Eating Disorders of White American,Racial and Ethnic Minority American,and International Women

Eating attitudes and behaviors related to anorexia nervosa, bulimia, and obesity of White American, African-American, Native American, and some international women are considered from the point of view of cultural influences such as sex role, the media, socioeconomic class, and acculturation to Western society.     

A structural model of acculturation and mental health status among Chinese Americans

This study examined the role of acculturation and its direct and indirect impact on depressive symptom severity through various correlates, including socioeconomic status (SES), stress, social support, personality negativity, and physical health perception. Using structural equation modeling, the proposed model was tested with 983 employed Chinese Americans from a representative community sample, the majority of whom were immigrants. The results demonstrated that acculturation, correlated with SES, contributed to depressive symptom severity only through indirect pathways. Higher acculturation was found associated with higher stress that in turn contributed to more elevated depressive symptoms. On the other hand, higher acculturation was also found strongly correlated with higher SES, which was associated with lower depressive symptoms directly or indirectly through several mediators. Better support, lower personality negativity, better health perception, and lower stress were found mediating the relationship between higher SES and lower depressive symptom severity. The simultaneous multigroup analysis showed that the final model was comparable for both men and women with very few differences.     

Acculturation,gender, and views on interracial relationships among Chinese Canadians

Acculturation to mainstream and heritage culture has been shown to influence attitudes and behaviors related to romantic relationships. Few studies have examined its influence on views regarding interracial relationships and whether the psychological processes underlying these relations vary across gender. Among Chinese Canadian participants (N = 248), mainstream acculturation, but not Chinese acculturation, was associated with more personal openness to and less cultural values conflict about interracial relationships. Among men, stronger egalitarian gender role ideology mediated the relations between mainstream acculturation and the above interracial relationship variables. For women, fewer concerns about cultural preservation mediated the relation between mainstream acculturation and less cultural values conflict. The importance of understanding cultural influences on interracial relationships through a gendered lens is discussed.     

Lazos que Atan: The Influence of Normative Gender Beliefs on Sexual Risk Behaviors of Latino Men and Women

Not all Latino men and women conform to proscribed gender roles. Nonetheless, their sexual risk taking may well be influenced by traditional beliefs concerning these roles. We explored the relationship between gender beliefs that are normative in Latino culture, and the sexual risk behaviors of 152 Latino men and women who participated in a behavioral rapid needs assessment survey in Houston, TX. Path—analytic results indicate that normative gender beliefs are influenced by respondents' sex and their levels of acculturation and that these 2 variables influence sexual risk behaviors, including unprotected sex and multi partnerism. Our results suggest that beliefs about gender influence sexual behavior and, therefore, are an important factor that should be considered in understanding sexual risk taking among Latinos.     

Attitudes Towards Prenatal Genetic Counseling,Prenatal Genetic Testing,and Termination of Pregnancy among Southeast and East Asian Women in the United States

Recognizing the heterogeneity of the Asian population with regards to acculturation, education, health awareness, and cultural values is vital for tailoring culturally sensitive and appropriate care. Prior studies show that cultural values influence perceptions of genetics within Asian populations. The reputation of the family unit factors into decisions such as pregnancy termination and disclosure of family medical history, and the nondirective model of American genetic counseling may conflict with the historical Asian model of paternalistic health care. Previous studies also provide conflicting evidence regarding correlations between education, acculturation, age, and awareness and perceptions of genetic testing. The aims of this study were to describe attitudes towards prenatal genetics among Southeast and East Asian women living in the United States for varying amounts of time and to explore sociocultural factors influencing those attitudes. Twenty-three Asian women who were members of Asian cultural organizations in the United States were interviewed via telephone about their attitudes towards prenatal genetic counseling, prenatal genetic testing, and termination of pregnancy. Responses were transcribed and coded for common themes using a thematic analysis approach. Four major themes emerged. In general, participants: (1) had diverse expectations for genetic counselors; (2) tended to weigh risks and benefits with regards to genetic testing decisions; (3) had mixed views on termination for lethal and non-lethal genetic conditions; and (4) identified cultural factors which influenced testing and termination such as lack of available resources, societal shame and stigma, and family pressure. These findings may allow prenatal genetic counselors to gain a richer, more nuanced understanding of their Asian patients and to offer culturally tailored prenatal genetic counseling.     

