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Nagtalon-Ramos J, Ayres C, Faught B. Sexual and Reproductive Health Knowledge, Attitudes, and Self-Efficacy Among Young Adult Filipino American Women. J Transcult Nurs 2022; 33:576-584. [PMID: 35822669 PMCID: PMC9449433 DOI: 10.1177/10436596221107600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Little is known about Filipino American women's (FAW) sexual and reproductive health (SRH). The purpose of this study was to examine the SRH knowledge, attitudes, and self-efficacy among young adult FAW. METHOD This was a qualitative, descriptive interpretive design. Four focus group interviews and one individual interview were conducted. Purposive sampling was used for this study. Inclusion criteria were female, Filipino American, between the ages 18 and 24 years old, and be able to understand and speak English. RESULTS Twelve participants (n = 12) were recruited. Three themes emerged from this study: (a) sources of SRH information; (b) influence of cultural values, religion, and intergenerational factors; and (c) facilitators of and barriers to women's health services. DISCUSSION Themes emerged from the content analysis identifying SRH disparities within the Filipino American community, which may inform future interventions and research on this topic.
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Affiliation(s)
| | | | - Brooke Faught
- Women's Institute of Sexual Health, Nashville, TN, USA
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2
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Ma GX, Bhimla A, Zhu L, Beeber M, Aczon F, Tan Y, Quinn SB, Khan O, Gadegbeku CA. Development of an Intervention to Promote Physical Activity and Reduce Dietary Sodium Intake for Preventing Hypertension and Chronic Disease in Filipino Americans. J Racial Ethn Health Disparities 2021; 8:283-292. [PMID: 32495306 PMCID: PMC7710586 DOI: 10.1007/s40615-020-00781-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 05/19/2020] [Accepted: 05/22/2020] [Indexed: 10/24/2022]
Abstract
Hypertension is a common chronic health condition affecting Filipino Americans. This pilot study examined the feasibility of addressing high rates of hypertension among Filipino Americans through the implementation of a culturally tailored education intervention. Filipino Americans living in the Greater Philadelphia Area were recruited through community-based organizations for participation and were engaged using a community-based participatory research (CBPR) framework. The study included pre- and post-intervention blood pressure measurements, self-reported body mass index, and questionnaires about physical activity and salt intake. The intervention to promote physical activity and reduce salt intake was conducted through two educational sessions and was accompanied by follow-up at 3 months and by the collection of urine samples for 24-h urinary sodium intake biomarker analysis. Following intervention, a non-statistically significant decrease in urine sodium was observed in both the intervention and the control groups. For systolic blood pressure, a reduction of 12.6 mmHg and an increase in 5.3 mmHg was observed in the intervention and control groups, respectively. Diastolic pressure decreased 3.8 mmHg for the intervention group and increased 5.6 mmHg among controls. The culturally tailored education intervention reported here represents a promising tool for blood pressure reduction in high-risk ethnic populations. The methods used were effective for the recruitment and retention of ethnic minorities in a community-based setting.
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Affiliation(s)
- Grace X Ma
- Center for Asian Health, Lewis Katz School of Medicine, Temple University, 3440 N Broad St., Suite 320, Kresge East Bldg, Philadelphia, PA, 19140, USA.
- Department of Clinical Sciences, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
| | - Aisha Bhimla
- Center for Asian Health, Lewis Katz School of Medicine, Temple University, 3440 N Broad St., Suite 320, Kresge East Bldg, Philadelphia, PA, 19140, USA
| | - Lin Zhu
- Center for Asian Health, Lewis Katz School of Medicine, Temple University, 3440 N Broad St., Suite 320, Kresge East Bldg, Philadelphia, PA, 19140, USA
| | - Maayan Beeber
- Hunter College, The City University of New York (CUNY), New York, NY, USA
| | - Ferdinand Aczon
- Filipino American Society of South Jersey Inc., Mount Laurel, NJ, 08084, USA
| | - Yin Tan
- Center for Asian Health, Lewis Katz School of Medicine, Temple University, 3440 N Broad St., Suite 320, Kresge East Bldg, Philadelphia, PA, 19140, USA
| | - Sally Boyle Quinn
- Division of Nephrology, Temple University School of Medicine, Philadelphia, PA, 19140, USA
