Skip to main content

Acculturation and Health Beliefs of Mexican Americans Regarding Tuberculosis Prevention

Abstract

Mexican Americans are at particular risk of contracting tuberculosis. Yet too little is known about perceptions influencing their health. This study investigated gender and acculturation differences in TB-specific Health Belief Model (HBM) constructs, and the applicability of the HBM's traditional configuration to Mexican Americans. Acculturation and gender substantially influenced the findings. Traditional Mexican Americans reported higher perceived susceptibility and seriousness, more barriers, and greater attention to cues regarding TB prevention than Highly Integrated Biculturals. Women reported greater benefits, attention to cues, and intent to engage in TB prevention behaviors than men. Highly Integrated Bicultural men reported less attention to cues and less intent to engage in health behaviors than other groups. The traditional HBM configuration did not fit this sample. Reconfiguration did, however, result in adequate fit. Overall, higher perceived susceptibility, action benefits, attention to media cues, and female gender predicted greater intent to engage in TB health behaviors.

This is a preview of subscription content, access via your institution.

REFERENCES

  • Cauthen, GM, Pio, HG, Ten Dam, HG: Annual risk of tuberculosis infection. World Health Organization TB Publication 1988; 88:154

    Google Scholar 

  • Bloom, BR, Murray, CJL: Tuberculosis: Commentary on a re-emergent killer. Science 1992; 257:1055-1064

    Google Scholar 

  • Centers for Disease Control and Prevention: Tuberculosis morbidity—United States, 1995. Morb Mortal Wkly Rep 1996; 45:365-370

    Google Scholar 

  • Centers for Disease Control and Prevention: NCHSTP Program Briefing, 2001, The National Tuberculosis (TB) Surveillance System 2001. Available on-line (accessed November 2001) at: http://www.cdc.gov/nchstp/tb/ surv/ surv2001/default.htm

  • Zuber, PL, McKenna, MT, Binkin, NJ, Onorato, IM, Castro, KG: Long-term risk of tuberculosis among foreign-born persons in the United States. JAMA 1997; 278:304-307

    Google Scholar 

  • Centers for Disease Control and Prevention: Preventing and controlling tuberculosis along the U.S.–Mexico border: Work group report. Morb and Mortal Wkly Rep 2001; 50(No. RR1):1-27

    Google Scholar 

  • Banerji, S, Bellomy, AL, Yu, ES, Waterman, S, Haas, EA, Moser, KE: Tuberculosis in San Diego County: A border community perspective. Public Health Rep 1996; 111:431-436

    Google Scholar 

  • Therrien, M, Ramirez, RR: The Hispanic population in the United States: March 2000. Current Population Reports. Washington DC: U.S. Census Bureau; 2000; P20-P535

    Google Scholar 

  • Watchi, R, KahIstrom, E, Vachon, LA, Barnes, PF: Pediatric tuberculosis: Clinical presentation and contact investigation at an urban medical center. Respiration 1998; 65:192-194

    Google Scholar 

  • Villarino, ME, Geiter, L, Simone, PM: The multi-drug resistant tuberculosis challenge to public health efforts to control tuberculosis. Public Health Rep 1992; 107:616-625

    Google Scholar 

  • Taylor, JP, Bergmire-Sweat, D, Suarez, L: Epidemiology of drug resistant tuberculosis in Texas. Am J Epidemiol 1999; 149:359-365

    Google Scholar 

  • Taylor, JP, Suarez, L: Prevalence and risk factors of drug resistant tuberculosis along the Mexico–Texas border. Am J Public Health 2000; 90:271-273

    Google Scholar 

  • Kenyon, TA, Driver, C, Haas, E, Valway, SE, Moser, KS, Onorato, IM: Immigration and tuberculosis among children on the United States–Mexico border, County of San Diego, California. Pediatrics 1999; 104:e8

    Google Scholar 

  • Morisky, DE, Malotte, CK, Choi, P, Davidson, P, Rigler, S, Sugland, B, Langer, M: A patient education program to improve adherence rates with anti-tuberculosis drug regimens. Health Educ Q 1990; 17:253-267

    Google Scholar 

  • Sumartojo, E: When tuberculosis treatment fails, a social behavioral account of patient adherence. Am Rev Respir Dis 1993; 147:1311-1320

    Google Scholar 

  • Holland, L, Courtney, R: Increasing cultural competence with the Latino community. J Community Health Nurs 1998; 15:45-53

    Google Scholar 

  • Cabrera, DM, Morisky, DE, Chin, S: Development of a tuberculosis education booklet for Latino immigrant patients. Patient Educ Couns 2002; 46:117-124

    Google Scholar 

  • Guzman, B: The Hispanic Population: Census 2000 brief (C2KBR/OI-3). Washington DC: U.S. Department of Commerce, U.S. Census Bureau; 2001

