Links between race/ethnicity and cultural values as mediated by racial/ethnic identity and moderated by gender

Self-Other Balance in Context: A Quiet Ego May Be Meaningful and Adaptive in Latinx/Hispanic Cultures and Work Settings

Quiet ego is a relatively novel, increasingly studied, multi-dimensional concept characterized by a compassionate, interdependent worldview and an adaptive balance between self-interest and concern for others. Quiet ego has been associated with a range of characteristics that can promote relationship quality, responding effectively in the face of challenges, and greater well-being. However, it is currently unknown to what extent quiet ego translates across cultures and settings. The present research leverages cultural and organizational theories to evaluate the conceptual and structural validity of quiet ego for Latinx/Hispanic individuals in the U.S. and to examine relationships among quiet ego, work supervisor relationship quality, and goals in the workplace. Employed college student participants (n = 831; nLatinx/Hispanic = 305) completed an online survey, and collected data were subjected to confirmatory factor analysis and path analysis. Findings confirmed the overall structural model of quiet ego with four primary dimensions (perspective taking, inclusive identity, detached awareness, and growth-mindedness) and indicated that this structure did not differ between Latinx/Hispanic and non-Latinx/Hispanic subsamples. Further, results cohered with the proposed model suggesting that quiet ego might facilitate relationship quality with a workplace supervisor, which, in turn could foster balanced, intrinsically motivating perceptions that one's work goals benefit both oneself and others (mutual gain motivation). The study suggests that quiet ego may be a construct with meaning and utility in Latinx/Hispanic populations and in employment settings. However, further research is needed, and specific suggestions for future study are discussed.

Family Connections and the Latino Health Paradox: Exploring the Mediating Role of Loneliness in the Relationships Between the Latina/o Cultural Value of Familism and Health

This study aims to understand Latina/o health from a social relationships perspective. Specifically, a major goal of the study is to explain how despite disadvantages (e.g., lower income and less education), Latinas/os in some cases have superior health compared to non-Latina/o whites, a phenomenon known as the Latino Health Paradox. Based on the central role of familial relationships in Latina/o culture, and utilizing Hawkley and Cacioppo's theoretical model of loneliness and health as a foundation for the study, the premise underlying this research is that the Latina/o cultural value of familism has a beneficial impact on health via reduced loneliness. Participants were 255 adults who identified as Latina/o (N = 139) or non-Latina/o white (N = 116), ranging in age from 19-88. Results indicate that being Latina/o predicted strong endorsement of familism, that predicted lower loneliness, and lower loneliness subsequently predicted better overall health, mental health, and health practices. These results suggest that the cultural value of familism provides health-related benefits for Latinas/os, which contributes to understanding the Latino health paradox. Results also underscore the value of including loneliness in studies examining the impact of cultural values on health, as only loneliness had statistically significant direct associations with all three health outcomes.

Body Image Concerns, Correlates, and Community Connection Among Black and Latinx Sexual Minority Cisgender Men and Transgender/Gender Nonconforming Young Adults

AbstractPurpose: We extended the focus on body image research beyond cisgender, White sexual minority men (SMM) by describing body image concerns among Black and Latinx SMM and transgender/gender nonconforming (TGNC) adults and by examining protective effects of community connection. Methods: From 2016 to 2020, 447 Black and Latinx SMM (94%) and TGNC (6%) individuals in Los Angeles provided data semiannually. Participant endorsement of any body image concerns was determined by five body image codes (weight, fitness, appearance, body area dissatisfaction, and general body image) applied to participants' open-ended lists of health and body concerns. Fixed effects multivariable logistic regression was performed to examine the association between gay and racial/ethnic community connection and odds of any body image concerns, accounting for multiple records per person. An interaction term between gay and racial/ethnic community connection approximated the protective effect of connection to multiple, intersecting communities. Results: The majority of participants (51%) reported a body image concern, most commonly weight concerns, at least once across three years. Body image concerns were more common among Latinx participants (χ² = 17.79, p < 0.001) and participants experiencing food insecurity (χ² = 4.11, p = 0.04) and unmet basic financial needs (χ² = 10.56, p = 0.001). Gay community connection was protective against body image concerns, but only for participants who had high racial/ethnic community connection (adjusted odds ratio = 0.87, p = 0.05). Conclusion: Body image concerns were notable, especially among those with low community connection and higher socioeconomic burden. These findings suggest that building connections within SMM/TGNC and racial/ethnic communities may aid in building a support network that buffers against body image concerns.

"PrEP's just to secure you like insurance": a qualitative study on HIV pre-exposure prophylaxis (PrEP) adherence and retention among black cisgender women in Mississippi

BACKGROUND

Pre-exposure prophylaxis (PrEP) has the potential to reduce transmission of HIV among Black cisgender women in the Southern United States (U.S.); however, national data suggests that PrEP initiation is lowest in the South and among Black women compared to other U.S. regions and white women. This study applied intersectionality and PrEP multilevel resilience frameworks to assess how socio-structural and clinical contexts shaped PrEP persistence among Black cisgender women in Mississippi.

METHODS

Semi-structured interviews were conducted with eight Black cisgender women in Jackson, Mississippi. This sample was purposively recruited to include PrEP-initiated Black cisgender women.

RESULTS

Six themes identified that shaped PrEP care among Black cisgender women: (1) internal assets, (2) sole responsibility to HIV prevention, (3) added protection in HIV serodifferent relationships, (4) financial issues, (5) trust and distrust in the medical system, and (6) side effects. Black cisgender women reported that PrEP persistence increased control over their sexual health, reduced anxiety about HIV, and promoted self-care. Black cisgender women also indicated that medication assistance programs increased PrEP affordability resulting in continued persistence.

CONCLUSIONS

In addition to preventing HIV, PrEP may yield secondary positive impacts on the health and relationships of Black cisgender women. However, very few Black cisgender women in the South are using PrEP given intersectional barriers and thus necessitates adaptive strategies to support PrEP initiation and persistence. Efforts aimed at increasing the coverage of PrEP among Black cisgender women should consider implementation strategies responsive to lived realities of Black women.