| | - Omar Khan
- Center for Asian Health, Lewis Katz School of Medicine, Temple University, 3440 N Broad St., Suite 320, Kresge East Bldg, Philadelphia, PA, 19140, USA
| | - Crystal A Gadegbeku
- Division of Nephrology, Temple University School of Medicine, Philadelphia, PA, 19140, USA
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3
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Ghani SB, Delgadillo ME, Granados K, Okuagu AC, Alfonso-Miller P, Buxton OM, Patel SR, Ruiz J, Parthasarathy S, Haynes PL, Molina P, Seixas A, Williams N, Jean-Louis G, Grandner MA. Acculturation Associated with Sleep Duration, Sleep Quality, and Sleep Disorders at the US-Mexico Border. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E7138. [PMID: 33003508 PMCID: PMC7579100 DOI: 10.3390/ijerph17197138] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Revised: 09/21/2020] [Accepted: 09/25/2020] [Indexed: 11/16/2022]
Abstract
Sleep disparities exist among Hispanics/Latinos, although little work has characterized individuals at the United States (US)-Mexico border, particularly as it relates to acculturation. This study examined the association of Anglo and Mexican acculturation to various facets of sleep health among those of Mexican descent at the US-Mexico border. Data were collected from N = 100 adults of Mexican descent in the city of Nogales, Arizona (AZ). Surveys were presented in English or Spanish. Acculturation was assessed with the Acculturation Scale for Mexican-Americans (ARSMA-II). Insomnia was assessed with the Insomnia Severity Index (ISI), sleepiness was assessed with the Epworth Sleepiness Scale (ESS), sleep apnea risk was assessed with the Multivariable Apnea Prediction (MAP) index, weekday and weekend sleep duration and efficiency were assessed with the Sleep Timing Questionnaire, sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI), and sleep duration and sleep medication use were assessed with PSQI items. No associations were found between Mexican acculturation and any sleep outcomes in adjusted analyses. Anglo acculturation was associated with less weekend sleep duration and efficiency, worse insomnia severity and sleep quality, and more sleep apnea risk and sleep medication use. These results support the idea that sleep disparities may depend on the degree of acculturation, which should be considered in risk screening and interventions.
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Affiliation(s)
- Sadia B. Ghani
- Sleep Health and Research Program and Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA; (M.E.D.); (K.G.); (A.C.O.); (P.A.-M.); (M.A.G.)
| | - Marcos E. Delgadillo
- Sleep Health and Research Program and Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA; (M.E.D.); (K.G.); (A.C.O.); (P.A.-M.); (M.A.G.)
| | - Karla Granados
- Sleep Health and Research Program and Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA; (M.E.D.); (K.G.); (A.C.O.); (P.A.-M.); (M.A.G.)
| | - Ashley C. Okuagu
- Sleep Health and Research Program and Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA; (M.E.D.); (K.G.); (A.C.O.); (P.A.-M.); (M.A.G.)
| | - Pamela Alfonso-Miller
- Sleep Health and Research Program and Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA; (M.E.D.); (K.G.); (A.C.O.); (P.A.-M.); (M.A.G.)
- Centre for Sleep Research, Northumbria University, Newcastle-upon-Tyne NE18ST, UK
| | - Orfeu M. Buxton
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA 16802, USA;
| | - Sanjay R. Patel
- Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA;
| | - John Ruiz
- Department of Psychology, University of Arizona, Tucson, AZ 85724, USA;
| | - Sairam Parthasarathy
- Center for Sleep Disorders and Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, and Department of Internal Medicine, University of Arizona, Tucson, AZ 85724, USA;
| | - Patricia L. Haynes
- Department of Health Promotion Sciences, University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, AZ 85724, USA;
| | - Patricia Molina
- Senior Director, Mariposa Community Health Center, Nogales, AZ 85621, USA;
| | - Azizi Seixas
- Department of Population Health, and Department of Psychiatry, NYU Langone Health, New York, NY 10016, USA; (A.S.); (N.W.); (G.J.-L.)
| | - Natasha Williams
- Department of Population Health, and Department of Psychiatry, NYU Langone Health, New York, NY 10016, USA; (A.S.); (N.W.); (G.J.-L.)
| | - Girardin Jean-Louis
- Department of Population Health, and Department of Psychiatry, NYU Langone Health, New York, NY 10016, USA; (A.S.); (N.W.); (G.J.-L.)
| | - Michael A. Grandner
- Sleep Health and Research Program and Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA; (M.E.D.); (K.G.); (A.C.O.); (P.A.-M.); (M.A.G.)
