Trust-Based Prayer Expectancies and Health Among Older Mexican Americans

This study assesses the health-related effects of trust-based prayer expectancies, which reflect the belief that God answers prayers at the right time and in the best way. The following relationships are evaluated in our conceptual model: (1) older Mexican Americans who attend worship services more often tend to develop a closer relationship with God; (2) people who feel close to God will be more likely to develop trust-based prayer expectancies; (3) people who endorse trust-based prayer expectancies will have greater feelings of self-esteem; and (4) higher self-esteem is associated with better self-rated health. The data support each of these relationships.     

Religion and Health Among Older Mexican Americans: Exploring the Influence of Making Mandas

A manda is a religious quid pro quo whereby an older Mexican American promises to perform a religious act if the Virgin or one of the saints grants a request. The purpose of this study is to see whether making mandas is associated with health among older Mexican Americans. Findings from the study model suggest that making mandas is associated with a greater sense of personal control, and more personal control is associated, in turn, with better health.     

Assessing the Prayer Lives of Older Whites, Older Blacks and Older Mexican Americans: A Descriptive Analysis

The purpose of this study was to see whether differences emerge between older whites, older blacks, and older Mexican Americans in 12 measures of prayer. These measures assess four dimensions of prayer: The social context of prayer, interpersonal aspects of prayer, beliefs about how prayer operates, and the content or focus of prayers. Data from two nationwide surveys of older adults suggest that with respect to all four dimensions, the prayer lives of older whites appear be less developed than the prayer lives of older blacks and older Mexican Americans. In contrast, relatively few differences were found in the prayer lives of older African Americans and older Mexican Americans. The theoretical implications of these findings are discussed.     

Assessing the Prayer Lives of Older Whites,Older Blacks,and Older Mexican Americans: A Descriptive Analysis

The purpose of this study was to see whether differences emerge between older Whites, older Blacks, and older Mexican Americans in 12 measures of prayer. These measures assess 4 dimensions of prayer: the social context of prayer, interpersonal aspects of prayer, beliefs about how prayer operates, and the content or focus of prayers. Data from two nationwide surveys of older adults suggest that with respect to all four dimensions, the prayer lives of older Whites appear to be less developed than the prayer lives of older Blacks and older Mexican Americans. In contrast, relatively few differences were found in the prayer lives of older African Americans and older Mexican Americans. The theoretical implications of these findings are discussed.     

Exploring the Interface Between Religion and Contact with the Dead Among Older Mexican Americans

The purpose of the current study is to examine the relationship between religion and post death contact among older Mexican Americans. Four major themes emerged from 52 in-depth interviews that were conducted with Older Mexican Americans residing in Texas. First, many older study participants told us they had contact with the dead, but others indicated this was not possible. Second, the form in which contact with the dead was made varied greatly. Some older Mexican Americans reported they had visual contact with the dead, while others said they only made contact with the dead through dreams. Third, although some older Mexican American study participants believed that it was in the best interests of the dead to contact the living, others felt the dead should instead be in Heaven with God. Fourth, the participants in our study reported that having contact with the dead provides a number of important social and psychological benefits. In the process of discussing these themes, an emphasis is placed on how beliefs and experiences with the dead interface with religion. In addition, we also explore how post death contact may be associated with health and well-being in late life.     

Spirituality Among Older African Americans

Recent changes in gerontology have drawn attention to the role of spirituality among older adults. Demographic trends suggest that the number of African Americans over the age of 65 is increasing, with the largest shift to occur in persons 85 years of age and older. Given the paucity of information available regarding the relationship between spirituality and aging along with the increase in the number of older African Americans, a literature review of these concepts is sorely needed. This paper provides a thorough profile of older African Americans, with a review of historical and cultural factors that have informed the spiritual development of this population. Additionally, attention is given to methodological issues such as definitions, measures, sampling, and research designs at the interface of development and spirituality in this population. The paper also reviews findings to date about the effects of spirituality on physical and mental health among older African Americans.     

