Acculturation Groups Research Articles

A Latent Profile Analysis of COVID-19 and Influenza Vaccine Hesitancy among Economically Marginalized Hispanic Mothers of Children under Five Years of Age in the US.

Rates of COVID-19 and influenza vaccine coverage among Hispanic young children continue to be low in comparison to other racial and ethnic groups in the United States. This study utilized a person-centered approach to understand COVID-19 and influenza vaccination hesitancy for young children under the age of five among 309 economically marginalized Hispanic mothers. Drawing on the cultural health belief model, in 2022, following FDA approval of the COVID-19 vaccine for young children, a latent profile analysis was conducted from which three profiles emerged. The Low Acculturation group (Profile 1), was notable for lower acculturation, moderate cultural medical mistrust, lower access to vaccines, and higher financial security. Compared to Profile 1, the two remaining profiles had higher acculturation and lower levels of financial security, but differed in that the High Acculturation group (Profile 2) had higher vaccine accessibility and the Moderate Acculturation group (Profile 3) had higher cultural medical mistrust. Relative to other profiles, Low Acculturation mothers were more likely to plan to vaccinate their child against current and seasonal COVID-19 and seasonal influenza, report that their child's health provider recommended the COVID-19 shot and reported lower COVID-19 and influenza vaccine mistrust. However, they also reported lower vaccine accessibility and moderate levels of cultural medical mistrust. The study highlights the importance of developing person-centered public health strategies that draw on Hispanic cultural values and consider diversity within lower income Hispanic populations to increase future pediatric COVID-19 and flu vaccination coverage among young Hispanic children.

24 The Influence of Acculturation in Neuropsychological Test Performance of Hispanic-Americans

Objective:Stephenson (2000) suggested that acculturation is a phenomenon that immigrants and refugees ubiquitously experience. The level of acculturation is impacted by a person’s choice to allow how much of their cultural traits they decide to keep while adapting to the dominant society cultural traits. Depending on what immigrants find to be important or unimportant, it can influence future generations (i.e., their children) in how they will be developed and adapt into a dominant society. Hispanic-Americans are individuals that were born and reside in the United States and have a family background that extends to one of the Spanish speaking countries in Latin America or Spain. The typical language spoken by Hispanic families other than English is Spanish. It has been reported that Hispanics that are capable of speaking English may be afforded better and greater opportunities to resources. Research shows that a person level of acculturation can influence their cognition. In fact, in one study using a Mexican-American sample that was divided into two groups: high and low. Researchers found that highly acculturated Mexican-Americans outperformed lower acculturated Mexican-Americans on the Wisconsin Card Sorting Test. We evaluated the influence of acculturation in Hispanic-Americans neuropsychological test performance. It was predicted that highly acculturated Hispanic-Americans to American culture would demonstrate better cognitive abilities compared to lower acculturated Hispanic-Americans.Participants and Methods:The present study sample consisted of 75 neurologically and psychologically healthy Hispanic-American undergraduate students with a mean age of 19.44 (SD = 1.37). Participants were divided into two acculturation groups: high (n = 39) and low (n = 36). In addition, all the participants completed a comprehensive neuropsychological battery and background questionnaire in English. The Acculturation Rating Scale for Hispanic/Latino Americans is a 20-item scale that was utilized to create our acculturation groups. ANOVAs were used to evaluate cognitive differences between our acculturation groups.Results:Results revealed that the highly acculturated group outperformed the lower acculturated group on the Weschler Adult Intelligence Scale-Third Edition vocabulary task and the Boston Naming Test, p’s<.05, n.p’s2=.06. Furthermore, results revealed that the lower acculturated group outperformed the highly acculturated group on the Trail Making Test part A and B, and Comalli Stroop part A, p’s<.05, np’s2=.06-.07.Conclusions:As expected, the highly acculturated group demonstrated better language abilities compared to the lower acculturated group. However, in the opposite direction, the lower acculturated group outperformed the highly acculturated group on several speed attention tasks and one executive functioning task. A possible explanation why the highly acculturated participants demonstrated better language abilities may be attributed that their dominant language is English or they only spoke English. Meanwhile, the opposite could be said for lower acculturated participants that English was not their dominant language or they were bilingual speakers, for that reason they demonstrated better processing speed and executive functioning abilities. Research shows that monolinguals demonstrate better language abilities compared to bilinguals, but the opposite is found on processing speed and executive functioning tasks. Future research should investigate the relationship between bilingualism and acculturation in neuropsychological testing performance of Hispanic-Americans.

