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"254-266"},"PeriodicalIF":3.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How will I live this life that I'm trying to save? Being a female breast cancer survivor in Nigeria. 我将如何度过我试图挽救的生活?作为一名女性癌症幸存者在尼日利亚。
IF 3.1 3区 医学
Ethnicity & Health Pub Date : 2024-02-01 Epub Date: 2024-01-24 DOI: 10.1080/13557858.2023.2279478
Candidus Nwakasi, Darlingtina Esiaka, Nduka Chinelo, Sarah Ahmed
{"title":"How will I live this life that I'm trying to save? Being a female breast cancer survivor in Nigeria.","authors":"Candidus Nwakasi, Darlingtina Esiaka, Nduka Chinelo, Sarah Ahmed","doi":"10.1080/13557858.2023.2279478","DOIUrl":"10.1080/13557858.2023.2279478","url":null,"abstract":"<p><strong>Objectives: </strong>Nigeria is experiencing an increasing rate of new cancer cases while marred by a weak health system. As cancer prevalence increases in Nigeria, especially among women, it is crucial to understand the experiences of female cancer survivors, given that their quality of life may be influenced by perceptions of cancer and what it means to be a cancer survivor.</p><p><strong>Design: </strong>This study employed a qualitative descriptive method. Semi-structured interviews were conducted with a purposive sample of 30 female breast cancer survivors in Abuja, Nigeria.</p><p><strong>Results: </strong>The three major themes were views about being a cancer survivor, cancer can be stigmatizing, and life after cancer diagnosis and therapy.</p><p><strong>Conclusion: </strong>We argue that cancer-related identity and cancer-related stigma are key factors with help-seeking and quality-of-life implications. Tailored interventions such as cancer health education and social support for cancer survivors may help reduce the burden of cancer in Nigeria.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"147-163"},"PeriodicalIF":3.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the racial gradient in reproductive health: an examination of challenges to sexual health care faced by black female college students. 探索生殖健康中的种族梯度:对黑人女大学生在性健康护理方面面临的挑战的调查。
IF 3.1 3区 医学
Ethnicity & Health Pub Date : 2024-02-01 Epub Date: 2024-01-24 DOI: 10.1080/13557858.2023.2279929
Jeannette M Wade, Helyne Frederick, Serena Lowe, Eryn Yarrell, Aigné Taylor, Sharon Parker
{"title":"Exploring the racial gradient in reproductive health: an examination of challenges to sexual health care faced by black female college students.","authors":"Jeannette M Wade, Helyne Frederick, Serena Lowe, Eryn Yarrell, Aigné Taylor, Sharon Parker","doi":"10.1080/13557858.2023.2279929","DOIUrl":"10.1080/13557858.2023.2279929","url":null,"abstract":"<p><strong>Objectives: </strong>This study identifies and analyzes barriers to sexual and gynecological health care Black women face at a Historically Black College or University (HBCU) and a Predominantly White Institution (PWI) in southeastern America.</p><p><strong>Design: </strong>Participants identified as Black women who were sexually active, age 18-25, and undergraduate students. The research team conducted in-depth interviews across two campuses via Zoom. Interviews were coded using inductive thematic analysis.</p><p><strong>Results: </strong>We derived six specific themes that summarize Black female college students' barriers to care: Patient-provider Interactions, Economic Determinants of Health, Social Support, Access to Care, Lack of Primary Care, and No Challenges.</p><p><strong>Conclusion: </strong>Reproductive and sexual health disparities can be mitigated with attention to diversity in medical school, affordable care, and teaching young women to prioritize their care for long-term reproductive health.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"199-207"},"PeriodicalIF":3.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring acculturative stress and family dynamics in African immigrant students in the US: implications for mental health. 探索美国非洲移民学生的文化适应压力和家庭动态:对心理健康的影响。
IF 3.1 3区 医学
Ethnicity & Health Pub Date : 2024-02-01 Epub Date: 2024-01-24 DOI: 10.1080/13557858.2023.2279935
Heather B Edelblute, Zeinab Baba, Chiwoneso B Tinago, Shannon Fyalkowski