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4
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Javier JR, Reyes A, Coffey DM, Schrager SM, Samson A, Palinkas L, Kipke MD, Miranda J. Recruiting Filipino Immigrants in a Randomized Controlled Trial Promoting Enrollment in an Evidence-Based Parenting Intervention. J Immigr Minor Health 2019; 21:324-331. [PMID: 29774510 DOI: 10.1007/s10903-018-0755-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Filipinos, the second largest Asian subgroup in the U.S., experience significant youth behavioral health disparities but remain under-represented in health research. We describe lessons learned from using the Matching Model of Recruitment to recruit 215 Filipinos to participate in a large, randomized controlled trial of a culturally tailored video aimed at increasing enrollment in the Incredible Years® Parent Program. We recruited participants from schools, churches, clinics, community events, and other community-based locations. Facilitators of participation included: partnership with local community groups, conducting research in familiar settings, building on existing social networks, and matching perspectives of community members and researchers. Findings suggest recruitment success occurs when there is a match between goals of Filipino parents, grandparents and the research community. Understanding the perspectives of ethnic minority communities and effectively communicating goals of research studies are critical to successful recruitment of hard-to-reach immigrant populations in randomized controlled trials.
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Affiliation(s)
- Joyce R Javier
- Children's Hospital Los Angeles, 4650 Sunset Blvd. MS#76, Los Angeles, CA, 90027, USA. .,University of Southern California Keck School of Medicine, Los Angeles, CA, USA.
| | - Angela Reyes
- Children's Hospital Los Angeles, 4650 Sunset Blvd. MS#76, Los Angeles, CA, 90027, USA
| | - Dean M Coffey
- Children's Hospital Los Angeles, 4650 Sunset Blvd. MS#76, Los Angeles, CA, 90027, USA.,University of Southern California Keck School of Medicine, Los Angeles, CA, USA
| | - Sheree M Schrager
- California State University, Northridge, Northridge, CA, USA.,University of Southern California School of Social Work, Los Angeles, CA, USA
| | - Allan Samson
- Children's Hospital Los Angeles, 4650 Sunset Blvd. MS#76, Los Angeles, CA, 90027, USA
| | - Lawrence Palinkas
- University of Southern California School of Social Work, Los Angeles, CA, USA
| | - Michele D Kipke
- Children's Hospital Los Angeles, 4650 Sunset Blvd. MS#76, Los Angeles, CA, 90027, USA.,University of Southern California Keck School of Medicine, Los Angeles, CA, USA
| | - Jeanne Miranda
- University of California, Los Angeles, Los Angeles, CA, USA
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5
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Cheong P, Coughenour C, Shegog M, Ghimire S, Sagadraca L, Sy F. An Evaluation of Food Insecurity and Its Correlates in a Filipino American Study Sample Residing in Clark County, Nevada. Health Equity 2019; 3:512-519. [PMID: 31656938 PMCID: PMC6814077 DOI: 10.1089/heq.2019.0074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Purpose: Filipino Americans comprise over half of the Asian American population in Clark County, Nevada. Despite their large numbers, food insecurity rates are aggregated with the entire Asian American population. In 2016, 1.6% of Asian American households in Clark County were food insecure, yet, 22% of households reported annual incomes at or below 200% of the federal poverty level. This study aimed to assess the status and correlates of food insecurity specific to Filipino Americans in Clark County, Nevada. Methods: The United States Department of Agriculture (USDA) Short Form Food Security Module was administered among 192 Filipino Americans residing in Clark County, NV. Results were viewed through the theoretical framework of the Social Ecological Model. Results: 27.1% of respondents experienced food insecurity within the past year. Adjusted logistic regression revealed that incomes less than $20,000 (odds ratio [OR]=4.13, 95% confidence interval [CI]: 1.43–11.9), having no health insurance (OR=5.22, 95% CI: 1.67–16.34), and eating mainly American or Western foods (OR=7.3, 95% CI: 1.73–30.77) were significant predictors of food insecurity. Conclusions: A significantly higher prevalence of food insecurity among Filipino American subpopulations, compared to the estimates for Asian Americans in Clark County, suggests the need to disaggregate data for Asian American subgroups. The Social Ecological Model provides greater context to the findings identifying that the intrapersonal and policy level factors were associated with food insecurity among our participants, thus suggesting the need to utilize multilevel interventions to address food insecurity in Filipino Americans. The findings may be utilized to inform future interventions aimed at improving the overall health and food security among Filipino Americans.
