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Health Survey Instrument Development Through a Community-Based Participatory Research Approach: Health Promoting Lifestyle Profile (HPLP-II) and Brazilian Immigrants in Greater Boston

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Abstract

Brazilians are among the fastest growing segment of immigrant populations in several states of the United States. Culturally appropriate and validated health survey instruments do not exist to adequately assess the health needs of this population. Through a community-based participatory research (CBPR) approach, a cross-cultural pilot project was conducted to develop and test a culturally-adapted Brazilian Portuguese-version of the health-promoting lifestyle profile II (HPLP-II) instrument with a convenience sample of 60 bilingual and bicultural Brazilian immigrants using a combined quasi experimental and focus group design. The project evaluated HPLP-II instrument’s psychometric properties of equivalency, reliability, and score distribution in Portuguese and English. This pilot test supports equivalency, consistency, and reliability of the English and culturally-adapted Brazilian Portuguese versions of the instrument. CBPR is an effective approach in health instrument development. This instrument is an important first step in designing other appropriate instruments to explore health conditions of Brazilian immigrants in the U.S.

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References

  1. Lima A, Siqueira E. Brazilians in the U.S. and Massachusetts: a demographic and economic profile. UMass Boston: The Maurício Gastón Institute; 2007.

  2. U.S. Census Bureau. Current Population Survey, Annual Social and Economic Supplement; 2004.

  3. Singh GK, Siahpush M. All-cause and cause-specific mortality of immigrants and native born in the United States. Am J Public Health. 2001;91(3):392–9.

    Article  CAS  PubMed  Google Scholar 

  4. Stephen EH, Foote K, Hendershot GE, Schoenborn C. Health of the foreign-born population: United States, 1989–90. Advance data from vital and health statistics. Hyattsville, Maryland: National Center for Health Statistics. 1994; 241:1–12.

  5. Neria J. Maternal child health risks of women from Latin America. APHA. The Maternal and Child Health Community Leadership Institute. 2002. Available at: http://www.apha.org/ppp/red/LatinAmeric.htm.

  6. Fuentes-Afflick E, Hessol NA, Eperez-Stable E. Testing the epidemiologic paradox of low birth weight in Latinos. Arch Pediatr Adolesc Med. 1999;153:147–53.

    CAS  PubMed  Google Scholar 

  7. Rumbaut R. Paradoxes of Assimilation. Sociological Perspectives. 1997;40(3):483–511.

    Google Scholar 

  8. Martin P, Midgley E. Immigration: shaping and reshaping America. Popul Bull. 2003;58(2):1–28 (page 19).

    Google Scholar 

  9. McLean DE, Bowen S, Drezner K, et al. Asthma among homeless children. Arch Pediatr Adolesc Med. 2004;158:244–9. doi:10.1001/archpedi.158.3.244.

    Article  PubMed  Google Scholar 

  10. Evans GW, Wells NM, Moch A. Housing and mental health: a review of the evidence and methodological and conceptual critique. J Soc Issues. 2003;59(3):475–500. doi:10.1111/1540-4560.00074.

    Article  Google Scholar 

  11. Myers D, Baer W, Choi S-Y. The changing problem of overcrowded housing. J Am Inst Planners. 1996;62w:66–84.

    Google Scholar 

  12. Dong X, Platner JW. Occupational fatalities of hispanic construction workers from 1992 to 2000. Am J Ind Med. 2004;45:45–54. doi:10.1002/ajim.10322.

    Article  PubMed  Google Scholar 

  13. Magaña CG, Hovey JD. Psychosocial stressors associated with Mexican migrant farm workers in the Midwest United States. J Immigr Health. 2003;5(2):75–86. doi:10.1023/A:1022955825650.

    Article  PubMed  Google Scholar 

  14. Chandler M. The rights of the medically uninsured: an analysis of social justice and disparate health outcomes. J Health Soc Policy. 2006;21(3):17–36. doi:10.1300/J045v21n03_02.

    Article  PubMed  Google Scholar 

  15. Jatoi I, Anderson WF, Rao SR, Devesa SS. Breast cancer trends among black and white women in the United States. J Clin Oncol. 2005;23(31):7836–41. doi:10.1200/JCO.2004.01.0421.

