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At least 19 recordsLinked to original sources

PubMed2001

Ethnic attitudes in relation to ethnic pride and ethnic differentiation.

A comparison of 4 subsamples with the Ethnic Identity Scale (developed for the present study) yielded 2 relatively independent facets of ethnic identity: ethnic pride and belonging (EP) and ethnic differentiation (ED). First, the distinction between EP and ED increased understanding of how age and immigration status affect changes in ethnic identity. In a comparison of Estonians living in Sweden with those living in Estonia, only ED was affected by emigration and contacts with other ethnic groups, although both EP and ED were positively correlated with age. Second, the distinction between EP and ED increased understanding of earlier and seemingly contradictory findings about the connection between ethnic identity and ethnic attitudes. In the present study, EP was not correlated with ethnic attitudes, but, for 2 majority groups, ED was positively correlated with negative evaluations of out-groups. The authors also discuss the role of group status and relationships with the target nation in understanding the relationship between ethnic identity and ethnic attitudes.

Acculturation↗

PubMed2003

Ethnic self-awareness as a function of ethnic group status, group composition, and ethnic identity orientation.

This study found that ethnic self-awareness (i.e., the extent to which people are consciously aware of their ethnicity at any given moment) has different meanings for European Americans and Asian Americans and for Asian Americans with different ethnic identity orientations. The authors found main effects of ethnic group status and ethnic composition on ethnic self-awareness when comparing Asian Americans and European Americans. There was also an interaction effect between ethnic composition and ethnic identity orientation for Asian Americans when examining ethnic self-awareness. Findings are discussed in relation to theories that predict salience of ethnicity and to educators and practitioners who deal with ethnic minority group members.

Acculturation↗

PubMed2005

Maternal ethnicity, paternal ethnicity, and parental ethnic discordance: predictors of preeclampsia.

OBJECTIVE: To examine the association of maternal and paternal ethnicity as well as parental ethnic discordance with preeclampsia. METHODS: Retrospective cohort study of all low-risk women delivered from 1995 to 1999 within a mature managed care organization. Rates of preeclampsia were calculated for maternal, paternal, and combined ethnicity using both univariate and multivariate analyses. RESULTS: Among the 127,544 low-risk women, when examining maternal ethnicity in a multivariate model controlling for maternal age, parity, education, and gestational age, we found that the rates of preeclampsia were higher among African American (5.2%; odds ratio [OR] 1.41, 95% confidence interval [CI] 1.25-1.62) women and lower among Latina (4.0%; OR 0.90, 95% CI 0.84-0.97) and Asian women (3.5%; OR 0.79, 95% CI 0.72-0.88), with all results being statistically significant as compared with white women. When paternal ethnicity was controlled for separately, however, the difference in the rate of preeclampsia among Asian women disappeared, the effect of African-American maternal ethnicity increased slightly (OR 1.49, 95% CI 1.33-1.72), and Asian paternity was found to be associated with the lowest rate of preeclampsia (3.2%; OR 0.76, 95% CI 0.68-0.85). Further, parental ethnic discordance was associated with an increase in the rate of preeclampsia (OR 1.13, 95% CI 1.02 - 1.26). CONCLUSION: We found that rates of preeclampsia were lower with Asian paternal ethnicity. We also found that having a differing paternal and maternal ethnicity was associated with increased rates of preeclampsia. For every 1,000 pregnancies, there would be approximately 10 fewer cases of preeclampsia in the setting of Asian paternity and 5 more cases of preeclampsia in the setting of parental ethnic discordance. These differences may be useful in further investigation of the cause of preeclampsia. LEVEL OF EVIDENCE: II-2.

Adult↗

PubMed2000

The influence of ethnic identity on drug use among ethnic minority adolescents.

