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Oh H, Karcher NR, Li Verdugo J, Botello R, DeVylder JE, Anglin D. Ethno-racial disparities in psychosis-like experiences among students in higher education: Findings from the Healthy Minds Study 2020-2021. Psychiatry Res 2024; 337:115959. [PMID: 38749075 PMCID: PMC11246701 DOI: 10.1016/j.psychres.2024.115959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2023] [Revised: 05/06/2024] [Accepted: 05/09/2024] [Indexed: 07/16/2024]
Abstract
BACKGROUND Ethno-racial variations of psychosis-like experiences exist in the general population; however, it is unknown whether this variation exists among emerging adults in higher education, and whether there are differences across ethnic groups within racial categories. METHODS Using the Health Minds Study data from 2020 to 2021, we used multivariable logistic regression models to examine race/ethnicity and psychosis-like experiences, adjusting for socio-demographic characteristics (age, gender, international student status). We then adjusted for food insecurity, parental education, and social belonging. RESULTS Black, Hispanic/Latinx, multiracial, and American Indian/Alaska Native students had greater odds of 12-month psychosis-like experiences when compared with White students. These associations attenuated and were no longer statistically significant for Black and Hispanic/Latinx students after adjusting for food insecurity and parental education. Multiracial and American Indian/Alaska Native students still had greater odds of psychosis-like experiences after further adjusting for sense of belonging. When looking at ethnic subgroups, Filipinx and multi-ethnic Asian students had significantly greater odds than East Asian students, and multi-ethnic Black students had greater odds than African Americans. CONCLUSION Odds of psychosis-like experiences vary across and within ethno-racial categories among emerging adults in higher education. Future research may explore psychosis as a disparity impacting Native American/Alaska Native and multiracial/multi-ethnic populations.
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Affiliation(s)
- Hans Oh
- University of Southern California, United States.
| | - Nicole R Karcher
- Washington University in St. Louis School of Medicine, United States
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2
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Tolentino DA, Brynes ME. Filipino Americans' Social and Cultural Experiences of Type 2 Diabetes Management: Cultural Paradox, Ownership, and Success Definition. J Transcult Nurs 2024; 35:41-52. [PMID: 37961912 PMCID: PMC10714704 DOI: 10.1177/10436596231209041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2023] Open
Abstract
BACKGROUND Although type 2 diabetes mellitus (T2DM) disproportionately affects Filipino Americans, they have not received much attention in the literature. Focusing on how Filipino Americans' social and cultural contextual experiences affect their self-management is critical. This study examined T2DM self-management among Filipino Americans by describing their sociocultural experiences, strategies, and significance of self-management. METHOD An interpretive descriptive qualitative design was used. Data were analyzed using thematic analysis. The study followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. RESULTS Filipino Americans (n = 19) with T2DM were interviewed. Three themes emerged: (a) cultural paradox of being Filipino American, (b) movement from invisibility to ownership of T2DM, and (c) definition of successful management of T2DM. CONCLUSION Results contribute to a greater understanding of Filipino Americans' T2DM self-management experiences. Implications include the provision of culturally congruent health care, being aware of Filipino Americans' sociocultural experiences, and involvement of family/community.
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Regencia ZJG, Gouin JP, Ladia MAJ, Montoya JC, Baja ES. Effect of body image perception and skin-lightening practices on mental health of Filipino emerging adults: a mixed-methods approach protocol. BMJ Open 2023; 13:e068561. [PMID: 37192806 DOI: 10.1136/bmjopen-2022-068561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/18/2023] Open
Abstract
INTRODUCTION The rampant distribution of idealised images on the internet may lead the general public to improve their body appearance in a way that is sometimes excessive, compulsive or detrimental to other aspects of their lives. There is a decreasing appreciation of body image among emerging adults and an increasing trend on skin-lightening practices linked with psychological distress. This protocol describes the mixed-method approach to assess the relationships among body image perception, skin-lightening practices and mental well-being of Filipino emerging adults and determine the factors that influence them. METHODS AND ANALYSIS An explanatory sequential mixed-method approach will be used. A cross-sectional study design will involve an online self-administered questionnaire of 1258 participants, while a case study design will involve in-depth interviews with 25 participants. Data analysis will use generalised linear models and structural equation modelling with a Bayesian network for the quantitative data. Moreover, the qualitative data will use an inductive approach in thematic analysis. A contiguous narrative approach will integrate the quantitative and qualitative data. ETHICS AND DISSEMINATION The University of the Philippines Manila Review Ethics Board has approved this protocol (UPMREB 2022-0407-01). The study results will be disseminated through peer-reviewed articles and conference presentations.
