Ethnic Matching Research Articles

The politics of local research production: surveying in a context of ethnic competition

Using observations from rural Malawi in 2010, this paper describes and studies two significant challenges when surveying in a context of ethnic competition. First, I provide an empirical account of the local reality of ethnoregional competition as demonstrated in local research assistant selection. Negative local perceptions about how many research assistants came from the field site generated some study refusals. Second, I use subsequent survey data to demonstrate nuanced findings on ethnicity-of-interviewer effects: overall item non-response patterns are not associated with interviewer–respondent ethnic matching; refusal to respond to questions about sexual behavior was higher in co-ethnic interview settings; and respondents inconsistent about reporting their ethnic identity often reported their ethnicity to match that of the interviewer. The findings are critical for individual-level research conducted in divided societies, especially but not exclusively in situations where scholars are studying the causes and effects of social division.

Effects of ethnic match, gender match, acculturation, cultural identity, and face concern on self-disclosure in counseling for Asian Americans.

Client self-disclosure is a fundamental and critical process that must occur if counseling is to be successful. This study determined whether ethnic match and gender match affected various aspects of self-disclosure (disclosure of personal values/feelings, private habits, close relationships, and sexual issues) among Asian Americans in a counseling analogue situation. The study also examined whether individual differences in acculturation, cultural identity, and face concern were related to these four types of self-disclosure. Participants first completed the individual difference measures and then listened to an audio recording of a counselor describing himself/herself and what counseling entailed. Participants were randomly assigned to 1 of 4 experimental conditions in which they were either matched or not matched on gender and either matched or not matched on their specific Asian ethnicity (e.g., Chinese female listening to a Chinese male counselor constituted the gender mismatch and ethnic match condition). Gender match between participants and counselors facilitated self-disclosure about one’s sex life. There were no ethnic match effects on the various types of self-disclosure. Face concern was a negative predictor of the self-disclosure of private habits, sex life, close relationships, and personal values/ feelings. Implications for counseling clients from shame-based cultures are discussed.

A randomized clinical trial to test the efficacy of a family-focused, culturally informed therapy for schizophrenia.

Research strongly suggests that family interventions can benefit patients with schizophrenia, yet current interventions often fail to consider the cultural context and spiritual practices that may make them more effective and relevant to ethnic minority populations. We have developed a family focused, culturally informed treatment for schizophrenia (CIT-S) patients and their caregivers to address this gap. Sixty-nine families were randomized to either 15 sessions of CIT-S or to a 3-session psychoeducation (PSY-ED) control condition. Forty-six families (66.7%) completed the study. The primary aim was to test whether CIT-S would outperform PSY-ED in reducing posttreatment symptom severity (controlling for baseline symptoms) on the Brief Psychiatric Rating Scale. Secondary analyses were conducted to test whether treatment efficacy would be moderated by ethnicity and whether patient-therapist ethnic match would relate to efficacy and patient satisfaction with treatment. Patients included 40 Hispanic/Latinos, 14 Whites, 11 Blacks, and 4 patients who identified as "other." In line with expectations, results from an ANCOVA indicated that patients assigned to the CIT-S condition had significantly less severe psychiatric symptoms at treatment termination than did patients assigned to the PSY-ED condition. Patient ethnicity and patient-therapist ethnic match (vs. mismatch) did not relate to treatment efficacy or satisfaction with the intervention. Results suggest that schizophrenia may respond to culturally informed psychosocial interventions. The treatment appears to work equally well for Whites and minorities alike. Follow-up research with a matched length control condition is needed. Further investigation is also needed to pinpoint specific mechanisms of change.