Acts of Contrition,Forgiveness by God,and Death Anxiety Among Older Mexican Americans

The purpose of this study is to see if performing acts of contrition in order to be forgiven by God is associated with lower levels of death anxiety among older Mexican Americans. A conceptual model containing the following relationships was developed to evaluate this and other hypotheses: (a) It is hypothesized that older Mexican Americans who attend church more often will have a stronger sense of God-mediated control (i.e., the belief that God works together with people to attain desired goals and eliminate unwanted stressors), (b) individuals with a stronger sense of God-mediated control will be more likely to perform acts of contrition in order to earn God's forgiveness, (c) performing acts of contrition will enhance feelings of self-worth, and (d) a stronger sense of self-esteem will be associated with lower levels of death anxiety. Data from a nationwide sample of older Mexican Americans provide support for each of these relationships.     

Social Factors in the Church and Positive Religious Coping Responses: Assessing Differences Among Older Whites, Older Blacks, and Older Mexican Americans

Findings from a growing number of studies point to the social basis of a wide range of religious beliefs and behaviors. This study has two main goals. The first is to see whether four social aspects of congregational life (church attendance, attendance at Bible study groups, attendance at prayer groups, and informal spiritual support) are associated with greater use of positive religious coping responses. The second goal is to determine if the relationships between these social aspects of the church and religious coping vary across older whites, older blacks, and older Mexican Americans. The data suggest that more frequent church attendance is associated with greater use of religious coping responses in all three groups. However, the findings further reveal that the relationship between informal spiritual support and religious coping is especially stronger among older whites. The theoretical implications of these findings are discussed.     

Financial Strain, Negative Interactions, and Mastery: Pathways to Mental Health Among Older African Americans

This study examines the impact of financial strain, social support, and negative interactions on depressive symptoms among African Americans and the role of mastery as a mediator in these relationships. Structural equation modeling and baseline data from the Americans' Changing Lives Study were used to test these relationships among a sample of African Americans aged 50 to 96 years (N = 583). Findings illustrate the mechanistic pathways whereby financial strain is associated with depressive symptoms. Moreover, the study findings give further credence to the notion that positive and negative aspects of social relationships are distinctive with respect to social status factors, financial strain, and their relationship to depressive symptoms. This research suggests that mastery is an important mechanism linking negative interaction to mental health. The collection of findings provide a number of provocative departures from research conducted primarily using White samples and identifies important areas of intervention with older African Americans.     

Measuring Religiousness Among Older African Americans: Exploring Race-of-Interviewer Effects

In recent years a number of studies have explored possible sources of nonrandom error and response bias in survey data on religion. Building on a longstanding body of work in the social sciences, we examine a neglected issue in this domain: the potential for race-of-interviewer effects, specifically in African Americans’ self-reports of various dimensions of religiousness. After outlining two competing perspectives on this issue—which we term racial deference and racial solidarity—we test relevant hypotheses using data from the African American oversample of a nationwide study of older adults. Results indicate that older blacks tend to report higher levels of non-organizational religious practices and subjective religiousness when interviewed by whites. A number of implications and promising directions for future research are discussed.     

Exploring the Relationships Between Racial/Cultural Identity and Ego Identity Among African Americans and Mexican Americans

Relationships between collective identity and ego identity were examined among 299 African American and Mexican American university students. Participants completed scales measuring racial or cultural identity and ego identity. Regression analyses indicated that ego identity was significantly related to racial identity for African Americans and cultural identity for Mexican Americans.     

The Role of Religion on the Health Practices of Mexican Americans

Twenty million Mexican Americans live in the U.S. (U.S. Census 2000 Summary File, 2000). It is vital that health care clinicians become familiar with and acknowledge the role of religion or religiosity on the health practices of Mexican Americans so that these needs may be addressed through holistic care. This paper reviews the origin and role that religion plays in the health practices of Mexican Americans. The potential benefits of addressing these client’s religious needs are examined and suggestions are offered on how health care clinicians may address these needs in a culturally sensitive manner.Josefina Lujan, MSN, RN is a first generation Mexican American who has been practicing nursing for 25 years in the Texas-Mexico border community of El Paso, Texas.Howard Campbell is an associate professor of anthropology at the University of Texas at El Paso. e-mails: jlujan1@utep.edu; hcampbel@utep.edu     

Interactive Effects of Chronic Health Conditions And Financial Hardship On Episodic Memory Among Older Blacks: Findings From The Health And Retirement Study

Previous research links chronic health conditions and financial hardship to cognitive outcomes among older Blacks. However, few studies have explored the moderating effect of financial hardship on chronic disease burden and specific cognitive domains. This study examined whether financial hardship (as measured by difficulty paying monthly bills) modifies the impact of self-reported chronic health conditions (e.g., diabetes, stroke) on episodic memory among 871 older Blacks (50+ years) in the 2006 Health and Retirement Study . Financial hardship modified the association between chronic disease burden and episodic memory performance such that individuals who reported very little difficulty paying their monthly bills had significantly lower memory scores at high levels of disease burden compared to those reporting high financial difficulty after controlling for age, gender and education (F 2, 49 = 5.03, p = .010). This cross-sectional study suggests that both financial and physical wellbeing may have joint effects on cognitive health in older Blacks.     