H - 54 Effects of Acculturation in Neuropsychological Performance of Generation Z Mexicans.

We examined the influence of acculturation on Generation Z (i.e., persons born between 1997-2004) adults' cognition. The sample consisted of 15 low-acculturated, 47 moderately-acculturated, and 28 high-acculturated Mexican participants residing in Mexico with a mean age of 20.86 (SD = 1.63). All participants completed the Word Accentuation Test, all the subtests of the Stroop Color Word Test (SCWT), Boston Naming Test, Phonemic Fluency Test (i.e., FAS), Semantic Fluency Test, the copy and long-delayed Rey-Osterrieth Complex Figure (ROCF) tasks, all the subtests of the Digit Span, and the Abbreviated Multidimensional Acculturation Scale (AMAS) in Spanish. The AMAS was used to categorize acculturation groups. ANOVA's were used to evaluate neuropsychological performance between our acculturation groups. We found the low-acculturation and moderately acculturation groups outperformed the high-acculturation group on the SCWT reading and color-word tasks, p's < 0.05, np's2 = 0.09-0.10. Results also revealed the high-acculturation group outperformed the low-acculturation and moderately acculturation groups on the Semantic Fluency Test, p = 0.002, np2 = 0.14. Finally, the low-acculturation group outperformed the high-acculturation group on the ROCF copy task, p = 0.042, np2 = 0.07. Our data suggests that Generation Z Mexicans' level of acculturation influences their cognition. A possible explanation can be time perspective, where perception of time is influencing cognition to select and pursue certain goals, cognition, and motivation. Future studies using larger sample sizes should investigate the intersection of time perspective and acculturation on Generation Z adults' cognition. More research that evaluates how acculturation influences cognition will help researchers and clinicians understand Spanish speakers' cognition from a generational cohort perspective.

B - 65 Assessing Methods of Executive Ability from Trail Making Test Part B in Mexican-Americans.

We investigated three different measures of executive ability derived from the Trail Making Test part B (TMT-B) in Mexican-American adults. Forty-seven Mexican-Americans were administered both TMT part A (TMT-A) and TMT-B, and total time for completion was recorded. Additionally, participants completed The Acculturation Rating Scale for Mexican Americans. Participants were divided into two groups: low-acculturation group (n = 19) and high-acculturation group (n = 28). Independent Sample T-tests were used to examine differences in executive abilities between our acculturation groups. Executive measures included the TMT-B raw score (i.e., seconds to complete TMT-B), the raw score difference (in seconds) between TMT-A and TMT-B (TMT-BA), and the difference between a predicted TMT-B score (TMT-BP) and the obtained TMT-B score (TMT-BBP). Correlations between TMT-B, TMT-BA, and TMT-BBP and other executive functioning tests (i.e., letter fluency, animal naming, & Comalli Stroop Test part C) were evaluated. Results revealed the high-acculturation group outperformed the low-acculturation group on all measures of executive ability derived from TMT-B, p's < 0.05. Furthermore, the high-acculturation group TMT-BA significantly correlated with Comalli Stroop Test part C, r = 0.44, p = 0.021. Finally, no significant correlations between the different measures of executive ability from TMT-B and other executive functioning tests were found in the low-acculturation group. We found the high-acculturation group demonstrated better executive functioning abilities on all three TMT executive ability variables compared to the low-acculturation group. In our high-acculturation sample, TMT-BA executive ability variable correlated with at least one executive functioning measure, which suggests that TMT-BA can be a likely better measure of executive ability than TMT-B or TMT-BBP.

Relationships among Acculturation Using 2 Different Language Variables, Diet Quality, and Accuracy of Diet Quality Assessment in Non-Hispanic Asians Residing in the United States

