Cross-Cultural

California's Young Hispanic Children With Asthma: Disparities in Health Care Access and Utilization of Health Care Services

 Research is needed to examine what factors determine the health care utilization patterns of Hispanic children with asthma. The purpose of this study was to profile California's Hispanic children with asthma, from 1 to 5 years of age, including their demographics, their health care access, their asthma severity, their disability due to asthma, and their health care utilization patterns. An overall sample of 149 children (N = 149) was used, whose parents reported that they were Hispanic and had a current MD diagnosis of asthma.

Perceived breast cancer risk: heuristic reasoning and search for a dominance structure.

 Studies suggest that people construct their risk perceptions by using inferential rules called heuristics. The purpose of this study was to identify heuristics that influence perceived breast cancer risk. We examined 11 interviews from women of diverse ethnic/cultural backgrounds who were recruited from community settings. Narratives in which women elaborated about their own breast cancer risk were analyzed with Argument and Heuristic Reasoning Analysis methodology, which is based on applied logic.

Culture as an influence on breast cancer screening and early detection

 Objectives:
To explore how culture may play a part in breast cancer screening, early detection, and efforts to decrease breast mortality.
Data Sources:
Journal articles published in the past 20 years on cultural aspects of cancer prevention and control.
Conclusions:

Methods to Optimize Recruitment and Retention to an Exercise Study in Chinese Immigrants

BACKGROUND: To counter pervasive disparities in healthcare and guide public health prevention programs, culturally sensitive recruitment and retention strategies for Chinese immigrants participating in health-related research studies are needed. OBJECTIVES: The aim of this study was to develop and implement recruitment and retention strategies with Chinese immigrants in a Tai Chi exercise study. METHODS: After substantial project planning and incorporating community-based research principles, a multidimensional approach was used to ensure minimal loss to follow-up.

Negotiating Three Worlds: Academia, Nursing Science, and Tribal Communities

The purpose of this article is to use a cross-cultural model to guide the exploration of common issues and the dynamic interrelationships surrounding entrée to tribal communities as experienced by four nursing research teams. In the article, the members of four research teams discuss the primary lessons learned about successful strategies and challenges encountered during their projects' early stages.

Culturally- Tailored Intervention for Rural African Americans with Type 2 Diabetes

PURPOSE: The purpose of this pilot study was to evaluate a culturally tailored intervention for rural African Americans. Social Cognitive Theory provided the framework for the study. METHODS: Twenty-two participants were recruited and randomly assigned to either Group or Individual diabetes self-management (DSME). Group DSME included story-telling, hands-on activities, and problem-solving exercises. Individual DSME sessions focused on goal-setting and problem-solving strategies. Sessions were offered in an accessible community center over a 10-week period.

Culture Brokerage Strategies in Diabetes Education.

The purpose of this article is to describe the elements of culture brokerage as applied in a recent educational pilot study among rural African Americans with type 2 diabetes mellitus. Culture Brokerage is a nursing intervention consisting of mediation between the traditional health beliefs and practices of a patient's culture and the health care system. The intervention of Culture Brokerage holds particular relevance for clinicians who work with chronically ill patients, including those with diabetes.

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