A health protection model for Hispanic adults with Type 2 diabetes

Latham, Christine L; Calvillo, Evelyn Ruiz

doi:10.1111/j.1365-2702.2007.01879.x

Cited by 9 publications

(13 citation statements)

References 62 publications

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“…Disease may be seen as an unavoidable crucible or even as punishment for past sins and health as a gift from God (79,98). Because of this fatalistic orientation, Western-style modification of unhealthy lifestyle behaviors through an appeal to personal autonomy is less likely to be successful, as is Western medicine in general (61,86). Recent attempts in model development have included application of the PEN3 model, which emphasizes the importance of culture along three interrelated, interdependent dimensions of health beliefs and behaviors: health education (person, extended family, neighborhood), educational diagnosis of health behavior (perceptions, enablers, and nurturers), and cultural appropriateness of health behavior (positive, exotic, and negative) (3)(4)(5)(6)48).…”

Section: Health Behavior Theoriesmentioning

confidence: 99%

Health Communication in the Latino Community: Issues and Approaches

Elder

Ayala

Parra‐Medina³

et al. 2009

Annu. Rev. Public Health

186

183

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With reference to the Communication-Persuasion model, we describe various research issues and challenges when considering the health of Latinos, and implications for designing and evaluating health communication and behavior change efforts in this population. Latinos, collectively the nation's largest minority group, vary substantially in terms of socioeconomic and legal status, their country of origin and the extent of ongoing contact with that country, their region of residence within the United States, their generation status and levels of acculturation, and psychosocial factors. Health communication efforts with Latinos need to focus on family, cultural traditions, and collectivism while attending to acculturation, language, generation and national origin. The most extensive intervention topic in Latino health promotion has been the application of the lay health advisor model. This and other fundamental communication approaches, as well as audience and population characteristics, need to be considered within the context of dynamic and complex societal changes. PART I: LATINOS IN THE UNITED STATESMany national health and social science studies, including the National Health Interview Survey (NHIS) and other surveys, treat Latinos 1 as though they were a homogenous group. However, as Modiano and colleagues (75) stated,The aggregation of culturally distinct subgroups, which have resided in the United States for different periods of time, into a more inclusive Latino category assumes that all persons of Mexican, Cuban and Puerto Rican origin have similar needs and experience similar barriers in using health services.There is, however, no clear evidence for this assumption. On the contrary, there is evidence that each group has specific characteristics that make it different and independent from one another. . . . (p. 35) Clearly, extraordinary diversity exists among subgroups of Latinos. The immigration and acculturation experiences of Mexican or Central American-descended Americans, South Americans, Puerto Ricans, and Cuban Americans vary substantially from one another. The distinction among Latino subgroups can be traced back to highly varied experiences not only with respect to encounters with the dominant American culture but also extending back to Spanish colonization, which began to redefine the western hemisphere 500 years ago. Indigenous groups in the Caribbean Islands and coastal areas largely succumbed to Iberian diseases and aggression and were replaced by Europeans and African slaves. Although forced to adopt much of the culture and religion of the conquistadores, indigenous groups in central and highland areas of Mexico and further south survived 1 The field offers no consensus regarding the term to refer to persons of Latin American heritage who live in the United States. Both "Hispanic" and "Latino" are used extensively, although U.S. government documents, including the Census, use the term Hispanic. Given this mixed usage in the literature, we use the term Latino to indicate, where po...

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Section: Health Behavior Theoriesmentioning

confidence: 99%

Health Communication in the Latino Community: Issues and Approaches

Elder

Ayala

Parra‐Medina³

et al. 2009

Annu. Rev. Public Health

186

183

View full text Add to dashboard Cite

show abstract

“…diabetes; and research on Hispanics and others diagnosed with diabetes ( Figure 1; Latham & Calvillo, 2007). This framework includes research relationships between major constructs, including general influences, culturally relevant health-related influences, enabling factors, self-care outcomes, selfcare behaviors, and holistic outcomes (see Figure 1).…”

mentioning

confidence: 99%

Predictors of Successful Diabetes Management in Low-Income Hispanic People

Latham

Calvillo

2008

West J Nurs Res

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The specific aim of this predictive, correlational study was to test a culturally sensitive diabetes-specific health protection model to determine predictors of successful diabetes management in a newly diagnosed, type 2, low-income Hispanic population. Using a research-based Hispanic Health Protection Model (HHPM) as a framework, 240 adult participants with low levels of acculturation, strong beliefs about illness attribution and control of health, and low literacy levels were interviewed in a three-phase process over 4 to 6 months. The data analysis resulted in support of the HHPM based on relationships between 11 variables in four partial structural equation models, including lifestyle profile, acculturation, health beliefs, professional and social support, self-efficacy, diabetes knowledge, quality of life (self-satisfaction and impact of diabetes), and changes in hemoglobin a1c and body mass index. The study established carefully translated measures that held up to strong psychometric criteria. There was support for the HHPM for this population, and the results suggest future intervention with strengthening enablers, such as professional support and diabetes self-efficacy, in relation to this group's health beliefs.

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“…Schoenberg and colleagues (2005) report that susto is associated not only with etiology/cause but that it intersects with diabetes in several other ways as well: as a threat to glycemic control, as a challenge to self management, and as a precursor to complications. These findings suggest that persons with diabetes cannot be successfully treated without also treating the person's susto (Latham & Calvillo, 2007;Weller et al, 1999).…”

mentioning

confidence: 86%

“…The symptoms associated with diabetes are perceived as a result of an emotional trauma. The Mexican American explanatory model for diabetes includes, in addition to susto,causal factors such as eating a poor diet, obesity, and family traits or genetics,as well as expectations for treatment outcomes.For some, susto is included as one cause among several and for others it is thought to be the primary cause (Coronado et al, 2005;Jezewski & Poss, 2002;Latham & Calvillo, 2007). Other strong emotions such as anger (coraje) and sadness are also associated with the cause of diabetes.…”

mentioning

confidence: 96%

“…They have a disproportionate occurrence of type 2 diabetes relative to their numbers in the population. Mexican Americans diagnosed with diabetes often believe that a previous experience of susto caused their diabetes (Coronado et al, 2005; Poss, 2002;Latham & Calvillo, 2007;Schoenberg et al, 2005;Weller et al, 1999). In Latino culture, susto (fright) is a state of anxiety or stress due to a traumatic event or an emotional upset in life such as relationship problems, financial problems, or witnessing tragedies.…”

mentioning

confidence: 98%

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