BackgroundEvidence suggests that acculturation can increase risks of poor diet, obesity, and chronic diseases. Yet questions remain regarding acculturation proxy measures and associations with diet quality in Asian Americans. ObjectivesPrimary objectives included estimating percentages of Asian Americans with low, moderate, and high acculturation using 2 proxy measures of acculturation based on different language variables and determining if diet quality differences existed among acculturation levels using the 2 proxy acculturation measures. MethodsStudy sample included 1275 Asian participants aged ≥16 y from National Health and Nutrition Examination Survey 2015–2018. Nativity/length of United States residence, immigration age, language spoken at home (home), and language of dietary recall (recall) were used as proxy measures for 2 acculturation scales. Replicate 24-h dietary recalls were conducted and diet quality was assessed using 2015 Healthy Eating Index. Statistical methods for complex survey designs were used for analysis. ResultsUsing home and recall language, 26% compared with 9% of participants were classified with low, 50% compared with 63% with moderate, and 24% compared with 28% with high acculturation. On the home language scale, participants with low and/or moderate acculturation had higher scores (0.5–5.5 points) for vegetables, fruits, whole grains, seafood and plant protein, saturated fats, added sugars, and total 2015 Healthy Eating Index than participants with high acculturation; participants with low acculturation had lower refined grain score (1.2 points) than participants with high acculturation. Results were similar for the recall language scale, except differences between participants with moderate and high acculturation were also observed for fatty acids. ConclusionsAlthough percentages of Asian Americans classified with low, moderate, and high acculturation differed between the 2 proxy measures for acculturation, diet quality differences among acculturation groups were remarkably similar between the 2 proxy measures. Hence, use of either language variables may yield comparable results regarding the relationships between acculturation and diet in Asian Americans.

Akulturasi Musik Gembrung Sebagai Media Komunikasi Islam

Gembrung music is a traditional Islamic art that has developed a lot in Java. Its existence indicates a da'wah process in order to convey the messages of Islamic teachings in Java. The intersection of Muslim and Javanese groups creates a form of cultural acculturation, each of which represents two acculturated cultures. By using a qualitative methodology, the research focus is on literature and gembrung in Java, the aim of this study is to find the process of acculturation of the traditional Gembrung musical instrument. Where in Gembrung art it is found as a communication tool in preaching as well as a process of acculturation of music. Among them, several elements of gembrung music adopted Javanese music, including kenong and gong which were replaced with tambourines, which are musical instruments made of wood and goat skin. In addition to the form of abolition or omission, there is also musical pluralism, where one musical instrument can be accepted by another group but still places one musical instrument that represents each acculturation group. Among those that must still be included are drums as a representation of Java, and also tambourines as a representation of Islam-Arabism. What's interesting is that each musical instrument which is a cultural representation becomes the central determinant of other musical elements. The acculturation of this musical element has led to cultural acceptance by the Javanese people of the Gembrung art. Likewise, there is acceptance of Muslim groups as a representation of Islamic music.

Education and context matter when it comes to genetic testing among Latinx women (424)

<b>Objectives:</b> Latinx women are known to have significantly lower genetic testing rates compared to non-Hispanic Whites. The focus of the current study was to assess attitudes and intentions toward genetic germline testing of Latinx patients in a comprehensive cancer center (CCC) clinic and community group settings. We evaluated demographics and other contextual variables, such as education level, medical knowledge, family size, social support, and insurance status as drivers for or against obtaining genetic testing. <b>Methods:</b> From February 2020 to September 2020, a survey was offered concurrently to Latinx female patients at a CCC gynecologic oncology practice and members of a Latinx community group unaffiliated with the CCC. The survey focused on demographic, financial, psychosocial, and acculturation factors and genetic testing attitudes and intentions for testing. Validated scales were utilized to conduct the survey, including the PHQ-9 and GAD-7 and the BASH acculturation scale. <b>Results:</b> Total 148 evaluable patient surveys were collected, with 50/50 split between the clinic and community settings. Sixty-one percent of respondents were born outside the United States, 42% of patients conducted the surveys in Spanish, and 58% in English. The mean patient age was 48 years, 68% of patients did not have cancer, 60% of patients were married or living with a partner, 29% had 0-1 children, whereas 25% had four or more children. Those with more children had higher religiosity (r_s = 0.29, <i>p</i> = 0.03) but it did not affect genetic testing intentions. Age by itself did not affect genetic testing intentions; however, if certain barriers were removed, including cost (r_s=. 52, p<.001); social support (r_s = 0.37, <i>p</i>= 0.007); provider characteristics, lack of information (r_s = 0.28, <i>p</i> = 0.002), younger women with lower acculturation were likely to consider testing. Among all women, those who had more schooling outside the US were more likely to consider testing (r_s = +0.32, <i>p</i> = 0.005). For women with lower acculturation and lower education in the US, knowing that they would pass on the gene was a deterrent to getting pregnant (r_s = -0.26. <i>p <</i> 0.03). Women were more likely to have testing intentions if there was a major life event (<i>p</i> = 0.048). For all women, if they thought that they would receive information about genetic testing from a trusted source, they were more open to genetic testing (r_s= +0.32, <i>p</i> = 0.005). <b>Conclusions:</b> Several factors motivated Latinx women recruited from both clinic and community settings to be more open to genetic testing. Higher educational levels in the US resulted in participants being more likely to consider testing. In this heterogeneous, uniquely low-income, low acculturated group of Latinas residing in Southern California, factors associated with willingness to undergo genetic testing differed by acculturation and included the presence of social support, insurance coverage, education, and medical knowledge. Subjects' total number of children did not impact decisions to proceed with genetic testing, although reproductive age and fewer children were predictive of testing.