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Affiliation(s)
- Zypher Jude G Regencia
- Department of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines
- Institute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Philippines
| | - Jean-Philippe Gouin
- Department of Psychology, Faculty of Arts and Science, Concordia University, Montreal, Quebec, Canada
| | - Mary Ann J Ladia
- Department of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines
- Institute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Philippines
| | - Jaime C Montoya
- Department of Medicine, College of Medicine, University of the Philippines Manila, Manila, Philippines
| | - Emmanuel S Baja
- Department of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Philippines
- Institute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Philippines
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4
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James D. An initial framework for the study of internalized racism and health: Internalized racism as a racism‐induced identity threat response. SOCIAL AND PERSONALITY PSYCHOLOGY COMPASS 2022. [DOI: 10.1111/spc3.12712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Drexler James
- Department of Psychology University of Minnesota Minneapolis Minnesota USA
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5
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Sabado-Liwag MD, Zamora M, Esmundo S, Sumibcay JR, Kwan PP. Preliminary Observations from The FILLED Project (FILipino Lived Experiences during COVID-19). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12303. [PMID: 36231606 PMCID: PMC9566375 DOI: 10.3390/ijerph191912303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 09/21/2022] [Accepted: 09/22/2022] [Indexed: 06/16/2023]
Abstract
Health outcomes for Asian American subgroups are often aggregated, masking unique experiences and disparities exacerbated by the COVID-19 pandemic, specifically among Filipino Americans (FilAms). The FILLED (Filipino Lived Experiences during COVID-19) Project launched a cross-sectional online survey between April-August 2021 among FilAm adults in Southern California to document community issues and outcomes during the pandemic. Among 223 participants, 47.5% were immigrants, 50.9% identified as essential workers, and 40.6% had a pre-existing health condition before the pandemic. Despite high rates of health insurance (93.3%), 24.4% of the sample did not have a regular health care provider. During the pandemic, 32.7% needed mental health help but did not get it and 44.2% did not know where to get such services. Most respondents felt that the COVID-19 vaccination was a personal responsibility to others (76.9%) and the majority had received at least one dose of a COVID-19 vaccine (82.4%). Regarding COVID-19 impact, participants reported moderate-severe changes in their daily routines (73.5%), access to extended social support (38.9%), housing issues (15.4%), and access to medical care (11.6%). To our knowledge, this study is the first community-driven effort highlighting FilAm community experiences in Southern California, where the highest proportion of FilAms in the United States reside, specifically after the COVID-19 vaccine was made widely available. The observational findings may help community leaders, policy makers, and public health researchers in the design, development, and implementation of post-pandemic intervention strategies used by community-partnered projects that address FilAm and sub-Asian group health disparities at grassroots to societal levels.
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Affiliation(s)
| | - Mayra Zamora
- Department of Public Health, California State University, Los Angeles, CA 90032, USA
| | - Shenazar Esmundo
- Department of Health Sciences, California State University, Northridge, CA 91330, USA
| | - Jake Ryann Sumibcay
- Department of Public Health, California State University, Los Angeles, CA 90032, USA
| | - Patchareeya P. Kwan
- Department of Health Sciences, California State University, Northridge, CA 91330, USA
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6
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Litam SDA, Chan CD. Experiences of Stress and Help-Seeking Behaviors in Filipino Americans. INTERNATIONAL JOURNAL FOR THE ADVANCEMENT OF COUNSELLING 2022; 44:586-603. [PMID: 36033918 PMCID: PMC9391642 DOI: 10.1007/s10447-022-09485-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2022] [Indexed: 12/04/2022]
Abstract
A qualitative study using basic interpretive design identified the experiences of stress and barriers to professional help seeking among Filipino Americans (N = 12). Filipino Americans employed both engagement and disengagement strategies in response to stress characterized by Indigenous, religious, and cultural responses. Filipino Americans preferred to seek support from friends, family, and community leaders and described individual, cultural, and community barriers to pursuing professional mental health services.