Ethnic identity is a significant factor related to self-concept and psychological development and similar to other aspects of identity, is of particular importance during the adolescent years when there is increased vulnerability to drug involvement. However, much of the research relative to adolescent drug use has focused on the annual and current prevalence rates among particular ethnic groups with little attention to ethnic or group identity issues. However, it is important to study and compare ethnic and group identity and its correlates to drug use. This article presents face-to-face interview questionnaire measures of ethnic identity as measured by affirmation and belongingness, ethnic identity achievement, ethnic behavior, and other group orientation [1], and drug use as measured by misuse, abuse, and chemical dependency diagnoses [2]. The questionnaires were administered to 127 (60 Ethnic, 67 White) adolescents from ethnically diverse schools in a large urban school district in the Pacific Northwest. The relationship of ethnic identity to drug use was examined. This study indicates that the questionnaire measures can be used to examine similarities and differences in ethnic identity and drug use among adolescents from different ethnic groups. A key finding of this study was that white adolescents scored lower in ethnic identity than did members of the four ethnic minority groups and the mixed racial group. However, the most significant key finding was that in the ethnic minority sample high levels of cultural identity were associated with heavy drug use. The results of this study suggest that social influences may play a larger role in the development of heavy drug use irrespective of the nature and origins of these social influences.

Adolescent↗

PubMed2000

Ethnic differences in adolescent smoking prevalence in California: are multi-ethnic youth at higher risk?

OBJECTIVE: Although ethnic differences in adolescent smoking have been well documented, smoking among multi-ethnic adolescents has received little research attention. This study examined smoking prevalence and tobacco related psychosocial risk factors among multi-ethnic adolescents in California, as compared with white, African American, Asian American, and Hispanic adolescents. DESIGN: This study used a cross sectional design. Data were obtained from the independent evaluation of the California Tobacco Control, Prevention, and Education Program. SETTING: Students completed a paper-and-pencil survey in their classrooms. SUBJECTS: Data were collected from a stratified random sample of 5072 eighth grade students (age 13-14 years) in California during the 1996-97 school year. The data were weighted by school enrollment in analyses to make the estimates representative of the population of California students attending public schools. MAIN OUTCOME MEASURES: Outcome variables included self reported smoking prevalence, susceptibility to smoking, access to tobacco, and related attitudes, beliefs, and behaviours. Ethnicity was assessed with a self reported, "check all that apply" question. RESULTS: Results indicated that multi-ethnic adolescents were at higher risk than single-ethnic adolescents on several variables, including 30 day cigarette smoking prevalence, lifetime smokeless tobacco use, buying cigarettes, receiving cigarette offers, and expected friends' reaction if the respondent smoked. For several other variables (lifetime cigarette smoking prevalence, susceptibility to smoking, and number of friends who smoked), Hispanic adolescents were at higher risk than all other ethnic groups including multi-ethnic adolescents. Although susceptibility to smoking was highest among Hispanics, multi-ethnic adolescents scored significantly higher on susceptibility than the three other single-ethnic groups. CONCLUSIONS: Multi-ethnic adolescents may be at increased risk for smoking and may have easier access to cigarettes. Culturally targeted smoking prevention interventions for adolescents should address the unique social challenges faced by multi-ethnic adolescents that may increase their risk for smoking.

Adolescent↗

PubMedDate not supplied

Daily variation in ethnic identity, ethnic behaviors, and psychological well-being among American adolescents of Chinese descent.

This study examined the links among Chinese American adolescents' (N = 96) global ethnic identity and their ethnic behaviors, ethnic identity salience, and psychological well-being based on daily diaries collected over a 2-week period. The daily association between engagement in ethnic behaviors and ethnic salience was positive regardless of overall ethnic identity. The daily-level association between ethnic identity salience and well-being, however, was dependent on adolescents' global ethnic identity. Among adolescents who were moderate or high in global ethnic identity, ethnic identity salience was consistently associated with positive well-being at the daily level. In contrast, the daily association between ethnic identity salience and well-being was less strong for youths who were low in ethnic identity. Additionally, a higher level of salience and a weaker association between salience and negative symptoms was found for girls than for boys, and older youths reported a weaker association between salience and positive symptoms than did younger youths.

Adolescent↗

PubMed2002

Ethnicity, environment and health: putting ethnic inequalities in health in their place.