Cultural consequences of brands' masstige: An emerging market perspective

The increase in disposable income and the luxury aspirations of the middle-class have led to the introduction of a new genre of luxury, known as masstige luxury. The extant research has yet to investigate the role of acculturation - changes in an individual’s thoughts and behavior that result from (in)direct exposure to culturally dissimilar individuals or groups - in shaping the masstige perception of a brand. The current study addresses this gap by examining how various acculturation patterns (i.e., integration, assimilation, separation, and marginalization) assess the mass-prestige quotient of fashion accessory brands (sunglasses). The study identifies RayBan as a masstige brand in the sunglasses category and observes that the assimilation acculturation group assigned RayBan the highest masstige score, followed by the integration, marginalization, and separation groups. Furthermore, cultural worldview is identified as the underlying mechanism for differences in the masstige scores across various acculturation groups. By explaining the cultural consequences of masstige-based brand consumption, this study contributes to the growing masstige academic literature.

Synchrony in mother-infant vocal interactions revealed through timed event sequences

This report extends a previous cross-cultural study of synchrony in mother-infant vocal interactions (Bornstein et al., 2015) to immigrant samples. Immigrant dyads from three cultures of origin (Japan, South Korea, South America) living in the same culture of destination (the United States) were compared to nonmigrant dyads in those same cultures of origin and to nonmigrant European American dyads living in the same culture of destination (the United States). This article highlights an underutilized analysis to assess synchrony in mother-infant interaction and extends cross-cultural research on mother-infant vocal interaction. Timing of onsets and offsets of maternal speech to infants and infant nondistress vocalizations were coded separately from 50-min recorded naturalistic observations of mothers and infants. Odds ratios were computed to analyze synchrony in mother-infant vocal interactions. Synchrony was analyzed in three ways -- contingency of timed event sequences, mean differences in contingency by acculturation level and within dyads, and coordination of responsiveness within dyads. Immigrant mothers were contingently responsive to their infants’ vocalizations, but only Korean immigrant infants were contingently responsive to their mothers’ vocalizations. For the Japanese and South American comparisons, immigrant mothers were more contingently responsive than their infants (but not robustly so for South American immigrants). For the Korean comparison, mean differences in contingent responsiveness were found among acculturation groups (culture of origin, immigrant, culture of destination), but not between mothers and infants. Immigrant dyads’ mean levels of responsiveness did not differ. Immigrant mothers’ and infants’ levels of responsiveness were coordinated. Strengths and flexibility of the timed event sequential analytic approach to assessing synchrony in mother-infant interactions are discussed, particularly for culturally diverse samples.

Resurgent Ethnicity and Residential Choice Among Second-generation Asian Americans in a Los Angeles Panethnic Suburb

We draw on forty-six in-depth interviews with residents of Cerritos, California, a middle-class majority Asian suburb in Los Angeles County to explore the meaning of resurgent ethnicity and the ways in which a racialized identity informs residential preferences and choice among second-generation Asian Americans. Findings suggest that second-generation Asian Americans are choosing to reside in a place that offers cultural and class-based amenities that reflects a multiethnic sensibility. They also make residential choices based on family ties to strengthen and maintain intergenerational relations and share mutual social and economic resources. For second-generation Asian Americans, this racially dominant but ethnically diverse spatial settlement also provides a sense of belonging, signifying the continuing significance of race among middle-class, acculturated racial minority groups. As U.S. ethnic populations continue to grow and continue the trend of suburbanization and segregation, understanding such places and their implications will become increasingly important.