Satisfaction with care among low-income female outpatients

Patient satisfaction correlates with important health behaviors and outcomes. Little is known about satisfaction in disadvantaged populations of different racial/ethnic backgrounds. The current study evaluated demographic and psychological correlates of patient satisfaction among a low-income, multiethnic sample of female outpatients attending cervical cancer screening. Participants included 338 African American, Latina, and white women ages 18 - 49 years attending University of Texas Medical Branch Regional Maternal & Child Health Clinics. Data were obtained via self-report and chart review. Patient satisfaction was assessed using the Patient Satisfaction Questionnaire (PSQ). Total PSQ scores reflected two distinct underlying subscales (satisfaction and dissatisfaction), which differed from the original factor structure of the PSQ. Satisfaction was predicted by patient beliefs that their health is self-determined, beliefs that doctors control their health, self-esteem, and education. Dissatisfaction was predicted by patient beliefs that good health is a matter of chance/luck, self-esteem, social desirability, and income. Higher self-esteem, education, and beliefs that health is controlled by oneself or doctors correlated with higher satisfaction with care in the clinic setting. Understanding the influence of patient characteristics on perceptions of care is important for physicians to foster relationships with patients that increase feelings of satisfaction, decrease dissatisfaction, and ultimately, improve health outcomes.     

The development of the Cultural Health Attributions Questionnaire (CHAQ)

Current general health belief measures that are used to assess health behaviors do not capture the full range of health beliefs present among Latinos. The purpose of this study was to develop a reliable and valid measure of Latino health beliefs, the Cultural Health Attributions Questionnaire (CHAQ). Three hundred forty participants were recruited in 2 metropolitan areas with large Latino populations. Exploratory factor analysis revealed 2 highly interpretable 12-item subscales: the Equity Attribution and the Behavioral-Environmental Attribution scales. Examination of the relationships between the subscales and measures of acculturation provided evidence of construct validity. Moreover, the prediction of health care behavior by the CHAQ also indicated initial criterion validity.     

Does Socioeconomic Status Matter for Chinese Immigrants’ Academic Socialization? Family Environment,Parental Engagement,and Preschoolers’ Outcomes

Families’ academic socialization mediates how socioeconomic status (SES) affects children’s achievement. However, little is known about whether cultural values and family cohesion could buffer negative effects of low SES. We examined parental academic socialization and children’s achievement in 220 low- and middle-SES Chinese immigrant families with four-year-olds. Low-SES parents showed less stressful family environments and stronger beliefs about parental responsibility for education. However, middle-SES parents provided more reading engagement and enrichment activities. Reading engagement and SES were significantly associated with children’s academic performance. These findings demonstrate low-SES families’ strengths but suggest the need to provide more support for such families.     

The role of culture in families' treatment decisions for children with autism spectrum disorders

There is little information available about how and why parents of children with autism spectrum disorders (ASD) make decisions regarding which of the many available treatments to implement with their children. Given the lack of available information regarding treatment efficacy, it is likely that parents' beliefs about child development, interpretation of the symptoms of ASD, its etiology and course, and their experiences with the health system influence treatment decisions. This article addresses these issues within the context of cultural influences. We review the small body of existing literature regarding cultural influences on decisions regarding ASD and draw implications for the study and treatment of ASD from the larger body of literature on culture and other health conditions of childhood. In addition to examining the potential for differences in clinical presentation by culture and different experiences with the healthcare system, we use Kleinman's framework of questions for understanding the role of culture in the interpretation and treatment of ASD. These questions address interpretation of symptoms and beliefs about their cause, course, and treatment. Finally, we present specific language for clinicians to use in discussion with families with different cultural beliefs about the use of less traditional treatment strategies.     

Identity-based motivation and health

People do not always take action to promote health, engaging instead in unhealthy habits and reporting fatalism about health. One important mechanism underlying these patterns involves identity-based motivation (D. Oyserman, 2007), the process by which content of social identities influences beliefs about in-group goals and strategies. Seven studies show the effect of identity-based motivation on health. Racial-ethnic minority participants view health promotion behaviors as White middle class and unhealthy behaviors as in-group defining (Studies 1 and 2). Priming race-ethnicity (and low socioeconomic status) increases health fatalism and reduces access to health knowledge (Studies 3 and 4). Perceived efficacy of health-promoting activities is undermined when racial-ethnic minority participants who identify unhealthy behavior as in-group defining are asked to consider their similarities to (middle-class) Whites (Studies 5-7).     