    Article  PubMed  Google Scholar 

  16. Wasson JH, Benjamin R. Postscript: health disparity and collaborative care. J Ambulatory Care Manage. 2006;29(3):233–4.

    PubMed  Google Scholar 

  17. Bickell NA, Wang JJ, Oluwole S, Schrag D, Godfrey H, Hiotis K, et al. Missed opportunities: racial disparities in adjuvant breast cancer treatment. J Clin Oncol. 2006;24(9):1357–62. doi:10.1200/JCO.2005.04.5799.

    Article  PubMed  Google Scholar 

  18. Gordon-Larsen P, Nelson MC, Page P, Popkin BM. Inequality in the built environment underlies key health disparities in physical activity and obesity. Pediatrics. 2006;117(2):417–24. doi:10.1542/peds.2005-0058.

    Article  PubMed  Google Scholar 

  19. U.S. Department of Education, National Center for Education Statistics, The Health Literacy of America’s Adult: Results from the 2003 National Assessment of Adult Literacy, NCES 2006-483; September 2006.

  20. Bird ST, Bogart LM. Perceived race-based and socioeconomic status (SES)-based discrimination in interactions with health care providers. Ethn Dis. 2001;11:554–63.

    CAS  PubMed  Google Scholar 

  21. Krieger N. Embodying inequality: a review of concepts, measures, and methods for studying health consequences of discrimination. Int J Health Serv. 1999;29:295–352. doi:10.2190/M11W-VWXE-KQM9-G97Q.

    Article  CAS  PubMed  Google Scholar 

  22. Krieger N. Racial and gender discrimination: risk factors for high blood pressure? Soc Sci Med. 1990;12:1273–81. doi:10.1016/0277-9536(90)90307-E.

    Article  Google Scholar 

  23. Fishman A, Pearson K, Reicks K. Gathering food and nutrition information from migrant farm worker children through in-depth interviews. J Ext. [Online], 37(5). Available at: http://www.joe.org/joe/1999october/ent.html#rb3.

  24. Alaniz ML, Wilkes C. Reinterpreting Latino culture in the commodity form: the case of alcohol advertising in the Mexican American community. Hispanic J Behav Sci. 1995;17(4):430–51. doi:10.1177/07399863950174002.

    Article  Google Scholar 

  25. Hackbarth DP, Silvestri B, Cosper W. Tobacco and alcohol billboards in 50 Chicago neighborhoods: market segmentation to sell dangerous products to the poor. J Public Health Policy. 1995;16(2):213–30. doi:10.2307/3342593.

    Article  CAS  PubMed  Google Scholar 

  26. Altman DG, Schooler C, Basil MD. Alcohol and cigarette advertising on billboards. Health Educ Res: Theory Pract. 1991;6(4):487–90.

    Google Scholar 

  27. Alaniz ML, Cartmill RS, Parker RN. Immigrants and violence: the importance of neighborhood context. Hispanic J Behav Sci. 1998;20:155–74. doi:10.1177/07399863980202002.

    Article  Google Scholar 

  28. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987;36(2):76–81. doi:10.1097/00006199-198703000-00002.

    Article  CAS  PubMed  Google Scholar 

  29. Salyer J, Sneed G, Corley MC. Lifestyle and health status in long-term cardiac transplant recipients. Heart Lung. 2001;30(6):445–57. doi:10.1067/mhl.2001.119351.

    Article  CAS  PubMed  Google Scholar 

  30. Hulme PA, Walker SN, Effle KJ, Jorgensen L, McGowan MG, Nelson JD, et al. Health-promoting lifestyle behaviors of Spanish-speaking hispanic adults. J Transcult Nurs. 2003;14(3):244–54. doi:10.1177/1043659603014003011.

    Article  PubMed  Google Scholar 

  31. Thompson S. African self-consciousness and health-promoting behaviors among African American college students. J Black Psychol. 2000;26(3):330–45. doi:10.1177/0095798400026003005.

    Article  Google Scholar 

  32. Tang YY, Chen SP. Health promotion behaviors in Chinese family caregivers of patients with stroke. Health Promot Int. 2002;17(4):329–39. doi:10.1093/heapro/17.4.329.