Body composition outcomes of Healthy Fit and the role of acculturation among low-income Hispanics on the US-Mexico border

BackgroundHispanic immigrants continue to experience higher rates of overweight and obesity compared to their non-Hispanic counterparts. Acculturation may contribute to unhealthy weight gain among immigrant populations by shifting dietary patterns from high fruit and vegetable consumption to unhealthier high fat diets. Healthy Fit, a culturally tailored community health worker (CHW) intervention, aims to reduce obesity related outcomes by providing physical activity and nutrition education and resources in a low-income Hispanic population. This study aims to evaluate outcomes of Healthy Fit participants and examine changes in body composition in relation to level of acculturation at baseline and follow-up.MethodIn this longitudinal observational study, CHWs recruited 514 participants from community events and agencies serving low-income Hispanic populations in El Paso, Texas from 2015 to 2016. Following an in-person health screening, eligible participants received nutrition and physical activity education guided by fotonovelas, comic-like educational books. Telephone follow-ups made at 1, 3, and 6 months by CHWs encouraged follow-through on referrals. 288 participants completed the screening again during the 12-month follow-up.ResultsThe sample was predominantly Hispanic (96%), female (82%), uninsured (79%), had a household income of less than $19,999 (70%), foreign-born (79%), preferred Spanish (86%) and few rated themselves as good or excellent for English proficiency (27%). Overall, Healthy Fit participants significantly improved (i.e., decreased) BFP by 0.71% (t = 2.47, p = 0.01) but not BMI (b = .01, t = − 0.14, p = .89). Contrary to expectations, acculturation was not associated with lower BMI (b = 0.09, p = 0.84) or BFP (b = 0.13, p = 0.85) at baseline. However, acculturation predicted changes in both BMI (b = 0.30, p = 0.03) and BFP (b = 1.33, p = 0 .01) from baseline to follow-up. Specifically, the low acculturation group improved in body composition measures over time and the high acculturation group did not improve in either measure.ConclusionFindings suggest Healthy Fit was most effective among less acculturated individuals. The influence of acculturation on the efficacy of nutrition and exercise interventions suggests that Hispanics should not be treated as a homogenous subgroup.

Acculturation, social support and suicidal ideation among Asian immigrants in the United States.

This study examined suicidal ideation among Asian immigrant adults in the United States, with consideration of the roles of acculturation and social support. Using the 2002-2003 National Latino and Asian American Study (NLAAS), I conducted latent class analysis with measures of U.S. cultural orientation and Asian ethnic affiliation to create a multidimensional construct of acculturation. Three acculturation groups were identified (assimilated, integrated, separated) that showed different associations with suicidal ideation. Then I analyzed how the association between acculturation status and suicidal ideation is moderated by social support, distinguishing between perceived versus received support. Findings revealed that the buffering role of social support is gender-specific, with perceived support from friends reducing the risk of suicidal ideation only among assimilated women. Implications for future research include further application of acculturation as a multidimensional construct to various health outcomes and behavior as well as to other immigrant subgroups. Public health intervention efforts aimed at preventing suicide should endeavor to promote perceptions of an available social support system among immigrants and aid in establishing sources of support outside the family particularly for immigrant women.

Targeting family functioning, acculturative stress, and sugar-sweetened beverage consumption for obesity prevention: findings from the Hispanic community children\u2019s health study/study of Latino youth

BackgroundMaintaining a bond with one’s family as well coping with stress while acculturating to the US may protect Hispanic/Latino youth from increased sugar-sweetened beverages (SSB) consumption, which heightens the risk for overweight and obesity. This study aims to examine associations between acculturative stress, family functioning, and SSB consumption by acculturation status among U.S. Hispanic/Latino youth.MethodsWith cross-sectional data on 1465 youth 8-16y (49.6% females) participating in the Hispanic Community Children’s Health Study/Study of Latino Youth, we classified youths into four acculturation groups – assimilated, integrated, marginalized/separated, and unclassified. SSB consumption was assessed through two 24-h diet recalls and defined as intake frequency of soda, fruit juice, sweetened soft and fruit drinks. Multi-group path regression models were used to test associations of Hispanic/Latino youth’ acculturative stress and family functioning with SSB consumption, as well as the moderating role of acculturation status.ResultsWhen controlling for age, sex, and study site, acculturative stress (β = − 0.13, p = 0.01) was inversely associated with SSB, and poor family functioning (β = 0.11, p = 0.07) was only marginally associated with SSB consumption among youth classified as assimilated but not among youth classified as integrated, marginalized/separated, or unclassified.ConclusionsA socio-ecological perspective that incorporates the role of key acculturation-related factors across multiple levels may aid efforts to identify mechanisms that influence the relationship between acculturation status and diet among Hispanic/Latino youth and their families.

