The acculturation gap-distress hypothesis among high-risk Mexican American families.

The authors tested the acculturation gap-distress hypothesis by examining whether parent-adolescent acculturation gaps were associated with greater conflict and youth conduct problems among 260 high-risk Mexican American families. The authors operationalized acculturation gaps in 2 ways: parent-youth mismatches in acculturation style, and parent-youth discrepancies in acculturation toward both mainstream and heritage cultures. Acculturation gaps were common, but results of hierarchical regression analyses indicated that parent-youth discrepancies in acculturation toward mainstream and heritage cultures were not related to increased conflict or youth conduct problems. Conduct problems were no higher in families in which the adolescent was more aligned with mainstream culture than the parent. Unexpectedly, the authors found more youth conduct problems in families in which the youth was more aligned with traditional culture than the parent. The results call into question the assumption that the more rapid acculturation of adolescents to American culture inevitably leads to distress in minority families. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Patterns of family functioning and adolescent outcomes among urban African American and Mexican American families.

The relations of patterns of family functioning, prosocial behaviors, and internalizing and externalizing symptoms over time were evaluated among a sample of economically disadvantaged inner-city African American and Mexican American male adolescents. Ethnic group differences for configurations of family functioning over time, levels of prosocial and problem behaviors, and relations of family functioning to risk were found. Among both ethnic groups, exceptionally functioning families provided a protective effect against risk. Overall, African American youth had stronger attitudes toward school and higher educational aspirations than Mexican American youth. Unlike previous investigations, once socioeconomic status was controlled, no differences were found for either internalizing or externalizing problems between the 2 groups. The importance of considering socioeconomic status and community context when evaluating minority parenting and family functioning is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Suggestions for psychologists working with Mexican American individuals and families in health care settings.

The number of Mexican Americans in the United States continues to grow at a rapid rate. As these numbers increase, so does the likelihood that Mexican Americans will eventually come into direct contact with the health care system. Mexican Americans with traditional Mexican attitudes, values, and behaviors encounter barriers as they attempt to access medical and rehabilitative care. Issues such as acculturation, language, family, interdependence, attitudes toward authority, and time orientation are some of the areas that may present challenges to rehabilitation staff. Psychologists working in health care facilities who have the cultural competence to intervene effectively with the Mexican American patient can play an important role in helping to remove some of these barriers. Specific suggestions for working with Mexican American patients are offered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parenting self-efficacy and parenting practices over time in Mexican American families.

Drawing on social cognitive theory, this study used a longitudinal cross-lagged panel design and a structural equation modeling approach to evaluate parenting self-efficacy's reciprocal and causal associations with parents' positive control practices over time to predict adolescents' conduct problems. Data were obtained from teachers, mothers, and adolescents in 189 Mexican American families living in the southwest United States. After accounting for contemporaneous reciprocal relationships between parenting self-efficacy (PSE) and positive control, results indicated that parenting self-efficacy predicted future positive control practices rather than the reverse. PSE also showed direct effects on decreased adolescent conduct problems. PSE functioned in an antecedent causal role in relation to parents' positive control practices and adolescents' conduct problems in this sample. These results support the cross-cultural applicability of social cognitive theory to parenting in Mexican American families. An implication is that parenting interventions aimed at preventing adolescent conduct problems need to focus on elevating the PSE of Mexican American parents with low levels of PSE. In addition, future research should seek to specify the most effective strategies for enhancing PSE. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender differences in substance use among Mexican American school-age children

This study identified differences in gender between and among fourth, fifth, and sixth grade Mexican American students for use of four specific "minor" substances: cigarettes, beer, wine/liquor, and marijuana. Minor substances are believed to serve as a "gateway" to more intense and frequent use of minor and major substances. Students (N = 2,216; males 52% and females 48%) were surveyed to ascertain information pertaining to their substance use. The chi-square statistic found significant gender differences at the fourth and fifth grade for use of minor substances. Patterns of initiation of minor substance use by gender and grade are discussed in the context of substance use stage theory. Overall, results support the need for further research emphasizing within group variations in the substance use of singular ethnic groups.     

Explanatory models of overweight among African American, Euro-American, and Mexican American women

Ethnographic interviewing methods were used to explore women's explanatory models (EMs) of overweight and the congruence of these models with professional models and professionally recommended treatments for overweight. Through community-based snowball and theoretical sampling, 40 African American, 40 Euro-American, and 40 Mexican American women of varying social status and weight participated in multiple ethnographic interviews, which were subsequently interpreted using domain analysis and constant comparison. Study participants' EMs of overweight ranged from simple to complex, were generally similar across the three study groups, and only partially congruent with professional EMs of obesity. Major differences in EMs between the study groups were found in the dimensions of etiologies and consequences of overweight. There was partial congruence between participants' EMs and professionally recommended treatments for overweight.     

Adolescent sibling relationships in Mexican American families: Exploring the role of familism.