Ethnicity, detention and early intervention: reducing inequalities and improving outcomes for black and minority ethnic patients: the ENRICH programme, a mixed-methods study

BackgroundBlack and minority ethnic (BME) service users experience adverse pathways into care. Ethnic differences are evident even at first-episode psychosis (FEP); therefore, contributory factors must operate before first presentation to psychiatric services. The ENRICH programme comprised three interlinked studies that aimed to understand ethnic and cultural determinants of help-seeking and pathways to care.Aims and objectivesStudy 1: to understand ethnic differences in pathways to care in FEP by exploring cultural determinants of illness recognition, attribution and help-seeking among different ethnic groups. Study 2: to evaluate the process of detention under the Mental Health Act (MHA) and determine predictors of detention. Study 3: to determine the appropriateness, accessibility and acceptability of generic early intervention services for different ethnic groups.MethodsStudy 1: We recruited a prospective cohort of FEP patients and their carers over a 2-year period and assessed the chronology of symptom emergence, attribution and help-seeking using semistructured tools: the Nottingham Onset Schedule (NOS), the Emerging Psychosis Attribution Schedule and the ENRICH Amended Encounter Form. A stratified subsample of user–carer NOS interviews was subjected to qualitative analyses. Study 2: Clinical and sociodemographic data including reasons for detention were collected for all MHA assessments conducted over 1 year (April 2009–March 2010). Five cases from each major ethnic group were randomly selected for a qualitative exploration of carer perceptions of the MHA assessment process, its outcomes and alternatives to detention. Study 3: Focus groups were conducted with service users, carers, health professionals, key stakeholders from voluntary sector and community groups, commissioners and representatives of spiritual care with regard to the question: ‘How appropriate and accessible are generic early intervention services for the specific ethnic and cultural needs of BME communities in Birmingham?’ResultsThere were no ethnic differences in duration of untreated psychosis (DUP) and duration of untreated illness in FEP. DUP was not related to illness attribution; long DUP was associated with patients being young (< 18 years) and living alone. Black patients had a greater risk of MHA detention, more criminal justice involvement and more crisis presentations than white and Asian groups. Asian carers and users were most likely to attribute symptoms to faith-based or supernatural explanations and to seek help from faith organisations. Faith-based help-seeking, although offering comfort and meaning, also risked delaying access to medical care and in some cases also resulted in financial exploitation of this vulnerable group. The BME excess in MHA detentions was not because of ethnicity per se; the main predictors of detention were a diagnosis of mental illness, presence of risk and low level of social support. Early intervention services were perceived to be accessible, supportive, acceptable and culturally appropriate. There was no demand or perceived need for separate services for BME groups or for ethnic matching between users and clinicians.ConclusionsStatutory health-care organisations need to work closely with community groups to improve pathways to care for BME service users. Rather than universal public education campaigns, researchers need to develop and evaluate public awareness programmes that are specifically focused on BME groups.FundingThe National Institute for Health Research Programme Grants for Applied Research programme.

Predictors of culturally relevant attitudes and expectations of urban music teachers in the USA

The purpose of this study was to determine the effects of student/teacher demographic differences, teacher quality indicators (TQIs), teacher preparation and school/community support on urban music teacher attitudes toward and the expectations of their students. The study aimed to verify the psychometric appropriateness of the researcher-created survey instrument and determine what combination of variables best predicted positive teacher attitudes and high teacher expectations. The Culturally Relevant Teaching Questionnaire was administered to K-12 public school music educators (N = 584) from 20 large cities in the USA. Exploratory factor analysis indicated that survey items adequately represented the intended constructs. Four separate simultaneous multiple regression analyses were completed to determine the relative effects of the focal variables on Culturally Relevant Attitudes about Teaching, Culturally Relevant Attitudes about Music, Implicitly Prejudiced Attitudes and Expectations. Support was a strong predictor for Culturally Relevant Attitudes about Music, Expectations and Implicitly Prejudiced Attitudes. Preparation was a moderate predictor for all four dependent variables. Teacher/student socio-economic status match was a moderate predictor for Expectations, Culturally Relevant Attitudes about Teaching and Implicitly Prejudiced Attitudes. Teacher/student ethnicity match was a moderate predictor for Implicitly Prejudiced Attitudes and TQIs have a small but meaningful negative effect on Culturally Relevant Attitudes about Music and Culturally Relevant Attitudes about Teaching. Because Support and Preparation were strong predictors and demographic matches were moderate predictors of urban music teacher attitudes and expectations, efforts to improve urban music education should focus on improving local support and increasing culturally relevant preparation of pre-service music educators.