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Affiliation(s)
- Prescott Cheong
- School of Public Health, University of Nevada, Las Vegas, Las Vegas, Nevada
| | | | - Marya Shegog
- School of Public Health, University of Nevada, Las Vegas, Las Vegas, Nevada
- The Lincy Institute, University of Nevada, Las Vegas, Las Vegas, Nevada
| | - Saruna Ghimire
- Department of Sociology and Gerontology, Miami University, Oxford, Ohio
| | - Lawrence Sagadraca
- School of Public Health, University of Nevada, Las Vegas, Las Vegas, Nevada
| | - Francisco Sy
- School of Public Health, University of Nevada, Las Vegas, Las Vegas, Nevada
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6
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A Study of Physical Activity Determinants among High-Risk Hypertensive Filipino and Korean Americans. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16071156. [PMID: 30935110 PMCID: PMC6479917 DOI: 10.3390/ijerph16071156] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 03/27/2019] [Accepted: 03/27/2019] [Indexed: 01/24/2023]
Abstract
Physical activity (PA) serves a critical role in maintaining health and preventing chronic diseases, though its influence on high-risk Asian American populations is unclear. The purpose of this study was to determine PA levels among Filipino and Korean Americans at high risk of hypertension and to identify sociodemographic and health-related factors associated with PA levels in these populations. A cross-sectional survey was administered to 137 participants in the Greater Philadelphia Area. Data was collected on PA levels, sociodemographic factors, and health factors. Multinomial logistic regression was conducted to determine predictors associated with low, moderate, and high PA and predictive probabilities were calculated for interaction terms, incorporating ethnicity and blood pressure variables. Overall, 42.33% of participants belonged to the moderately active PA group and 21.90% belonged to the highly active group. In the final multinomial regression model, it was found that having gone to college increased the odds of being in the moderately active PA group (coef. = 1.96, p = 0.034), while having high blood pressure reduced the odds of being in the moderately active PA group (coef. = -2.21, p = 0.022). Lastly, being Korean versus Filipino reduced the odds of being in the highly active category (coef. = -2.89, p = 0.035). Based on predictive probabilities, Koreans and Filipinos with high blood pressure were more likely to belong in the low active PA category (52.31% and 46.33%). These findings highlight the need for culturally relevant PA interventions for promoting and increasing PA levels to prevent and manage hypertension among these populations.
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7
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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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8
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Ghimire S, Cheong P, Sagadraca L, Chien LC, Sy FS. A Health Needs Assessment of the Filipino American Community in the Greater Las Vegas Area. Health Equity 2018; 2:334-348. [PMID: 30506015 PMCID: PMC6263856 DOI: 10.1089/heq.2018.0042] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
Purpose: The number of Filipino Americans in Las Vegas, Nevada, is growing considerably, but no research to date has assessed the specific health needs of this burgeoning population. Thus, this study aims to assess health behaviors, perceived community health problems, and self-reported diseases/conditions among Filipino Americans in the Greater Las Vegas area and evaluate any difference by gender. Methods: A cross-sectional survey was conducted among 200 Filipino American adults residing in the Greater Las Vegas area using a prevalidated instrument. Results: The self-reported prevalence of hypertension, high cholesterol, and diabetes was 48%, 46%, and 25%, respectively. Adverse health behaviors, in terms of insufficient exercise and diets lacking in fruits and vegetables, were noted among our participants. Approximately 67% of participants reported exercising less than the recommended 150 min of physical activity per week and <3% of the study population ate the recommended five servings of fruits and vegetables a day. On the contrary, consumption of sweet snacks and salty condiments was high. More than two-thirds of respondents indicated that the Filipino American community should address the identified health conditions. Conclusions: The high self-reported prevalence of hypertension, high cholesterol, and diabetes demonstrates a pressing public health problem among Filipino Americans in Las Vegas. Given that our study population comprised predominantly college-educated, middle-income, and insured individuals, the findings may be underestimated and thus the actual disease prevalence may be even higher. Results of this survey will be used to develop future interventions for the Filipino American community in Las Vegas using the principles of community-based participatory research.
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Affiliation(s)
- Saruna Ghimire
- Department of Environmental and Occupational Health, School of Community Health Sciences, University of Nevada, Las Vegas (UNLV), Las Vegas, Nevada
| | - Prescott Cheong
- Department of Environmental and Occupational Health, School of Community Health Sciences, University of Nevada, Las Vegas (UNLV), Las Vegas, Nevada
| | - Lawrence Sagadraca
- Department of Environmental and Occupational Health, School of Community Health Sciences, University of Nevada, Las Vegas (UNLV), Las Vegas, Nevada
| | - Lung-Chang Chien
- Department of Environmental and Occupational Health, School of Community Health Sciences, University of Nevada, Las Vegas (UNLV), Las Vegas, Nevada
| | - Francisco S Sy
- Department of Environmental and Occupational Health, School of Community Health Sciences, University of Nevada, Las Vegas (UNLV), Las Vegas, Nevada
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Bhimla A, Yap L, Lee M, Seals B, Aczon H, Ma GX. Addressing the Health Needs of High-Risk Filipino Americans in the Greater Philadelphia Region. J Community Health 2018; 42:269-277. [PMID: 27639868 DOI: 10.1007/s10900-016-0252-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Filipino Americans represent one of the largest and most diverse immigrant populations in the United States. It has been established that chronic diseases are a significant public health issue affecting this population. We conducted a health needs assessment of 200 Filipino Americans aged 18 years or older residing in the greater Philadelphia region. Study participants were recruited from eight Filipino community-based organizations in the region. Information about demographic and acculturative characteristics, health behaviors, self-reported chronic health conditions, and chronic disease perception were collected. Participants were older and highly acculturated. With regards to health behaviors, several did not meet dietary fruit and vegetables intake and physical activity guidelines. The top five health conditions were high blood pressure (67.5 %), high blood cholesterol (57.1 %), arthritis (28.9 %), diabetes (21.8 %), and cancer (14.7 %). Majority of participants perceived high blood pressure, high blood cholesterol, and diabetes to be a concern in their community, and had high awareness of the risk factors associated with these diseases. Reported rates of hypertension, high cholesterol, and diabetes suggest that lifestyle interventions targeting diet and physical activity, in addition to health education, are needed in this population.