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Affiliation(s)
- Stacey Diane Arañez Litam
- Counseling, Educational Leadership, and Adult Learning Department, Cleveland State University, 2121 Euclid Avenue, Julka Hall 275, OH 44115 Cleveland, United States
| | - Christian D. Chan
- Department of Counseling and Educational Development, The University of North Carolina, Chapel Hill, United States
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7
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Wang C, Cheah C, Liu JL, Zhu Q, Havewala M, Ma R, Cheong Y, Housden M. Parents’ Perspectives Regarding Anti-Asian Racism During COVID-19: Supporting Elementary Students at School. SCHOOL PSYCHOLOGY REVIEW 2022. [DOI: 10.1080/2372966x.2022.2098813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Affiliation(s)
| | | | | | | | | | - Ruofan Ma
- University of North Carolina at Chapel Hill
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8
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Sabado-Liwag MD, Manalo-Pedro E, Taggueg R, Bacong AM, Adia A, Demanarig D, Sumibcay JR, Valderama-Wallace C, Oronce CIA, Bonus R, Ponce NA. Addressing The Interlocking Impact Of Colonialism And Racism On Filipinx/a/o American Health Inequities. Health Aff (Millwood) 2022; 41:289-295. [PMID: 35130069 DOI: 10.1377/hlthaff.2021.01418] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Within the monolithic racial category of "Asian American," health determinants are often hidden within each subgroup's complex histories of indigeneity, colonialism, migration, culture, and socio-political systems. Although racism is typically framed to underscore the ways in which various institutions (for example, employment and education) disproportionately disadvantage Black/Latinx communities over White people, what does structural racism look like among Filipinx/a/o Americans (FilAms), the third-largest Asian American group in the US? We argue that racism defines who is visible. We discuss pathways through which colonialism and racism preserve inequities for FilAms, a large and overlooked Asian American subgroup. We bring to light historical and modern practices inhibiting progress toward dismantling systemic racial barriers that impinge on FilAm health. We encourage multilevel strategies that focus on and invest in FilAms, such as robust accounting of demographic data in heterogeneous populations, explicitly naming neocolonial forces that devalue and neglect FilAms, and structurally supporting community approaches to promote better self- and community care.
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Affiliation(s)
- Melanie D Sabado-Liwag
- Melanie D. Sabado-Liwag , California State University, Los Angeles, Los Angeles, California
| | - Erin Manalo-Pedro
- Erin Manalo-Pedro, University of California Los Angeles (UCLA), Los Angeles, California
| | - Roy Taggueg
- Roy Taggueg Jr., University of California Davis, Davis, California
| | | | - Alexander Adia
- Alexander Adia, Filipinx/a/o Community Health Association, Los Angeles, California
| | | | | | | | - Carlos Irwin A Oronce
- Carlos Irwin A. Oronce, Veterans Affairs Greater Los Angeles Healthcare System and UCLA, Los Angeles, California
| | - Rick Bonus
- Rick Bonus, University of Washington, Seattle, Washington
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9
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Javier JR, Deavenport-Saman A, Florendo E, Bantol KEA, Palinkas LA. Health Equity and Enrollment in Preventive Parenting Programs: A Qualitative Study of Filipino Parents. EVIDENCE-BASED PRACTICE IN CHILD AND ADOLESCENT MENTAL HEALTH 2021; 7:245-259. [PMID: 35783995 PMCID: PMC9246343 DOI: 10.1080/23794925.2021.2013141] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
This qualitative study identified the parent health beliefs and normative beliefs related to child behavioral and mental health problems and examined the benefits and barriers of enrolling in an evidence-based parenting intervention among Filipino parents of school-aged children. A secondary aim was to also use the results to inform the development of a theory-based video intervention to increase enrollment in parenting interventions. Semi-structured interviews were conducted with fifteen parents who had or had not participated in the Incredible Years® parenting program, an evidence-based parenting intervention. Interviews were recorded and transcribed verbatim. Using a "Coding Consensus, Co-occurrence, and Comparison" methodology, emergent themes were mapped into a matrix against a priori-coded health belief model (HBM) and Theory of Planned Behavior (TPB) constructs. Parents believed that perceived susceptibility could be influenced by including knowledge of health disparities affecting Filipino youth in the U.S. Perceived severity was related to behavioral and mental health concerns about school, family dynamics, bullying and parent coping strategies. Perceived benefits included strengthening parent-child relationships, creating support systems, and learning positive parenting skills. Perceived barriers included logistics, stigma, and the perception of the relevance of the program, cultural factors such as generational differences about parenting, and family issues. Social norms and subjective norms related to parent participation were also discussed. Applying the HBM and TPB to enrollment in parenting interventions may explain low enrollment rates. Future interventions need to target perceived susceptibility to future behavioral health problems, barriers, and benefits to enrollment, and influence subjective and social norms.
