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An understanding of patterns of food consumption that are theorized to be "weight-related eating"—routine restraint, compensatory restraint, susceptibility to external cues, and emotional eating—among Latino college students may help with efforts to understand elevated rates of higher weight and combat risk of diet- and obesity-related diseases seen in Latino men. It was hypothesized that body-image variables, acculturation, enculturation, and acculturation–enculturation interaction would predict weight-related eating in Latino college students. Survey data from 96 U.S. college students who self-identified as male and Latino were analyzed. Approximately 60% of participants were people with higher weight. Correlations indicated that body mass index, acculturation, and enculturation played minimal roles in the prediction of weight-related eating in Latino college students. Logistic regressions revealed that Overweight Preoccupation was often the sole variable that contributed significantly to weight-related eating. However, higher levels of acculturation to Anglo culture were positively related to caring about appearance, whereas higher levels of enculturation to Latinx culture were positively related to satisfaction with appearance among Latino college students. Although body image is a multifaceted construct, preoccupation with being overweight may be a key phenomenon in weight-related eating among Latino college students. The results suggest the need for empirical attention to the importance of targeting Overweight Preoccupation to reduce weight-related eating in Latino college students. Implications also include the need for investigation of the relationships among body-image variables, acculturation, and enculturation. Limitations and future directions are discussed. Public Significance Statement: Overweight Preoccupation was an important correlate of many forms of weight-related eating. Approximately sixty percent of a group of male Latino college students reported that they have higher weight (e.g., overweight, obesity). [ABSTRACT FROM AUTHOR]

This article explores the results of a qualitative study in which three faculty-student subject pairs worked on a piece of music whose composer shared a cultural minority identity with the singer. The authors begin by discussing factors influencing U.S. collegiate voice studies and then shift to describing the study protocols and philosophies that shape qualitative research methodology. This writing explores the themes that emerged from semi-structured interviews and journal analysis. The subjects' words and experiences inform final reflections on singer-composer identity alignment as a potential culturally responsive practice in voice studies. [ABSTRACT FROM AUTHOR]

Previous studies have documented cultural gaps in levels of well‐being, particularly within the contexts of individualistic and collectivistic nations. However, the underlying mechanisms responsible for the disparities remain incompletely understood. Therefore, the primary objective of this study was to explore how cross‐cultural differences in the use of emotion regulation (cognitive reappraisal and expressive suppression) and coping (problem‐focused and avoidant coping) predict health outcomes, specifically happiness and loneliness. As expected, the results of structural equation modelling demonstrated that American participants were more likely to use reappraisal and problem‐focused coping, both of which were positively associated with happiness but negatively linked to loneliness. In contrast, Japanese participants tended to lean toward suppression and avoidant coping, resulting in lower happiness and greater loneliness. Overall, the present findings affirm the substantial influence of cultural norms and values on regulatory strategies individuals employ in response to daily stressors, which are inextricably tied to human functioning. [ABSTRACT FROM AUTHOR]

Advancing interventions and supports for individuals with autism spectrum disorder (ASD) requires understanding that ASD is a lifelong developmental difference. However, little is known about the unique experiences of autistic young adults, parents, and community providers in the Latino community. The purpose of this study was to improve access to inclusive community based setting by identifying and learning about barriers and needs experienced by young adults, parents, and community providers of autistic individuals across the lifespan, but particularly during the transition to adulthood. Ten community providers, eighteen parents of autistic children, and five young adult self-advocates participated in focus groups. Parents discussed difficulties in accessing services throughout their child's life that made the transition to adulthood difficult. Themes highlighted important cultural values that can influence the transition to adulthood for Latinos and the difficulty in accessing bilingual service providers and services. Parents displayed significant advocacy skills and resourcefulness. We present recommendations shared by young adults, parents, and providers on ways to improve access to services and develop interventions for autistic young adults and parents. The present study has important implications regarding advancing interventions and supports for autistic young adults and their parents in the Latino community by developing culturally adapted services. [ABSTRACT FROM AUTHOR]

