Concept Analysis of Acculturation in Filipino Immigrants Within Health Context
Reimund Serafica, MSN, RN Reimund Serafica, MSN, RN, is a Doctoral candidate in Nursing (Research & Education) at the University of Hawaii at Manoa. Keywords Acculturation, Filipino immigrants, concept analysis Correspondence Reimund Serafica, MSN, RN, School of Nursing & Dental Hygiene, University of Hawaii at Manoa, Honolulu, HI 96822. E-mail: reimund@hawaii.edu
nuf_231
128..136
Although acculturation has been widely used as a health research variable among other immigrant populations, it is nonexistent to the Filipino immigrant population. Accurate assessment, measurement, and exploration of acculturation of Filipinos in the United States can help improve the overall health care of this population. The work of Walker and Avant is used as a guide to analyze and clarify the operational definition of acculturation of this group within the context of health.
Introduction The U.S. Census Bureau determined that in 2000, Filipino Americans (FAs) numbered 1,850,314 and are the second largest Asian ethnic group (U.S. Census Bureau, 2002) in the United States. This is a 32% increase from 1990 and a 137% increase from 1980 (Chung et al., 2007). These waves of immigration from the Philippines can be characterized as a search for economic opportunity and family reunification (de Castro, Gee, & Takeuchi, 2008; Kataoka-Yahiro, Ceria, & Yoder, 2004). As the FA population continues to rapidly increase, it is important to understand the process of acculturation that occurs in this population and its potential to affect their lifestyle choices and health status. Selection of Concept The concept of acculturation is central to immigrant population. Acculturation has been widely used as a research variable to measure the effects of cultural beliefs and values on health and to study how those effects may change as individuals integrate some of the values of the
References: Alba, R., & Nee, V. (1997). Rethinking assimilation theory for a new era of immigration. International Migration Review, 31(4), 826–874. Aruguete, M., Edman, J., Sanders, G., & Yates, A. (2007). Eating and acculturation in a Filipino American population on a small Hawaiian island. North American Journal of Psychology, 9(2), 347–358. Atienza, A. (2005). Comparing self-reported versus objectively measured physical activity behavior: A preliminary investigation of older Filipino American women. Research Quarterly for Exercise and Sport, 76(3), 358–362. Ben-Sira, Z. (1997). Immigration, stress, and readjustment. Wesport, CT: Greenwood Publishing Group. Bermudez, O., Falcon, L., & Tucker, K. (2000). Intake and food sources of macronutrients among older Hispanic adults: Association with ethnicity, acculturation, and length of residence in the United States. Journal of the American Dietetic Association, 100, 665–673. Concept Analysis Berry, J. (1997). Immigration, acculturation, and adaptation. Applied Psychology: An International Review, 46(1), 5–68. Bjorck, J., Cuthberston, W., Thurman, J., & Lee, Y. (2001). Ethnicity, coping, and distress among Korean Americans, Filipino Americans, and Caucasian Americans. Journal of Social Psychology, 141, 421–442. Caetano, R., Clark, C., & Tam, T. (1998). Alcohol consumption among racial/ethnic minorities. Alcohol Health & Research World, 22(4), 233–242. Centers for Disease Control and Prevention, President’s Council on Physical Fitness and Sports. (2009). Healthy People 2010 midcourse review. Retrieved September 29, 2009, from http://www.healthypeople.gov/data/ midcourse/html/focusareas/FA22TOC.htm Chen, X., Unger, J. B., Cruz, T. B., & Johnson, C. A. (1999). Smoking patterns of Asian-American youth in California and their relationship with acculturation. Journal of Adolescent Health, 24, 321–328. Choi, S., Rankin, S., Stewart, A., & Oka, R. (2008). Effects of acculturation on smoking behavior in Asian Americans: A meta-analysis. Journal of Cardiovascular Nursing, 23(1), 66–73. Chou, F. Y., Dodd, M., Abrams, D., & Padilla, G. (2007). Symptoms, self-care, and