We set out to explore the influence of environment on ethnic inequalities in health. Studies exploring the relationship between environment and health have tended to ignore the role of ethnicity, and the health impact of the residential concentration of ethnic minority groups in disadvantaged areas. Those that have explored the role of ethnicity tend to focus on the way in which residential concentration may promote a sense of community among ethnic minority groups, and, consequently, may be protective of health (the 'ethnic density effect'). Again, they have tended to ignore the health impact of the concentration of ethnic minority groups in areas of social and economic disadvantage. We undertook a factor analysis to determine aspects of perception of 'quality' of the local environment, followed by multi-level analyses to explore the relationship between self-reported fair or poor health and individual- and ward-level characteristics among four ethnic groups (Caribbean, Indian, Pakistani and Bangladeshi, and white) in the UK. Results of the factor analysis suggested three underlying dimensions of perception of quality of the local area, related to the quality of the local environment, the provision of local amenities and local problems of crime and nuisance. These factors were entered into the multi-level models at level 2, along with indicators of ward-level ethnic density and Townsend's deprivation score, with age, gender and household social class entered at level 1. In general, there was a residual random ward-level effect suggesting an area influence on self-assessed health. However, on the whole, none of the ward-level indicators showed any statistically significant association with self-assessed health, making it difficult to precisely determine the mechanisms operating. These findings suggest, though, that there is no ethnic density effect on self-assessed health for ethnic minority groups.

Bangladesh↗

PubMed2006

Subjective, behavioral, and physiological reactivity to ethnically matched and ethnically mismatched film clips.

This study examined whether individuals from 4 major ethnic groups within the United States (African American, Chinese American, European American, and Mexican American) showed greater subjective, behavioral, and physiological responses to emotional film clips (amusement, sadness, and disgust) with actors from their own ethnic group (ethnically matched) compared with actors from the other 3 ethnic groups (ethnically mismatched). Evidence showed greater responsivity to ethnically matched films for African Americans and European Americans, with the largest effect for African Americans. These findings were consistent across both sex and level of cultural identification. Findings of ethnic difference notwithstanding, there were many areas in which ethnic differences were not found (e.g., little or no evidence was found of greater response to ethnically matched films in Chinese-American or Mexican- American participants). These findings indicate that the emotional response system clearly reacts to stimuli of diverse ethnic content; however, the system is also amenable to subtle "tuning" that allows for incrementally enhanced responding to members of one's own ethnic or cultural group.

Adolescent↗

PubMed2004

Ethnic identities and lifestyles in a multi-ethnic cancer patient population.

This report examined ethnic identity in 367 recently diagnosed cancer patients in Hawai'i's primary ethnic groups: Japanese, Hawaiians, Europeans, and Filipinos. The study assessed ethnic self-identify; definitions of and participation in different ethnic lifestyles; and relationships between measures of ethnic self-identity, lifestyle, and other indicators of ethnic and cultural affiliations. Results indicated that medical record-based ethnic indicators were well linked to individual self-reports of family pedigree. Self-descriptors included non-standard terms such as "American" and "Local," and respondents reported following between five and six different ethnically-associated ways of life. Multivariate analysis indicated that ethnic self-identity made a unique contribution that went beyond standard ethnic and acculturative markers in explaining lifestyles. This study provides strong support for multiculturalism in this ethnically heterogeneous population.

Asian↗

PubMed1997

Do ethnic differences in dietary cation intake explain ethnic differences in hypertension prevalence? Results from a cross-sectional analysis.

PURPOSE: To better understand how the magnitude of the association between ethnicity and hypertension is affected by ethnic differences in dietary cation intake, we describe differences in dietary cation intakes and prevalence of hypertension across four ethnic groups (African-Americans, European-Americans, Mexican-Americans, and Puerto Ricans). We also assess the cross-sectional association between: (i) hypertension and self-reported dietary intakes of sodium, potassium, and calcium for each ethnic group; and (ii) ethnicity and hypertension before and after adjustment for dietary cation intakes. METHODS: Data from the Second National Health and Nutrition Examination Survey (1976-1980) and the Hispanic Health and Nutrition Examination Survey (1982-1984) were analyzed. Multiple logistic regression was used to estimate odds ratio (OR) for hypertension for each ethnic group, with adjustment for age, body mass index (BMI), and diabetes status. Comparisons were made to assess whether the magnitude for the ethnicity ORs changed when the three nutrient variables were entered into the model. RESULTS: Mexican-American and Puerto Rican men and women showed clinically and statistically significantly higher mean intakes of the three cations than did African-American men and women, who reported clinically and statistically significantly lower mean intakes of sodium, potassium, and calcium than did European-American men and women. Mean dietary intakes of potassium and calcium were higher for normotensives than for hypertensives among all ethnic groups, except African-American and Mexican-American women. In multivariate modeling, stark differences in ORs for hypertension persisted across ethnic groups despite inclusion of the nutrient variables. CONCLUSION: In this cross-sectional study, adjustment for dietary cation intakes did not alter the magnitude of the ethnic differences in prevalence of hypertension.