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Affiliation(s)
- Aisha Bhimla
- Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, 19122-0843, USA
| | - Lauren Yap
- Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, 19122-0843, USA
| | - Minsun Lee
- Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, 19122-0843, USA
| | - Brenda Seals
- Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, 19122-0843, USA
| | - Hermie Aczon
- Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, 19122-0843, USA.,Filipino American Society of South Jersey, Inc., Sicklerville, NJ, USA.,Filipino Executive Council of Greater Philadelphia, Inc., Mount Laurel, NJ, USA
| | - Grace X Ma
- Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, 19122-0843, USA.
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10
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Abstract
Asian American immigrant women engaged in filial caregiving are at special risk for health problems due to complex contextual factors related to immigration, cultural traditions, and role transition. This study examines the experience of two groups of immigrant Asian American women who are caring for older parents. A total of 41 women (22 Chinese American and 19 Filipino American) were interviewed in a study based on Strauss and Corbin's grounded theory methodology. The women were determined to be loyal to their traditional culture, which included strong filial values, while adapting to a new culture. Through the struggle of meeting role expectations and coping with paradox, the women mobilized personal and family resources to trans-form vulnerability into strength and well-being.
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11
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Coffey DM, Javier JR, Schrager SM. Preliminary Validity of the Eyberg Child Behavior Inventory With Filipino Immigrant Parents. CHILD & FAMILY BEHAVIOR THERAPY 2015; 37:208-223. [PMID: 27087739 PMCID: PMC4833394 DOI: 10.1080/07317107.2015.1071978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Filipinos are an understudied minority affected by significant behavioral health disparities. We evaluate evidence for the reliability, construct validity, and convergent validity of the Eyberg Child Behavior Inventory (ECBI) in 6- to 12- year old Filipino children (N = 23). ECBI scores demonstrated high internal consistency, supporting a single-factor model (pre-intervention α =.91; post-intervention α =.95). Results document convergent validity with the Child Behavior Checklist Externalizing scale at pretest (r = .54, p < .01) and posttest (r = .71, p < .001). We conclude that the ECBI is a promising tool to measure behavior problems in Filipino children.
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Affiliation(s)
- Dean M Coffey
- Keck School of Medicine, University of Southern California, Los Angeles, California, USA
| | - Joyce R Javier
- Keck School of Medicine, University of Southern California, Los Angeles, California, USA
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Ursua RA, Islam NS, Aguilar DE, Wyatt LC, Tandon SD, Abesamis-Mendoza N, Nur PRMQ, Rago-Adia J, Ileto B, Rey MJ, Trinh-Shevrin C. Predictors of hypertension among Filipino immigrants in the Northeast US. J Community Health 2014; 38:847-55. [PMID: 23553685 DOI: 10.1007/s10900-013-9689-6] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Hypertension remains disproportionately high among Filipinos compared to other racial and ethnic minority populations, and little research on cardiovascular disease risk factors has been conducted among Filipino immigrants in the Northeastern part of the United States. To determine hypertension prevalence and risk factors among Filipino Americans in the New York City area, blood pressure and other clinical measurements were taken from a sample of Filipino Americans during 119 community health screenings conducted between 2006 and 2010. Additional socio-demographic and health-related characteristics were also collected via a cross-sectional survey. A total of 1,028 Filipino immigrants completed the survey and had clinical readings collected. Bivariate analyses and logistic regression were performed in order to predict and assess risk factors for hypertension among our sample. Fifty-three percent of individuals were hypertensive, and half of hypertensive individuals were uninsured. Logistic regression indicated that older age, male gender, living in the United States for over 5 years, a BMI greater than 23.0 kg/m(2), an elevated glucose reading, a family history of hypertension, and fair or poor self-reported health status were predictors of hypertension. There is a great need to develop more effective community-based interventions in the Filipino community to address cardiovascular health disparities.
