Assessment of the Short Acculturation Scale for Hispanics (SASH) Among Low-Income, Immigrant Hispanics

Ellison, Jennie; Jandorf, Lina; DuHamel, Katherine N.

doi:10.1007/s13187-011-0233-z

Cited by 71 publications

(64 citation statements)

References 16 publications

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“…(26, 27) For Spanish-speaking Latinas, cultural values that govern social interactions and relationships with individuals perceived to be in positions of power, may influence their expectations of the patient-physician relationship and level of involvement in decision-making. (6, 14) Spanish-speaking Latinas may expect more direct guidance from their physicians during decision-making or may feel uncomfortable questioning their physicians.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Satisfaction with treatment decision-making and treatment regret among Latinas and non-Latina whites with DCIS

López

Kaplan

Nápoles

et al. 2014

Patient Education and Counseling

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Objective To examine differences in treatment decision-making participation, satisfaction, and regret among Latinas and non-Latina whites with DCIS. Methods Survey of Latina and non-Latina white women diagnosed with DCIS. We assessed women’s preferences for involvement in decision-making, primary treatment decision maker, and participatory decision-making. We examined primary outcomes of satisfaction with treatment decision-making and treatment regret by ethnic-language group. Results Among 745 participants (349 Latinas, 396 white) Spanish-speaking Latinas (SSL) had the highest mean preference for involvement in decision-making score and the lowest mean participatory decision-making score and were more likely to defer their final treatment decision to their physicians than English-speaking Latinas or whites (26%, 13%, 18%, p<.05). SSLs reported lower satisfaction with treatment decision-making (OR 0.4; CI 95%, 0.2-0.8) and expressed more regret than whites (OR 6.2; CI 95%, 3.0-12.4). More participatory decision-making increased the odds of satisfaction (OR 1.5; CI 95%, 1.3-1.8) and decreased the odds of treatment regret (OR 0.8; CI 95%, 0.7-1.0), independent of ethnicity-language. Conclusion Language barriers impede the establishment of decision-making partnerships between Latinas and their physicians, and result in less satisfaction with the decision-making process and more treatment regret. Practice Implications Use of professional interpreters may address communication-related disparities for these women.

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Section: Discussionmentioning

confidence: 99%

“…Study participants were also administered the Short Acculturation Scale for Latinos (SASH) which measures different aspects of language including spoken, thought, use at home and use with friends. (26, 27)…”

Section: Methodsmentioning

confidence: 99%

Satisfaction with treatment decision-making and treatment regret among Latinas and non-Latina whites with DCIS

López

Kaplan

Nápoles

et al. 2014

Patient Education and Counseling

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“…The survey collected basic demographic data, acculturation indicators such as place of birth, and language-based acculturation characteristics based on an adapted five-item language subscale of the Marin’s Short Acculturation Scale for Hispanics (SASH) [23]. The language subscale has demonstrated higher correlation with other acculturation indicators compared to the overall scale [24]. While the SASH has not been validated in the four other racial groups in this study, the SASH demonstrated reliability and validity when adapted for Korean [25] and Filipino immigrants in the US [26].…”

Section: Methodsmentioning

confidence: 99%

Diverse Families’ Experiences with HPV Vaccine Information Sources: A Community-Based Participatory Approach

et al. 2016

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Current sources of publicly available human papillomavirus (HPV) information may not adequately meet the needs of diverse families. This study sought to describe associations between sociodemographic and acculturation factors, and sources of HPV information among diverse parents and caregivers. Community organizations purposively recruited participants from African American, African refugee, Hispanic/Latino, American Indian, and Native Hawaiian and Pacific Islander communities for a 21-item survey (N=228). 93 of these participants also participated in 10 focus groups conducted in three languages. Descriptive statistics and Fishers’ Exact Test for Count Data were produced and triangulated with focus group data to provide additional context. Overall, HPV vaccine awareness and knowledge in the five communities was low. This study found that a greater proportion of lower-acculturated participants had heard of HPV through personal networks (foreign-born=50% vs US-born=30%, p<0.05; medium acculturation=60% vs high acculturation=26%, p=0.01), while greater proportions of US-born participants reported media sources (49% vs foreign-born=29%, p<0.05). Across communities, healthcare system sources were described as important and preferred sources of HPV information. Hearing about the HPV vaccine from healthcare settings was significantly associated with increased accuracy in HPV vaccine knowledge (p<0.05). Communities described a need for more in-depth information about the HPV vaccine, and culturally and linguistically appropriate educational materials. Culturally-competent delivery of HPV information through the healthcare system sources may be important in improving knowledge and acceptability of the HPV vaccine among diverse families.

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“…Sociodemographic and behavioral variables included as covariates were age, sex, marital status, Hispanic background, acculturation (using the Short Acculturation Scale for Hispanics [SASH] Language & Ethnic Social Relations Subscales [38]), education, yearly household income, family network size, alcohol consumption (drinks per week), smoking status (never, former, current), depressive symptoms (i.e., ten-item Center for Epidemiologic Studies Depression Scale; [39]), and perceived social support (i.e., Interpersonal Support Evaluation List; [40]).…”

Section: Methodsmentioning

confidence: 99%

Family Environment and the Metabolic Syndrome: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study (SCAS)

Penedo¹,

Brintz

Llabre

et al. 2015

ann. behav. med.

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Background Metabolic syndrome (MetS) is a risk factor for cardiovascular disease. Very limited work has evaluated associations of sociocultural processes with prevalence of the MetS. Purpose The purpose of the present study was to evaluate associations between family environment (cohesion/conflict) and the MetS, in a multi-site sample of US Hispanics/Latinos. Methods A total of 3278 participants from the Hispanic Community Health Study/Study of Latinos underwent a clinical exam and completed psychosocial measures including family environment (cohesion and conflict) as part of the Sociocultural Ancillary Study. Results The association between family environment and the MetS was moderated by sex. Among all women, higher family conflict was associated with MetS prevalence. Results by ancestry group showed that only among Cuban women, higher conflict was associated with the MetS, whereas only among Dominican men, greater cohesion was associated with the MetS. Conclusions The family context may be a sociocultural protective or risk factor among Hispanics/Latinos in terms of MetS risk, but these associations may vary by sex and Hispanic background.

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Assessment of the Short Acculturation Scale for Hispanics (SASH) Among Low-Income, Immigrant Hispanics

Cited by 71 publications

References 16 publications

Satisfaction with treatment decision-making and treatment regret among Latinas and non-Latina whites with DCIS

Satisfaction with treatment decision-making and treatment regret among Latinas and non-Latina whites with DCIS

Diverse Families’ Experiences with HPV Vaccine Information Sources: A Community-Based Participatory Approach

Family Environment and the Metabolic Syndrome: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study (SCAS)

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