Horizontal Collectivism Moderates the Relationship Between in-the-Moment Social Connections and Well-Being Among Latino/a College Students

Sleep problems and poorer well-being may be particularly salient for Latino/a college students as they tend to experience sociocultural adjustments during this transitory time. Social connections, a correlate of health, change moment-to-moment for college students and may be experienced differently for people who more strongly endorse horizontal collectivist cultural values. We used ecological momentary assessment (EMA) to examine how in-the-moment social connections influence in-the-moment health, and how horizontal collectivism moderates the moment-to-moment associations. Self-identified Latino/a college students (n = 221) completed a demographic information and cultural values questionnaire and then responded to EMA measures on their social connections, affective and subjective well-being, and sleep for 14 consecutive days. Better in-the-moment social connections associated with better health. Horizontal collectivism moderated some, but not all associations between social connections and health. Social connections are multidimensional and differently predict in-the-moment health among Latino/a college students who more strongly endorse horizontal collectivistic values. We discuss implications for identifying vulnerable well-being moments among this understudied population.

Ethnic/Racial Bias in Medical School Performance Evaluation of General Surgery Residency Applicants

OBJECTIVE

Differential use of communal terms (caring/unselfish traits) versus agentic terms (goal-oriented/leadership/achievement traits) may reveal bias and has been extensively reported in letters of recommendation for residency. We evaluated bias in medical student performance evaluations (MSPE) of general surgery residency applicants.

DESIGN

This is a retrospective study evaluating ethnic/race bias, as measured by differential use of agentic and communal terms, in MSPEs of residency applicants. 50% of MSPEs were randomly selected. An ethnic bias calculator derived from an open-source online gender bias calculator was populated with a list of validated agentic and communal terms. Relative frequency of communal and agentic terms was used to estimate bias. Multivariable regression was used to assess the association between the terms and ethnicity/race.

PARTICIPANTS

US medical students applying for a categorical surgery residency position at a single academic institution for a single Match cycle.

RESULTS

A total of 339 MSPEs were reviewed from 119 US medical schools. Genders were equally represented (women, 51.6%); most participants were white and Asian applicants (79.1%). Overall, MSPEs were more agency biased (65.2%) than communal biased (16.2%) or neutral (18.6%). MSPEs for Black and Hispanic/Latinx applicants were more likely to contain communal rather than agentic terms (adjusted OR: 3.02, 95% CI: 1.52-6.02) when compared to white and Asian applicants. This finding was independent of MSPE writer's gender or rank.

CONCLUSIONS

Surgery residency applicants self-identifying as Black and Hispanic/Latinx were more likely to be described using communal traits compared to white and Asian applicants, suggesting ethnic/racial bias. Such differences in language utilized in MSPEs may impact residency opportunities for applicants who are under-represented in medicine. Educational efforts aimed at MSPE writers may help to reduce bias.

Signaling sickness: the role of recalled sickness behavior and psychosocial factors in shaping communication style

Background and objectives

Active infection results in several outward signs in humans, including visible symptoms, changes in behavior and possible alterations in skin color and gait. A potential adaptive function of these indicators is to signal distress and elicit care from close others. We hypothesized that sickness behavior, a suite of stereotypical changes in mood and behavior, also serves to communicate health status to others. We further hypothesized that such outward signals/cues of health status would vary based on context and sociocultural norms.

Methodology

We explored self-reported, recalled sickness behavior, communication style, demographics and theoretically relevant cultural factors in a large national US sample (n = 1259) using multinomial probit regressions.

Results

In accordance with predictions, relatively few participants were willing to talk or complain about sickness to strangers. Self-reported, recalled sickness behavior was associated with some communication styles but attention received from others was more consistently associated with potential signaling. Several cultural factors, including stoicism and traditional machismo, were also associated with different sickness signaling styles.

Conclusions and implications

These preliminary, self-reported data lend some tentative support to the sickness behavior signaling hypothesis, though experimental or observational support is needed. The role of cultural norms in shaping how such signals are transmitted and received also deserves further attention as they may have important implications for disease transmission.

Lay Summary

Evolutionary medicine hypothesizes that signs and symptoms of infectious disease—including sickness behavior—have adaptive functions, one of which might be to reliably signal one’s health status to others. Our results suggest that evolved signals like these are likely shaped by cultural factors.

A Digital Thesaurus of Ethnic Groups in the Mekong River Basin

This research was aimed at constructing a thesaurus of the ethnic groups in the Mekong River Basin that is a compilation of controlled vocabularies of both Thai and English language, with a digital platform that enables semantic search and linked open data. The research method involved four steps: (1) organization of knowledge content; (2) construction of the thesaurus; (3) development of a digital thesaurus platform; and (4) evaluation. The concepts and theories used in the research comprised knowledge organization, thesaurus construction, digital platform development, and system evaluation. The tool for developing the digital thesaurus was the Tematres web application. The research results are: (1) there are 4273 principle words related to the ethnic groups that have been compiled and classified by the terms for each of the eight deep levels, 2596 were found to have hierarchical relationships, and 6858 had associative relationships; (2) the digital thesaurus platform was able to manage the controlled vocabularies related to the Mekong ethnic groups by storing both Thai and English vocabularies. When retrieved, the vocabulary, details of the broader term, narrow term, related term, cross reference, and scope note are displayed. Thus, semantic search is viable through applications, linked open data technology, and web services.

What Happens After School? Linking Latino Adolescents' Activities and Exposure to Community Violence

Although community violence and the deleterious behavioral and psychological consequences that are associated with exposure to community violence persist as serious public health concerns, identifying malleable factors that increase or decrease adolescents’ risk of exposure to community violence remains a significant gap in our knowledge base. This longitudinal study addresses this research gap by investigating adolescents’ endorsement of familismo values and participation in three types of after-school activities, specifically home-, school-, and community-based activities, as potential precursors to adolescents’ risk for experiencing community violence. The sample consists of 416 Latino high school students (53% female) with a mean age of 15.5 years (SD = 1.0) and with 85% qualifying for free and reduced school lunch. Cross-sectional results demonstrated that adolescents’ endorsement of the Latino cultural value of familismo was associated with lower rates of personal victimization. The frequency of non-structured community-based activities and part-time work were concurrently associated with higher rates of witnessing community violence and being personally victimized by violence. Only the frequency of non-structured community-based activities was related to witnessing more community violence and greater victimization one year later while controlling for prior exposure to violence. These findings underscore the importance of providing structured, well supervised after-school activities for low-income youth in high-risk neighborhoods.