    Article  PubMed  Google Scholar 

  33. Israel B, Schulz A, Parker E, Becker A. Review of community-based research: assessing partnership approaches to improve health. Annu Rev Public Health. 1998;19:173–202. doi:10.1146/annurev.publhealth.19.1.173.

    Article  CAS  PubMed  Google Scholar 

  34. Viswanathan M, Ammerman A, Eng E, Gartlehner G, Lohr KN, Griffith D, Rhodes S, Samuel-Hodge C, Maty S, Lux L, Webb L, Sutton SF, Swinson T, Jackman A, Whitener L. Community-Based Participatory Research: Assessing the Evidence. Evidence Report/Technology Assessment No. 99 (Prepared by RTI–University of North Carolina Evidence-based Practice Center under Contract No. 290-02-0016). AHRQ Publication 04-E022-2. Rockville, MD: Agency for Healthcare Research and Quality. July 2004.

  35. Felix-Aaron K, Stryer D. Moving from Rhetoric to evidence-based action in health care. J Gen Intern Med. 2003;8(7):589–91. doi:10.1046/j.1525-1497.2003.21059.x.

    Article  Google Scholar 

  36. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334. doi:10.1007/BF02310555.

    Article  Google Scholar 

  37. Carlson E, Case A. Study in translation methodology using the health promotion lifestyle profile II. Public Health Nurs (Boston, Mass). 2000;17(1):61–70. doi:10.1046/j.1525-1446.2000.00061.x.

    Article  CAS  Google Scholar 

  38. Cheung GW, Rensvold RB. Assessing extreme and acquiescence response sets in cross-cultural research using structural equations modeling. J Cross-Cult Psychol. 2000;31(2):187–212. doi:10.1177/0022022100031002003.

    Article  Google Scholar 

  39. Marin G, Gamba RJ, Marin BV. Extreme response style and acquiescence among Hispanics: the role of acculturation and education. J Cross-Cult Psychol. 1992;23(4):498–509. doi:10.1177/0022022192234006.

    Article  Google Scholar 

  40. Hui CH, Triandis HC. Effects of culture and response format on extreme response style. J Cross-Cult Psychol. 1989;20(3):296–309. doi:10.1177/0022022189203004.

    Article  Google Scholar 

  41. Gable RK, Wolf MB. Instrument development in the affective domain: measuring attitudes and values in corporate and school settings series: evaluation in education and human services, vol. 36, 2nd ed. Norwell, MA: Kluwer Academic Publisher; 1994. p. 216–217.

  42. Ponce NA, Lavarreda SA, Yen W, Brown ER, DiSogra C, Satter DE. The California health interview survey 2001: translation of a major survey for California’s multiethnic population. Public Health Rep. 2004;119:388–95. doi:10.1016/j.phr.2004.05.002.

    Article  PubMed  Google Scholar 

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Acknowledgements

This project was supported by a funding from W.K. Kellogg Community Health Scholars Program. We would like to thank the Brazilian immigrants in the Greater Boston area for their participation and support, Dr. Beverly Volicer for her guidance with the statistical analyses, Dr. Craig Slatin for his critical feedback on the revisions and edits, and Ruth Brownstein for her technical editorial assistance with the final version of the manuscript.

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Authors and Affiliations

  1. Department of Community Health & Sustainability, School of Health and Environment, University of Massachusetts at Lowell, 3 Solomont Way, Lowell, MA, 01854, USA

    Mansoureh Tajik & C. Eduardo Siqueira

  2. Brazilian Women’s Group, Boston, MA, USA

    Heloisa M. Galvão

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  1. Mansoureh Tajik
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  2. Heloisa M. Galvão
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  3. C. Eduardo Siqueira
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Correspondence to Mansoureh Tajik.

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Tajik, M., Galvão, H.M. & Eduardo Siqueira, C. Health Survey Instrument Development Through a Community-Based Participatory Research Approach: Health Promoting Lifestyle Profile (HPLP-II) and Brazilian Immigrants in Greater Boston. J Immigrant Minority Health 12, 390–397 (2010). https://doi.org/10.1007/s10903-008-9209-4

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