Adult↗

PubMed2001

Pension prospects of minority ethnic groups: inequalities by gender and ethnicity.

Minority ethnic groups have low income in later life from private pensions, partly due to shorter employment records in Britain since migration. Yet disadvantage and discrimination in the labour market, as well as differences in cultural norms concerning women's employment, may lead to persistence of ethnic variation in private pension acquisition. Little is known about the pension arrangements made by men and women in minority ethnic groups during the working life. This paper examines the extent of ethnic disadvantage in private pension scheme arrangements and analyses variation according to gender and specific ethnic group, using three years of the British Family Resources Survey, which provides information on over 97,000 adults aged 20-59, including over 5,700 from ethnic minorities. Both men and women in minority ethnic groups were less likely to have private pension coverage than their white counterparts but the extent of the difference was most marked for Pakistanis and Bangladeshis. Ethnicity interacted with gender, so that Blacks showed the least gender inequality in private pension arrangements, reflecting the relatively similar full-time employment rates of Black men and women. A minority ethnic disadvantage in private pension coverage, for both men and women, remained after taking account of age, marital and parental status, years of education, employment variables, class and income. The research suggests that minority ethnic groups - especially women - will be disproportionately dependent on means-tested benefits in later life, due to the combined effects of low private pension coverage and the policy of shifting pension provision towards the private sector.

Adult↗

PubMed2004

Ethnicity and ethnic identity as predictors of drug norms and drug use among preadolescents in the US Southwest.

This article reports the results of research exploring how ethnicity and ethnic identity may "protect" adolescents against drug use and help them form antidrug use norms. This study was conducted in 1998 and is based on a sample of 4364 mostly Mexican American seventh graders residing in a large southwestern city of diverse acculturation statuses. It aims at testing existing findings by conducting the research within the unique geographic and ethnic context of the Southwest region of the United States. This research examines how strength of ethnic identity plays a distinctive role in drug use behavior among the various ethnic groups represented in the sample: Mexican Americans, other Latinos, American Indians, African Americans, non-Hispanic Whites, and those of mixed ethnic backgrounds. Positive ethnic identity (i.e., strong ethnic affiliation, attachment, and pride) was associated with less substance use and stronger antidrug norms in the sample overall. Unexpectedly, the apparently protective effects of positive ethnic identity were generally stronger for non-Hispanic White respondents (a numerical minority group in this sample) than for members of ethnic minority groups. Implications for prevention programs tailored for Mexican/Mexican American students are discussed.

Acculturation↗

PubMed2005

Inconsistencies between self-reported ethnicity and ethnicity recorded in a health maintenance organization.

PURPOSE: Information on patient ethnicity in hospital admissions databases is often used in epidemiologic and health services research. However, the extent of consistency of these data with self-reported ethnicity is not well studied, particularly for specific Asian subgroups. We examined agreement between ethnicity in records of a sample of members of five Northern California Kaiser Permanente medical centers with self-reported ethnicity. METHODS: Subjects were 3168 cases and 2413 controls aged 45 years and older from a study of fractures. Ethnicity recorded in the Kaiser admissions database (primarily inpatient) was compared with self-reported ethnicity from the study interviews. RESULTS: Among study subjects with available Kaiser ethnicity, sensitivities and positive predictive values of the Kaiser classification were high among blacks (0.95 for both measures) and whites (0.98 and 0.94, respectively), slightly lower among Asians (0.88 and 0.95, respectively), and considerably lower among Hispanics (0.55 and 0.81, respectively) and American Indians (0.47 and 0.50, respectively). Among Asian subgroups, the proportion classified as Asian was high among Chinese (0.94) and Japanese (0.99) but lower among Filipinos (0.79) and other Asians (0.74). Among the 228 (4%) subjects who self-identified with multiple ethnicities, 13 of 18 white + Hispanic subjects were classified as being white, and of the 77 subjects identifying as part American Indian, only one was classified as being American Indian in the Kaiser database. CONCLUSIONS: Given the importance of ethnicity information, medical facilities should be encouraged to adopt policies toward collecting high quality data.

California↗

PubMed1992

Ethnic group preferences and the evaluation of ethnic identity among adolescents in The Netherlands.

