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Health Beliefs and Attitudes of Latino Immigrants: Rethinking Acculturation as a Constant


Health disparities among Latinos have been associated with acculturation, but there is a lack of consensus about how acculturation variables translate into health beliefs that can be used to target attitude and behavior change interventions. Transcripts from three qualitative studies including 64 Latino immigrant adults were analyzed through inductive reasoning to assess relationships between more or less acculturated attitudes, and demographic variables. In the three topic areas of gender roles, sex education, and seeking professional help, attitudes ranged from conservative (less acculturated) to liberal (more acculturated), but did not seem associated with age, education or years in the United States. When dealing with specific health topics, it is not possible to infer specific attitudes, strength of attitudes or level of acculturation of intervention recipients. To develop sound, culturally competent interventions, it is necessary to assess the targets’ beliefs and attitudes and tailor messages in specific contexts.

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  1. Edelson MG, Hokoda A, Ramos-Lira L. Differences in effects of domestic violence between Latina and Non-Latina women. J Fam Viol. 2007;22(1):1–10.

    Article  Google Scholar 

  2. Center for Reproductive Health Research and Policy: Issue Brief on Latino Youth: Reproductive Health [Internet]. 2002; [cited 2009 May 2] Available from:

  3. Unger JB, Molina GB. Acculturation and attitudes about contraceptive use among Latina women. Health Care Women Int. 2000;21(3):235–49.

    PubMed  Article  CAS  Google Scholar 

  4. Villarruel AM. Cultural influences on the sexual attitudes, beliefs, and norms of young Latina adolescents. J Spec Pediatr Nurs. 1998;3(2):69–79.

    Article  CAS  Google Scholar 

  5. Sherif M. Hovland CI: social judgment. New Haven, CT: Yale University Press; 1961.

    Google Scholar 

  6. Bandura A. Social cognitive theory of mass communication. Media Psychol. 2001;3(3):265–99.

    Article  Google Scholar 

  7. Bandura A. Social cognitive theory in cultural context. Appl Psychol. 2002;51(2):269–90.

    Article  Google Scholar 

  8. Whiten A. Primate culture and social learning. Cogn Sci. 2000;24(3):477–508.

    Article  Google Scholar 

  9. Rogler LH, Cortes DE, Malgady RG. Acculturation and mental health status among Hispanics: convergence and new directions for research. Am Psychol. 1991;46(6):585–97.

    PubMed  Article  CAS  Google Scholar 

  10. De La Rosa M. Acculturation and Latino adolescents’ substance use: a research agenda for the future. Subst Use Misuse. 2002;37(4):429–56.

    PubMed  Article  Google Scholar 

  11. Hunt LM, Schneider S, Comer B. Should” acculturation” be a variable in health research? a critical review of research on US Hispanics. Soc Sci Med. 2004;59(5):973–86.

    PubMed  Article  Google Scholar 

  12. Zane N, Mak W. Major approaches to the measurement of acculturation among ethnic minority populations: a content analysis and an alternative empirical strategy. In: Acculturation: advances in theory, measurement, and applied research. Washington, D.C.: American Psychological Association; 2003 p. 39–60.

  13. Babbie E. The practice of social research, 11th Ed. Belmont, CA: Thomson Higher Education; 2007.

  14. Strauss AL, Corbin JM. Grounded theory in practice. Thousand Oaks, CA: Sage Publications, Inc; 1997.

    Google Scholar 

  15. Padilla AM, Baird TL. Mexican-American adolescent sexuality and sexual knowledge: an exploratory study. Hisp J Behav Sci. 1991;13(1):95–104.

    PubMed  Article  CAS  Google Scholar 

  16. Bandura A. Social cognitive theory of self-regulation. Organ Behav Hum Decis Process. 1991;50(2):248–87.

    Article  Google Scholar 

  17. Sherif CW, Sherif M, Nebergall RE. Attitude and attitude change: the social judgment-involvement approach. Philadelphia, PA: Saunders; 1965.

    Google Scholar 

  18. Lara M, Gamboa C, Kahramanian MI, Morales LS, Bautista DE. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.

    PubMed  Article  Google Scholar 

  19. Salant T, Lauderdale D. Measuring culture: a critical review of acculturation and health in Asian immigrant populations. Soc Sci Med. 2003;57(1):71–90.

    PubMed  Article  Google Scholar 

  20. Hunt LM, Schneider S, Comer B. Should ‘‘acculturation’’ be a variable in health research? a critical review of research on US Hispanics. Soc Sci Med. 2004;59:973–86.

    PubMed  Article  Google Scholar 

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Correspondence to Maria Elena Villar.

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Villar, M.E., Concha, M. & Zamith, R. Health Beliefs and Attitudes of Latino Immigrants: Rethinking Acculturation as a Constant. J Immigrant Minority Health 14, 885–889 (2012).

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  • Health beliefs
  • Health messages
  • Latino culture
  • Acculturation
  • Social judgment theory