Psychological and behavioral acculturation in a social network of Mexican Americans in the United States and use of dental services
Psychological and behavioral acculturation in a social network of Mexican Americans in the United States and use of dental services
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DOI：
10.1111/cdoe.12247
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发表时间：
2016-12-01
影响因子：
2.3
通讯作者：
Wright, E. R.
中科院分区：
文献类型：
--
作者：
Maupome, G.;McConnell, W. R.;Wright, E. R.
ObjectivesWe使用的数据从TalaSurvey的研究，以研究牙齿健康的经验，社会网络的特点，和水平的行为和心理的文化适应在一个位置在美国中西部。MethodsStarting在教区和社区组织，我们确定了成年人的墨西哥血统生活在印第安纳波利斯，谁是第一代或第二代移民从塔拉，墨西哥。使用社交网络的方法和广泛的形成性研究，我们创建了一个以自我为中心的社会网络调查，并通过面对面的访谈管理。我们确定了受访者（自我）个人网络中的同伴（改变者）。我们询问了自我的多个口腔健康和牙齿护理变量的自我和改变。文化适应（心理和行为）是用一种经过验证的工具来测量的。通过逻辑和负二项回归，我们研究了自我的牙科保险状况，牙科诊所的访问，和最近的牙科诊所visit.ResultsA的原因的文化适应和网络组成的影响，共332个自我（平均年龄36岁，63%的女性）进行了采访：90%出生在墨西哥，45%已完成小学或更低，大多数低收入。每个自我在他/她的个人网络中命名3.9（SD1.9）个改变，总共有1299个改变（平均年龄39岁; 61%女性）。行为文化适应和心理文化适应与牙科保险范围适度相关，更大的行为文化适应预测更频繁的牙科护理。在心理上更适应文化的自我更有可能寻求预防性护理。此外，自我与更高的教育网络寻求更频繁的护理和预防的目的，净自我的自己的教育和aculturation.ConclusionsThis研究的背景下同化的墨西哥裔美国人在个人网络中，口腔健康的讨论发生。研究结果强调了文化适应和社会网络因素在塑造拉丁美洲人对牙齿护理的取向中的至关重要性。
ObjectivesWe used data from the TalaSurvey study to examine associations between dental health experiences, social network characteristics, and levels of behavioral and psychological acculturation in one location in the American Midwest.MethodsStarting in parishes and community organizations, we identified adults of Mexican origin living in Indianapolis, who were 1st- or 2nd-generation immigrants from Tala, Mexico. Using a social networks methodology and following extensive formative research, we created an egocentric social network survey and administered it via face-to-face interviews. We identified the peers (alters) in interviewees' (egos) personal networks. We asked egos about multiple oral health and dental care variables for self and for alters. Acculturation (psychological and behavioral) was measured with a validated tool. Through logistic and negative binomial regression, we examined the effects of acculturation and network composition on ego's dental insurance status, dental office visits, and the reason for most recent dental office visit.ResultsA total of 332 egos (mean age 36; 63% female) were interviewed: 90% were born in Mexico; 45% had completed elementary school or lower; and most had low income. Each ego named 3.9 (SD1.9) alters in his/her personal network, for a total of 1299 alters (mean age 39; 61% female). Both behavioral acculturation and psychological acculturation were moderately associated with dental insurance coverage, and greater behavioral acculturation predicted more frequent dental care. More psychologically acculturated egos were more likely to seek preventive care. Further, egos with more highly educated networks sought care more frequently and for preventive purposes, net of ego's own education and acculturation.ConclusionsThis study contextualizes acculturation of Mexican Americans within the personal networks in which oral health discussion takes place. The findings underscore the critical importance of acculturation and social network factors in shaping a subgroup of Latinos' orientation toward dental care.