Race and Filipina/o drug use: rethinking ethnicity among Filipina/o Americans through drug consumption, racial profiling, and the social construction of ethnicity

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.

Breastfeeding Initiation, Duration, and Supplementation Among Mexican-Origin Women in Texas.

Mexican-origin women breastfeed at similar rates as white women in the United States, yet they usually breastfeed for less time. In our study, we seek to identify differences in Mexican-origin women's breastfeeding intentions, initiation, continuation, and supplementation across nativity and country-of-education groups. The data are from a prospective cohort study of postpartum women ages 18 to 44 recruited from 8 Texas hospitals. We included 1235 Mexican-origin women who were born and educated in either Texas or Mexico. Women were interviewed at delivery and at 3, 6, 12, 18, and 24 months post partum. Breastfeeding intentions and initiation were reported at baseline, continuation was collected at each interview, and weeks until supplementation was assessed for both solids and formula. Women were classified into 3 categories: born and educated in Mexico, born and educated in the United States, and born in Mexico and educated in the United States. Breastfeeding initiation and continuation varied by nativity and country of birth, although all women reported similar breastfeeding intentions. Women born and educated in Mexico initiated and continued breastfeeding in higher proportions than women born and educated in the United States. Mexican-born and US-educated women formed an intermediate group. Early supplementation with formula and solid foods was similar across groups, and early supplementation with formula negatively impacted duration across all groups. Nativity and country of education are important predictors of breastfeeding and should be assessed in pediatric and postpartum settings to tailor breastfeeding support. Support is especially warranted among US-born women, and additional educational interventions should be developed to forestall early supplementation with formula across all acculturation groups.

Differences in Diet Quality and Snack Intakes Among Non-Hispanic White and Mexican American Adolescents from Different Acculturation Groups.

Mexican American adolescents have an increased risk for obesity compared to non-Hispanic whites (NHWs), especially as their degree of acculturation increases. Snack intakes can impact diet quality and may affect obesity risk, yet little is known about differences in snack intakes among NHW and Mexican American adolescents from different acculturation groups. This study compared diet quality and snack intakes among NHW and Mexican American adolescents from different acculturation groups. This study used cross-sectional data from 3636 Mexican American and NHW adolescents in the 2005-2014 National Health and Nutrition Examination Survey. Acculturation was defined based on generational status and language use. Outcomes were Healthy Eating Index-2015 (HEI-2015) score, daily energy intake from snacks, snack frequency, energy value of snacks, and percent contribution of snacks to total daily energy. Analysis of covariance was used to compare outcomes across groups, after adjustment for sex and income. In the full sample, mean HEI-2015 score was 45 ± 0.4. Non-Hispanic white adolescents had modestly poorer diet quality compared to US-born adolescents with a foreign-born parent and Mexican-born adolescents (P < 0.001). Mean daily snack intake was 583 ± 16kcal. Items in the Snacks and Sweets and Beverages categories contributed more than half of the energy provided by snacks. Non-Hispanic white adolescents had a greater total snack intake compared to all language use at home groups, except equal Spanish and English use. Improving the types of foods consumed as snacks has the potential to partially mitigate differences in snack intakes and diet quality among non-Hispanic white and Mexican American adolescents.

Effects of Acculturation on the Cross-Cultural Neuropsychological Test Battery (CNTB) in a Culturally and Linguistically Diverse Population in Denmark.

Assessment of individuals from diverse ethnic backgrounds is a major challenge in current clinical neuropsychology as most neuropsychological tests are biased by linguistic, educational, and cultural differences. The aim of this study was to examine the effects of acculturation on the newly developed European Cross-Cultural Neuropsychological Test Battery. The study was a cross-sectional study carried out in Copenhagen, Denmark. Neuropsychological test performances of a Danish sample were compared to a culturally and linguistically diverse sample, and the effects of a number of acculturation variables were assessed using group comparisons, correlation analyses, and regression analyses. A total of 152 participants were included in the study: 26 were native-born monolingual Danes and 126 had culturally and linguistically diverse backgrounds: 66 were immigrants from Turkey, 41 from Poland, and 19 from former Yugoslavia. In direct comparison, the only significant difference between the Danish and culturally and linguistically diverse samples was found on Animal Fluency. However, within the culturally and linguistically diverse sample, higher and lower acculturated groups significantly differed on several measures. The main associations between neuropsychological test performance and acculturation variables were found on measures loading on processing speed and executive function. Overall, only limited effects of acculturation were found on the European Cross-Cultural Neuropsychological Test Battery. However, administering cross-cultural measures in the preferred language may not be sufficient to resolve challenges in cross-cultural assessment of processing speed and executive function as concept of speed and speeded performance is highly culture dependent.