quality of life of Chinese American patients with cancer. Oncology Nursing Forum, 36(6), 1162–1167. Chung, P., Travis, R., Kilpatrick, S., Elliot, M., Lui, C., & Schuster, M. (2007). Acculturation and parentadolescent communication about sex in the FilipinoAmerican families: A community-based participatory research study. Journal of Adolescent Health, 40, 543– 550. Church, A. T. (Ed.) (1986). Filipino personality: A review of research and writings. Manila, Philippines: De La Salle University Press. Cuasay, L., Lee, E., Orlander, P., Steffen-Batey, L., & Hanis, C. (2001). Prevalence and determinants of type 2 diabetes among Filipino-Americans in the Houston, Texas metropolitan statistical area. Diabetes Care, 24(12), 2054– 2058. Dana, R. (1996). Assessment of acculturation in Hispanic populations. Hispanic Journal of Behavioral Science, 18, 317– 328. de Castro, A., Gee, G., & Takeuchi, D. (2008). Job-related stress and chronic health conditions among Filipino immigrants. Journal of Immigrant Minority Health, 10(6), 551–558. Dela Cruz, F., & Galang, C. (2008). The illness beliefs, perceptions and practices of Filipino Americans with hypertension. Journal of the American Academy of Nurse Practitioners, 20(3), 118–127. Dela Cruz, F., Padilla, G., & Agustin, E. (2000). Adapting a measure of acculturation for cross-cultural research. Journal of Transcultural Nursing, 11(3), 191–198. Duncan, C., Cloutier, J., & Bailey, P. (2007). Concept analysis: The importance of differentiating the ontological focus. Journal of Advanced Nursing, 58(3), 293–300. Emerson, E., Griffin, M., L’Eplattenier, N., & Fitzpatrick, J. (2008). Job satisfaction and acculturation among Filipino registered nurses. Journal of Nursing Scholarship, 40(1), 46–51. 135 © 2011 Wiley Periodicals, Inc. Nursing Forum Volume 46, No. 3, July-September 2011 Concept Analysis Evenson, K., Sarmiento, O., & Ayala, G. X. (2004). Acculturation and physical activity among North Carolina Latina immigrants. Social Science & Medicine, 59(2), 2509– 2522. Gibson, M. (2001). Immigrant adaptation and patterns of acculturation. Human Development, 44, 19–23. Glanz, K., Maskarinec, G., & Carlin, L. (2005). Ethnicity, sense of coherence, and tobacco use among adolescents. Annals of Behavioral Medicine, 29(3), 192–199. Gomez, S., Kelsey, J., Glaser, S., Lee, M., & Sidney, S. (2004). Immigration and acculturation in relation to health and health-related risks factors among specific Asian subgroups in a health maintenance organization. American Journal of Public Health, 94, 1977–1984. Hunt, L., Schneider, S., & Comer, B. (2004). Should acculturation be a variable in health research? A critical review of research on US Hispanics. Social Science & Medicine, 59, 973–986. Kataoka-Yahiro, M., Ceria, C., & Yoder, M. (2004). Grandparent caregiving role in Filipino American Families. Journal of Cultural Diversity, 11(3), 110–117. Kim, J., Ashing-Giwa, K., Singer, M., & Tejero, J. (2006). Breast cancer among Asian-Americans: Is acculturation related to health-related quality of life? Oncology Nursing Forum, 33(6), E90–E99. Kitano, H. H. L., & Chi, I. (1986/1987). Asian-Americans and alcohol use: An exploration of cultural differences in Los Angeles. Alcohol Health and Research World, 11(2), 42–47. Landrine, H., & Klonoff, E. (2004). Culture change and ethnic minority health behavior: An operant theory of acculturation. Journal of Behavioral Medicine, 27, 527–555. Lara, M., Gamboa, C., Kahramanian, M., Morales, L., & Hayes-Bautista, D. (2005). Acculturation and Latino health in the United States: A review of the literature and its sociopolitical context. Annual Review of Public Health, 26, 367–397. Larson, K. L., & McQuiston, C. (2008). Walking out of one culture into another: Health concerns of Latino adolescents. Journal of School Nursing, 24, 88–94. Lee, S., Sobal, J., & Frongillo, E. (2000). Acculturation and health in Korean Americans. Social Science Medicine, 51, 159–173. Magnusdottir, H. (2005). Overcoming strangeness and communication barriers: A phenomenological study of becoming a foreign nurse. International Nursing Review, 52, 263–269. Maxwell, A., Garcia, G., & Berman, B. (2007). Understanding tobacco use among Filipino American men. Nicotine & Tobacco Research, 9(7), 769–776. McAdam, J., Stotts, N., Padilla, G., & Puntillo, K. (2005). Attitudes of critically ill Filipino patients and their families toward advance directives. American Journal of Critical Care, 14(1), 17–25. Miranda, B., McBride, M., & Spangler, Z. (1999). Filipino Americans. In L. Purnell & B. Paulanka (Eds.), Transcultural health care: A culturally competent approach (pp. 245– 272). Philadelphia: F.A. Davis. Mossakowski, K. (2007). Are immigrants healthier? The case of depression among Filipino Americans. Social Psychology Quarterly, 70, 290–304. R. Serafica Mui, A., & Kang, S. (2006). Acculturation stress and depression among Asian American elders. Social Work, 51(3), 243–255. Nadal, K. (2000). F/Pilipino American substance abuse: Sociocultural factors and methods of treatment. Journal of Alcohol & Drug Education., 46(2), 26–36. Nemoto, T., Operario, D., & Soma, T. (2002). Risk behaviors for Filipino methamphetamine users in San Francisco: Implications for prevention and treatment of drug use and HIV. U.S. Department of Health and Human Services, Public Health Reports, 117(Suppl 1), S30–S38. Olsen, L. (2000). Learning English and learning America: Immigrants in the center of the storm. Theory Into Practice, 39(4), 196–202. Rodgers, B., & Knalf, K. (2000). Concept development in nursing. Foundations, techniques, and applications (2nd ed.). Philadelphia: W. B. Saunders Company. Salamonson, Y., Everett, B., Koch, J., Andrew, S., & Davidson, P. M. (2008). English-language acculturation predicts academic performance in nursing students who speak English as a second language. Research in Nursing & Health, 31(1), 86–94. Spector, R. (2000). Cultural diversity in health & illness (5th ed.). Upper Saddle River, NJ: Prentice Hall. Tan, E. (2006). Overseas Filipinos’ remittance behavior. Retrieved May 3, 2010, from http://www.econ.upd.edu. ph/respub/dp/pdf/DP2006-03.pdf Tudor-Locke, C., Ainsworth, B., Adair, L., Du, S., Lee, N., & Popkin, B. (2006). Cross-sectional comparison of physical activity and inactivity patterns in Chinese and Filipino youth. Child: Care, Health and Development, 33(1), 59–66. U.S. Census Bureau. (2002). The Asian population: 2000. Retrieved August 28, 2008, from http://www.census.gov/ prod/2002pubs/c2kbr01-16.pdf U.S. Department of Health & Human Services. (2010). Healthy People 2020: A systematic approach to health improvement. Retrieved March 23, 2010, from U.S. Department of Health & Human Services Web Site http:// www.dhhs.gov/ Unger, J., Reynolds, K., Shakib, S., Spruijt-Metz, D., Sun, P., & Johnson, A. (2004). Acculturation, physical activity, and fast-food consumption among Asian-American and Hispanic adolescents. Journal of Community Health, 29(6), 467–481. Unzueta, M., Globe, D., Wu, J., Paz, S., Azen, S., & Varma, R. (2004). Compliance with recommendations for follow-up care in Latinos: The Los Angeles Latino eye study. Ethnicity and Disease, 14, 285–291. Walker, L., & Avant, K. (2005). Strategies for theory construction in nursing (4th ed.). Upper Saddle River, NJ: Pearson Prentice Hall. Withers, J., & Snowball, J. (2003). Adapting to a new culture: A study of the expectations and experiences of Filipino nurses in the Oxford Radcliffe hospitals NHS trust. Nursing Times Research, 8(4), 278–290. World Health Organization. (2008). Pacific physical activity guidelines for adults: Framework for accelerating the communication of physical activity guidelines. Publications Office, WHO Pacific Regional Office for the Western Pacific, P.O. Box 2932, 1000, Manila, Philippines. 136 © 2011 Wiley Periodicals, Inc. Nursing Forum Volume 46, No. 3, July-September 2011 Copyright of Nursing Forum is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder 's express written permission. However, users may print, download, or email articles for individual use.