Browsing by Subject "Chicana/o Studies"
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Item Acculturation and Psychological Distress in Mexican-American Health Fair Participants(2004-12-01) Bereolos, Nicole M.; Coggin, Claudia; Franks, Susan; Simpkins, JamesBereolos, Nicole M., Acculturation and psychological distress in Mexican-American health fair participants. Master in Public Health (Health Behaviors), December 2004, 20 pp., 3 tables, 23 titles. Immigrants who have integrated into their host culture along with maintaining their cultural identity have better psychological well-being. Greater degrees of psychological distress in less acculturated immigrants may occur due to stressors associated with the transition. This isolation has prevented providers from addressing their mental health needs. This project studied psychological well-being as its relates to acculturation. Self-report questionnaires were offered at the Hispanic Health Fair in Fort Worth, Texas. Psychological distress was significantly higher for the low acculturated (LA) than the moderately acculturated (MA). Specifically, a higher degree of anxiety for the LA group was found compared to the MA. The difference in depression was not significant, however results suggest that mild psychological distress is likely prevalent in the LA. Results underscore the importance of gaining knowledge about the needs of Mexican-Americans that are rarely seen within traditional health service.Item Emergency Department Visits and Hospitalizations for Ambulatory Care Sensitive Conditions Among Uninsured Hispanics(2005-05-01) Trevino, Elizabeth; Mains, Doug A.; Rene, Antonio; Gonzales, AdelaTrevino, Elizabeth., Emergency Department Visits and Hospitalizations for Ambulatory Care Sensitive Conditions among Uninsured Hispanics. Doctor of Public Health (Health Management and Policy), May 2005, 83 pp., 10 tables, bibliography, 87 titles. Inequalities in access to health care persist in the US health care delivery system and as the number of uninsured patients in the United States continues to increase, emergency departments around the country are becoming inundated with people seeking non-acute, as well as acute medical care. This study explored whether there are differences of emergency department use and hospitalizations for ambulatory care sensitive (ACS) conditions among uninsured Hispanics as compared to other ethnicities using 2001-2002 National Hospital Ambulatory Medical Care Survey (NHAMCS) data. A weighted sample of 4,210,248 emergency department visits for years 2001-2002 was analyzed using frequencies, Pearson x2 tests, logistic regression and multiple logistic regression to determine whether Hispanics and uninsured Hispanic were visiting the emergency department more frequently than any other ethnic group; uninsured Hispanics were being hospitalized due to the severity of the disease; and determine the significant predictors for preventable hospitalizations. Significant differences among the ethnicities studied and emergency department visits during 2001-2002 were found. These differences resulted in favor of African-American. African-American had larger rates of ED visits as compared to Whites and Hispanics. Uninsured African-American were also found as the racial/ethnic group with greater visits for emergency departments. These findings changed when assessing preventable hospitalizations for ACS conditions. A similar direction was found for Whites. Uninsured Hispanics were hospitalized more frequently in triage category less than 15 minutes, indicating the severity of the disease. Age, gender, race/ethnicity and insurance status were found to be significant predictors for preventable hospitalizations. This study revealed a substantial national problem with hospitalizations among uninsured Hispanics that may be prevented with timely and appropriate ambulatory care. The significant finding in this study strongly suggests that although this group did not visit the emergency department as frequently when compared to other ethnicities between 2001-2002, they are doing so when their condition deteriorates to the point to which a visit to the emergency room and hospitalization has become inevitable.Item Latino Immigrants in Fort Worth: Contributing Factors to Lack of Health Insurance and Their Impacton Utilization of Health Services(2004-04-14) Moreno, Jose J.; Lykens, Kristine; Urrutia-Rojas, Ximena; Mains, Doug A.This quantitative research study consists of a secondary data analysis examining the factors contributing to the lack of health insurance in a group of Latino immigrants in Fort Worth, and the impact it has on their utilization for health care services. The data analyzed was previously collected to assess the needs for health insurance of Latino immigrants in Fort Worth. Bivariate analysis and multivariate logistic regression analysis methods of the sampled population were determine some of the main factors for lack of health insurance resulting in underutilization of health care service. Results of the study lacked the strong statistical association expected from the predictor variables, however, results of the study reveal areas where health care policies affect and may improve conditions of the immigrant population in Fort Worth, Texas.Item The Influence of Acculturation and Psychosocial Factors on Glycemic Control in Mexicans and Mexican Americans with Type II Diabetes(2007-04-01) Ross, Sarah; Luz Chiapa, Ana; Cardarelli, Roberto; Sanders, MarkRoss, Sarah., The Influence of Acculturation and Psychosocial Factors on Glycemic Control in Mexicans and Mexican Americans with Type II Diabetes. Master of Science (Biomedical Sciences), April, 2007, 51 pp., 5 tables, 1 figure, bibliography. Type 2 diabetes is prevalent among Mexican Americans. Tight glycemic control helps delay diabetic complications. This project aims to identify characteristics that contribute to poor glycemic control in this population. Mexican/Mexican American type 2 diabetics completed questionnaires measuring acculturation and psychosocial factors. This data was analyzed to assess the relationship of the factors and glycemic control as measured by HemoglobinA1C. Results demonstrated that subjects who felt that diabetes interfered with daily life and were dissatisfied with their physician’s answers to diabetes questions had poor glycemic control. Significant differences between acculturation groups’ responses to psychosocial measures were also found. Further studies may more accurately define the influence of acculturation on glycemic control in this population.