Older Mexican Americans and God-mediated control: exploring the influence of Pentecostal/Evangelical affiliation

A growing number of Mexican Americans are leaving the Catholic Church to join Pentecostal and Evangelical congregations. The purpose of this study is to explore the benefits that are associated with joining Pentecostal and Evangelical congregations. A latent variable model is specified that contains the following core relationships: (1) older Mexican Americans who affiliate with Pentecostal/Evangelical congregations will attend worship services more often; (2) older Mexican Americans who attend church more often will receive more spiritual support from their fellow church members; (3) older Mexican Americans who receive more spiritual support will develop a closer relationship with God; and (4) older Mexican Americans who have a close relationship with God will develop a stronger sense of God-mediated control. Findings from a nationwide survey of older Mexican Americans provide support for each of these linkages.     

Family and Neighborhood Fit or Misfit and the Adaptation of Mexican Americans

In this study, a person-environment fit model was used to understand the independent and combined roles of family and neighborhood characteristics on the adjustment of adults and children in a sample of 750 Mexican American families. Latent class analysis was used to identify six qualitatively distinct family types and three quantitatively distinct neighborhood types using socioeconomic and cultural indicators at each level. The results showed that members of single-parent Mexican American families may be particularly at-risk, members of the lowest-income immigrant families reported fewer adaptation problems if they lived in low-income neighborhoods dominated by immigrants, members of economically successful immigrant families may be more at-risk in integrated middle class neighborhoods than in low-income neighborhoods dominated by immigrants, and members of two-parent immigrant families appear to be rather resilient in most settings despite their low socioeconomic status.     

10 Suicidality Among Acculturating Mexican Americans: Current Knowledge and Directions for Research

Despite the dramatic increase in Mexican-American immigration over the past two decades, the acculturative experience and its relationship to suicide risk have received little attention within the field of suicidology. This paper summarizes findings from community-based studies that have explored suicide and risk factors among immigrant and Mexican-American groups, and suggests directions for future research. Most of these studies have been epidemiologic, and relatively few have addressed risk and protective factors within well-defined acculturating groups. Further study of the full continuum of suicidal thoughts and behaviors that examines precise cultural risk factors, and uses methodologies that combine quantitative and qualitative data, may improve our understanding of suicide risk among acculturating Mexican Americans.     

The Close Relationship Context and HIV/AIDS Risk Reduction Among Mexican Americans

The purpose of this study was to determine, within a community sample of 115 Mexican Americans, the association of relationship variables to participants' HIV risk perception, use of condoms, and HIV-related communication with a relationship partner. Hierarchical multiple regression analyses with the total sample and within each gender separately revealed that intimacy and commitment were related to HIV risk perception, condom use, and HIV-related communication even after effects of age, gender, acculturation, marital status, and length of relationship were controlled. The pattern of significant correlates differs, however, in the total, women-only, and men-only samples. Results suggest that intimacy and commitment are important elements of the close relationship context that should be considered in HIV risk reduction efforts among Mexican Americans.     

Presentation of Mexican Americans to a Memory Disorder Clinic

Despite the rapidly growing nature of the Mexican American population in the United States, relatively little is known regarding cognitive aging among this minority group compared to non-Hispanic, white individuals. The current study was conducted to describe the nature of cognitive and affective characteristics of Mexican American patients with dementia or other cognitive disorders on initial presentation to a Memory Disorder Clinic. Archival data were reviewed from this specialty clinic for 219 patients who were evaluated for the first time over a 2-year period. Twenty-two Mexican American patients were identified, and a sample of 22 matched non-Hispanic white patients was derived for comparison. When compared to non-Hispanic white patients, Mexican Americans were found in fewer numbers, reported higher levels of anxiety and depression, and produced lower scores on neurocognitive assessments. Results support the notion that Mexican American patients present for cognitive assessment and treatment at a greater stage of impairment severity as compared to non-Hispanic whites.