{"title":"Exploring acculturative stress and family dynamics in African immigrant students in the US: implications for mental health.","authors":"Heather B Edelblute, Zeinab Baba, Chiwoneso B Tinago, Shannon Fyalkowski","doi":"10.1080/13557858.2023.2279935","DOIUrl":"10.1080/13557858.2023.2279935","url":null,"abstract":"<p><strong>Objectives: </strong>African immigrants represent a rapidly growing immigrant group in the US, yet relatively little is known about influences on the health of this group. This is a particularly important oversight since adaptation to life in the United States can have deleterious effects on health due to the stress associated with immigrant and minority status as well as separation from family abroad. The present study explores how African immigrants experience acculturative stress - the stress-inducing elements of life as an immigrant - and the mental health implications of these experiences in light of home country values and conceptions of health.</p><p><strong>Design: </strong>Semi-structured, in-depth interviews were conducted with a purposive sample of sub-Saharan African immigrant students attending a metropolitan university in the northeastern United States (<i>N</i> = 26). Data were analyzed thematically using NVivo 12.</p><p><strong>Results: </strong>African immigrant students first experience acculturative stress through schools and neighborhoods where they encounter othering processes, including discrimination and racism. Family responsibilities to loved ones in the US and Africa also represent a source of stress that contributes to feelings of isolation and depression experienced while managing college responsibilities. Since these emotional and mental states are not within the purview of how health is viewed in their home countries, many suffer and may not get the care they need to effectively manage their mental health.</p><p><strong>Conclusion: </strong>Findings emphasize shared experiences of navigating cultural dynamics, family pressures, and discrimination that contribute to the stress experienced by African immigrants. Findings also underscore the need for the development of culturally sensitive interventions in university settings so that African immigrant students can be upwardly mobile and healthy in the long-term.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"239-253"},"PeriodicalIF":3.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72016060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating norms and expectations: the influence of culture on Latino couples and their interpersonal communication and coping post-breast cancer diagnosis. 导航规范和期望:文化对拉丁裔夫妇及其人际沟通的影响,以及应对癌症后诊断。
IF 3.1 3区 医学
Ethnicity & Health Pub Date : 2024-02-01 Epub Date: 2024-01-24 DOI: 10.1080/13557858.2023.2279482
Gabriella Sanabria, Melody Chavez, Marangelie Velez, Laura Perdiguero Munoz, Janna Bastardo, Audry Belen, Isabela Solis, Sejal Barden, Brian Doss, Dinorah Martinez-Tyson
{"title":"Navigating norms and expectations: the influence of culture on Latino couples and their interpersonal communication and coping post-breast cancer diagnosis.","authors":"Gabriella Sanabria, Melody Chavez, Marangelie Velez, Laura Perdiguero Munoz, Janna Bastardo, Audry Belen, Isabela Solis, Sejal Barden, Brian Doss, Dinorah Martinez-Tyson","doi":"10.1080/13557858.2023.2279482","DOIUrl":"10.1080/13557858.2023.2279482","url":null,"abstract":"<p><strong>Objectives: </strong>Cultural norms shape expectations, care, and communication. Effective interpersonal communication is a prominent predictor of patient-partner cancer management, improving the overall quality of life for the dyad by increasing their ability to cope with cancer. However, couples-based cancer interventions often do not consider cultural factors. Additionally, although Latinas have a high incidence of breast cancer, few studies focus on Latino couples and the influence of culture in cancer care interventions. This study focuses on understanding how Latino culture's norms and expectations influence how couples communicate and cope post-breast cancer diagnosis.</p><p><strong>Design: </strong>This study conducted interviews and focus groups with a purposive sample of Spanish-speaking Latina breast cancer survivors (<i>N </i>= 21) and intimate partners (N = 5). In the focus group and interviews, participants were asked about the influence cancer had on their relationship, with specific questions focusing on communication within the dyad. The study team used CARV: Community-Engaged Adaptation with Rapid Analysis and Visualization framework to identify cultural considerations and recurring themes.</p><p><strong>Results: </strong>The cross-cutting cultural considerations and themes found were: the negative influence of gendered and social norms on managing emotions and coping; the silent struggle with physical intimacy; and the inability to discuss the topic - or even say the word 'cancer.'</p><p><strong>Conclusion: </strong>Understanding the role of Latino culture in how couples cope with and communicate about cancer post-diagnosis is essential. This understanding will help strengthen the dyad by assisting with positive interpersonal support, which contributes to a better quality of life. These findings will also help providers assist dyads in navigating the cancer diagnosis and journey, helping to lessen the interpersonal stress and tensions that can occur after diagnosis.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"164-178"},"PeriodicalIF":3.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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