The relationship between the evaluation of ethnic identity and ethnic group preferences among Dutch and that among ethnic minority adolescents was examined. It was predicted that a more positive attitude toward one's own ethnic identity would be associated with a higher level of ingroup preference. This prediction was confirmed, and this led to the question of how inter-ethnic relations and a positive ethnic identity could be stimulated simultaneously. Not only the ingroup aspect of ethnic group relations was studied but also the outgroup aspect. As members of the high-status group, the Dutch subjects showed a higher level of ingroup preference, compared with ethnic minorities. Also, own-group identification and own-group-oriented patterns of preferences among the Dutch subjects were found to be accompanied by the rejection of minority groups. No such tendency was found among adolescents from ethnic minorities.

Adolescent↗

PubMed2006

Non-reporting and inconsistent reporting of race and ethnicity in articles that claim associations among genotype, outcome, and race or ethnicity.

BACKGROUND: The use of race as a category in medical research is the focus of an intense debate, complicated by the inconsistency of presumed independent variables, race and ethnicity, on which analysis depends. Interpretation is made difficult by inconsistent methods for determining the race or ethnicity of a participant. The failure to specify how race or ethnicity was determined is common in the published literature. HYPOTHESIS: Criteria by which they assign a research participant to racial or ethnic categories are not reported by published articles. METHODS: Methods were reviewed for assigning race and ethnicity of research participants in 268 published reports reporting associations among race (or ethnicity), health outcome and genotype. RESULTS: Of the 268 published reports reviewed, it was found that 192 (72%) did not explain their methods for assigning race or ethnicity as an independent variable. This was despite the fact that 180 (67%) of those reports reached conclusions about associations among genetics, health outcome and race or ethnicity. CONCLUSIONS: More attention needs to be given to the definition of race and ethnicity in genetic studies, especially in those diseases where health disparities are known to exist.

Bias↗

PubMed1996

Ethnic identity in aboriginal Sami adolescents: the impact of the family and the ethnic community context

The influence of parentage and ethnic community context on ethnic self-identification and ethnic attitudes and behaviour were examined in 245 indigenous Sami adolescents in northern Norway. Ethnic identity was strongly related to both parentage and type of ethnic community. Monoethnic adolescents at the coast (with great integration and assimilation) identified themselves mostly as bicultural or Norwegian, but in the highland (with strong ethnic support), they identified strongly as Samis. Adolescents with mixed parentage identified strongly as Norwegian at the coast but mostly as bicultural in the highland. Ethnic behaviour and attitudes were significantly associated with both family and regional context; ethnic self-identification was related to other components of ethnic identity.

Journal Article↗

PubMed1993

The effect of ethnic threat on ethnic self-concept and own-group ratings.

The effect of ethnic threat on adolescents' ethnic self-concept and own-group ratings, and the role of self-esteem and ethnic identity in mediating this effect were examined. Hispanic high school students in the United States received either negative (threat) or neutral information about their ethnic group. Ethnic self-concept and own-group ratings were then assessed. The negative information resulted in lower overall ethnic group ratings, but not in lower ethnic self-concept. Self-esteem was a better predictor of ethnic ratings than ethnic identity was.

Acculturation↗

PubMed2004

Using routinely recorded ethnicity: analysis of waiting times for elective admissions by ethnic group.

OBJECTIVE: To assess whether patients from non-white ethnic groups wait longer than white patients for elective in-patient admissions at St Mary's Hospital in London. METHODS: Patients who came off the waiting list for an elective inpatient admission between 1 April 2000 and 31 March 2001 were selected. A multivariable log linear model was developed to assess geometric mean waiting times for Black, Asian, Other and Missing ethnic groups compared to the White group, adjusted for age, sex, urgency and distance. RESULTS: Caution is needed in interpreting results, as a large number of patients had no usable ethnic code. There was no strong evidence that waiting times for ethnic groups were systematically different than for the White group. However, there was some evidence that white patients waited longer for a coronary arteriography than patients in other ethnic groups. This was partially explained by age, sex, clinical urgency and residential distance from St Mary's. CONCLUSIONS: The large proportion of patients with no usable ethnic code, lack of robust methods for case-mix adjustment and multiple ethnic categories makes analysis methodologically difficult. Regular and informative analysis of ethnic coded data is a necessary step in improving the accuracy and completeness of coding.

Elective Surgical Procedures↗