Browsing by Subject "acculturation"
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Item Acculturation Influences the Association Between Family History of Disease and Quality of Diet(2009-12-01) Rodriguez, Mayra; Reyes-Ortiz, CarlosRodriguez, Mayra, Acculturation Influences the Association Between Family History of Disease and Quality of Diet. Master of Public Health (Social and Behavioral Sciences), December 2009, 44 pp., 9 tables, 7 illustrations, bibliography, 62 titles. Ninety percent of the population keeps an unhealthy diet; which results in 80,000,000 with at least one type of cardiovascular disease in the US. This study aims to determine the relationship between family history of disease and quality of diet among adults and how this relationship is influenced by acculturation. Bivariate, linear regression, mediation analysis showed that those with a family history of CVD have lower homocysteine levels when compared to those without a family history (p levels than more acculturated individuals (p by the 18% mediation effect found in acculturation (pItem Health Insurance Coverage and Working Latinos in California, 2001: A Three Part Analysis of the Impact of Acculturation, Self-Rated Health and Years of U.S. Residency on Latinos’ Take-Up of Health Insurance(2009-05-01) Gonzalez, Jaime G.; Dr. Kristine LykensThe study is a secondary data analysis of the Health Insurance Coverage Among Working Latinos in California, 2001 Survey. The study examined the relationship between health insurance coverage type (employer-sponsored, self-purchased, government-sponsored, and uninsured) and a variety of demographic and social/cultural variables and motivational factors to determine the likelihood of the take-up of health insurance coverage by Latino workers in California in 2001. The study surveyed 1,000 working California residents of Latino descent and asked respondents about their health status, access to health care, and type of health insurance coverage they possessed. Factors affecting insurance status and type of coverage were explored further through binary, logistical and multi-nomial regression analyses. The study’s findings demonstrate that acculturation, years of U.S. residency, household income, educational attainment, certain motivational factors, employment industry, union membership and hours worked per week are all significant predictors of Latino employees’ take-up of health insurance coverage. The findings also demonstrate that U.S. immigrant Latino laborers are especially at risk of not possessing any form coverage. A variety of health care reform policy recommendations and implications for practice are described in an effort to provide solutions for alleviating the access barriers Latino employees frequently encounter as a result of being uninsured or under-insured. Therefore, policymakers should take into consideration the varying levels of employment and the fact that many industries that employ Latino laborers simply do not offer adequate health insurance benefits. Lawmakers must also explore the eligibility requirements government sponsored coverage contain in an effort to provide programs that offer coverage to Latino laborers and their families. Failure to provide adequate health insurance coverage to this significant and rapidly-growing demographic of the U.S. population may have serious affects for future generations, to the general public’s health and welfare, and to the economic well-being of the U.S. economy.Item THE ASSOCIATION BETWEEN ACCULTURATION AND RISK FOR TYPE 2 DIABETES IN MEXICAN-AMERICAN CHILDREN AND ADOLESCENTS(2014-03) Retana, Jos� D.; Proffitt Leyva, Randi; Fulda, Kimberly; Franks, SusanThe Association between Acculturation and Risk for Type 2 Diabetes in Mexican-American Children and Adolescents Purpose/Intro: Type 2 diabetes mellitus (DM2) is increasing in children and adolescents of all races/ethnicities in the United States, but especially in minorities such as Hispanics. In particular, Mexican-American children and adolescents are experiencing onset of DM2 at alarming rates. The purpose of this study was to examine the relationship between acculturation to a Mexican or Anglo orientation and risk for DM2. Methods: Participants completed demographic questions and the brief Acculturation Rating Scale for Mexican Americans II (Brief ARSMA-II). A linear acculturation score was derived from the Mexican Oriented Scale (MOS) and the Anglo Oriented Scale (AOS). Adolescents 10-14 years and a parent/legal guardian were included. At risk for DM2 was determined by having ≥3 of the following: relative with diabetes, BMI 95th percentile, blood pressure 95th percentile, elevated glucose, or positive for Acanthosis Nigricans. Simple and multiple logistic regressions were performed with risk of DM2 (high/low) as the outcome and acculturation score as the primary predictor. The adjusted model controlled for child’s age, gender, highest household education, child and maternal birth country (US/not US). Results: Participants (N=144) were 49% female and 51% male. The mean age was 11.96 years (SD=1.45). Forty-five children/adolescents (31.3%) had 3 of 5 risk factors for DM2. Approximately half (53.3%) of high risk children/adolescents were “strongly Anglo-oriented” and “Assimilated”. Higher acculturation was associated with an increased odds of being high risk for DM2 [OR=1.50; 95% CI (1.00-2.25)] Conclusions: For each degree of increased Anglo acculturation, risk for DM2 increased by 50%. Therefore, children of Mexican descent are more at risk for DM2 as they/their families become more acculturated to the Anglo cultural orientation. The degree of acculturation of a child/family should be taken into consideration when developing diabetes preventions and interventions.