Background: Depression is a common mental illness that increases the risk of suicide, substance abuse, and chronic pain. Nationally, 21 million adults have had one untreated depressive episode, 1.4 million people have had suicide attempts, and 1 death occurs every 10 minutes. Depression has an annual economic burden of $326 billion for the American economy. Objectives: This quality improvement project aims to review the existing literature on depression, audit local businesses, survey clients, and team members to identify a gap in practice and then collect and analyze data to draw conclusions and make recommendations based on the findings. Methods: This initiative used four Plan–Do–Study–Act rapid quality improvement cycles. Data were collected and analyzed, and the results were used to make iterative changes. Results: Depression screening improved by 90%, and 317 clients were screened over 8 weeks. Twenty-eight percent of those screened had depression and were engaged in managing their symptoms. Both screening and care improved, and the aim of 89% was met. Conclusions: This initiative bridged a gap in depression screening and care. It also demonstrated a positive outcome, had the potential for sustainability, and spread to other faith communities. Implications for Nursing: A system should be put in place for depression screening, care, and referrals. [ABSTRACT FROM AUTHOR]

Background/Objectives: This longitudinal study aimed to examine how gender influences the relationship between popularity goals and cyberbullying perpetration among adolescents in China and the United States, controlling for peer-nominated popularity. Additionally, the study sought to identify potential cross-cultural differences in these dynamics. Methods: The research involved 1063 eighth and ninth graders (ages 12–16; 48.7% girls) who completed self-reported surveys in the fall of 2022 (Time 1) regarding cyberbullying behaviors and popularity goals. Peer nominations of popularity were also collected. Follow-up data on cyberbullying perpetration were obtained one year later in the fall of 2023 (Time 2). Results: Popularity goals were found to positively predict cyberbullying perpetration at Time 2 across all participants even after accounting for peer-nominated popularity. In China, this association was more pronounced among boys, whereas in the United States, the relationship was stronger for girls. Conclusions: Although cultural differences in the overall patterns were minimal, gender emerged as a significant moderating factor, revealing distinct cross-cultural variations. These findings underscore the need for culturally tailored approaches in interventions targeting adolescent cyberbullying. [ABSTRACT FROM AUTHOR]

Background: The population of people living with dementia (PLwD) continues to grow in Japan where advance care planning (ACP) for PLwD is relatively new. Our aim was to evaluate the feasibility and cultural acceptability of a dementia‐specific ACP communication skills toolkit for Japanese primary care clinicians. Methods: We delivered 13 training sessions in primary care clinics across central Japan and conducted a post‐training survey to assess whether the toolkit increased confidence in dementia‐specific ACP communication skills and the acceptability of the toolkit with the following four statements: (1) The language in the sessions was clear, (2) The sessions took an appropriate amount of time to complete, (3) The design of the sessions was an effective educational method, and (4) The sessions were culturally appropriate for communication with Japanese patients with dementia and their family members. We asked participants to respond using a 5‐point Likert scale from strongly agree to strongly disagree. Results: All participants were Japanese and included 80 physicians (mean age 39.8 years), 33 nurses (mean age 45.7 years), and 58 other participants (mean age 42.9 years), who were 30.0%, 87.9%, and 55.2% female, respectively. Most participants practiced in rural settings. In pre‐ post‐comparisons, participant confidence increased in determining capacity, understanding dementia prognosis, goals of care, eliciting surrogates, recommending self‐care practices to families, and leading family meetings (all p < 0.001). Most participants strongly agreed or agreed that the toolkit was an effective method (96.9%), took an appropriate amount of time (94.5%), contained clear language (89.8%), and was culturally appropriate (73.6%). Conclusions: Dementia‐specific ACP communication skills toolkit can be delivered in Japan. Japanese primary care clinicians generally felt the dementia‐specific ACP toolkit increased their confidence in ACP communication skills and was acceptable. The language, time, and design were well received, though further work is needed to improve the cultural appropriateness of the toolkit. [ABSTRACT FROM AUTHOR]

This cross-cultural study examines the differences in TikTok use among users from the United States, Spain, and Chile. A survey, in English, European Spanish, and Latin American Spanish respectively, was administered to 556 TikTok users across the three countries. These users shared similar demographic characteristics, and multigroup measurement models were established to support cross-country measurement invariance. Our results show that Chilean TikTokers are the least engaged on the platform, but have more followers on average than their American and Spanish counterparts. Additionally, users' motivations for and uses of TikTok are associated with their countries' national cultural values. For instance, TikTok users in Chile and Spain, which are collectivistic societies, view the platform as a socialisation tool more than users in the individualistic United States. Lastly, Chileans, who have a high uncertainty avoidance level, tend to avoid self-expression and archiving on TikTok compared to Americans, who have a low uncertainty avoidance level. [ABSTRACT FROM AUTHOR]

