PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Hmong”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 109 records · Page 6Linked to original sources
PubMed1994

Childbirth and soul loss: the case of a Hmong woman.

The health of a Hmong woman had been deteriorating since she underwent caesarean section. She believes that her ill health is caused by her soul leaving her body during general anaesthesia. A caesarean was essential for the survival of the fetus, but it could have been better managed. The situation might have been prevented if the cultural beliefs and practices of the Hmong had been taken into account. Nevertheless, the agreement of the hospital to a soul calling ceremony in the operating theatre and the concerns expressed by hospital staff about her well-being are positive aspects, showing that mainstream health services can provide culturally sensitive care to consumers if they are informed of these cultural beliefs and practices.

Adult↗
PubMedDate not supplied

Methodological issues in the anthropometric assessment of Hmong children in the United States.

The effectiveness of the body mass index (BMI; kg/m2) in assessing overweight/obesity may be diminished in populations of short stature. In a sample (n = 79) of Hmong refugee children in the United States, of age 4-11 years, median z scores for height, BMI, and the triceps skinfold were -1.04z, +0.53z, and +0.18z, respectively. Further, 41.7% of children were above the NHANES 85th percentile for BMI-for-age, categorizing them as overweight/obese. Assessment of obesity by other established criteria for children, such as the triceps skinfold and body fat percentage, produced significantly lower estimates than did BMI. This is consistent with patterns found in other stunted populations, suggesting that BMI be employed in conjunction with other methods when assessing overweight/obesity in these groups. Finally, although stunting and overweight/obesity were both common in this study, at the individual level height z scores were positively correlated to z scores of various measures of adiposity.

Anthropometry↗
PubMed1984

Acculturation and mental health: a study of Hmong refugees at 1.5 and 3.5 years postmigration.

This study of Hmong refugees at 1.5 and 3.5 years following arrival in the United States showed considerable improvement on psychiatric self-rating scales. Social changes over the 2 year interim (including a high unemployment rate) were few. Earlier premigration and postmigration variables correlated with high symptom levels at 1.5 years were not correlated with these symptoms at 3.5 years. Events in the acculturation process which accompany, and perhaps account for some of these observations are indicated.

Acculturation↗
PubMed2001

Organochlorine pesticide residues in human milk of a Hmong hill tribe living in Northern Thailand.

In December 1998 whole breast milk samples from 25 Hmong mothers living in the village of Mae Sa Mai, 40 km north of Chiang Mai City, Northern Thailand, were collected and analysed for DDT, heptachlor, HCB and HCH residues (fat normalized data). Short questionnaires and anthropometric measurements were used to obtain information on personal characteristics, lifestyle, contact with pesticides, dietary habits and former residences. DDT was detected in all samples with a median and maximum level of 209 and 2012 ng of total DDT isomers per millilitre of milk, respectively. The median and highest percentages of p,p'-DDT were 23.2 and 44.7%. In 15 samples heptachlor was detected in the metabolized form of heptachlor-epoxide with a median value of 4.4 ng/ml. The estimated daily intakes of DDT, heptachlor and heptachlor-epoxide by the infants exceeded up to 20 times the acceptable daily intakes as recommended by the FAO and WHO. In nine samples HCB was detected with a median value of 5.4 ng/ml from which seven of the nine also had the highest values of DDT residues. The gamma-isomer of HCH was only found in one sample with 3.6 ng/ml. The mean sum-DDT residues with 14.96 mg/kg milk fat, as well as the estimated daily intakes by the infants are one of the highest reported in the 1990s. The fact that the mother breast-feeds her first child and that she originally comes from a region where DDT is still in use as a vector control agent, as well as the former use of organochlorine pesticides (OCPs) in agriculture, seem to be the main factors for high DDT and other OCP residues in the mothers' milk.

Adolescent↗
PubMed2004

Shamans in a Hmong American community.