    Google Scholar 

  • Day, JC: Population Projections of the United States by age, sex, race, and Hispanic origin: 1995–2050. Current Population Reports No. 25-1130. Washington, DC: US Bureau of the Census; 1996

    Google Scholar 

  • Byrd, WM, Clayton, LA: Understanding and eliminating racial and ethnic disparities in healthcare: In: Institute of Medicine, ed. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington DC: National Academy Press; 2002:248-303

    Google Scholar 

  • Zuckerman, M: Some dubious premises in research and theory on racial differences. Am Psychol 1990; 45:1297-1303

    Google Scholar 

  • Mendoza, RH: Acculturation and sociocultural variability: In: Martinez, JL, Mendoza, RH, eds. Chicano Psychology, 2nd edn. Orlando Florida: Academic Press; 1984:61-76

    Google Scholar 

  • Cuéllar, I, Harris, L, Jasso, R: An acculturation scale for Mexican American normal and clinical populations. Hispanic J Behav Sci 1980; 2:199-217

    Google Scholar 

  • Olmedo, EL: Acculturation: A psychometric perspective. Am Psychol 1978; 34:1061-1070

    Google Scholar 

  • Mack, TM: Cancer in Hispanics in Los Angeles county. NCI Monograph 1989; 69:99-104

    Google Scholar 

  • Hayes-Bautista, DE: Latino health indicators and the underclass model: From paradox to new policy models: In: Furino, E. ed. Health Policy and the Hispanic. Boulder, CO: Westview; 1992:32-47***.

    Google Scholar 

  • Markides, KS, Krause, N, Mendes de Leon, CF: Acculturation and alcohol consumption among Mexican Americans: A three-generation study. Am J Public Health 1988; 78:1178-1181

    Google Scholar 

  • Amaro, H, Whitaker, R, Coffman, G, Heeven, T: Acculturation and marijuana and cocaine use: Findings from HHANES 1982–84. Am J Public Health 1990; 80(suppl):54-60

    Google Scholar 

  • Otero-Sabogal, R, Sabogal, F, Pérez-Stable, EJ, Hiatt, RA: Dietary practices, alcohol consumption, and smoking behavior: Ethnic, sex, and acculturation differences. J Nat Cancer Inst Monogr 1995; 18:73-82

    Google Scholar 

  • Harmon, NIP, Castro, FG, Coe, K: Acculturation and cervical cancer: Knowledge, beliefs, and behaviors of Hispanic women. Women Health 1996; 24:37-57

    Google Scholar 

  • De la Torre, A, Friis, R, Hunter, HR, Garcia, L: The health insurance status of US Latino women: A profile from the 1982–1984 HHANES. Am J Public Health 1996; 86:533-537

    Google Scholar 

  • Vitullo, MW, Taylor, AK: Latino adults' health insurance coverage: An examination of Mexican and Puerto Rican subgroup differences. J Health Care Poor Underserved 2002; 13:504-525

    Google Scholar 

  • Carter-Pokras, O, Zambrana, RE: Latino health status: In: Aguirre-Molina, M, Molina, CW, Zambrana, RE, eds. Health Issues in the Latino Community. San Francisco, CA: Jossey-Bass; 2001:23-54

    Google Scholar 

  • Salabarria-Pena, Y, Trout, PT, Gill, JK, Morisky, DE, Muralles, AA, Ebin, VJ: Effects of acculturation and psychosocial factors in Latino adolescents' TB-related behaviors. Ethn Discourse 2001; 11:661-675

    Google Scholar 

  • Domino, G: Acculturation of Hispanics: In: Knouse, SB, Rosenfeld, P, Culbertson, AL, eds. Hispanics in the Workplace. Newberry Park, CA: Sage; 1992:57-75

    Google Scholar 

  • Cuéllar, I, Arnold, B, Maldonado, R: Acculturation Rating Scale for Mexican Americans-II: A revision of the original ARSMA scale. Hispanic J Behav Sci 1995; 17:275-304

    Google Scholar 

  • Feuerstein, M, Labbé, E, Kuczmierczyk, A: Health Psychology: A Psychobiological Perspective. New York: Plenum; 1986

    Google Scholar 

  • Davenport, DS, Yurich, JM: Multicultural gender issues. J Couns Dev 1991; 70:64-71

    Google Scholar 

  • Marín, G, Marín, B: Research With Hispanic Populations. Newbury Park, CA: Sage; 1991

    Google Scholar 

  • Marín, G: Influences of acculturation on familialism and self-identification among Hispanics: In: Bernal, ME, Knight, GP, eds. Ethnic Identity: Formation and Transmission Among Hispanics and Other Minorities. Albany, NY: State University of New York Press; 1993:181-196