The role of personal data value, culture and self-construal in online privacy behaviour

Personal data is ubiquitous in the digital world, can be highly valuable in aggregate, and can lead to unintended intrusions for the data creator. However, individuals' expressions of concern about exposure of their personal information are generally not matched by their behavioural caution. One reason for this mismatch could be the varied and intangible value of personal data. We present three studies investigating the potential association between personal data value and privacy behaviour, assessing both individual and cross-cultural differences in personal data valuation, comparing collectivist and individualistic cultures. Study 1a, using a representative UK sample, found no relationship between personal data value and privacy behaviour. However, Study 1b found Indian (collectivist) participants' privacy behaviour was sensitive to personal data value, unlike US (individualist) participants. Study 2 showed that in a UK sample, privacy behaviour was sensitive to personal data value but only for individuals who think of themselves as more similar to others (i.e., self-construe as similar, rather than different). We suggest those who prioritise group memberships are more sensitive to unintentional disclosure harm and therefore behave in accordance with personal data valuations-which informs the privacy concern-behaviour relationship. Our findings can suggest approaches to encourage privacy behaviours.

Understanding adolescents' perceived social responsibility: The role of family cohesion, interdependent self-construal, and social trust

INTRODUCTION

Positive family interactions contribute to the development of social responsibility among adolescents. Interdependent self-construal and social trust, which reflect the perceived relatedness and beliefs towards others, may explain the relation between family cohesion and social responsibility. The present study tested the mediating mechanisms between family cohesion and adolescents' social responsibility via adolescents' interdependent self-construal and social trust.

METHODS

A total of 386 Chinese children in Hong Kong (52.07% girls, M_age = 13.64 years) and their parents completed self-report questionnaires twice at 12 months apart. Family cohesion was measured by mothers', fathers', and adolescents' reports to provide a comprehensive representation of the family environment. A structural equation modeling was conducted to investigate the mediation effect.

RESULTS

Findings based on structural equation modeling revealed that family cohesion was positively associated with interdependent self-construal and social trust. In addition, adolescents' interdependent self-construal and social trust were positively associated with social responsibility. Bootstrapping analysis showed that interdependent self-construal and social trust were mediators between family cohesion and social responsibility.

CONCLUSION

Based on these findings, the study added new evidence to the literature by demonstrating the mediating role of interdependent self-construal and social trust between family cohesion and social responsibility. Future studies could examine potential cultural variabilities in Western and other Chinese contexts.

A latent profile analysis of the link between sociocultural factors and health-related risk-taking among U.S. adults

BACKGROUND

Research suggests that health/safety behaviors (e.g., drinking heavily) and medical behaviors (e.g., donating blood) may be perceived as inherently risky, and further suggests there is substantial variation in the likelihood of engaging in a particular health-related risk behavior across people. Research examining demographic and sociocultural factors related to both health/safety and medical risk-taking is highly limited. Importantly, with very few exceptions the literature examining health risks characterized by potentially hazardous health behaviors (e.g, heavy alcohol use, driving without a seatbelt) is kept separate from the literature examining health risks characterized by potentially beneficial medical behaviors (e.g., donating blood, taking medication). In the interest of health promotion, it is critical for researchers to identify - and describe - individuals who are less inclined to engage in health-harming behaviors while at the same time being more inclined to engage in health-benefiting behaviors. Identifying such a subtype of individuals was the guiding aim for this study.

METHOD

A national sample of adults in the United States responded to a survey on sociocultural and demographic correlates of health behaviors. Health-related risk-taking indicators were measured using the items from the health/safety and medical subscales of the DOSPERT-M. Subtypes of risk-takers were identified using latent profile analysis (LPA). Follow-up analyses to describe subtype demographic characteristics were conducted.

RESULTS

LPA identified four subtypes of risk-takers, including a subtype (n = 565, 45% of the sample; labeled "divergent") that was comprised of individuals who highly endorsed medical risk-taking (e.g., taking medicine, giving blood) and minimally endorsed health/safety risk-taking (e.g., drinking heavily, unprotected sex). Subsequent analyses suggested that, among other findings, divergent profile members were likely to be married, endorse familial interdependence, and orient toward masculinity rather than femininity.

CONCLUSION

By examining potentially modifiable factors related to individuals' inclinations to engage in health protective behaviors, this study is an important step toward improving current health behavior interventions among U.S. adults.

Three components of individualism

In this article, following an assumption that individualism and collectivism are separate factors, we have further established that three central components of individualism can be distinguished. In the first part of the article we examined whether the three proposed components of individualism—autonomy, mature self‐responsibility, and uniqueness—can be distinguished from each other in one cultural context, Estonia. A new scale was developed to measure the three aspects of individualism which demonstrated both the reasonable internal‐consistency reliability as well as convergent and divergent validity with several other measures of individualism and collectivism and related constructs. In the second part of the article we studied whether individualism generalizes across specific contexts or domains of social relationships, namely, across relations with family and close others; friends and peers; state and nation. The results of the three‐mode principal component analysis showed that the individualistic tendencies of the respondents did not differ much while measured toward the three types of social relation. Copyright © 2002 John Wiley & Sons, Ltd.

Correlates of affective empathy, perspective taking, and generativity among a sample of adults

Previous research suggests that empathy can be cultivated by social ideals and relationships with people. The current study examines family importance and religious importance as correlates of affective empathy, perspective taking, and generativity among a sample of adults aged 18 to 35 (N = 722). Given the ethnic and racial diversity represented by Millennials and Generation Z, the moderating role of racial group membership is explored as well. Results indicate that family importance is positively associated with affective empathy, perspective taking, and generativity for the overall sample, though the relationship is particularly strong for non-Hispanic whites. Religious importance is significantly related to affective empathy and generativity (not perspective taking), primarily among Black, Indigenous, and/or People of Color. Due to the increasing visibility of victimization towards socially vulnerable groups, it is important to understand how attitudes oriented towards helping and empathizing with others are fostered. Implications for further research are discussed.

