Acculturation and Health Beliefs: Interactions Between Host and Heritage Culture Underlie Latina/o Caregivers' Beliefs About HPV Vaccination.

Acculturation and Health Beliefs: Interactions Between Host and Heritage Culture Underlie Latina/o Caregivers' Beliefs About HPV Vaccination.
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DOI:
10.1007/s10903-020-01020-7
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发表时间:
2021-03
影响因子:
1.9
通讯作者:
Reyes E
Reyes E
中科院分区:
医学4区
文献类型:
--
作者:
Gerend MA;Stephens YP;Kazmer MM;Slate EH;Reyes E

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这项研究考察了文化适应(宿主文化习得)和文化熏陶(遗产文化保留)对拉丁裔照顾者关于他们的孩子完成人类乳头瘤病毒(HPV)疫苗系列的信念的交互影响。参与者是来自佛罗里达州的161对照顾者和孩子。使用多元回归方法,根据照顾者在适应、融入及其相互作用方面的得分,预测照顾者关于系列化完成的知识和健康信念(感知威胁、好处、障碍、主观规范和自我效能),并控制社会人口学。文化适应和文化适应相互作用,预测知识、利益、障碍和自我效能感。文化适应分数高的照顾者通常支持完成系列赛,而不考虑他们的文化适应分数。然而,当文化适应程度较低时,保留更多(而不是更少)传统文化的照顾者更有知识,对完成连续剧有更好的信念。研究结果强调了独立评估拉美裔移民群体中的文化适应和文化融入的重要性。忽视文化适应可能导致关于文化适应与健康的不完整结论。
This study examined the interactive effects of acculturation (host culture acquisition) and enculturation (heritage culture retention) on Latina/o caregivers’ beliefs about their child completing the human papillomavirus (HPV) vaccine series. Participants were 161 caregiver-child dyads from Florida. Using multiple regression, caregiver knowledge and health beliefs (perceived threat, benefits, barriers, subjective norms, and self-efficacy) about series completion were predicted from caregivers’ scores on acculturation, enculturation, and their interaction, controlling for sociodemographics. Acculturation and enculturation interacted to predict knowledge, benefits, barriers, and self-efficacy. Caregivers with high acculturation scores generally supported series completion, regardless of their enculturation score. However, when acculturation was low, caregivers who retained more (vs. less) of their heritage culture were more knowledgeable and held more favorable beliefs about series completion. Findings highlight the importance of independently assessing acculturation and enculturation in Latina/o immigrant populations. Overlooking enculturation may lead to incomplete conclusions about acculturation and health.
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