Culturally sensitive depression assessment for Chinese American Immigrants: Development of a comprehensive measure and a screening scale using an item response approach.

Social movement-media/public interaction has been largely examined from the lens of “asymmetric dependency” in which both movements’ representation and self-understanding are mainly shaped by their media and public opinion environment. The introduction of digital technologies, however, has diversified this discursive environment and seemed to reverse the uneven dynamics. Using a case study of a protest campaign organized by Chinese American immigrants, this study demonstrates a new pattern of movement-media/public dynamics that goes beyond the “asymmetric dependency” model or its obverse. In the aftermath of a Chinese American police officer who shot a black man to death, Chinese immigrants stood with him and deliberated on WeChat, a China-based digital platform engineered like a “walled garden.” The technolinguistic enclosure of the platform facilitated the development of a separate interpretative universe in the WeChatsphere vis-à-vis the one in the mediasphere. Later, even when immigrant protesters confronted the public in the Twittersphere, they continued talking past each other. By unpacking the decoupling processes between movements and the media/public, this study shifts the research focus from understanding their interaction to examining their disengagement, as well as the “filter bubble” effects that contribute to contemporary fragmentation and polarization in political and civic engagements.

Download Full-text

Acculturation and Diet Among Chinese American Immigrants in New York City

Current Developments in Nutrition ◽

10.1093/cdn/nzz124 ◽

2019 ◽

Vol 4 (1) ◽

Cited By ~ 3

Author(s):

Lindsey Kirshner ◽

Stella S Yi ◽

Judith Wylie-Rosett ◽

Nirupa R Matthan ◽

Jeannette M Beasley

Keyword(s):

New York ◽

New York City ◽

Diet Quality ◽

York City ◽

Chinese American ◽

Processed Meat ◽

Cross Sectional ◽

Unit Increase ◽

Chinese American Immigrants ◽

Red And Processed Meat

ABSTRACT Background There are limited data on the social and cultural determinants of dietary intake in Chinese Americans. Over 560,000 New York City residents are Chinese American, and there has been a growing trend over the past 30 y of permanent migration from China to the USA. Objectives The purpose of this secondary data analysis is to describe associations between diet, measured by self-report, and diet quality, with level of acculturation in a cross-sectional sample of urban-dwelling Chinese American immigrants. Methods This was a cross-sectional study involving 2071 foreign-born Chinese American adults. Acculturation was assessed using the Stephenson Multigroup Acculturation Scale, diet using a Chinese-adapted FFQ, and diet quality using the Alternative Healthy Eating Index (AHEI). Multivariable regression was used to assess associations between ethnic (ESI; Chinese) and dominant (DSI; American) society immersion scores with self-reported dietary measures. Results No significant associations were found between acculturation and overall AHEI score. Higher ESI and DSI scores were associated with higher vegetable, fruit, and nut/legume scores; a higher DSI score only was associated with higher whole grain and PUFA scores. A 1-unit increase in the ESI score was associated with a 0.005 (P = 0.009) lower red and processed meat component score, whereas a 1-unit increase in DSI score was associated with a 0.01 (P = 0.025) higher red and processed meat component score. Conclusions Assessment of acculturation level may help to tailor dietary strategies that are appropriate to what Chinese American immigrant communities are consuming to more effectively decrease the risk of chronic disease.

Download Full-text

Neighborhood Cohesion and Oral Health Problems Among Older Chinese American Immigrants: Does Acculturation Make a Difference?

The Gerontologist ◽

10.1093/geront/gnz126 ◽

2019 ◽

Cited By ~ 1

Author(s):

Weiyu Mao ◽

Bei Wu ◽

Iris Chi ◽

Wei Yang ◽

Xinqi Dong

Keyword(s):

Oral Health ◽

Chinese American ◽

Health Problems ◽

Stepwise Logistic Regression ◽

Ethnic Enclaves ◽

Neighborhood Cohesion ◽

Logistic Regression Models ◽

Older Chinese ◽

The Relationship ◽

Chinese American Immigrants

Abstract Background and Objectives Despite an increasing, yet still limited amount of research on social determinants of oral health, the influences of neighborhood characteristics remain understudied, especially within the context of immigration. Acculturation is multidimensional, and its influences on the oral health of immigrants vary across age and ethnic groups. This study investigated the relationship between neighborhood cohesion and oral health problems among older Chinese American immigrants, and whether and to what extent acculturation indicators moderate the relationship between such cohesion and oral health. Methods The research design and working sample included 3,157 older Chinese American immigrants aged 60 years or older from the baseline of the Population Study of Chinese Elderly in Chicago. Neighborhood cohesion was measured by a six-item scale. Oral health problems were measured by the presence or absence of such problems. Acculturation included residence in ethnic enclaves, length of stay, and behavioral acculturation. Stepwise logistic regression models with interaction terms (Neighborhood cohesion × Acculturation) were conducted to examine the association between neighborhood cohesion and oral health problems, accounting for sociodemographics, health conditions, and health behaviors. Results Individuals experiencing higher levels of neighborhood cohesion reported a lower likelihood of having oral health problems. The protective effect of neighborhood cohesion against having oral health problems was stronger when individuals resided in ethnic enclaves such as Chinatown. Discussion and Implications To promote optimal oral health, interventions need to account for individuals’ perceptions and levels of integration into their neighborhoods and communities.

Download Full-text

The Effects of a Walking Program on Older Chinese American Immigrants With Hypertension: A Pretest and Posttest Quasi-Experimental Design

Public Health Nursing ◽

10.1111/j.1525-1446.2009.00776.x ◽

2009 ◽

Vol 26 (3) ◽

pp. 240-248 ◽

Cited By ~ 18

Author(s):

Chun-Ying Chiang ◽

Fan-Ko Sun

Keyword(s):

Experimental Design ◽

Chinese American ◽

Walking Program ◽

Quasi Experimental ◽

Older Chinese ◽

Chinese American Immigrants

Download Full-text

Item Response Theory in Affective Instrument Development: An Illustration

Journal of Nursing Measurement ◽

10.1891/1061-3749.9.1.5 ◽

2001 ◽

Vol 9 (1) ◽

pp. 5-22 ◽

Cited By ~ 8

Author(s):

Cheryl T. Beck ◽

Robert K. Gable

Keyword(s):

Item Response Theory ◽

Item Response ◽

Instrument Development ◽

Development Process ◽

Item Difficulty ◽

Empirical Support ◽

Measurement Model ◽

Response Theory ◽

Critical Function ◽

Screening Scale

The benefits of item response theory (IRT) analysis in obtaining empirical support for construct validity make it an essential step in the instrument development process. IRT analysis can result in finer construct interpretations that lead to more thorough descriptions of low- and high-scoring respondents. A critical function of IRT is its ability to determine the adequacy with which the attitude continuum underlying each dimension is assessed by the respective items in an instrument. Many nurse researchers, however, are not reaping the benefits of IRT in the development of affective instruments. The purpose of this article is to familiarize nurse researchers with this valuable approach through a description of the Facets computer program. Facets uses a one parameter (i.e., item difficulty) Rasch measurement model. Data from a survey of 525 new mothers that assessed the psychometric properties of the Postpartum Depresssion Screening Scale are used to illustrate the Facets program. It is hoped that IRT will gain increased prominence in affective instrument development as more nurse researchers become aware of computer programs such as Facets to assist in analysis.

Download Full-text