The relationship between posttraumatic stress disorder, trauma centrality, posttraumatic growth and psychiatric co-morbidity among Chinese adolescents

This study examined the inter-relationship between posttraumatic stress disorder (PTSD) from past trauma, psychiatric co-morbidity, trauma centrality and posttraumatic growth (PTG) among Chinese adolescents. Nine hundred and forty-eight Chinese adolescents (M = 462, F = 486) were recruited from two secondary schools. They completed the Posttraumatic Stress Disorder Checklist for DSM-5, the Centrality of Events Scale, the Posttraumatic Growth Inventory, the General Health Questionnaire-28, and the Educational Stress Scale for Adolescents. After controlling for demographic variables and levels of academic stress, structural equation modeling showed that PTSD was positively associated with trauma centrality and psychiatric co-morbidity but negatively associated with posttraumatic growth. Trauma centrality mediated the impacts of PTSD on posttraumatic growth and psychiatric co-morbidity. To conclude, PTSD from past trauma could impact adolescents' ways of perceiving positive aspects of their trauma and psychological well-being. Such impact, however, was influenced by the changes in their self-concept.

The Contribution of Sociocultural Factors in Shaping Self-Reported Sickness Behavior

Sickness behavior is an evolutionarily conserved phenomenon found across a diverse range of animals involving a change in motivational priorities to theoretically maximize energetic investment in immune function and recovery. Typical components of sickness behavior include reduced sociability and activity, changes in diet, and depressed affect. Importantly, however, sickness behavior appears to be subject to other demands of life history in animal models, including reproduction and offspring survival. Thus, "feeling sick" is often context dependent with possible effects on morbidity and mortality. While humans may not always face the same life history trade-offs, sociocultural norms and values may similarly shape sickness behavior by establishing internalized parameters for "socially appropriate sickness." We explore the role of these factors in shaping sickness behavior by surveying a national U.S. sample (n = 1,259). Self-reported and recalled sickness behavior was measured using the SicknessQ instrument, which has previously been validated against experimentally induced sickness behavior. After post-stratification weighting and correction for Type I error, generalized linear models showed that sickness behavior is significantly affected by various factors across sex and racial/ethnic groupings. Income below the national mean (b = 1.85, adj. p = 0.025), stoic endurance of pain and discomfort (b = 1.61, adj. p < 0.001), and depressive symptomology (b = 0.53, adj. p < 0.001) were each associated with greater sickness behavior scores. Familism (b = 1.59, adj. p = 0.008) was positively associated with sickness behavior in men, but not women. Endurance of pain and discomfort was associated with greater sickness behavior in Whites only (b = 1.94, adj. p = 0.002), while familism approached significance in African Americans only (b = 1.86, adj. p = 0.057). These findings may reflect different social contexts of sickness across demographic groups, which may in turn have important implications for pathogen transmission and recovery times, potentially contributing to health disparities.

Black Cultural Strengths and Psychosocial Well-Being: An Empirical Analysis With Black American Adults

Based on historical literature, Black Americans have persisted through centuries of oppression in North America. To survive, they retained Africultural values and adopted group-specific practices. Black cultural values and practices can potentially, if bolstered, increase psychosocial health in this population. In the current study, we examined specific Black values and practices and their collective ability to predict psychosocial health. In a sample 486 Black, middle-class, American adults with a mean age of 31 years, we used structural equation modeling to test a first- and a second-order measurement model, as well as a structural model. We hypothesized that health-promoting aspects of Black racial identity (e.g., racial centrality), racial socialization (e.g., cultural socialization), and racism-related coping (e.g., confrontation), as well as higher levels of communalism and spirituality would indicate one latent factor, Black Cultural Strength. Furthermore, we hypothesized that Black Cultural Strength would be predictive of psychosocial health. After slight model modifications, we found an acceptable fit for the data. Clinical implications and future research directions are discussed.

Editor's Choice: Deliberative and non-deliberative effects of descriptive and injunctive norms on cancer screening behaviors among African Americans

Objective: Two longitudinal studies examined whether effects of subjective norms on secondary cancer prevention behaviors were stronger and more likely to non-deliberative (i.e., partially independent of behavioral intentions) for African Americans (AAs) compared to European Americans (EAs), and whether the effects were moderated by racial identity. Design: Study 1 examined between-race differences in predictors of physician communication following receipt of notifications about breast density. Study 2 examined predictors of prostate cancer screening among AA men who had not been previously screened.Main Outcome Measures: Participants' injunctive and descriptive normative perceptions; racial identity (Study 2); self-reported physician communication (Study 1) and PSA testing (Study 2) behaviors at follow up. Results: In Study 1, subjective norms were significantly associated with behaviors for AAs, but not for EAs. Moreover, there were significant non-deliberative effects of norms for AAs. In Study 2, there was further evidence of non-deliberative effects of subjective norms for AAs. Non-deliberative effects of descriptive norms were stronger for AAs who more strongly identified with their racial group. Conclusion: Subjective norms, effects of which are non-deliberative and heightened by racial identity, may be a uniquely robust predictor of secondary cancer prevention behaviors for AAs. Implications for targeted screening interventions are discussed.