OBJECTIVE: To increase understanding of the process and meanings of shamanic care from patient complaint through diagnosis, treatment, and outcome. DESIGN: Information collected from 924 patient contact forms completed by 36 shamans over an 18-month period included basic demographic information on the patients, their complaints, treatments suggested by the shamans and the shamans' perceptions of the outcomes of treatment. These data were translated and entered into a computer database. LOCATION: A Hmong American community in California's Central Valley. METHODS: Quantitative descriptions of the sample were generated and integrated with qualitative analysis of the content of the text from the diagnostic, treatment and outcome categories was performed to systematically identify patterns in the data. RESULTS: Patients sought shamanic help for an array of physical, emotional, and psychologic complaints--problems that the shamans frequently diagnosed as being caused by soul loss or bad spirits. CONCLUSIONS: The data suggest the persistence of the need for the spiritual healing provided by the shamans within this immigrant community. Shamans' rituals affirmed and strengthened connections to family, culture, and community.

Adult↗
PubMed1993

Development of a transcultural health education program for the Hmong.

CNSs face unique opportunities and challenges in meeting the health care needs of culturally diverse populations. As an education consultant involved in the development and implementation of a transcultural health education program, a CNS is required to have expert knowledge of the target population's health beliefs, values, and practices as well as knowledge of their language, level of literacy, and traditional teaching-learning styles. A critical consideration includes the use of a pluralistic model of education that addresses both the implicit and explicit conditions of learning and education. This paper describes the model and its application in the development and implementation of a health education program for the Hmong. The transcultural education process is examined and analyzed for appropriateness and effectiveness.

Health Education↗
PubMed1983

Migration and mental health among Hmong refugees. Association of pre- and postmigration factors with self-rating scales.

To date there have been no epidemiological studies of a refugee population using self-rating scales. This method was used in a study of Hmong refugees in Minnesota. Self-reported symptoms were compared with premigration and postmigration factors to assess those characteristics associated with increased symptom reporting. Relatively few premigration factors influenced these self-reports, whereas several postmigration factors were significantly correlated with symptoms. These findings suggest certain interventions which might enhance the adjustment of subsequent refugees.

Adult↗
PubMed1983

Spirits, shamans, and nightmare death: survivor stress in a Hmong refugee.

The interaction of war, flight, relocation, and survivor stress are examined in a case study of a Hmong refugee. The need for culturally appropriate treatments for non-Western clients is highlighted, and a possible link is suggested between the circumstances of the case study and sudden death syndrome.

Adult↗
PubMed1987

Measures of phonation type in Hmong.

This study examines measures of glottal flow for vowels of Hmong, a Southeast Asian language which uses breathy and normal phonation contrastively. A software inverse filter was used to recover glottal airflow from oral airflow recordings. Properties of glottal flow measured in the time domain were glottal pulse symmetry and relative closed-phase duration. In the frequency domain, measures of spectral tilt and the amplitude difference between F0 and H2 were applied to discrete Fourier transforms (DFTs) of the glottal flow waveforms. Spectral tilt could not be reliably measured for many tokens. For the other measures, values were available for all tokens and were compared across phonation types. Flow pulse symmetry is not significantly different for breathy and normal-voice vowels. On the other hand, prominence of the fundamental relative to the second harmonic is a very significant correlate of the breathy/normal distinction, as is the relative closed-phase duration. These results are considered in light of an existing model of the voice source.

Asia, Southeastern↗
PubMed1984

Symptom change over time among Hmong refugees: psychiatric patients versus nonpatients.

Most Hmong refugees in Minnesota were assessed in September, 1977, using two self-rating scales (Zung Scale for Depression and 90-item Symptom Checklist). The same group was restudied two years later. During 12 months of 1977-78, psychiatric services were offered to this population. Those seeking psychiatric care were compared with those who did not. These data indicate that the patients reported considerably more symptoms than nonpatients in 1977 prior to receiving care. The patients showed more improvement than the nonpatients between 1977 and 1979.

Adult↗
PubMed1988

DSM-III psychiatric disorders among Hmong refugees in the United States: a point prevalence study.

The author reports on a survey of 97 Hmong adult refugees in the United States. Thirty of these refugees showed symptoms of chronic maladjustment, and 13 showed another DSM-III axis I disorder; two manifested a paranoid psychosis, and six had a major depression. There were few axis II diagnoses. Medical conditions were frequent and often psychophysiological in nature, but they were not associated with axis I disorders. Axis IV psychosocial stressors were not associated with axis I diagnoses, but subjects with an axis I disorder tended to show lower adaptive levels on axis V. The demographic condition most strongly associated with an axis I diagnosis was current status as a welfare recipient.