Mexican- and Anglo-American differences on the psychological screening inventory

This study investigated differences between Mexican- and Anglo-American college students on the Psychological Screening Inventory (PSI; Lanyon, 1970, 1973)-a brief personality instrument designed to detect persons who might benefit from more extensive evaluations in mental health settings. Further, this study controlled for the Mexican Americans' acculturation level, age, and socioeconomic status (SES), as these variables have routinely been shown to covary with other psychosocial variables. From data on 107 Mexican-American and 105 Anglo-American college students, we found that Mexican-American subjects had higher PSI scores on the Alienation and Defensiveness subscales and lower scores on the Social Nonconformity and Expression subscales than did Anglo-American subjects. With acculturation covaried, however, these differences were no longer statistically significant. With age and SES covaried, the two ethnic groups differed on Alienation, Expression, and Defensiveness, suggesting that Mexican Americans' performance on the PSI varies as a function of acculturation, age, and SES. Implications of these findings are discussed.     

Dispositional optimism and physical wellbeing: The relevance of culture,gender, and socioeconomic status

The present study examined the relationship between dispositional optimism and physical wellbeing (as reflected in physical symptom reporting) in two groups of American and Jordanian college students. It also assessed moderation effects of culture, gender, and socioeconomic status (SES). Participants were administered a questionnaire consisting of items pertaining to dispositional optimism (as measured by the Revised Life Orientation Test, LOT‐R) along with items assessing physical symptom reporting and sociodemographic factors (e.g., gender, socioeconomic status). The results revealed significant negative correlations between dispositional optimism and physical symptom reporting for both American and Jordanian participants, although the magnitude of the correlation for the American group was noticeably larger than that for the Jordanian group. The results also showed that women, especially Jordanians, were more likely than men to report physical symptoms. Among Jordanians, physical symptom reporting was more common among those of lower SES. No statistically significant differences in physical symptom reporting were found between American men and women or between the two cultural groups. Multiple regression analyses revealed no statistically significant interactions between optimism and cultural background, optimism and gender, or optimism and SES. Overall, the results suggest that optimism is the factor most predictive of physical symptom reporting, followed by SES and gender. These results corroborate previous findings on the relationship between dispositional optimism and physical wellbeing, and point to crosscultural differences in relationship patterns. These differences suggest that although personality characteristics such as optimism may play an important role in the physical wellbeing of both Western and non‐Western groups, the influence of sociodemographic factors such as gender and SES and their interaction with cultural variables must not be overlooked.     

The impact of ethnicity,nationality, counseling orientation,and mental health standards on stereotypic beliefs about women: A pilot study

People vary in the extent to which they hold stereotypic beliefs about women. The recently developed Beliefs About Women Scale (BAWS) was used in five investigations to examine the following aspects of people's stereotypic beliefs about women: (Study I) the impact of ethnicity (Hispanics and Anglos) on women's endorsement of traditional beliefs about women; (Study II) the impact of national culture (Mexico and the United States) on women's responses to the BAWS; (Study III) the extent to which U.S. women define women's and men's mental health in terms of stereotypic beliefs about women; (Study IV) the extent to which preferences for counseling orientation influence the beliefs about women attributed to mentally healthy women and men; and (Study V) the impact of national culture (Mexico and the United States) on the beliefs about women ascribed to mentally healthy women and men. The results indicated that (a) U.S. Anglo females disagreed more strongly with traditional beliefs about women than did U.S. Hispanic females; (b) U.S. women expressed greater agreement with traditional stereotypes about women's interpersonal abilities and greater disagreement with traditional stereotypes about women's personal competencies than did women from Mexico; (c) the beliefs about women held by U.S. psychology trainees, and the beliefs about women that they attributed to mentally healthy females, were more nontraditional than those that they attributed to mentally healthy males; (d) particular counseling preferences were associated with the stereotypic beliefs about women that female counseling trainees imputed to mentally healthy males and females; and (e) similarities and differences exist on the beliefs about women that female psychology trainees from the United States and Mexico ascribe to mentally healthy females and males. The discussion focuses on mentally healthy beliefs about women, and the implications of these findings for the delivery of mental health services to women and men from various cultures.     

