This study retrospectively explored the links between preimmigration beliefs of life success and postimmigration experiences and their influence on acculturative stress among a group of parents who recently immigrated with their children from three non-English speaking countries-Bangladesh, India, and Pakistan-to the United States. The respondents, 75 sets of parents residing in New York City, participated in semistructured qualitative interviews. Discrepancies between the parents' anticipated life success in the United States and actual experiences after immigration were associated with the parents' expectations of their children fulfilling parents' own dreams of success. Two criteria specific to Asian culture that guided parental expectations were the responsibility of children in enhancing family pride and the role of education as a way to advance through the social class and the caste systems. Implications for understanding immigrant parents' sociocultural contexts, the potential negative impact of unrealistic expectations on children's development, and the significance of acculturative stress for parents as well as their children were discussed.
This article examines sociocultural expectations of sexual behavior and the reasons why not using condoms may be logical to married heterosexual couples in India. Married women who report monogamous sexual relationships with their husbands are a high-risk group for HIV infection in India. Based on the public health model and a population-based perspective on HIV infection prevention, this article illustrates the underlying mechanisms that link the role of women in society, holistic health beliefs, and cultural beliefs about the transmission of HIV with the precursors to nonuse of condoms. The author concludes that promoting condom use requires an emphasis on family health, not only as contraceptives. Challenges for reducing the social stigma and developing a comprehensive policy on HIV prevention and AIDS treatment and care are discussed.
This qualitative study explored the underlying psychosocial factors and conditions that may influence type 2 diabetes (T2D) self-management among adult T2D-diagnosed African Americans in the Arkansas Delta. Listening to participants' narratives in their own voices provided meaningful insights in their real-life experiences of T2D-related psychological and emotional challenges in African American social cultural contexts. Self-determination theory was used to conceptualize the participants' motivations for making health behavior changes. Using purposive sampling, 31 participants total (16 women and 15 men) were interviewed. The study participants described their (1) concern over prescribed dietary and physical exercise guidelines as impractical and culturally not relevant to them; (2) doubts over the availability of social supports necessary to implement T2D self-management; and (3) fatalistic expectations of negative outcomes that undermined their self-motivation to follow self-management guidelines. Specific strategies for developing culturally competent T2D self management guidelines and community-based communication outreach initiatives are discussed.
This qualitative study explored underlying factors influencing the promotion of type 2 diabetes (T2D) self-management among adult African Americans diagnosed with T2D in the Arkansas Delta. Our narrative approach gathered insights in the participants' own voices and placed their T2D self-management experiences in social-cultural-historical contexts. Using purposive sampling, 31 participants (16 women and 15 men) were selected and interviewed. The participants showed low awareness of T2D's chronic nature because of its asymptomatic or nonspecific symptoms. They interpreted medically prescribed dietary and physical exercise guidelines as impractical and culturally irrelevant for them. Medication non-adherence was due to inadequate knowledge and awareness of T2D as a chronic disease, and suspicion and mistrust of the formal medical system. To develop culturally-targeted interventions to advance self-management outcomes, we must understand from and with African Americans the strengths of social-cultural contexts in which they live and make their health behavior choices. Engaging African Americans diagnosed with T2D in community-based programs may be a promising approach.
This community-based, qualitative study explored social capital resources and their influences upon HIV risk behaviors in a sample of 17 heterosexual Asian Indian immigrant men residing in New York City. Our study defined social capital as the resources available to individuals and society through social relationships. At the family, peer, and community levels, social capital's influence appeared to reduce acculturative stress and HIV risks. However, participants who lacked sexually transmitted infection and HIV transmission knowledge and/or sought peer solidarity through adherence to negative peer norms (e.g., alcohol use with sex) had elevated sexual risks for HIV. These findings suggest the promise of a social capital approach in the development of HIV prevention programs, as well as the need for HIV risk and social capital researchers to examine multiple systems of social relationships in sociocultural context.
Health-related behavior is a function of the sociocultural and environmental contexts in which it occurs. With South Asian immigrants, a comprehensive approach that focuses on community and individual factors may be more effective than an individualistic one. This article explores the factors that may influence HIV/AIDS-related health care seeking by South Asian immigrants to the United States. It focuses on South Asians from Bangladesh, India, and Pakistan. The need to involve the community in any intervention process is discussed. An understanding of the determinants of HIV-related health care seeking and behavioral change factors can help social work practitioners develop effective interventions for and with South Asian immigrants.
Because the HIV pandemic undergoes continual change in its locations and affected populations, it is crucial to study HIV risk behaviors among mobile and immigrant groups within and across borders. The impact of cross-cultural migrations and the importance of studying that impact in terms of demographic characteristics as well as cultural and environmental factors has not received adequate attention in public health research. This collaborative analysis utilizes data from three studies of immigrant groups in New York to describe and compare these factors that provide the context for risk and prevention of HIVAIDS and other health challenges. Data discussed were obtained utilizing multi-method approaches to identify and describe HIV risks among both new and more established immigrant populations within the urban settings of North America, with NYC as a central focus. Demographic and epidemiological data situate the analysis within the larger contexts of US migration and the HIV/AIDS epidemic in NYC. The authors identify risk and protective factors embedded to varying degrees in immigrants_ multiple cultures and sub-cultures. The three populations studied include: 1) new Hispanic immigrants from the Dominican Republic, Mexico and Central America; 2) West Indian (Caribbean) immigrants from Jamaica, Trinidad/ Tobago and other anglophone Caribbean nations; and 3) South Asian immigrants from India (Indian Americans). The paper seeks differences and commonalities, focusing on the social, attitudinal and behavioral factors that contribute to increased HIV/AIDS vulnerability among these populations. The data presented also identify some of the attitudes and behaviors of individuals and groups, as well as other facilitators and obstacles to transmission for immigrants as they adapt to new environments. Topics addressed include factors affecting HIV/AIDS vulnerability of immigrant groups, goals and expectations, health and mental heath issues, gender role change, sexual risk, alcohol and other drug use, perception of HIV/AIDS risk and implications for prevention.
Immigrants depend on within-group social networks for social support during the acculturation process. Within-group social networks are linked to higher mutual concern and reciprocity, lower acculturative stress, and lower depression among immigrants Studies are limited, however, about immigrants' social support in the contexts of global connectedness and transnational connectivity. Grounded in social capital approach and immigrant health framework, this qualitative, community-based study examined the social networks of immigrant men from India to New York City. Drawing upon the participants' narratives, the author illustrates the ways that social capital influences social networking and acculturative stress in post-immigration sociocultural contexts along with its implications for community-based interventions.
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