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Affiliation(s)
- Joyce R. Javier
- Children’s Hospital Los Angeles, California, USA
- Department of Pediatrics, Keck School of Medicine of University of Southern California, Los Angeles, California, USA
| | - Alexis Deavenport-Saman
- Children’s Hospital Los Angeles, California, USA
- Department of Pediatrics, Keck School of Medicine of University of Southern California, Los Angeles, California, USA
| | - Ellynore Florendo
- Children’s Hospital Los Angeles, California, USA
- Department of Pediatrics, Keck School of Medicine of University of Southern California, Los Angeles, California, USA
| | - Kamil Evy A. Bantol
- Children’s Hospital Los Angeles, California, USA
- Department of Pediatrics, Keck School of Medicine of University of Southern California, Los Angeles, California, USA
| | - Lawrence A. Palinkas
- University of Southern California Suzanne Dworak-Peck School of Social Work, Los Angeles, California, USA
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10
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Goh JX, McCue J. Perceived prototypicality of Asian subgroups in the United States and the United Kingdom. JOURNAL OF EXPERIMENTAL SOCIAL PSYCHOLOGY 2021. [DOI: 10.1016/j.jesp.2021.104201] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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11
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Laus V. Race and Filipina/o drug use: rethinking ethnicity among Filipina/o Americans through drug consumption, racial profiling, and the social construction of ethnicity. J Ethn Subst Abuse 2020; 21:1083-1103. [PMID: 33030414 DOI: 10.1080/15332640.2020.1829236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This research uses 23 in-depth interviews of Filipina/o Americans seeking out treatment for drug use to understand the role of ethnicity as they experience drug use, recovery, and attempts to integrate back into society. Past literature has focused on the role of ethnicity as a buffer against drug use in host societies, with highly acculturated groups more prone to at-risk behavior. Such scholarship usually relies on static notions of ethnic culture. By contrast, using a social constructionist approach to ethnicity, I argue that meanings of ethnicity to the users go beyond homeland traditions and, in this case, reflect racialized police profiling of users in their neighborhoods and also their understanding of the methamphetamine epidemic in the Philippines. The interviewees affiliate their ethnic experiences with larger social conditions that point to neocolonialism in the homeland, racialization in the host society, and the war on drugs in both countries. This has implications for treatment programs that use culturally-appropriate services for addiction programs, so that providers complicate acculturation and assimilation models of ethnicity to understand social factors that affect the meaning of ethnic identity for Filipina/os.
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12
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James D. Health and Health-Related Correlates of Internalized Racism Among Racial/Ethnic Minorities: a Review of the Literature. J Racial Ethn Health Disparities 2020; 7:785-806. [DOI: 10.1007/s40615-020-00726-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Revised: 01/30/2020] [Accepted: 02/09/2020] [Indexed: 10/25/2022]
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13
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Reyes AT, Constantino RE, Cross CL, Tan RA, Bombard JN, Acupan AR. Resilience and psychological trauma among Filipino American women. Arch Psychiatr Nurs 2019; 33:177-185. [PMID: 31753225 DOI: 10.1016/j.apnu.2019.08.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Revised: 07/10/2019] [Accepted: 08/18/2019] [Indexed: 11/28/2022]
Abstract
AIMS To explore the types of traumatic exposure, prevalence of posttraumatic stress disorder (PTSD), and level of resilience in a community sample of Filipino American women (FAW), as well as to investigate the relationships between their PTSD symptoms, history of traumatic exposure, and resilience. METHOD A cross-sectional study with a total of 188 adult FAW. RESULTS We observed high levels of resilience and low levels of PTSD symptom severity. The most common form of traumatic exposure was non-interpersonal trauma occurring after the age of 18 years old. We also found a significant correlation between history of traumatic exposure and PTSD and between resilience and PTSD. Resilience was found to have a significant moderating effect on the relationship between traumatic exposure and PTSD. CONCLUSIONS The results provide preliminary evidence on the buffering and protective properties of FAW's resilience to PTSD despite traumatic exposure.