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Affiliation(s)
- Rhodora A Ursua
- Center for the Study of Asian American Health, Department of Population Health, New York University School of Medicine, 550 First Avenue, VZN Suite 842, New York, NY 10016, USA.
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13
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Abstract
Filipino Americans are at risk of coronary heart disease due to the presence of multiple cardiometabolic factors. Selecting a framework that addresses the factors leading to coronary heart disease is vital when providing care for this population. The Neuman systems model is a comprehensive and wholistic framework that offers an innovative method of viewing clients, their families, and the healthcare system across multiple dimensions. Using the Neuman systems model, advanced practice nurses can develop and implement interventions that will help reduce the potential cardiovascular problems of clients with multiple risk factors. The authors in this article provides insight into the cardiovascular health of Filipino Americans and has implications for nurses and other healthcare providers working with various Southeast Asian groups in the United States.
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De Souza LR, Fuller-Thomson E. Acculturation and disability rates among Filipino-Americans. J Immigr Minor Health 2014; 15:462-71. [PMID: 23054536 DOI: 10.1007/s10903-012-9708-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Filipinos are the fastest growing Asian subgroup in America. Among immigrants, higher acculturation (adaptation to host society) predicts disability outcomes and may relate to disability prevalence among older Filipinos. We conducted a secondary analysis of the 2006 American Community Survey using a representative sample of older Filipinos (2,113 males; 3,078 females) to measure functional limitations, limitations in activities of daily living, blindness/deafness and memory/learning problems. Filipino males who were Americans by birth/naturalization had higher odds of blindness/deafness (OR 2.94; 95% CI = 1.69, 5.12) than non-citizens. Males who spoke English at home had higher odds of blindness/deafness (OR 1.82; 95% CI = 1.05, 3.17) and memory/learning problems (OR 2.28; 95% CI = 1.25, 4.15), while females had higher odds of memory/learning problems (OR 1.75; 95% CI = 1.13, 2.73). Acculturation is associated with greater odds of disabilities for Filipino men. Males may be more sensitive to acculturation-effects than females due to culturally prescribed roles and gender-specific experiences at the time of immigration.
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Affiliation(s)
- Leanne R De Souza
- Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada.
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Dalusung-Angosta A, Gutierrez A. Prevalence of metabolic syndrome among Filipino-Americans: a cross-sectional study. Appl Nurs Res 2013; 26:192-7. [PMID: 23906437 PMCID: PMC4036682 DOI: 10.1016/j.apnr.2013.06.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2012] [Revised: 04/12/2013] [Accepted: 06/20/2013] [Indexed: 11/30/2022]
Abstract
AIM The aims of this study are a) to examine the prevalence of metabolic syndrome among Filipino-Americans, b) to compare the rate of metabolic syndrome between Filipino men and women, and c) to examine the prevalence of central adiposity. BACKGROUND Filipino-Americans are the second largest Asian subgroup in the United States and their leading cause of death is coronary heart disease (CHD). METHODS This study utilized a descriptive correlational, cross-sectional design that included a convenience sample of 300 Filipino-Americans residing in Southern Nevada. Survey questionnaires were used to collect the sample's demographic data and presence of CHD risk factors. Waist circumference measurements were used to examine central adiposity. RESULTS Metabolic syndrome and central adiposity are highly prevalent among Filipino-Americans residing in Southern Nevada. More men than women had the syndrome, but the rate of central adiposity was significantly higher in women than in men. CONCLUSIONS Intensive lifestyle modifications and treatment are indicated to decrease the prevalence of metabolic syndrome and the risk of heart disease in this group.
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Affiliation(s)
- Alona Dalusung-Angosta
- University of Nevada, Las Vegas, 4505 Maryland Parkway, Box 453018, Las Vegas, NV 89154-3018, USA.
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Dalusung-Angosta A. CHD knowledge and risk factors among Filipino-Americans connected to primary care services. J Am Assoc Nurse Pract 2013; 25:503-12. [PMID: 24170655 DOI: 10.1002/2327-6924.12039] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
PURPOSE To examine the baseline knowledge and risk factors of coronary heart disease (CHD) among Filipino-Americans (FAs), and to identify the predictors of CHD knowledge. DATA SOURCES A convenience sample of 120 FAs recruited from three primary care clinics in Las Vegas, Nevada between May and July, 2010. Participants were asked about their demographic data and presence of CHD risk factors using the Demographics questionnaire. CHD knowledge was examined using the Heart Disease Fact questionnaire. CONCLUSIONS FAs connected to primary care services are knowledgeable about CHD. Predictors of CHD knowledge include: gender and education. CHD risk factors common to FAs include: hypertension, diabetes mellitus type 2, dyslipidemia, abdominal adiposity, overweight, lack of exercise, and smoking. IMPLICATIONS FOR PRACTICE Knowledge on CHD alone may not help prevent heart disease among FAs. Behavioral and cultural factors may play a major role in the development of CHD and CHD risk factors among FAs. NPs and other health care providers serve a vital role on health promotion, disease prevention, and management of patients. The use of the Neuman's systems model can serve as a guide when caring for FAs because of its emphasis in primary and secondary prevention interventions. Nurse practitioners must provide holistic and culturally sensitive care when managing their FA patients.