儿童早期亲子间情绪谈话的影响因素

作为父母情绪社会化的一种重要途径,亲子间有关情绪的谈话对儿童个性和社会性的发展意义重大。研究发现,包括文化、种族、社会经济地位在内的外部社会环境,儿童的年龄、性别和依恋等特点,以及父母的依恋、养育观念和心理健康状况等因素,都会对父母与儿童之间有关情绪的谈话产生影响。未来亲子间有关情绪的谈话研究应更多考虑儿童长远发展的社会文化适应性视角,加强对非言语信息、亲子间交互回应行为的分析,拓展儿童中期和青春期的探讨,并进一步细化各项研究指标的差异水平、考虑中介因素的作用。     

Gender and Acculturation in Relation to Traditionalism: Perceptions of Self and Parents Among Chinese Students

The acculturation attitudes and traditionalismof Chinese university students in Toronto, Canada, wereinvestigated. Chinese men were significantly moretraditional than Chinese women in their beliefs and expectations regarding family hierarchy and thesocial roles of women and men, but they did not differin perceptions of their parents' construal of familyrelations and gender roles. Generational discrepancy between self and perceived parental values wasfound for Chinese women but not for men in the study,suggesting greater conflict with regard to traditionalgender role and cultural values for women. The acculturation attitude of separation predictedstudents' traditionalism, and marginalization predictedparents' perceived traditionalism. Gender differencesand the relevance of different modes of acculturation with regard to traditionalism are discussed inthis article.     

Council-Based Approaches to Reforming the Health Care Response to Domestic Violence: Promising Findings and Cautionary Tales

Councils are commonly formed to address social issues including intimate partner violence (IPV). Research suggests that councils may be well positioned to achieve proximal outcomes, but that their success may depend on contextual factors. The current study compared providers and health care settings at two points in time to explore the degree to which the Health Care Council achieved proximal outcomes in the health care response to IPV, including: (a) providers' reported capacity to screen for IPV, (b) providers' beliefs about IPV as a health care issue and about the IPV screening process, (c) providers' screening behaviors and (d) organizational policies and protocols to encourage screening. This study, while preliminary, provides support for council-based efforts to stimulate change in the health care response to IPV and also highlights the central role that organizational environment plays in shaping desired outcomes.     

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.     

Effects of Gender,Socioeconomic Status,and Early Academic Performance on Postsecondary Educational Choice

National data were used to study the effects of gender, socioeconomic status (SES), and 4 types of eighth‐grade academic performance on postsecondary educational choices at late adolescence. Educational choices were classified by predominant Holland type (R, I, A, S, E, C). Gender had strongest independent influences on educational choice. Gender also interacted with SES and academic performance. Relationships between SES and educational choice were stronger for women than for men. For women, eighth‐grade reading scores were the strongest predictor of educational choice, whereas for men, mathematics scores were the strongest predictor. Implications for theory and counseling practice are discussed.     

Handbook of Psychological Assessment (2nd ed.)/Developmental Assessment in Child Psychology (Book)

This study investigated differences between Mexican- and Anglo-American college students on the Psychological Screening Inventory (PSI; Lanyon, 1970, 1973)—a brief personality instrument designed to detect persons who might benefit from more extensive evaluations in mental health settings. Further, this study controlled for the Mexican Americans' acculturation level, age, and socioeconomic status (SES), as these variables have routinely been shown to covary with other psychosocial variables. From data on 107 Mexican-American and 105 Anglo-American college students, we found that Mexican-American subjects had higher PSI scores on the Alienation and Defensiveness subscales and lower scores on the Social Nonconformity and Expression subscales than did Anglo-American subjects. With acculturation covaried, however, these differences were no longer statistically significant. With age and SES covaried, the two ethnic groups differed on Alienation, Expression, and Defensiveness, suggesting that Mexican Americans' performance on the PSI varies as a function of acculturation, age, and SES. Implications of these findings are discussed.