Measurement Properties of Sabogal's Familism Scale: Findings from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study

Familism is a central Hispanic/Latino cultural value that emphasizes close, supportive family relationships and prioritizing family over the self. One of its best-known measures is Sabogal's Familism Scale (Sabogal, Marin, Otero-Sabogal, VanOss Marin, & Perez-Stable, 1987). Although widely used, this scale's measurement properties are not well understood. This study addressed that gap by examining the factor structure, factorial invariance, convergent and discriminant validity, and internal consistency of Sabogal's Familism Scale using data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. A diverse population-based sample of Hispanics/Latinos (N = 5,313) completed measures that were administered via interview in English or Spanish. Confirmatory factor analyses (n = 5,310) revealed that a three-factor model (familial obligations, perceived support from the family, family as referents; Sabogal's original three factors) fit the data well and did not vary across English and Spanish language groups (i.e., factorial invariance). Convergent and discriminant validities were also established; familism correlated positively with other Hispanic/Latino cultural values (simpatía, fatalism) and correlated negatively with U.S. acculturation. Internal consistency was acceptable. Sabogal's Familism Scale is recommended for continued use in the study of familism in U.S. Hispanics/Latinos.

Associations of Socio-demographic, Family, and Neighborhood Factors with Physical Activity-Related Parenting Practices Among Hong Kong Preschoolers' Parents

Objectives Regular engagement in physical activity (PA) has numerous health benefits in young children. Young children's parents can influence their children's PA behavior through different PA-related parenting practices. This cross-sectional study examined the independent contributions of socio-demographic, family/home and parent-perceived neighborhood environmental characteristics explaining PA-related parenting practices encouraging or discouraging PA among Hong Kong preschool-aged children (3-5 years-old). Methods Hong Kong Chinese preschoolers' parents were recruited from pre-selected kindergartens and Maternal and Child Health Centers located in areas stratified by residential density and socio-economic status. They self-completed socio-demographic, family/home and perceived neighborhood characteristics and PA-related parenting practices questionnaires. Generalized linear models were used to examine associations of socio-demographic, family/home and neighborhood variables with PA-related parenting practices. Results Socio-demographic and family/home characteristics were significantly correlated with parenting practices encouraging and discouraging PA. Parent-perceived neighborhood characteristics were significantly correlated with parenting practices discouraging PA only. Conclusions for Practice This study identified correlates of PA-related parenting practices among parents of Hong Kong Chinese preschoolers. The findings suggest future PA-promoting interventions among Chinese preschoolers via the promotion of parenting practices encouraging children's PA should consider multiple factors, including family relationships and childcare sharing, promotion of PA and its benefits among parents, and neighborhood social cohesion, traffic safety and safety from crime.

Laurent CW, Barr-Anderson DJ. Effect of a culturally-tailored mother-daughter physical activity intervention on pre-adolescent African-American girls' physical activity levels

Positive parent-child attachment can be determined by opportunities for the child to interact with his/her parent and can influence a child's physical activity (PA) behavior. Therefore, an intervention that provides children and their parent more time to interact positively could impact children's PA. We examined the efficacy of a 12-week mother-daughter intervention on African-American girls' PA levels. In Spring of 2013 and 2014, mother-daughter dyads (n = 76) from Springfield, MA, were randomly assigned to one of three groups [child-mother (CH-M, n = 28), child alone (CH, n = 25), or control (CON, n = 23)] that participated in an afterschool culturally-tailored dance intervention (60 min/day, 3 days/week, 12 weeks). Girls in the CH-M group participated in the intervention with their maternal figure, while girls in the CH group participated in the intervention alone. CON group participants received weekly health-related newsletters. PA was assessed with accelerometers for seven days at baseline, 6-weeks, and 12-weeks. Hierarchical linear modeling was used to examine rates of change in PA. During the afterschool intervention time, girls in the CH-M group displayed a significantly steeper rate of increase in their percent time spent in vigorous PA compared to both the CON (γ = 0.80, p < 0.001) and the CH group (χ² (1)=13.01, p < 0.001). Mothers in the CH-M group displayed a significantly steeper rate of increase in their percent time spent in total daily moderate-to-vigorous PA compared to CH group's mothers (γ = 0.07, p = 0.01). This culturally-tailored mother-daughter afterschool intervention influenced African-American girls' afterschool hour PA levels, but not total daily PA.

Trial Registration: Study is registered at www.clinicaltrials.govNCT01588379.

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A joint mother-daughter dance intervention can improve mothers' activity level.

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An afterschool dance intervention can improve girls afterschool activity level.

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A joint afterschool dance intervention can improve mother and daughter relationship.

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Mothers and daughters enjoy participating in culturally-tailored dance intervention.

Black American College Students Report Higher Memory of Love for Mothers in Childhood Than White Students

Cultural differences between Black and White individuals in the South are connected to the inequitable history of the United States. We wondered if these cultural differences would translate to a particularly precious aspect of life: memories of love felt in childhood toward one's parents. Some past studies have shown that Whites score higher on parental attachment measures to parents than Blacks, while other studies show no significant differences. However, no previous study has ever measured memory of feelings of love in relation to differences between ethnicities. In this study, Black (n = 124) and White (n = 125) undergraduates self-reported the strength and frequency of their past feelings of love toward their mother and father in first, sixth, and ninth grade as well as their current feelings of love. Results suggested that Black students reported feeling more love for their mothers in first, sixth, and ninth grades compared to White students. These findings were not explained when we statistically adjusted for age, gender, socioeconomic status, education levels, income, number of years spent living with mother or father, stress, or personality. Therefore, this relationship may be explained by unmeasured or unmeasurable cultural differences. The direction of this effect was in the opposite direction from what we expected based on past attachment research. Given the inequities in U.S. history and the current discussions around ethnicity and race in the United States, the finding that Blacks reported higher remembered feelings of love for their mothers in childhood is intriguing and worthy of dissemination and discussion.

Thinness pressures in ethnically diverse college women in the United States

While research consistently supports the negative impact of thinness pressures on body image, this work has primarily utilized White samples in the United States, limiting generalizability to other ethnicities. Further, limited research has examined ethnic differences in thinness pressures from distinct sociocultural influences. This study examined distinct sources of thinness pressures in 598 White, 135 Black, and 131 Hispanic college women in the United States. Mean levels of thinness pressures significantly differed across ethnicity, with Black women generally reporting the lowest levels of each pressure. Additionally, distinct sources of thinness pressures were more highly related to negative outcomes within ethnic groups. For White women, each source was salient for disordered eating. For Black women, family pressure was particularly salient for appearance evaluation. For Hispanic women, family pressure was particularly salient for disordered eating and appearance evaluation. Findings suggest possible ethnic differences in the relative salience of some pressures over others.

