The fertility related behavior of Mexican American adolescents

Data from a clinic sample of pregnant adolescents are analyzed for differences in fertility related variables between Mexican American and non Mexican. The independent variables are birthplace, ethnicity, and exposure to United States culture of Mexican and non Mexican adolescents. The dependent variables are talking about sex, pregnancy, birth control, hearing about birth control, and use of birth control. The data support the hypothesis that in the process of acculturation the fertility related behavior of immigrant Mexican adolescent females is affected by the indigenous United States Mexican culture rather than by United States Anglo culture. Implications for delivery of services are discussed. The delivery of fertility related services should take into account the cultural preferences of Mexican women, and should not involve coercion from legal or medical authorities. While liberation of Mexican American women, and accompanying changes in childbearing patterns may be desirable, these efforts should originate within the Mexican American community. Data is presented in tables on selected sample and subsample characteristics and compares fertility behaviors across ethnic groups, including Anglo, Black, US non-Mexican, and US Mexican.     

Cultural Predictors of Physical and Mental Health Status among Mexican American Women: A Mediation Model

This study, using secondary data analysis, examined a mediation model of acculturation and ethnic pride as predictors of physical and mental health outcomes in a sample of 561 Mexican American women. Factors postulated as mediators were family support and religiosity. Systematic across-group comparison analyses were conducted to examine sources of differences in the mediation model between immigrant and non-immigrant women. The results partially supported the hypothesized mediation model, indicating that family support, but not religiosity, was a significant mediator in the relationship between ethnic pride and mental health problems. In addition, as differences between immigrant and non-immigrant women were observed only in the variables means, but not in the factor loadings or regression paths, the model tested may capture a common psychosocial process that affects these women and their health outcomes. Overall, this study offers important implications for future research and the design of intervention programs for Mexican American women.     

Social science stereotypes of the Mexican American woman: policy implications for research

Reviewing the social science literature on the Chicana or Mexican American woman reveals a tenaciously perpetuated stereotype in which she appears almost exclusively as a submissive maternal figure. This may be related to an on-going trend to support studies of interpersonal or cultural characteristics of Chicanas and a resistance to undertake evaluations of systemic discrimination against Mexican American women. Almost all such studies investigated lower class samples, thus confounding ethnicity with socioeconomic status. The size and selection of many of the samples are questionable for purposes of generalizing to the entire population. Because many concepts are not defined in behavioral terms, they are seldom assessed empirically. The main concern is to what extent social scientists and the media are dictating norms to the Chicano family and to what extent are social planners and educators being influenced by these images. Examples from 3 distinct areas of research conclude with interpretations of Mexican American women that differ considerably from those with a heavy emphasis on cultural values: 1) demographic analyses of the 1970 Public Use Samples of the census that acknowledge the disadvantaged economic position of Mexican Americans; 2) studies that are beginning to measure empirically the family dynamics of Mexican Americans; and 3) family planning studies that attempt to examine the interaction between health care delivery systems and Mexican American contraceptive behavior. Trained and experienced Chicana researchers are needed to offset the male orientation and ethnocentrism that have characterized the social sciences.     

Oral contraceptive use among African American adolescents: Individual and community influences

Side effects of oral contraceptives are a noteworthy problem, particularly among low-income young women who reside in inner-city communities. The problem may be compounded by inadequate family planning services, particularly when such services are provided by general medical practices with high volumes of clients. This study examined the prevalence and correlates of pill-related side effects, with particular attention to the role of clinic characteristics. Participants were 177 pregnant and parenting African American adolescents and young women (average age=18.34). The experience of a pill-related side effect was the most frequently cited barrier to birth control use, and it was significantly related to contraceptive behavior. Finally, although participants attending comprehensive clinics experienced more barriers to medical service use than those attending neighborhood clinics, they reported fewer problems with pill-related side effects and better psychological functioning. Implications for future research and policy are discussed. This study was completed with the assistance of grants from the Illinois Department of Alcoholism and Substance Abuse, the National Institute of Child Health and Human Development, and the Office of Research on Women's Health to Jean Rhodes. Portions of this paper were presented at the 1993 Biennial Meeting of the Society for Community Research and Action, Williamsburg, Virginia. The authors gratefully acknowledge the assistance of Julian Rappaport, Joel Meyers, Hope Landrine, Lori Ebert, the Reverend Annette Collins, Margaret Daniels, Khya Lawrence, and the professionals and participants at the service settings.     