    Google Scholar 

  • Casas, JM, Wagenheim, BR, Banchero, R, Mendoza-Romero, J: Hispanic masculinity: Myth or psychological schema meriting clinical consideration. Hispanic J Behav Sci 1994; 16:315-331

    Google Scholar 

  • Vasquez-Nuttall, E, Romero-Garcia, I, DeLeon, R: Sex roles and perceptions of femininity and masculinity of Hispanic women: A review of the literature. Psychol Women Q 1987; 11:409-425

    Google Scholar 

  • Higgins, PG, Learn, CD: Health practices of adult Hispanic women. J Adv Nurs 1999; 29:1105-1112

    Google Scholar 

  • Sabogal, F, Marín, G, Otero-Sabogal, R, Marin, BV, Pérez-Stable, R: Hispanic familism and acculturation: What changes and what doesn't? Hispanic J Behav Sci 1987; 9:397-412

    Google Scholar 

  • Sabogal, F, Faigeles, B, Catania, JA: Data from the AIDS Behavioral Surveys. II: Multiple sexual partners among Hispanics in high-risk cities. Fam Plann Perspect 1993: 6:257-262

    Google Scholar 

  • Hochbaum, GM: Why people seek diagnostic X-rays. Public Health Rep 1956; 71:377-380

    Google Scholar 

  • Rosenstock, 1M: Why people use health services. Milbank Memorial Fund Q 1966; 44:94***.

    Google Scholar 

  • Becker, MH, Maiman, LA: Sociobehavioral determinants of compliance with health and medical care recommendations. Med Care 1975; 13:10-24

    Google Scholar 

  • Harrison, JA, Mullen, PD, Green, LW: A meta-analysis of studies of the Health Belief Model with adults. Health Educ Res 1992; 7:107-116

    Google Scholar 

  • Austin, LT, Ahmad, F, McNally, MJ, Stewart, DE: Breast and cervical cancer screening in Hispanic women: A literature review using the health belief model. Women's Health Issues 2002; 12:122-128

    Google Scholar 

  • Neff, JA, Crawford, SL: The Health Belief Model and HIV risk behaviors: A causal model analysis among Anglos, African-Americans and Mexican-Americans. Ethn Health 1998; 3:283-299

    Google Scholar 

  • Champion, VL: Instrument development for Health Belief Model constructs. Adv Nurs Sci 1984; 6:73-85

    Google Scholar 

  • Airhihenbuwa, CO: Health and Culture: Beyond the Western Paradigm. Thousand Oaks, CA: Sage; 1995

    Google Scholar 

  • Leventhal, H, Cameron, L: Behavioral theories and the problem of compliance. Patient Educ Couns 1987; 10:117-118

    Google Scholar 

  • American Lung Association: Tuberculosis Fact Sheet. 2002. Available online (accessed January 2003) at: http://www.lungusa.org/diseases/tbfac.html

  • Lessenger, LH: Use of Acculturation Rating Scale for Mexican Americans-II with substance abuse patients. Hispanic J Behav Sci 1997; 19:387-398

    Google Scholar 

  • Jöreskog, K, Sörbom, D: LISREL 8: Structural Equation Modeling With the SIMPLIS Command Language. Hillsdale, NJ: Earlbaum; 1993

    Google Scholar 

  • Hu, L, Bentler, PM: Evaluating model fit: In: Hoyle, RH, ed. Structural Equation Modeling: Concepts, Issues and Applications. Thousand Oaks, CA: Sage; 1995:76-99

    Google Scholar 

  • Hoyle, RH: The structural equation modeling approach: Basic concepts and fundamental issues: In: Hoyle, RH, ed. Structural Equation Modeling: Concepts, Issues, and Applications. Thousand Oaks, CA: Sage; 1995:158-176

    Google Scholar 

  • Clark, M: A Community Health Study in the Mexican American Culture. Berkeley, CA: University of California Press; 1973

    Google Scholar 

  • Farmer, P: Social scientists and the new tuberculosis. Soc Sci Med 1997; 44:347-358

    Google Scholar 

  • Bentler, PM, Chou, CP: Practical issues in structural modeling. Sociol Methods Res 1987; 16:78-117

    Google Scholar 

  • Matheson, DW, Bruce, RL, Beauchamp, KL: Experimental Psychology: Research Design and Analysis, 3rd edn Fort Worth, TX: Holt, Rinehart, & Winston; 1978

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dolores I. Rodríguez-Reimann.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Rodríguez-Reimann, D.I., Nicassio, P., Reimann, J.O.F. et al. Acculturation and Health Beliefs of Mexican Americans Regarding Tuberculosis Prevention. Journal of Immigrant Health 6, 51–62 (2004). https://doi.org/10.1023/B:JOIH.0000019165.09266.71

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/B:JOIH.0000019165.09266.71

  • tuberculosis
  • acculturation
  • Mexican Americans
  • gender
  • health beliefs