Multiple Minority Stress and LGBT Community Resilience among Sexual Minority Men

Minority stress theory has widespread research support in explaining health disparities experienced by sexual and gender minorities. However, less is known about how minority stress impacts multiply marginalized groups, such as lesbian, gay, bisexual, and transgender people of color (LGBT POC). Also, although research has documented resilience in the face of minority stress at the individual level, research is needed that examines macro-level processes such as community resilience (Meyer, 2015). In the current study, we integrate minority stress theory and intersectionality theory to examine multiple minority stress (i.e., racial/ethnic stigma in LGBT spaces and LGBT stigma in one's neighborhood) and community resilience (i.e., connection to LGBT community) among sexual minority men of different racial/ethnic groups who use a geosocial networking application for meeting sexual partners. Results showed that Black sexual minority men reported the highest levels of racial/ethnic stigma in LGBT spaces and White sexual minority men reported the lowest levels, with Asian and Hispanic/Latino men falling in between. Consistent with minority stress theory, racial/ethnic stigma in LGBT spaces and LGBT stigma in one's neighborhood were associated with greater stress for sexual minority men of all racial/ethnic groups. However, connection to LGBT community played more central role in mediating the relationship between stigma and stress for White than POC sexual minority men. Results suggest that minority stress and community resilience processes may differ for White and POC sexual minority men. Potential processes driving these differences and implications for minority stress theory are discussed.

Questioning the Dietary Acculturation Paradox: A Mixed-Methods Study of the Relationship between Food and Ethnic Identity in a Group of Mexican-American Women

BACKGROUND

Epidemiological studies have described an "acculturation paradox." Increased acculturation to the United States is associated with increased consumption of dietary fat and decreased consumption of fruits/vegetables.

OBJECTIVE

To expand understanding of the dietary acculturation paradox, this study examined how bicultural Mexican-American women construct ethnic identity and how these identities and identity-making processes relate to perceptions of health and nutrition.

DESIGN

We utilized embedded mixed methods (in-depth interviews; survey).

PARTICIPANTS/SETTING

We analyzed a purposive sample of English-speaking Mexican-American women aged 18 to 29 years (n=24) in rural California to assess ethnic identity and diet beliefs.

RESULTS

Participants described food as central to expressing cultural identity, usually in terms of family interactions. Mexican food traditions were characterized as unhealthy; many preferred American foods, which were seen as healthier. Specifically, Mexican-American women perceived Mexican patterns of food preparation and consumption as unhealthy. In addition, traditional Mexican foods described as unhealthy were once considered special-occasion foods. Among the participants who expressed a desire to eat healthfully, to do so meant to reject Mexican ways of eating.

CONCLUSIONS

This study raises questions about the nature of the "dietary acculturation paradox." While food-the eating of Mexican foods-is central to the maintenance of ethnic identity throughout acculturation, negative perceptions about the healthfulness of Mexican foods introduce tension into Mexican-American women's self-identification. This study suggests a subtle contradiction that may help to explain the dietary acculturation paradox: While previous research has suggested that as Mexicans acculturate to the United States they adopt unhealthy diets, this study finds evidence that they do so at least in part due to perceptions that American diets are healthier than Mexican diets. Implications for interventions to improve Latinos' diets include an emphasis on the family and use of Spanish linguistic cues. Finally, messages that simply advocate for "traditional" diets should be reconsidered because that message is discordant with perceptions of the healthfulness of such foods.

The Happy Culture: A Theoretical, Meta-Analytic, and Empirical Review of the Relationship Between Culture and Wealth and Subjective Well-Being

Do cultural values enhance financial and subjective well-being (SWB)? Taking a multidisciplinary approach, we meta-analytically reviewed the field, found it thinly covered, and focused on individualism. In counter, we collected a broad array of individual-level data, specifically an Internet sample of 8,438 adult respondents. Individual SWB was most strongly associated with cultural values that foster relationships and social capital, which typically accounted for more unique variance in life satisfaction than an individual’s salary. At a national level, we used mean-based meta-analysis to construct a comprehensive cultural and SWB database. Results show some reversals from the individual level, particularly masculinity’s facet of achievement orientation. In all, the happy nation has low power distance and low uncertainty avoidance, but is high in femininity and individualism, and these effects are interrelated but still partially independent from political and economic institutions. In short, culture matters for individual and national well-being.

Understanding the Role of Message Frames on African-American Willingness to Participate in a Hypothetical Diabetes Prevention Study

The objective of this research was to evaluate the impact of message framing (e.g., highlighting health disparities vs. progress toward reducing disparities) on willingness to enroll in a hypothetical research study. African-American (AA, n = 1513) and White (n = 362) adults completed an online survey about diabetes, health behaviors including physical activity, and attitudes about research. AA participants were randomized to view a general message (same message as provided to all White participants) or 1 of 4 alternate messages that framed the need for people to participate in research in terms of race and/or health disparities. Among AAs, there were no differences in willingness to enroll in the study by message frame. However, individual characteristics including younger age, female sex, attitudes about research, a sense of obligation, and community responsibility were significant predictors of willingness to enroll in the study. AA participants who received the general message were equally willing as White participants to enroll in the study. Highlighting race and health disparities in study recruitment materials may not be needed to increase interest among AAs. Factors beyond race appear to be stronger motivators for participation. Unlike previous research, racial framing did not suppress motivation to enroll in our hypothetical study.