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Ayres C, Mahat G, Atkins R. Testing theoretical relationships: factors influencing positive health practices (PHP) in Filipino college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2013; 61:88-94. [PMID: 23409858 DOI: 10.1080/07448481.2012.753889] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
OBJECTIVE To examine variables influencing the positive health practices (PHP) of Filipino college students to gain a better understanding of health practices in this ethnic/racial group. Cross-sectional study tested theoretical relationships postulated among (a) PHP, (b) social support (SS), (c) optimism, and (d) acculturation. PARTICIPANTS A sample of Filipino college students (N = 226) aged 18 to 21 was obtained in June 2009. METHODS Participants completed 4 instruments. Statistical analyses were performed using SPSS 16.0. RESULTS Positive correlations were found between PHP and SS (r = .39, p = .01) and optimism and PHP (r = .36, p = .01). No correlation was found between PHP and acculturation. Optimism and SS predicted performance of PHP (R (2) = .18, F[2, 221] = 24.927, p < .001). A difference was found in acculturation levels between participants who grew up in the United States (t[223] = 4.5, p < .001) and those who did not. CONCLUSIONS Findings help health practitioners and educators to better understand the underlying factors that influence PHP in this population.
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Affiliation(s)
- Cynthia Ayres
- School of Nursing, Rutgers, The State University of New Jersey, Camden, New Jersey 08102-1402, USA.
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Brooks MV, Leake A, Parsons C, Pham V. A review of the literature: evaluating dietary intake of Filipino Americans at risk for type 2 diabetes. Nurs Forum 2012; 47:27-33. [PMID: 22309379 DOI: 10.1111/j.1744-6198.2011.00226.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The purpose of this literature review is to investigate the research on the dietary intake of Filipino Americans. Evaluating the dietary practices of Filipino Americans may have an effect on the development of type 2 diabetes. Data collection was obtained, and four databases were included: Pub Medical, Cumulative Index of Nursing and Allied Health Literature, Journals at OVID, and Medline. The key words used in the search were "diet,""type 2 diabetes," and "Filipinos." A total of nine articles were relevant and met the inclusion criteria. The following articles were excluded: studies in a foreign language, letters to the editor, and program descriptions.
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Abstract
PURPOSE This study explored how the older traditional Filipino adults 65 years old and above living in Honolulu, Hawaii, describe their beliefs regarding exercise activity. The location of this research setting is unique because a blending of traditional Filipino culture exists within an acculturated social setting. The Filipino older adults who have relocated to this U.S. location may have also stayed close to their own cultural traditions. METHODOLOGIES A perception of exercise activity was generated through the lens of 47 participants using qualitative methodology. FINDINGS While focusing on the older adults' beliefs about exercise activity, it became evident that exercise may have been seen as a proxy measure of physical activity. The study revealed four main domains: balancing barriers against benefits; engaging capabilities; intervening factors; and defining exercise. The data suggest that the four themes are juxtaposed among each other, with overarching social obligations to the kin group governing the older adults' engagement in what constitutes structured exercise by Western definition. IMPLICATIONS Further investigation is needed to conceptualize what types of physical activities traditional Filipino elders perceive as exercise, and whether these activities fall into the Western definition of exercise.
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Affiliation(s)
- Clementina D Ceria-Ulep
- University of Hawaii at Manoa, Department of Nursing, School of Nursing and Dental Hygiene, Honolulu, HI, USA.
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Dalusung-Angosta A. Concept analysis of risk in relation to coronary heart disease among Filipino-Americans. Nurs Forum 2010; 45:253-259. [PMID: 21077894 DOI: 10.1111/j.1744-6198.2010.00198.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
PURPOSE To analyze the concept of risk in relation to coronary heart disease (CHD) among Filipino-Americans (FAs) and provide a new definition of risk. SOURCE Published literature. CONCLUSION This concept analysis provided a new meaning of risk in relation to CHD among FAs and shed light on further understanding of risk. Risk has been laced with negativity in health care, but based on the current literature, risk can be conceptualized in a positive perspective, especially in the area of chronic health disease such as CHD. However, further research is needed in the conceptualization of risk related to CHD for consistency, adequacy, and meaning.