To address a significant gap in the literature on normative processes in minority families, the authors studied adolescents' sibling relationships in two-parent Mexican American families and explored connections between sibling relationship characteristics and familism. Participants were 246 adolescent Mexican American sibling pairs who participated in (a) home interviews during which adolescents described their sibling relationships and familism values and (b) a series of 7 nightly phone calls during which adolescents reported their daily activities, including time spent with siblings and family members. Siblings described their relationships as both intimate and conflictual, and daily activity data revealed that they spent an average of 17.2 hr per 7 days in shared activities. Sibling relationship qualities were linked to familism values and practices, and stronger patterns of association emerged for sisters than brothers. Discussion highlights the significance of studying the processes that underlie within-group variations among families of different cultural backgrounds. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Elder abuse: the American experience

A procedure was developed for air pollution monitoring, which takes into account the formation of secondary pollutants due to the transformation of initial noxious agents. The formation of chemical compounds for purposeful searches for aromatic hydrocarbon transformation products was predicted in the hygienic evaluation of air pollution. Atmospheric toluene transformation was shown to give rise to phenol and formaldehyde which in the presence of nitrogen dioxide are more toxic than toluene.     

Bridging the acculturation gap: Parent-child relationship quality as a moderator in Mexican American families.

The authors examined the degree to which disparities in parent and child acculturation are linked to both family and child adjustment. With a sample of 1st- and 2nd-generation Mexican American children, acculturation and parent-child relationship quality at 5th grade, and parent-child conflict, child internalizing, and child externalizing at 7th grade were measured. Acculturation gaps with fathers were found to be related to later father-child conflict as well as internalizing and externalizing outcomes. Many of the associations between father-child acculturation gaps and outcomes were moderated by the child's report of the relationship quality between the child and his or her father. Father-child acculturation gaps were associated with negative outcomes only when children reported a poor relationship with their fathers. Mother-child acculturation gaps were not associated with mother-child conflict or adjustment indices. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parental attachment, self-esteem, and antisocial behaviors among African American, European American, and Mexican American adolescents.

This study examined the relation of mother and father attachment to self-esteem and self-reported involvement in antisocial behaviors among African American (n=488), European American (n=661), and Mexican American (n=434) high school students. The attachment dimensions of anxiety and avoidance were examined using self-report scales that were developed and validated with participants in the study. Findings indicated that adolescents from the 3 ethnic/racial groups did not differ greatly in their reported attachment to father and mother. Consistent with theoretical formulations, securely attached adolescents from the 3 ethnic groups had a more positive sense of self-esteem and reported less involvement in antisocial behaviors than their less securely attached peers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality and physical correlates of bulimic symptomatology among Mexican American female college students.

Although eating disorders have been the focus of much research, the inclusion of minority populations in such investigations has been minimal. Thus, the purpose of this study was to examine personality and physical correlates of bulimic symptomatology in a sample of Mexican American female college students. Hierarchical regression analysis revealed that body mass and endorsement of U.S. societal values concerning attractiveness were related positively to bulimic symptomatology, accounting for a combined 38% of the variance. Age, body satisfaction, and acculturation level, however, were unrelated to bulimic symptoms. Implications for counseling interventions as well as directions for future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A two-year study of patterns and predictors of substance use among Mexican American youth

This study investigated the incidence and patterns of substance use in a school-age population, as well as predictive risk factors that may play an important role in understanding its initiation. Low socioeconomic status Mexican American fourth-, fifth-, and sixth-grade students were surveyed for two consecutive years in order to obtain information on their substance use and its relationship to specific demographic, environmental, and psychological risk factors. Results capture patterns of substance use among this population over the two years, as well as the relationship between reported risk factors in year one and the use of minor and major substances in year two.     

Cigarette use among migrant and nonmigrant Mexican American youth: A socialization latent-variable model.

A self-report survey of cigarette use among 10th- and 12th-grade Mexican American students found no differences in rates of use by migrant status. Male students reported higher levels of lifetime, experimental, and daily smoking than female students, and 12th-grade students reported higher levels of daily smoking than 10th-grade students. A socialization model of cigarette use based on peer cluster theory was evaluated using structural equation methods, examining the effects of family strength, family tobacco use, school adjustment, religious identification, and peer tobacco associations. The basic latent-structure socialization model was supported in all groups, but final models including specific effects identified both unique and common relationships by gender and migrant status. Common patterns across groups suggest that completely different prevention programs may not be necessary for these youth. However, program elements based on subtle group differences may serve to tailor prevention efforts and make them more effective. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationships between mental health treatment and medical utilization among low-income Mexican American patients: some preliminary findings

The hypothesis that medical visits decrease as a function of mental health treatment was tested with a lower socioeconomic Mexican-American population. The number of medical and psychotherapy visits for all patients referred for mental health treatment during a specific period was obtained and analyzed in serveral ways to determine rate of medical visits as a function of psychiatric visits. Results indicated clear rejection of the hypothesis. Medical visits significantly increased rather than decreased. Factors which may account for these findings being opposite of previous studies are discussed and include previous poor medical service availability and socioeconomic differences in populations.     