Bilingual Social Workers in Mental Health Service Provision: Cultural Competence, Language, and Work Experience

Many agencies actively recruit bilingual social workers. This study presents the reactions of 10 Chinese bilingual social workers to the expectations and demands of their agencies. The study employed a qualitative design with a phenomenological approach. The participants’ responses provide insight into how they manage ethnic and cultural mental health issues in Chinese populations. This study aims to improve social service delivery for clients with limited English proficiency by identifying effective, culturally competent services. The findings suggest that when hiring bilingual social workers, it is just as important for them to be culturally competent as it is for them to be an ethnic or language match with the client base. Having all of these qualities will result in staff members who can provide more effective services by making accurate diagnoses and identifying appropriate treatment plans. In addition to employing bilingual social workers, it is important to maintain good supervision as this will allow supervisees to have a unique perspective on what is involved in providing effective delivery of services to clients with limited English proficiency. Implications for research, practice, and policy are discussed.

Effect of race of interviewer on energy underreporting from food frequency questionnaires in a predominantly African American population

Dietary recalls are common practice in health assessments measuring nutritional status. Previous research has identified characteristics of people who are more likely to underreport, but little research has been done to determine if ethnic match between interviewer and participant influences underreporting. The purpose of this research was to assess effect of race of interviewer on underreporting in a predominantly black population. The analysis used 290 food frequency questionnaires collected at a 3‐month health assessment for a nutrition education intervention in the Lower Mississippi Delta (LMD). A predicted total energy expenditure formula by Vinken et al. was used to determine underreporting and indicated 67.5% were underreporters. The majority of the sample was black females (89.6%), aged ≥41(82.8%), had some college or higher (67.3%), had income over $20,000, and classified as obese (69.9%). 41.4% were interviewed by a white interviewer; 58% were interviewed by a black interviewer. A multiple linear regression model using a dichotomous underreporting variable as the dependent variable and race of interviewer, BMI classification, education level, and income level as independent variables was significant (p < .0001). However, race of interviewer was not a significant predictor in the model, suggesting race does not influence underreporting in this population. USDA/ARS project 58–6251‐8–043

Themes, Issues and Dilemmas: Evaluation of Ethnic Matching in Adoption Practice in the UK

Themes, Issues and Dilemmas: Evaluation of Ethnic Matching in Adoption Practice in the UK

Roles of extension and ethno-religious networks in acceptance of resource-conserving agriculture among Ethiopian farmers

This article analyses roles of social and extension networks in adoption of resource-conserving practices among Ethiopian farmers. We gathered data from 297 randomly sampled households on their agricultural practices, social networks, access to the extension, and geographical location. After examining general determinants of practising resource-conserving agriculture, we employ a two-stage regression with full-maximum likelihood correction for selection bias to establish the roles of general social networks and external professionals in acceptance of conservation techniques. In accordance with previous research, probit regression in the first stage shows that the access to extension increases with farmers’ wealth and the size of their personal networks, and decreases with the distance of their households from village centres. However, after accounting for this unequal access to extension, the second-stage linear regression shows that regardless of education, wealth or geographical location, those whose religion and ethnicity match with their agent, report learning more about conservation from extension sources. Furthermore, farmers who are socially well connected within the community tend to be less receptive to agents’ recommendations regarding resource conservation. Dissemination policy of conservation agriculture should consider the ethnic and religious affinity between farmers and their extension agents. It also needs to pay more attention to socially and geographically isolated individuals.