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Affiliation(s)
| | - Rose E Constantino
- School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Chad L Cross
- School of Medicine and School of Community Health Sciences, University of Nevada Las Vegas, Las Vegas, NV, USA
| | | | - Judzia N Bombard
- School of Nursing, University of Nevada Las Vegas, Las Vegas, NV, USA
| | - Alvin Ryan Acupan
- School of Nursing, University of Nevada Las Vegas, Las Vegas, NV, USA
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14
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Tuazon VE, Gonzalez E, Gutierrez D, Nelson L. Colonial Mentality and Mental Health Help‐Seeking of Filipino Americans. JOURNAL OF COUNSELING AND DEVELOPMENT 2019. [DOI: 10.1002/jcad.12284] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
| | - Edith Gonzalez
- School Psychology and Counselor Education, College of William & Mary
- Now at Department of Counseling, Texas A&M University–Commerce
| | - Daniel Gutierrez
- School Psychology and Counselor Education, College of William & Mary
| | - Lotes Nelson
- Clinical Mental Health Counseling Department, Southern New Hampshire University
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15
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Reddy G, Gleibs IH. The Endurance and Contestations of Colonial Constructions of Race Among Malaysians and Singaporeans. Front Psychol 2019; 10:792. [PMID: 31040805 PMCID: PMC6477069 DOI: 10.3389/fpsyg.2019.00792] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Accepted: 03/22/2019] [Indexed: 11/19/2022] Open
Abstract
Psychological literature on race has discussed in depth how racial identities are dialogically constructed and context dependent. However, racial identity construction is often not compared across different socio-political contexts. By researching racial identity construction in three different multicultural countries, Malaysia, Singapore, and the United Kingdom, we examined how three racial identities, Chinese, Malay, and Indian, are constructed among Malaysians and Singaporeans in this qualitative study comprised of 10 focus group discussions (N = 39). We applied Dialogical Analysis to the data. This paper shows that both racial ingroups and outgroups constructed all three racial identities, with ingroups constructing their identities more heterogeneously compared to outgroups. Participants also engaged with colonial constructions of the three racial identities. The geographical locations, and therefore their perceptual contexts, of the participants differed. Yet, colonial constructions of race endured in contemporary identity construction and were contested in the group settings. We conclude that the socio-political context as understood by the context of colonialism and post-coloniality influenced their racial identity constructions. Participants, regardless of differences in geographical location, used similar colonial constructions of Malay, Chinese, and Indian identities to position themselves as well as Others in their group interactions. These findings show that there is value in conceptualising the context beyond that which individuals are immediately presented with, and that psychologists should consider the inclusion of cultural legacies of colonialism in their conceptualisation of the present context.
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Affiliation(s)
- Geetha Reddy
- Department of Sociology, University of Groningen, Groningen, Netherlands
| | - Ilka H Gleibs
- Department of Psychological and Behavioural Science, London School of Economics and Political Science, London, United Kingdom
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16
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Javier JR, Coffey DM, Palinkas LA, Kipke MD, Miranda J, Schrager SM. Promoting Enrollment in Parenting Programs Among a Filipino Population: A Randomized Trial. Pediatrics 2019; 143:e20180553. [PMID: 30679379 PMCID: PMC6361353 DOI: 10.1542/peds.2018-0553] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/06/2018] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Evidence-based parenting programs prevent the onset and escalation of youth conduct problems. However, participation rates in such programs are low among hard-to-reach populations, including Filipino individuals. Compared with other ethnic groups, Filipino adolescents have significant mental health disparities. We evaluated the effectiveness of a theory-based, culturally tailored video versus a usual-care mainstream video on enrollment in an evidence-based parenting program among Filipino caregivers of children ages 6 to 12 years and tested theoretical mediators of intervention effect. METHODS We randomly assigned 215 Filipino participants to view either a theory-based, culturally tailored video based on the Health Belief Model and Theory of Planned Behavior or a control video. The primary outcome was actual enrollment in an evidence-based parenting intervention. Mediators (knowledge and perceived susceptibility) were modeled as latent variables in a structural equation model. RESULTS After the intervention, participants in the intervention group had significantly higher knowledge of Filipino adolescent behavioral health disparities and higher perceived susceptibility to adolescent risky sexual activity and illegal drug use. Controlling for child sex, parents in the intervention group had significantly greater odds of actual enrollment in the Incredible Years program (odds ratio = 2.667; 95% confidence interval: 1.328-5.354; P = .006). The intervention effects were mediated by increased knowledge and perceived susceptibility. CONCLUSIONS Results demonstrated the effectiveness of a theory-based, culturally tailored intervention aimed at increasing participation of a hard-to-engage population in parenting interventions. Videos that include parents and health professionals with whom audiences can identify can be used to produce shifts in knowledge and behavior.
