Assessment of acculturation in minority health research

Fox, Molly; Thayer, Zaneta M.; Wadhwa, Pathik D.

doi:10.1016/j.socscimed.2017.01.029

Cited by 96 publications

(79 citation statements)

References 132 publications

(157 reference statements)

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“…Furthermore, measuring acculturation is a difficult undertaking. The FRAKK scale used in this study, despite good internal consistency and a lack of imprecise proxies, fails to meet some of the criteria for measuring acculturation suggested by Fox et al …”

Section: Discussionmentioning

confidence: 99%

The role of acculturation in migrants’ use of gynecologic emergency departments

Schwachenwalde

Sauzet

Razum

et al. 2020

Intl J Gynecology & Obste

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Objective To examine whether acculturation of migrant patients is a predictor of non‐urgent use of gynecologic emergency departments (GEDs). Methods A cross‐sectional study based on standardized questionnaire interviews among migrant (n=477) and non‐migrant (n=246) women attending a GED in Berlin, Germany, between 2017 and 2018. Non‐urgent GED use was defined by health system (e.g., no hospital admission) or patient (e.g., low subjective urgency) criteria. Acculturation was assessed by the Frankfurt Acculturation Scale. Logistic regressions were calculated with non‐migrants as the reference. Results Relative to migrants, low acculturation of migrants had no significant effect on overall non‐urgent GED use. However, low acculturation was a significant predictor of non‐urgent use if defined only by health system criteria (adjusted odds ratio [AOR], 1.58; 95% confidence interval [CI], 1.02–2.44; P=0.041). Inversely, low acculturation had a significant negative effect on non‐urgent use if defined only by patient criteria (AOR, 0.58; 95% CI, 0.38–0.90; P=0.014). Conclusion Low‐acculturated migrants were more prone to non‐urgent GED use as defined by health system criteria, and might have a distorted perception of urgency. According to their perception, however, low‐acculturated patients showed appropriate GED use for urgent complaints, indicating that they are insufficiently cared for by the healthcare system.

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Section: Discussionmentioning

confidence: 99%

The role of acculturation in migrants’ use of gynecologic emergency departments

Schwachenwalde

Sauzet

Razum

et al. 2020

Intl J Gynecology & Obste

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“…The acculturation effect on health behaviors and outcomes among Chinese immigrants is still unclear. Future research is needed to assess the direct and indirect effects of acculturation or cultural change on cognition‐related biological and behavioral processes …”

Section: Discussionmentioning

confidence: 99%

Sex Differences in the Prevalence and Incidence of Cognitive Impairment: Does Immigration Matter?

Tang

Chi

Dong

2019

J American Geriatrics Society

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OBJECTIVES:We aimed to examine the associations between immigration-related factors and prevalent and incident cognitive impairment (CI) and whether the associations varied by sex among US Chinese older adults. DESIGN: Two-wave prospective study. SETTING: The greater Chicago area. PARTICIPANTS: Community-dwelling adults aged 60 and older who self-identified as Chinese, who were interviewed at two time points during 2011-2013 (N = 3157) and 2013-2015 (N = 2713). MEASUREMENTS: CI was assessed by the 30-item Chinese Mini-Mental State Examination (C-MMSE). CI prevalence was determined by the percentage of respondents whose C-MMSE score was below 18 at baseline (N = 3033), and CI incidence was determined by the percentage of the respondents whose score was 18 or above at baseline (N = 2443) but dropped below 18 at wave 2. Immigration-related factors included age at migration, immigration reasons, and acculturation. RESULTS: The CI prevalence rate was 7.62% at baseline, and the incidence rate was 5.12% at wave 2. Women were more likely than men to have CI, consisting of 77.06% and 75.20% among persons with CI at the time points. None of the immigration-related factors were related to CI prevalence and incidence. Older age, fewer years of education, and more instrumental activities of daily living limitations were risk factors of CI in the whole, male, and female samples. CONCLUSION: Older Chinese women were generally disadvantaged in cognition and overall health as compared with older Chinese men. Yet immigration experience does not link to CI for both men and women after equalizing the well-established effects of age and education on cognition. Future research needs to investigate whether the risk of CI in late life is related to the biological and contextual factors earlier in the life course. Decreasing sex disparities in the risk of dementia may focus on reducing educational and health disparities in the early life stage. J Am Geriatr Soc 67:S513-S518, 2019.

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“…It is however believed that the tendency for a person to maintain his/her own culture and/or adopt the culture of a different group of people is often influenced by group-level factors (i.e. broad social, cultural, economic, environmental and structural factors) [8,12]. For instance, a group of migrants from SSA can replace their familiar traditional food by new food options in a Western country, due to limited availability of the familiar food in the host country.…”

Section: Factors Associated With Less Healthy Changes In Dietary and mentioning

confidence: 99%

Associations of post-migration dietary and physical activity behaviours with acculturation and social cognitive factors: a cross-sectional study of Australian residents born in sub-Saharan Africa

et al. 2019

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A considerable amount of research suggests that several 'immigrants' from low-and-middle income countries often adopt less healthy dietary and physical activity behaviours after settling in high income countries, which may lead to increased risk of weight-related diseases. Several studies have also reported that post-migration changes in dietary and physical activity behaviours are associated with acculturation. Given that social cognitive factors are proximal determinants of behaviour, understanding their interplay with acculturation in the process leading to less healthy weight-related behaviours can assist in developing more useful interventions for populations at risk. A cross-sectional survey was undertaken among Australian residents born in sub-Saharan Africa (SSA) to assess the interplay of post-migration dietary and physical activity behaviours with acculturation and social cognitive factors. A total of 253 participants were self-selected from two Australian states: New South Wales and Victoria. Theory of planned behaviour variables were employed as social cognitive factors. Fat intake and fruits/vegetables/fibre intake were used as indicators of dietary behaviour. Acculturation was measured using two sub-scales: cultural maintenance and cultural participation. The findings show that acculturation and social cognitive factors were significantly associated with variances in fat intake and physical activity. More specifically, the variance in post-migration fat intake was significantly explained by cultural participation and attitude while the variance in physical activity was significantly associated with cultural maintenance and behavioural intention. It is therefore important to consider both acculturation and social cognitive factors when developing weight-related interventions for Australian residents born in SSA.

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Assessment of acculturation in minority health research

Cited by 96 publications

References 132 publications

The role of acculturation in migrants’ use of gynecologic emergency departments

The role of acculturation in migrants’ use of gynecologic emergency departments

Sex Differences in the Prevalence and Incidence of Cognitive Impairment: Does Immigration Matter?

Associations of post-migration dietary and physical activity behaviours with acculturation and social cognitive factors: a cross-sectional study of Australian residents born in sub-Saharan Africa

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