Telepsychiatry Services for Korean Immigrants

Asian Americans often face cultural and language barriers when obtaining mental health treatment. With the small number of Asian mental health providers, it is difficult to ensure the linguistic and ethnic matching of providers and patients. Telepsychiatry holds great promise to address the unique needs of Asian Americans. We developed a project to establish telepsychiatry services that connect Korean mental health patients in Georgia with a linguistically and culturally competent psychiatrist in California and assessed the level of acceptability of psychiatric treatment via real-time teleconferencing among these patients. Upon the completion of the program, 16 patients (5 men, 11 women) completed a questionnaire that measured their acceptability of the telepsychiatry service. The findings indicate a high level of acceptance of the program among Korean patients. The quantitative and qualitative data show that they especially appreciated the cultural sensitivity of the consultation and the comfortable interaction with the provider. However, challenges such as technical issues of teleconferencing may negatively affect the quality of the clinical interaction. Our study expands the knowledge base regarding the acceptability of such services to a population that experiences disparities in mental health care. Future research should extend telepsychiatry services to other Asian population groups that experience lower access to mental health services.

A qualitative study on the pros and cons of ethnically matching culturally and linguistically diverse (CALD) client families and child protection caseworkers

Abstract A review of the literature indicated that empirical research into the advantages and disadvantages of ethnically matching child protection caseworkers and culturally and linguistically diverse (CALD) client families is not extensive. The main aim of this study was to address this gap. Qualitative interviews were conducted with 29 CALD client families and 17 child protection caseworkers (as part of a larger study). It was found that if CALD families fear a breach of confidentiality (because of cultural reasons to protect the family's privacy and name), and this fear exceeds the two main benefits of ethnic matching – namely, that it helps overcome language barriers and provides (cultural) sensitivity – then they are likely to prefer a non-matched caseworker. This may be a challenge in child protection practice if the pool of culturally competent caseworkers is small. Another challenge identified was when CALD families preferred an ethnic match but was seen by case managers as a risk to the accurate assessment of a child's wellbeing because the caseworker was over-identifying with the client family. Thus, the provision of a culturally sensitive service can be at odds with the need to protect children from harm. This issue is seen as best addressed on a case by case basis. This study is significant because it has shown that ‘over-identification’ is an important work practice issue in this matter. It has also used empirical evidence to inform best practice principles regarding ethnic matching.

Ethical Issues in Targeted HIV Prevention Work among ‘Black African’ Migrants in London

‘Black Africans’ in England are disproportionately and highly affected by the heterosexually contracted HIV epidemic. Policy and practice frameworks have advocated ethnic matching in HIV prevention. We explore how self‐identifying ‘black African’ workers in London were co‐producers of ‘black African’ identities to target in preventative HIV interventions. Drawing on a focused literature review and 12 in‐depth interviews with workers, the paper identifies themes associated with co‐production of an African identify by workers. The historical inclusion of the category ‘black African’ in the 1991 census coincided with the emergence of Africans as at higher HIV ‘risk’. In co‐producing an African public, the workers projected their heterosexual and Christian affiliations on to the targeted population, perceiving themselves as ‘insiders’ knowledgeable about rumours that had historically co‐produced African identities. Fear of those in authority galvanised the formation of African‐led agencies, offering entry points for HIV prevention to Africans. By projecting aspects of their complex ‘selves’ on to the ‘other’, encounters in public spaces were deemed ‘opportunities’ for outreach interventions. The ethics of ‘cold calling’, confidentiality and informed consent were taken as ‘given’ in these socially produced ‘private’ spaces located in ‘public’ venues. In following HIV prevention frameworks as advocated by Pulle et al (2004), the workers endorsed yet problematised the notion of ethnic matching.

Ethnic Matching, School Placement, and Mathematics Achievement of African American Students From Kindergarten Through Fifth Grade

Educators, administrators, and policymakers focus much attention on closing the achievement gap, and various approaches have been suggested. The present study focuses on one approach being suggested: student–teacher ethnic matching. The study focused on the long-term contributions of African American ethnic matching to mathematical test scores of 1,200 African American students from the Early Childhood Longitudinal Kindergarten—fifth data set. Employing a two-level growth model, this study of impact from student–teacher ethnic matching revealed that a student having at least one teacher who ethnically matched themselves between kindergarten and fifth grade had a significant impact on mathematics achievement.