The Association Between Acculturation and Social Determinants with Young Hispanic Women's Decision to Obtain the HPV Vaccine

Abstract Introduction: This year, an estimated 27,000 individuals in the United States will be diagnosed with an HPV-attributable cancer (i.e., cervical, vaginal, vulvar, penile, or anal) that causes pain, suffering, and death. Hispanic women are disproportionately affected by cervical cancer, with rates that are nearly 40% higher than their non-Hispanic White counterparts. This study examines the association between the level of acculturation and social determinants of health with obtaining an HPV vaccine among young U.S. Hispanic women. Methods: This study conducted secondary data analyses of the National Health and Nutrition Examination Survey (NHANES), 2009 – 2010. An analysis of variance (ANOVA) that included demographics, language spoken in the home, insurance status, and social support factors was conducted to determine the relationship of these variables. Additionally, logistic regression was employed to identify the factors that predict HPV vaccine status. Results: Among the sample of 2,835 Hispanic women, only 401 (14.1%) reported obtaining the vaccine. The results of this study indicated that as young women moved toward acculturation, their odds of obtaining the HPV vaccine increased slightly (1.37 times). Furthermore, as access to health insurance increased, rates of obtaining the HPV vaccine increased. Among the moderation models tested, as education among the acculturated group increased, the probability of being vaccinated increased. Yet this did not hold true among the non-acculturated group—as education went up, the probability of vaccination only slightly increased. Conclusions: Future efforts to increase utilization of the HPV vaccine should focus on less acculturated young women while utilizing culturally conscious strategies tailored to not only raise awareness surrounding the HPV vaccine, but to move women to obtain the vaccine. Keywords: HPV vaccine, acculturation, cervical cancer

Health Service Use Among Chinese American Older Adults: Is There a Somatization Effect?

Somatization of depressive symptoms among Chinese American older adults remains understudied. This study aimed to identify whether the relationship between depressive symptoms and use of health services (ie, doctor visits, hospital, and emergency department) could be due to pain and whether acculturation played a role in the relations among depressive symptoms, pain, and health service use. Secondary data came from the Population Study of Chinese Elderly in Chicago that surveyed 3159 Chinese community-dwelling older adults in the greater Chicago area. The average age was 76.3 years (standard deviation = 8.4); 57.95% were female). Negative binominal models were used to identify the effects of depression and pain on each type of health service use, controlling for sociodemographics and health-related factors (eg, chronic illness). Depressive symptoms were assessed using the Patient Health Questionnaire-9; pain was assessed by self-reported pain severity. Participants were classified into low, moderate, and high acculturation groups based on acculturation scores. Depressive symptoms and pain were positively related to health service use on the bivariate level. For groups with both low and high acculturation levels, depression and pain each independently predicted more health service use, whereas for the group with a moderate acculturation level, the effect of somatization was substantialized. Depression largely influenced health service use independently and partially through pain for older Chinese Americans. The somatization tended to be only salient for the moderate acculturation group, calling for more research attention to the complicated effect of acculturation. J Am Geriatr Soc 67:S584-S589, 2019.

\u2018Who Am I?\u2019: An Exploratory Study of the Relationships Between Identity, Acculturation and Mental Health in Autistic Adolescents

Autistic adolescents are at increased risk of mental health difficulties. One potential factor contributing to this is identity development, although this hypothesis has been little explored. These adolescents also have to consider how autism forms their identity, a process called acculturation. This exploratory study examined the relationships between identity, acculturation and mental health in autistic adolescents. Twenty-four participants completed measures investigating identity, acculturation and mental health. Findings suggested mental health was not related to personal identity. Mental health scores did not differ between acculturation groups, however those aligned to non-autistic culture tended to generate more positive self-statements than those aligned to neither culture. These findings suggest autistic adolescents should be encouraged to explore autistic culture and supported in constructing their identity.