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Affiliation(s)
- Joyce R Javier
- Department of Pediatrics, Children's Hospital Los Angeles and Keck School of Medicine, Los Angeles, California;
| | - Dean M Coffey
- Department of Pediatrics, Children's Hospital Los Angeles and Keck School of Medicine, Los Angeles, California
| | - Lawrence A Palinkas
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California
| | - Michele D Kipke
- Department of Pediatrics, Children's Hospital Los Angeles and Keck School of Medicine, Los Angeles, California
| | - Jeanne Miranda
- Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, California; and
| | - Sheree M Schrager
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California
- Research and Sponsored Program, California State University, Northridge, Northridge, California
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17
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Time-varying associations of racial discrimination and adjustment among Chinese-heritage adolescents in the United States and Canada. Dev Psychopathol 2018; 30:1661-1678. [DOI: 10.1017/s0954579418001128] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractThe aim of our study was twofold: to examine (a) whether the link between racial discrimination and adjustment showed age-related changes across early to late adolescence for Chinese-heritage youth and (b) whether the age-related associations of the discrimination–adjustment link differed by gender, nativity, and geographical region. We pooled two independently collected longitudinal data sets in the United States and Canada (N = 498, ages 12–19 at Wave 1) and used time-varying effect modeling to show that discrimination is consistently associated with poorer adjustment across all ages. These associations were stronger at certain ages, but for males and females, first- and second-generation adolescents, and US and Canadian adolescents they differed. There were stronger relations between discrimination and adjustment in early adolescence for males compared to females, in middle adolescence for first-generation compared to second-generation adolescents, and in early adolescence for US adolescents compared to Canadian adolescents. In general, negative implications for adjustment associated with discrimination diminished across the span of adolescence for females, second-generation, and US and Canadian adolescents, but not for males or first-generation adolescents. The results show that the discrimination–adjustment link must be considered with regard to age, gender, nativity, and region, and that attention to discrimination in early adolescence may be especially important.
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18
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Zhen-Duan J, Jacquez F, Sáez-Santiago E. Boricua de pura cepa: Ethnic identity, cultural stress and self-concept in Puerto Rican youth. CULTURAL DIVERSITY & ETHNIC MINORITY PSYCHOLOGY 2018; 24:588-595. [PMID: 29771548 PMCID: PMC6188835 DOI: 10.1037/cdp0000199] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVES The available literature on ethnic identity among Puerto Ricans has focused on those living in the United States, with little to no attention placed on examining ethnic identity and psychological constructs among youth living in Puerto Rico. Using a colonial mentality framework, the current study examined the associations between ethnic identity, cultural stress, and self-concept among adolescent boys and girls living in Puerto Rico. METHOD The current cross-sectional study surveyed participants (N = 187) recruited from several junior high schools in the metropolitan area in Puerto Rico. RESULTS Relations between ethnic identity, cultural stress, and self-concept differed by gender. First, cultural stress was associated with self-concept for boys, such that higher cultural stress predicted lower self-concept. Second, among girls, cultural stress moderated the relation between ethnic identity and self-concept. Specifically, for girls experiencing high cultural stress, exploration and resolution of their ethnic identity was associated with higher ratings of self-concept. CONCLUSIONS Although cultural stress has been widely understood as a phenomena associated with immigrants, our study indicated that cultural stress is important in understanding self-concept of youth living in Puerto Rico. For boys, cultural stress, but not ethnic identity, is particularly important to their self-concept. Among girls experiencing high cultural stress, exploration and resolution of ethnic identity was associated with higher self-concept. Results suggested that the cultural stress associated with the colonial context of Puerto Rico is salient in ethnic identity and self-concept development, even though Puerto Rican youth are the ethnic majority in the island. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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Affiliation(s)