Cultural and Linguistic Adaptation of a Healthy Diet Text Message Intervention for Hispanic Adults Living in the United States

Hispanics represent a critical target for culturally adapted diet interventions. In this formative research, we translated HealthyYouTXT, an mHealth program developed by the U.S. National Cancer Institute, into HealthyYouTXT en Español, a linguistically and culturally appropriate version for Spanish speakers in the United States. We report a three-stage, mixed-methods process through which we culturally adapted the text messages, evaluated their acceptability, and revised the program based on the findings. In Stage 1, we conducted initial translations and adaptations of the text libraries using an iterative, principle-guided process. In Stage 2, we used mixed methods including focus groups and surveys with 109 Hispanic adults to evaluate the acceptability and cultural appropriateness of the program. We used survey data to evaluate whether self-determination theory (SDT) factors (used to develop HealthyYouTXT) of autonomous motivation, controlled motivation, and amotivation and Hispanic cultural beliefs about familism, fatalism, and destiny predict program interest and its perceived efficacy. Mixed-methods analyses revealed substantial interest in HealthyYouTXT, with most participants desiring to use it and viewing it as highly efficacious. Both cultural beliefs (i.e., beliefs in destiny and, for men, high familism) and SDT motivations (i.e., autonomy) predicted HealthyYouTXT evaluations, suggesting utility in emphasizing them in messages. Higher destiny beliefs predicted lower interest, suggesting that they could impede program use. In Stage 3, we implemented the mixed-methods findings to finalize HealthyYouTXT en Español. The emergent linguistic principles and multistage, multimethods process can be applied in health communication adaptations.

Evaluation of Mother-Child Agreement and Factorial Structures of the SCARED Questionnaire in an Italian Clinical Sample

Background: A great part of the literature has confirmed the importance of both child and parents reports as source of factual information, especially for childhood emotional syndromes. In our study we aimed at: (i) calculating mother-child agreement and (ii) evaluating factorial structure of the Screen for Child Anxiety Related Emotional Disorders (SCARED) questionnaire in an Italian clinical sample. The novelty of this contribution is two-fold: first, from a clinical point of view, we investigated the parent-child agreement level and examined separately the factorial structures of both parent and child versions of the SCARED for the first time in an Italian clinical sample. Second, unlike previous studies, we used statistical approaches specifically suited to account for the ordinal nature of the collected variables.

Method: In a clinical sample of 171 children and adolescents aged 8–18 and their mothers we evaluated inter-rater agreement using weighted kappa indices to assess agreement for each item belonging to a certain SCARED subscale. Exploratory factor analysis for ordinal data was then performed on the polychoric correlation matrix calculated on SCARED items. Differences in the numbers of symptoms reported by children and parents were evaluated as well.

Results and Conclusions: Our results reveal moderate to strong mother-child agreement. A significant age effect is present. Two different factorial solutions emerged for parent and child SCARED versions (a 5 factor structure for parents and a 6 factor solution in the child version, including a new factor “Worry about Parents”). This study confirmed the importance of evaluating both child and parent reports in assessment protocols for anxiety disorders. Our findings could help clinicians to determine which information, and from which rater, must be accounted for in evaluating treatment decisions. Moreover, we find that patients characteristics, such as gender and age, should be taken into account when assessing agreement.

A Latent Class Analysis of Personal Values in Young Adults

Human values and motivations are a powerful predictor of behavior, and Schwartz’s taxonomy offers a meaningful organizational system for robust value dimensions (Schwartz, 1992). Although values clearly represent a meaningful and culturally relevant dimension of individual differences, they remain poorly understood particularly in regards to how values co-occur and manifest within individuals. The purpose of the present study was to examine how values co-occur and manifest within individuals. A racially/ethnically diverse sample of 1, 308 undergraduate students (351 males, Mage = 21.70, SD = 5.22) reported on their personal values and personality traits. Latent class analyses revealed support for two value classes: personal-focused (N = 210) and social-focused (N = 1098), which map onto hypotheses of value configurations based on Schwartz’s taxonomy (Schwartz, 1992). The value classes also exhibited differences based on racial/ethnic composition, gender composition, and personality trait association, also consistent with previous research. The current study provides evidence for two value types that manifest across two countries in North America.

A Reconceptualization of How We Study Issues of Racial Prejudice

This article shows that when confronted with a problem as complex as racial prejudice, researchers cannot afford to limit themselves to studying prejudice from the perspective of Whites. Many argue that in the research that does focus on Blacks and prejudice, Blacks are studied primarily in terms of their reactions to prejudice. This article challenges researchers to examine how Blacks' racial attitudes and behaviors influence intergroup dynamics between Whites and Blacks. Four areas of research in the prejudice and stereotyping literature that could be used to study Blacks' role in understanding racial prejudice are discussed. Moreover, the implications of studying Blacks in these 4 areas are explored.

The Role of Culture in Interpersonal Relationships

Two studies examined the influence of Eastern cultural heritage on relationship preferences among second generation immigrants to the West, and explicitly tested the mediating roles of interdependence and familial cultural influence in mate preferences. The first used a between-subjects approach to compare the preferred mate attributes of South Asian Canadians (n= 97) to those of Euro-Canadians (n= 89). The second study used a within-subject approach by using the strength of cultural identity of South Asian Canadians (n= 92) as a predictor of preferred attributes. Both studies found a culture influence on “traditional” mate attribute preferences. Moreover, familial cultural influence (e.g., family allocentrism) was a better mediator of the culture-traditional attribute preference relationship than the more generic measure of interdependent self-construal. The results further suggest that a cross-cultural approach, rather than a strength-of-culturalidentity approach, is better suited to tap into non-conscious influences of culture on behavior.

Cultural Orientations in the United States

The authors investigate differences in individualism and collectivism between the four largest ethnic groups in the United States (African Americans, Asian Americans, Latino Americans, and European Americans). It has been asserted that U.S. minorities score higher in collectivism compared to European Americans, whereas European Americans score higher in individualism than minorities. The authors reexamined these assumptions using meta-analytic techniques with new data (total N = 1,510). Asian Americans and African Americans but not Latinos scored higher in collectivism than did European Americans. African Americans exhibited the highest levels of individualism. The authors discuss the cultural, historical, and social factors that should be taken into account to adequately characterize cultural orientation of socially constructed groups.