The Effects of Working Alliance and Client-Clinician Ethnic Match on Recovery Status

Sixty-seven clients with severe and persistent mental illnesses (SPMI) recruited from community mental health centers were interviewed to assess their subjective quality of life, self-efficacy, importance of ethnic matching and level of working alliance (WA) with their clinicians. Results revealed that clients in the ethnically matched group reported significantly higher WA compared to the non-matched group. Clients who reported a higher level of WA also reported better recovery status. Results suggest that, in a multicultural community, ethnic matching may help augment WA and address potential barriers to treatment engagement, and identifying strategies to promote WA may enhance treatment effectiveness in programs for SPMI.

Classroom dimensions predict early peer interaction when children are diverse in ethnicity, race, and home language

Abstract The purpose of this study was to test a model for predicting preschool-age children's behaviors with peers from dimensions of the classroom and teacher–child relationship quality when the children were from diverse race, ethnic, and home language backgrounds. Eight hundred children, (M = age 63 months, SD = 8.1 months), part of the National Evaluation of Early Head Start, participated in this study just prior to entering kindergarten. We observed children with peers in their classrooms and rated classroom peer group size, affective climate for peer interaction, teacher management of the classroom, and materials for dramatic play. Teachers reported on teacher–child relationship quality. Children from Spanish-speaking homes played similarly in classrooms where Spanish was and was not spoken. After control variables and receptive vocabulary scores were entered into the model, classroom dimensions and teacher–child relationship quality significantly predicted pretend play, anxious-withdrawn, aggressive, and victim of peer aggression behaviors with peers. Children engaged in more pretend play and received lower ratings of being the victim of peer aggression when classroom groups were smaller. When teachers perceived teacher–child relationships as lower in conflict and higher in closeness, children's anxious-withdrawn, aggressive, and victim of aggression ratings were lower. Children's ratings of being the victim of peer aggression were higher when ratings of classroom positive peer climate were lower. Child–teacher ethnic or racial match did not moderate these predictions.

Effect of interventions to improve health care services for ethnic minority populations

Objectives: Since the early 1990s there has been an increasing awareness of social and ethnic inequity in health and for the last few years there has also been an increasing focus on disparities in the quality of health services to ethnic minority groups. The aim of this review was to collect and summarise in a systematic and transparent manner the effect of interventions to improve health care services for ethnic minorities.Methods: We searched several medical databases for systematic reviews and randomised controlled trials. Two researchers independently screened for and selected studies, assessed risk of bias, extracted data and graded the quality of the evidence for each outcome in the included studies. The analysis was done qualitatively by describing studies and presenting them in tables.Results: We included 19 primary studies. The interventions were targeted at reducing clinical, structural and organisational barriers against good quality health care services. Eight studies examined the effect of educational interventions in improving outcomes within cross-cultural communication, smoking cessation, asthma care, cancer screening and mental health care. In six comparisons the effect of reminders for improving health care services and patient outcomes within cancer screening and diabetes care was examined. Two studies compared professional remote interpretation services to traditional interpretation services, two studies compared ethnic matching of client and therapist and two studies examined the effect of providing additional support in the form of more personnel in the treatment of diabetes and kidney transplant patients. Most patients were African-Americans and Latin-Americans and all ages were represented.Conclusions: Educational interventions and electronic reminders to physicians may in some contexts improve health care and health outcomes for minority patients. The quality of the evidence varied from low to very low. The quality of available evidence for the other interventions was too low to draw reliable conclusions. We found no studies that only included young patients, but we suggest that interventions targeted at health personnel or health organisations may be applicable regardless of the age of the patient population. This review reveals that the evidence for interventions to improve health care for minorities is sparse and generally of low quality.