Acculturation↗
PubMed2006

Our lives were healthier before: focus groups with African American, American Indian, Hispanic/Latino, and Hmong people with diabetes.

Focus groups were conducted to explore health-related beliefs and experiences of African American, Hispanic/Latino, American Indian, and Hmong people with diabetes and engage community members in improving diabetes care and education for these populations. Eighty participants attended 12 focus groups, 3 per population. Major themes were loss of health attributed to modern American lifestyles, lack of confidence in the medical system, and the importance of spirituality. Participants recommended improvements in the areas of health care, diabetes education, social support, and community action. Their recommendations emphasize the importance of respectful, knowledgeable health care providers; culturally responsive diabetes education for people with diabetes and their families; and broad-based community action. These recommendations align with current public health priorities and medical knowledge. It is proposed that healthy traditions from diverse populations can be leveraged to improve the health of all people with diabetes.

Adult↗
PubMed2005

Adherence with hypertension care among Hmong Americans.

To assess contexts of adherence with hypertension care among Hmong Americans, in-person interviews were conducted with a convenience sample of 323 adults using culturally adapted survey instruments. The mean age of participants was 58 years; 91% had no education, and 86% spoke no English. Although more than 90% had health insurance and were treated with medications, the rate of blood pressure control was low (27%). A majority (> 90%) suffered from psychological distress, and 46% lived with physical illness. Over 50% reported nonadherence with hypertension care. Respondents who were 50 years of age or older, had no physical illness, did not know that hypertension was preventable, or believed that American medicine was too strong, were more likely to report nonadherence with proper medication consumption. Findings suggest that adherence was not due to lack of health care coverage; instead, it may be due to gaps in health services.

Adult↗
PubMed2003

Prospective diagnosis of 2-methylbutyryl-CoA dehydrogenase deficiency in the Hmong population by newborn screening using tandem mass spectrometry.

OBJECTIVE: 2-methylbutyryl-CoA dehydrogenase deficiency, also known as short/branched-chain acyl-CoA dehydrogenase (SBCAD) deficiency, is a recently described autosomal recessive disorder of L-isoleucine metabolism. Only 4 affected individuals in 2 families have been described. One patient developed athetoid cerebral palsy, and another had severe motor developmental delay with muscle atrophy. A sibling of the first patient is asymptomatic after prenatal diagnosis and early treatment. Family investigations in the second family revealed that the patient's mother was also affected but asymptomatic. METHODS: We report 8 additional patients identified by prospective newborn screening using tandem mass spectrometry. RESULTS: Molecular genetic analysis performed for 3 of these patients revealed that all are homozygous for an 1165A>G mutation that causes skipping of exon 10 of the SBCAD gene. Although there was no obvious consanguinity, all patients belong to the Hmong, an ancient ethnic group that originated in China and constitutes only 0.8% and 0.6% of the Minnesota and Wisconsin population, respectively. Dietary treatment was initiated in the neonatal period. Except for 1 patient who developed mild muscle hypotonia, all patients remain asymptomatic at ages ranging from 3 to 14 months of age. CONCLUSIONS: These cases suggest that SBCAD deficiency is another inborn error of metabolism detectable by newborn screening using tandem mass spectrometry. The continued efficacy of long-term dietary therapy instituted presymptomatically remains to be established.

Amino Acid Metabolism, Inborn Errors↗
PubMed1990

Comparison of beliefs and practices of ethnic Viet and Lao Hmong concerning illness, healing, death and mourning: implications for hospice care with refugees in Canada.

This research paper examines the background, cosmology, and health, illness, healing, death, and mourning-related beliefs and practices of two groups of refugees in Canada, the ethnic Viet and the Lao Hmong. Emphasis is placed on the syndrome of uprootedness among refugees which exacerbates the patient's sense of loss in the palliative care setting. Practical recommendations to improve care of these patients and their families are made.

Attitude to Death↗