The Interplay Of Cultural Syndromes And Personality In Predicting Life Satisfaction

This study explored how personality and cultural variables influence subjective well-being (SWB) in two different U.S. ethnic groups: Asian Americans and European Americans. Structural equation modeling analyses supported a hypothesized culture?personality model of SWB, in which the cultural syndromes of individualism and collectivism predict variations on personality dispositions (Big Five), which, in turn, influence life satisfaction through self- and relational esteem. Despite ethnic mean-level differences found for many of the variables, none of the pathways in the culture?personality model of SWB differed across our two ethnic groups. Furthermore, the culture?personality model of SWB fit the data more adequately than a competing personality?culture model of SWB, in which personality dispositions preceded cultural syndromes in predicting life satisfaction. A consistent finding was the stronger weight of self-esteem (compared with relational esteem) in predicting life satisfaction for both ethnic groups. Results are discussed in the context of acculturation theory and recent cultural psychology views.

Domain-Specific Allocentrism-Idiocentrism

Concerned with individual differences in allocentrism-idiocentrism with reference to the family, Study 1 describes the assessment of an initial item pool of statements. Selection of good items was based on several criteria met by both an "Eastern" cultural group and a "Western" cultural group, thereby providing cross-cultural comparability at the item selection stage of test development. Scores on the Family Allocentrism Scale were positively related to a measure of norm-oriented identity style in both "Western" and "Eastern" samples (Study 2). With a "Western" sample (Study 3), individuals with higher levels of family allocentrism exhibited a greater sense of relatedness to their ethnic origins. In Study 4, with a group of Vietnamese immigrant university students, family connectedness moderated the relation between daily hassles and depression. In Study 5, with Russian immigrants, the relation between family allocentrism and depression depended on the level of bicultural competence. Future research plans and needs are considered.

Variation of Individualism and Collectivism within and between 20 Countries

With data from a 20-nation study (N = 2,533), the authors investigated how individual patterns of endorsement of individualist and collectivist attitudes are distributed within and across national contexts. A cluster analysis performed on individual scores of self-reliance (individualist dimension), group-oriented interdependence (collectivist dimension), and competitiveness (individualist or collectivist dimension) yielded a typology of four constrained combinations of these dimensions. Despite the prevalence of a typology group within a given country, variability was observed in all countries. Self-reliant non-competitors and interdependent non-competitors were prevalent among participants from Western nations, whereas self-reliant competitors and interdependent competitors were more common in non-Western countries. These findings emphasize the benefits for cross-cultural research of a typological approach based on combinations of individualist and collectivist dimensions.

Cultural Value Orientations and Accommodation among Heterosexual Relationships in Jamaica

In this study, we tested the following hypotheses concerning cultural value orientations as predictors of accommodation among heterosexual relationships in Jamaica: (a) Individuals' Group Orientation will be a significant positive predictor of Accommodation toward opposite-sex relationship partners, whereas (b) individuals' Self Orientation will not be significantly related to Accommodation toward opposite-sex relationship partners. A total of 287 individuals (44 males, 233 females, and 10 unspecified) participated in this study. Results of structural equation analyses of data for Blacks and persons of other races indicated that, contrary to our hypotheses, individuals' Self Orientation was a significant negative predictor of Accommodation, and individuals' Group Orientation was a nonsignificant positive predictor of Accommodation. Results of this study differ markedly from results previously obtained with predominantly White samples of heterosexuals and gays in the United States. Implications for the study of personal relationship processes in Jamaica and other predominantly Black nations are discussed.

Cultural Values Among African-Descended Persons in the United Kingdom: Comparisons With European-Descended and Asian-Descended Persons

In this study, conducted within the United Kingdom, the authors compared scores on five cultural values—namely, individualism, collectivism, familism, romanticism, and spiritualism—(a) between African-descended persons and European-descended persons and (b) between African-descended persons and Asian-descended persons. We predicted that African-descended persons would score higher than European-descended and Asian-descended persons on collectivism, lower than European-descended persons on individualism, and lower than Asian-descended persons on spiritualism. A total of 227 individuals (92 men, 132 women, and 3 individuals who did not indicate their gender) participated in the present study. Results of a multivariate analysis of variance followed by a series of one way analyses of variance and planned comparisons indicated that African-descended persons scored significantly higher than European-descended persons on collectivism, familism, and romanticism; African-descended persons did not differ from European-descended persons on individualism or spiritualism; and African-descended persons did not differ from Asian-descended persons on any of the cultural values. Implications for the study of ethnicity and cultural values across nations are discussed.

A New Familism Scale for Use with Latino Populations

The goal of this study was to develop an attitudinal familism scale that can be used with relatively less acculturated Latinos and that assesses all relevant aspects of the construct. An 18-item scale composed of original items and adapted items from previous scales was tested on a sample of 124 Latino adults. An exploratory factor analysis revealed the following four factors, accounting for 51.23% of the total variance: Familial Support, Familial Interconnectedness, Familial Honor, and Subjugation of Self for Family. Cronbach’s alpha for the scale was found to be .83. Validity analyses revealed significant negative correlations between some aspects of familism and acculturation scores and indicators of exposure to the U.S. culture, confirming previous findings on the subject.

Examining Mainstream and Afro-Cultural Value Socialization in African American Households

This article examines the role of culture in the socialization patterns found in the households of low-income African Americans. Using the Triple Quandary theoretical framework, the authors hypothesized that cultural themes consistent with an Afro-cultural ethos would be reported significantly more than those associated with a mainstream cultural ethos. Scenarios depicting socialization activities reflecting the four distinct cultural themes were constructed. Seventy-one low-income African American parents reported how often they perform the activities reflecting the cultural themes in question. Findings revealed that parents reported communal practices significantly more than those activities linked to the remaining three cultural themes. Implications and future research directions are discussed.

Factorial Invariance of a Pan-Hispanic Familism Scale

This article considers the validity and factorial invariance of an attitudinal measure of familism. Using a large, nationally representative sample of U.S. Hispanics, the validity and factorial invariance of the measure was tested across country of origin (United States, Mexico, and Latin America) and the language in which the survey was conducted (Spanish and English). Results support the invariance of the measure in both group comparisons, suggesting that the measure assesses a quality of familism that persists across country of origin and language preference. Further, the results also support equality in mean factor levels across these groups.