Assimilation and fertility: a comparison of Mexican American and Japanese women

This study has 2 central goals: 1) to demonstrate the utility of using direct indicators of assimilation; and 2) to distinguish more clearly between the social characteristics, assimilationist and minority status perspectives. The 1970 Public Use Samples (US Bureau of the Census, 1972) provide the data. Race, ethnic identification and place of birth serve as the criteria for defining ethnicity: Mexican American ethnicity is determined by the response to an ethnic-identification item; Japanese American ethnicity is determined by racial identification; and majority white ethnicity is determined by racial identification, place of birth and of parents' birth and by mutual exclusivity with the other ethnic groups. The analysis is restricted to women between the ages of 35 and 45 who were currently married with spouse present at the time of the 1970 census. 2 indicators of assimilation are marital assimilation and residential segregation, including intermarriage. 3 levels of marital assimilation were measured using dummy variables: 1) endogamous marriage of Mexican American or Japanese American women; 2) exogenous marriage with a male who is not a majority white; and 3) marriage with a majority white. Residential segregation provides a somewhat less direct indicator of assimilation. The data indicate the extent to which each respondent's neighborhood is ethnically segregated. The % of the population in the neighborhood that belongs to a given ethnic category was recorded. Generation of residence, and socioeconomic and marital characteristics were used as control variables. The 3 groups differ markedly in fertility, status, marital patterns and assimilation. The Japanese Americans have an average of 2.38 children, a level that is 7 below the majority white mean and 3.11 below that of the Mexican American women. The Japanese women also possess the highest status levels and most stable marital profile. Both Japanese and Mexican Americans live in neighborhoods that are considerably more ethnic than those in which the majority whites live. Among Mexican American women, the foreign-born and native components differ very little on any dimension--fertility, status, marital factors, or assimilation levels, and the cross-sectional data provide no indication of convergence with majority whites. However, native-born Japanese women have considerably higher status levels, more stable marriages, and higher fertility than the foreign-born women. The relationships between assimilation and fertility support the hypothesis that convergence in fertility levels will accompany assimilation.     

Preconceptional family health evaluation: A regional education program for family planning clients and health professionals

The Preconceptional Family Health Evaluation Program was a regional project developed and funded for 2 years by the New England Regional Genetics Group (NERGG) to educate family planning health professionals about genetics, and to offer family planning clients preconceptional identification of genetic and environmental exposure risks. To meet these goals, genetic education was provided on a regional basis to 45 family planning professionals. A self-administered family health risk questionnaire adaptable to individual family planning settings was developed. Five hundred and twenty-nine family planning clients voluntarily completed the questionnaire. Cigarette smoking (35%) and alcohol use (57%) were two major categories of risks identified. The Preconceptional Family Health Evaluation Program was well received by all participants and provided an effective means for regional education of family planning health professionals. As a result of the program, state program planners, clinical genetics services, and family planning health professionals developed a strong relationship that will serve future educational and genetic risk screening efforts.     

The Use of Self-Pleasure: Masturbation and Body Image among African American and European American Women

The current investigation examined the relationship between masturbation and body image among 96 women seeking services at a local family planning clinic in a mid-southern U.S. city. Participants completed a questionnaire that assessed body image and masturbatory practices. Ethnic differences were found with European American women reporting greater masturbation frequencies and higher rates of body dissatisfaction than African American women. Among European American women, there was a positive relationship between women's sexual self-pleasuring and positive body image. For African American participants, body image was not related to masturbation practice or frequency.     

Exploring the Complexities of Familism and Acculturation: Central Constructs for People of Mexican Origin

We examined the relationships between three dimensions of familism: importance of family, family support, and family conflict with acculturation, assessed orthogonally (Mexican and American cultural contributions assessed independently), and the relative contribution these factors make to psychological adjustment among 248 (124 women, 124 men) adults of Mexican origin. After controlling for sociodemographic characteristics, positive associations were found between importance of family and the biculturalism of Mexican and American cultural identity; family support and Mexican cultural identity; but no associations between family conflict and level of acculturation. Psychological well-being was positively associated with Mexican cultural identity and family support, whereas psychological distress was associated with greater family conflict and lower family support. The greater relative contribution of Mexican cultural identity to familism and well-being, and the importance of assessing acculturation orthogonally are discussed. This research was supported in part by a Minority Supplement to National Institute of Mental Health Grant MH47193 to the Research Center on the Psychobiology of Ethnicity, Harbor-UCLA Medical Center and by a research award from Pitzer College to Norma Rodriguez.     

Counseling the Hispanic Client: Cuban Americans,Mexican Americans,and Puerto Ricans

This article describes a general framework that may be used when counseling Cuban American, Mexican American, and Puerto Rican clients. The psychological and sociocultural characteristics of these populations are described. Both differences and similarities among the 3 groups are reviewed. The identification of the client's worldview, cultural values, and family values provides a specific framework for counseling these clients. Specific and general guidelines are provided for the psychological assessment of Cuban American, Mexican American, and Puerto Rican clients.     