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Jordan DN, Jordan JL. Self-care behaviors of Filipino-American adults with type 2 diabetes mellitus. J Diabetes Complications 2010; 24:250-8. [PMID: 19615920 DOI: 10.1016/j.jdiacomp.2009.03.006] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2009] [Accepted: 03/28/2009] [Indexed: 11/28/2022]
Abstract
AIM To examine the diabetes self-care behaviors of Filipino-American (FA) adults with type 2 diabetes mellitus (DM). METHOD The Summary of Diabetes Self Care Activities-Revised and Expanded measure was administered to 192 (74 males and 118 females) FA adult immigrants with type 2 DM. RESULTS Older FAs (> or =65 years), females, those who were older when they immigrated, and participants diagnosed with type 2 DM longer were more likely to follow recommended medication regimens. Younger FAs (<65 years) and participants diagnosed with type 2 DM for shorter duration of time were less likely to perform blood glucose testing. Most FAs reported following their eating plans; however, those who lived in the United States (US) longer followed healthful eating plans. Likewise, females reported eating five or more servings of fruits and/or vegetables daily. Moreover, older FAs reported evenly spacing carbohydrate intake everyday. Furthermore, older participants, those with less education, participants who were older when they immigrated, and those older when diagnosed with type 2 DM ate fewer foods high in fats. As to physical activity, FA males and participants with higher education exercised more frequently. CONCLUSION Younger FAs were less likely to perform optimum type 2 DM self-care behaviors pertaining to diet, medication taking, and blood glucose testing compared to their older counterparts. This finding suggests an increased risk for type 2 DM comorbidities and/or complications in younger FAs, which may require more intensive treatments in later years.
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Affiliation(s)
- Deovina N Jordan
- Department of Nursing, Ronald Reagan UCLA Medical Center, Los Angeles, CA 90095-7404, USA.
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Napholz L, Mo W. Attribution of Importance to Life Roles and Their Implications for Mental Health Among Filipino American Working Women. Health Care Women Int 2010; 31:179-96. [DOI: 10.1080/07399330903342215] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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dela Cruz FA, Galang CB. The illness beliefs, perceptions, and practices of Filipino Americans with hypertension. ACTA ACUST UNITED AC 2008; 20:118-27. [PMID: 18336688 DOI: 10.1111/j.1745-7599.2007.00301.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
PURPOSE The purpose of this study was to describe the illness beliefs, perceptions, and practices of Filipino Americans (FAs) with hypertension (HTN) to reveal their explanatory models (EMs) of the illness. DATA SOURCES Audiotapes and transcripts of focus group interviews and observational notes were subjected to content analysis. Medical records and related empirical studies provided supporting data. CONCLUSIONS In general, the EMs of FAs with HTN correspond to the biomedical model in relation to causes, consequences, and treatment of HTN. However, in spite of this biomedical knowledge, FAs with HTN have difficulty maintaining the required lifestyle changes and adhering to the medication regimen to control their illness. IMPLICATIONS FOR PRACTICE It is important for NPs to assess the EMs of FAs with HTN, including their use of traditional folk remedies and practitioners of folk medicine. The challenge is to provide cardiovascular health promotion and education in a culturally sensitive, congruent, and tailored manner to FAs with HTN to help them control their illness.
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Harle MT, Dela RF, Veloso G, Rock J, Faulkner J, Cohen MZ. The Experiences of Filipino American Patients With Cancer. Oncol Nurs Forum 2007; 34:1170-5. [DOI: 10.1188/07.onf.1170-1175] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Abstract
There has never been a more critical time for the development of cadres of younger, better-prepared nurse researchers. The following 3 current factors underscore this need: the current and prolonged nursing shortage that affects practice, research, and teaching; the increased emphasis on health promotion, disease prevention, and reduction in health disparities as articulated in Healthy People 2010; and the renewed effort to advance the image of nursing as an intellectual as well as compassionate enterprise. There are a limited number of institutions equipped to prepare these nurse scholars with undergraduate and graduate education and postdoctoral training in an accelerated manner, to provide mentoring throughout their education by funded faculty researchers, and to protect the focus of this career preparation and trajectory. Schools of nursing that have baccalaureate, master's, and doctoral programs and are highly ranked with respect to their National Institutes of Health funding have the opportunity and responsibility to create accelerated research-intensive tracks that link the baccalaureate through doctoral programs and move the graduates to postdoctoral training. These schools of nursing will have to identify which students to recruit and how the development of the research-intensive track will modify their schools' curricula and the institutions themselves. The profession will have to identify and create the environment that sanctions the legitimacy of scholars prepared in this way.
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