| | | | - Emily Sáez-Santiago
- Institute for Psychological Research, University of Puerto Rico, Río Piedras Campus
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Straiton ML, Ledesma HML, Donnelly TT. "It has not occurred to me to see a doctor for that kind of feeling": a qualitative study of Filipina immigrants' perceptions of help seeking for mental health problems. BMC Womens Health 2018; 18:73. [PMID: 29801447 PMCID: PMC5970497 DOI: 10.1186/s12905-018-0561-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2017] [Accepted: 05/08/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Immigrant women face greater barriers to health care, especially mental health care, than non-immigrant women. However, immigrants are a heterogeneous group and bring with them a range of different personal, social, cultural and economic factors, which impact both mental health and access to care. In this study, we explored factors that influence Filipina immigrants' perceptions of help seeking from a general practitioner for mental health problems in Norway. METHOD Using data from semi-structured interviews, we applied a post-colonial feminist perspective to identify factors that affect perceptions of help seeking. RESULTS Findings indicated that a combination of the women's beliefs and values, stigma, experiences with healthcare services in Norway and familiarity with mental health services influence perceptions of help seeking. Some factors represented structural barriers to healthcare seeking in general, while others related to mental healthcare seeking in particular. The significance of each factor varied depending on the women's backgrounds. CONCLUSIONS Socioeconomic status, educational background, familiarity with health services and experience of mental health can influence immigrant women's perceptions of, and barriers for, help seeking for mental health problems. There are a number of barriers to address at a structural level to improve both the propensity to seek healthcare in general, as well as mental healthcare in particular. Efforts to increase awareness of primary mental healthcare services may also help change the perception that professional help is only appropriate for serious mental health disorders.
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Affiliation(s)
- Melanie L. Straiton
- Department of Mental Health and Suicide, Norwegian Institute of Public Health, P.O. box 4404, 0403 Oslo, Norway
| | - Heloise Marie L. Ledesma
- Department of Child and Adolescent Psychiatry, Oslo University Hospital, P.O. Box 4956, Nydalen, 0424 Oslo, Norway
| | - Tam T. Donnelly
- Faculty of Nursing, Cumming School of Medicine, Community Health Sciences, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4 Canada
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Garcia GM, de Castro B. Working Conditions, Occupational Injuries, and Health Among Filipino Fish Processing Workers in Dutch Harbor, Alaska. Workplace Health Saf 2017; 65:219-226. [PMID: 27729501 PMCID: PMC5570591 DOI: 10.1177/2165079916665396] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study explored how unique environmental conditions in Alaska influenced occupational health and safety for Filipino fish processing workers, many of whom migrated from warm locations (e.g., the Philippines, California, and Nevada). In-depth interviews were conducted with 26 Filipino workers in one commercial fish processing company in Dutch Harbor. Results indicated that cold weather interferes with workers' job performance, increasing their risk for injury and illness, whereas the community's isolation and rural nature causes loneliness and boredom, resulting in more high-risk behaviors. Other non-environmental factors affecting worker health include roommate and supervisor concerns and culture-specific practices. Findings suggest the importance of job rotation to avoid long exposures to cold temperatures, the value of a designated individual to inform workers about company and community resources that promote healthy lifestyles, and the possible utility of a joint worker-management safety committee.
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Karimi A, Bucerius SM. Colonized subjects and their emigration experiences. The case of Iranian students and their integration strategies in Western Europe. MIGRATION STUDIES 2017. [DOI: 10.1093/migration/mnx033] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Ahmad Karimi
- University of Alberta, 116 Street and 85 Avenue, Edmonton, AB T6G 2R3, Canada
| | - Sandra M Bucerius
- University of Alberta, 116 Street and 85 Avenue, Edmonton, AB T6G 2R3, Canada
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