Internalization of U.S. female beauty standards as a mediator of the relationship between Mexican American women's acculturation and body dissatisfaction

The relationships among acculturation, internalization of U.S. sociocultural standards of female beauty, and body dissatisfaction were examined in a sample of 211 Mexican American college women. Structural equation modeling was used to identify the paths among these three factors. Results demonstrated that there are two distinct types of body dissatisfaction: global evaluations and composite site-specific evaluations. The relationships between acculturation toward dominant U.S. culture and both types of body dissatisfaction were found to be fully mediated by internalization of U.S. standards of female beauty. There were no relationships between Mexican orientation and any of the study variables. The results from this study imply that it is important for therapists working with Mexican American female clients to assess the client's level of acculturation, examine the cultural (U.S. and Mexican) messages the client receives, and explore how these messages impact her body image.     

Barriers between mental health services and Mexican Americans: An examination of a paradox

The paradox of underutilization of mental health services by Mexican Americans is critically examined. It is argued that Mexican Americans live under high levels of psychological and environmental stress that would ordinarily lead to mental health problems and an increased utilization of mental health services. A number of barriers to the use of mental health services by Mexican Americans are examined. Included among these barriers are such factors as the relationship between social class and treatment offered, stereotypes concerning Mexican American folk psychiatry, limitations imposed by language differences, and the effects of stereotypes between Anglo Americans and Mexican Americans. Paradoxical findings in some studies which show a positive perception of mental health services by Mexican Americans are seen to further underscore the need for more research on the Mexican American's position. Stereotypes and generalizations about Spanish-speaking and bilingual Mexican American's approaches to psychotherapy are challenged in the light of recent empirical findings. Recommendations for future research directions and for improving the delivery of mental health services are presented.     

Subjective Well-Being in Mexican and Mexican American Women: The Role of Acculturation,Ethnic Identity,Gender Roles,and Perceived Social Support

Latinas experience multiple oppressions and poorer mental health due to their often triple minority status as poor, female, women of color. The present study examined whether identifying with both Mexican culture and the dominant culture (bicultural), having high ethnic identity, identifying with both feminine and masculine behavior (androgynous gender role), and perceiving greater family social support predicted life satisfaction and positive affect in low socioeconomic status, Mexican and Mexican American women (n = 194). Results indicated that greater ethnic identity and greater perceived family social support significantly predicted Mexican and Mexican American women’s life satisfaction. Greater ethnic identity, greater feminine gender identity, greater androgynous gender identity, and greater perceived family social support were significant predictors of positive affect. Furthermore, as expected, social support from family was the most significant predictor for both life satisfaction and positive affect. Implications of the results and suggestions for future research are discussed.     

Couples' cultural values, shared parenting, and family emotional climate within Mexican American families

This study tested a model of shared parenting as its centerpiece that incorporates cultural values as predictors and family emotional climate as the outcome variable of interest. We aimed to assess the predictive power of the Mexican cultural values of familismo and simpatia over couples' shared parenting practices. We anticipated that higher levels of shared parenting would predict family emotional climate. The participants were 61 Mexican American, low income couples, with at least one child between 3 and 4 years of age, recruited from a home-based Head Start program. The predictive model demonstrated excellent goodness of fit, supporting the hypothesis that a positive emotional climate within the family is fostered when Mexican American couples practice a sufficient level of shared parenting. Empirical evidence was previously scarce on this proposition. The findings also provide evidence for the role of cultural values, highlighting the importance of family solidarity and avoidance of confrontation as a pathway to shared parenting within Mexican American couples.     

Birth control and low-income Mexican-American women: the impact of three values

This study examines how 3 particular sociocultural values affect Mexican-American women's attitude, knowledge, and use of birth control. Researchers interviewed 99 low-income married Mexican-American women, 48 of whom had a low level of acculturation and 51 of whom had a high level, focusing on the values of motherhood, male dominance, and sexual expression. While the low acculturation group showed a significant linear relationship between attitudes towards birth control and the 3 values, the high acculturation group failed to exhibit a similar relationship. The study also found that no significant relationship exists between knowledge of birth control and the aforementioned values. The sociocultural values, however, do explain a 30% variability in attitudes towards birth control among the women with low acculturation, as well as a 22% variability in birth control use. Although significant, the results do not fully account for the variability. The study suggests several possible explanations for the unaccounted variance: considering the complexity of the values involved, the instruments involved may have failed to fully uncover their effects; because they were normed on Anglo-Americans, the instruments may not have sensitive enough of Mexican-American attitudes; and finally, the study may have overlooked other important values. Nonetheless, the study points out definite differences in attitudes between high and low acculturation groups. Considering that Hispanic women -- particularly Mexican-American women -- experience a very high birthrate (double that of non-Hispanics), examining sociocultural values may give insights into better family planning methods for this group.     