Prevalence of adult domestic violence among women seeking routine care in a Native American health care facility

OBJECTIVES: The purpose of this study was to determine the prevalence of, and sociodemographic factors associated with, adult domestic violence within a Native American community. METHODS: Adult women in the community were surveyed. RESULTS: Of 371 eligible women, 341 (92%) were surveyed. Among respondents, 179 reported a history of at least 1 episode of domestic violence. Fifty-six (16.4%) reported violence within the previous 12 months. Age under 40 years and living in a household receiving governmental financial assistance were independently associated with 1-year prevalence of adult domestic violence. CONCLUSIONS: Adult domestic violence is prevalent within this Native American community. Additional research is required to characterize further the relationship between domestic violence and socioeconomic status.     

Parent-school involvement and school performance: Mediated pathways among socioeconomically comparable African American and Euro-American families.

Children's academic and social competencies were examined as mediators to explain the often positive relation between parent-school involvement and achievement. Ethnic variations in the relation between parent-school involvement and early achievement and the mediated pathways were examined. Because much of the comparative research confounds ethnicity with socioeconomic status, the relations were examined among socioeconomically comparable samples of African American and Euro-American kindergarten children and their mothers. For reading achievement, academic skills mediated the relation between involvement and achievement for African Americans and Euro-Americans. For math achievement, the underlying process differed across ethnic groups. For African Americans, academic skills mediated the relation between school involvement and math performance. For Euro-Americans, social competence mediated the impact of home involvement on school achievement. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived racial/ethnic discrimination, posttraumatic stress symptoms, and health risk behaviors among Mexican American adolescents.

Utilizing the concept of race-based traumatic stress, this study tested whether posttraumatic stress symptoms explain the process by which perceived discrimination is related to health risk behaviors among Mexican American adolescents. One hundred ten participants were recruited from a large health maintenance organization in Northern California. Mediational analyses indicated that adolescents who perceived more discrimination reported worse posttraumatic stress symptoms, controlling for covariates. In turn, adolescents who experienced heightened posttraumatic stress symptoms reported more alcohol use, more other drug use, involvement in more fights, and more sexual partners. Perceived discrimination was also directly related to involvement in more fights. Results provide support for the notion of race-based traumatic stress, specifically, that perceived discrimination may be traumatizing for Mexican American adolescents. Counseling psychologists and counselors in schools and community settings should assess Mexican American adolescents for the effects of discrimination and provide appropriate interventions to reduce its negative emotional impact. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Thermometer use among Mexican immigrant mothers in California

A community-based household survey was utilized to assess the relationship between thermometer use, home treatment and utilization of health care services. Using a cross-sectional design, the study surveyed 688 low income Mexican origin mothers of children between the ages of 8 and 16 months in San Diego County. Mothers were asked how they determine that their child has fever and how often they use a thermometer. Nearly 40% of low income Mexican mothers interviewed in San Diego county never used a thermometer for determining childhood fever. Approximately two-thirds (64.7%) relied either primarily or exclusively on embodied methods such as visual observation or touch to determine fever in their child. A multivariate logistic regression analysis determined that low education and a separated or divorced marital status decreased the odds of thermometer use, whereas regular contact with the health care system doubled the likelihood of thermometer use. Mothers who relied on embodied methods were more likely to use over-the-counter medications than those who relied on thermometers; however, no significant differences were found between groups using other methods of home treatment. Fever determination modalities can be used to screen for lack of access to care and to provide for other health care needs in a culturally appropriate manner. While clinicians' expectations may include parental experience with temperature taking, current pediatric literature questions the need for home-based thermometer use. Possible alternatives to the traditional rectal thermometer might include digital thermometers and color coded thermometer strips.     

The roles of respect for parental authority and parenting practices in parent-child conflict among African American, Latino, and European American families.

In this study, the authors examined whether parent-child conflict during the middle childhood years varied among families characterized as having different cultural traditions regarding issues of respect for parental authority and parenting practices. The sample included 133 African American, European American, and Latina girls (M age = 8.41 years) and their mothers. African American and Latina girls showed significantly more respect for parental authority than did European American girls. Furthermore, African American and Latina mothers reported significantly more intense arguments when respect was low than did European American mothers. Higher levels of discipline and better communication by mothers were both associated with reports of lower frequency of conflict; ethnicity did not moderate this association. Thus, respect for authority was most salient to group differences in conflict. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

When your client in the surgical suite is Mexican American

The approaching millennium brings not only a muted but also a challenging vision for the future of gerontological nursing. This vision is muted by the rhetoric of the 90s dictating the elimination of costly programs with the potential to diminish quality. It is a vision of challenge to advocate for, protect, demand, and create a new framework that will guarantee high-quality health care for older patients. In an attempt to clarify that vision, this article outlines three areas of gerontological nursing: education, practice, and research. The future direction in these areas will dictate how collective thinking can support health care for older people in the next century and beyond. These components of nursing must be integrated to develop quality care needed by older patients.