The Effects of Athlete-Endorsed Advertising: The Moderating Role of the Athlete-Audience Ethnicity Match

This study examines the moderating effect of athlete-audience ethnicity match in athlete-endorsed advertising. Attitude toward the brand and purchase intention were measured after participants were exposed to a stimulus advertisement featuring an athlete endorser whose ethnicity either matched or mismatched the participant’s ethnicity. A week before the advertisement exposure, the preexisting attitudes toward the athlete and the brand were measured. Consistent with the notion of ethnic self-awareness, findings from full and multigroup path analyses revealed that attitudes toward the athlete and the perceived athlete-brand fit had a more positive impact on postattitude toward the brand when the athlete’s ethnicity matched, rather than mismatched, the participant’s ethnicity. Subsequently, the postattitudes toward the brand had a positive impact on purchase intention. The preexisting attitude toward the brand had a positive and direct impact on the postattitude toward the brand and purchase intention, regardless of the athlete-participant ethnicity match.

Face ethnicity and measurement reliability affect face recognition performance in developmental prosopagnosia: Evidence from the Cambridge Face Memory Test–Australian

The Cambridge Face Memory Test (CFMT, Duchaine & Nakayama, 2006) provides a validated format for testing novel face learning and has been a crucial instrument in the diagnosis of developmental prosopagnosia. Yet, some individuals who report everyday face recognition symptoms consistent with prosopagnosia, and are impaired on famous face tasks, perform normally on the CFMT. Possible reasons include measurement error, CFMT assessment of memory only at short delays, and a face set whose ethnicity is matched to only some Caucasian groups. We develop the “CFMT-Australian” (CFMT-Aus), which complements the CFMT-original by using ethnicity better matched to a different European subpopulation. Results confirm reliability (.88) and validity (convergent, divergent using cars, inversion effects). We show that face ethnicity within a race has subtle but clear effects on face processing even in normal participants (includes cross-over interaction for face ethnicity by perceiver country of origin in distinctiveness ratings). We show that CFMT-Aus clarifies diagnosis of prosopagnosia in 6 previously ambiguous cases. In 3 cases, this appears due to the better ethnic match to prosopagnosics. We also show that face memory at short (<3-min), 20-min, and 24-hr delays taps overlapping processes in normal participants. There is some suggestion that a form of prosopagnosia may exist that is long delay only and/or reflects failure to benefit from face repetition.

Cultural ruptures in short‐term therapy: Working alliance as a mediator between clients' perceptions of microaggressions and therapy outcomes

AbstractAim: To determine whether or not clients' perceptions of microaggressions varied based on their own and the therapist's race/ethnicity and whether or not they would be negatively related to the effectiveness of therapy and if the working alliance would mediate this effect. Method: The study utilised a cross‐sectional, retrospective, methodology. Clients were recruited from a large university counselling centre in the United States (N=232 clients and 29 therapists). Results: Neither clients' race/ethnicity, therapists’ race/ethnicity, nor client‐therapist ethnic matching predicted perceptions of microaggressions. Clients' ratings of microaggressions were negatively associated with their psychological wellbeing; however, this effect was mediated by clients' ratings of the working alliance. Implications: Therapists should take into account the cultural messages they may be conveying to both white and racial/ethnic minority clients. Therapists should develop strategies that are consistent with a general therapeutic approach that promotes discussions about culture with their clients and, most importantly, should attend to the therapeutic relationship.

Multilevel exploration of factors contributing to the overrepresentation of black students in office disciplinary referrals.

Although there is increasing awareness of the overrepresentation of ethic minority students -particularly Black students- in disciplinary actions, the extant research has rarely empirically examined potential factors that may contribute to these disparities. The current study used a multilevel modeling approach to examine factors at the child (e.g., teacher-rated disruptive behavior problems) and classroom or teacher levels (e.g., teacher ethnicity, level of disruptive behavior in classroom) that may contribute to the overrepresentation of minority students in office disciplinary referrals (ODRs). Data come from 6,988 children in 381 classrooms at 21 elementary schools. The analyses indicated that even after controlling for the student's level of teacher-rated behavior problems, teacher ethnicity, and other classroom factors, Black students were significantly more likely than White students to receive ODRs. Results also suggested that ethnic match between students and their teachers did not reduce the risk for referrals among Black students.