An Analysis of Domestic Violence in Asian American Communities:

This article presents a preliminary analysis of domestic violence in Asian American communities, and reports results from a focus group study on domestic violence in Southeast Asians (Laotians, Khmer, Vietnamese, and Chinese). It examines the influence of traditional Asian values, the assimilation process into American cultures, and the impact of sexism and racism on the oppression of Asian women. It is suggested that traditional Asian values of close family ties, harmony, and order may not discourage physical and verbal abuse in the privacy of one's home; these values may only support the minimization and hiding of such problems. The role of the cultural values of fatalism, perseverance, and self-restraint reduce the incentive of Asian American women to change their oppressive situations. The results from the focus group study have implications for clinical and community intervention.     

Understanding the Role of Gender and Ethnic Oppression when Treating Mexican American Women for Eating Disorders

Gender, ethnicity, and weight issues are often the basis for internalized oppression. Mexican American women with eating disorders are subject to such internalization, complicated by cultural and family factors. Mexican American women (n = 136) were assessed. The resulting culturally discrepant gender identity theory describes the complicated set of relationships between weight, cultural weightism, gender identity, assimilation to U.S. culture, family factors, and eating disorder symptoms. Therapists treating eating disorders should consider ethnic and gender identity in addressing the conflicts between family, culture, and gender expectations; and demonstrate sensitivity to the complex inter-generational relationships in Mexican American families.     

Factorial And Construct Validity Of The Body Parts Satisfaction Scale-Revised: An Examination Of Minority And Nonminority Women

In this two–part study, the psychometric properties of the Body Parts Satisfaction Scale, an extensively used body image attitudes measure, were tested. In Study 1–A, the two–factor structure of the Body Parts Satisfaction Scale–Revised (BPSS–R)—Satisfaction With Body and Satisfaction With Face—was established through exploratory procedures with a racially diverse sample of women (66.7% White American, 17.6% African American, 6.3% Mexican American, 5% Asian American, 0.6% Native American, and 3.8% unreported). In Study 1–B, the two–factors were validated through confirmatory procedures with a matched racially diverse sample of women (71.9% White American, 14.0% African American, 5.3% Mexican American, 4.7% Asian American, 1.2% Native American, and 2.9% unreported). Correlational analyses supported the construct and concurrent validity of the factors. To learn more about body image attitudes within racial/ethnic minorities, Study 2 examined the two–factor solution and psychometric properties in an independent sample of Mexican American women. Confirmatory factor analysis demonstrated that the two–factor solution fit the data, and correlations with other psychological and eating disorder measures supported the factor's construct and concurrent validity. Further, the two factors were unrelated to a measure of acculturation and to generational level living in the U.S., which suggests that body satisfaction may be independent of the acculturation process.     

Revisiting Hispanic Adolescents' Resilience to the Effects of Parental Problem Drinking and Life Stress

Two previous studies found that life stress and parental alcoholism were not as highly related to distress for Hispanic adolescents as they were for European American adolescents (M. Barrera Jr., S. A. Li, and L. Chassin, 1993, 1995). Those findings could be interpreted as evidence of Hispanic youths' resilience, but limitations of the stress measure and the homogeneity of the Hispanic sample threatened this interpretation. The present study improved on those previous studies by using a new measure of uncontrollable stressors and a more heterogeneous Mexican American sample. Participants in this study were 175 Mexican American and 59 European American adolescents and their parents. Unlike the previous studies, results did not show that Mexican American adolescents were more resilient to parental problem drinking or life stress than were European American adolescents. Overall, life stress was related to adolescents', mothers', and fathers' reports of adolescents' psychological distress above and beyond the effects of ethnicity and socioeconomic factors.     

Body image and size perceptions of Mexican American women

Purpose was to examine in Mexican American women the influences of age, weight, socioeconomic status and acculturation level on body image, perceptions of attractive and acceptable female shapes, and tolerance for overweight and obesity. Participants were 276 Mexican American women. Age, body mass index, socioeconomic status, and acculturation level were measured. The Figure Rating Scale was used to assess body image, preferences for body size, and perceptions of underweight to obese and acceptable body sizes. Significant effects for acculturation level and current weight were found. Women who were more Anglo oriented showed greater preference for thinner figures. As compared to normal weight women, obese women chose larger figures as ideal, realistic, attractive, and thinnest acceptable. Findings point to the impact of acculturation and obesity on body image and size perceptions. Health professionals working with Mexican Americans should consider each individual's current weight and level of acculturation.