Native Americans (Indigenous Americans) have high rates of serious illness in the United States. Informal caregivers are heavily relied on in caring for patients in low-resource settings. The needs of caregivers residing on reservations are sorely underreported. Therefore, our objective was to examine relationships between facilitators (communal mastery, cultural identity, and spirituality) and barriers (depression, anxiety, stress, and burden) with supportive care needs among adult informal caregivers in 1 reservation- based community. A cross-sectional survey was distributed in July and August 2022 as part of a larger multimethod, community-based participatory research study. We used descriptive statistics and linear regression models to examine relationships against the primary outcome, the Supportive Care Needs Assessment Tool for Indigenous People. Overall, 127 participants were included; mostwere female (n = 92, 72.4%), were between 30 and 49 years (n = 57, 44.9%), and had 6 months or less of caregiving experience (n = 41, 32.5%). Higher depression, anxiety, stress, and burden were significantly associated with higher Supportive Care Needs Assessment Tool for Indigenous People scores. Overall, mental health is a significant barrier that may indicate greater supportive care needs among informal caregivers, although further work is needed to differentiate symptoms and their impact on caregiving froma cultural perspective. [ABSTRACT FROM AUTHOR]

Native Hawaiians and Pacific Islanders (NHPIs) are peoples diverse in culture and history who are too often represented as a monolithic entity, a tendency that undermines efforts to ameliorate health inequities. The current study represents a partnership between academic researchers and a community organization serving NHPIs, in which space was held for five multigenerational NHPI families (N = 15 family members) to share their experiences with educational and healthcare systems, including issues of discrimination and barriers to accessing services. Qualitative analysis of the interviews identified four themes: Cultural Values and Strengths; Mental Health—Past, Present, and Future Directions; Systemic Racism and Discrimination; and Need for Culturally Informed and Linguistically Accessible Healthcare. These results, including the importance of family systems within NHPI cultures, positive intergenerational shifts in mental health, and the pervasive impacts of colonization on health, are discussed in terms of implications for the health of NHPI communities. [ABSTRACT FROM AUTHOR]

Palliative care improves outcomes, yet rural residents often lack adequate and equitable access. This study provides practical tips to address palliative care (PC)-related challenges in rural communities. Strategies include engaging trusted community partners, addressing cultural factors, improving pediatric care, utilizing telehealth, networking with rural teams including caregivers, and expanding roles for nurses and advanced practice providers. Despite complex barriers to access, providers can tailor PC to be patient-centered, respect local values, and bridge gaps. The "Top 10" format emphasizes the relevant issues to enable clinicians to provide optimal care for people from rural areas. [ABSTRACT FROM AUTHOR]

South Asians are a rapidly growing subset of the Asian population in the United States. They comprise people from multiple countries with diverse beliefs, languages, and cultural identities and values. The incidence of breast cancer is rising in South Asian women in the United States, with earlier onset and predilection for HER2-enriched tumors. Despite the rising incidence of breast cancer, participation in screening remains lower than other populations. Health care inequities in South Asian women are multifactorial and may be due to traditional health beliefs and practices, language barriers, cultural differences, and lack of overall awareness. Developing a culturally sensitive environment in breast imaging clinic practice can lead to improved patient care and adherence. Given the scarcity of data specific to the South Asian population in United States, there is a need for health service researchers and practice leaders to obtain more high-quality data to understand the needs of South Asian patient populations. [ABSTRACT FROM AUTHOR]

Objective: This study identifies five common, cultural beliefs that women perceive as encouraging motherhood in the United States and examines how they impact the parenthood decision‐making and experiences of currently childless women. Background: Research shows how cultural ideas about "good" motherhood impact women's lives. We know less about the role of cultural beliefs that encourage motherhood despite its well‐known hardships, nor how currently childless women navigate these beliefs. Method: This study uses 107 interviews with American women ages 35–50 who for varied reasons have not (yet) had children. It identifies five prominent beliefs about motherhood and examines how currently childless women consider and respond to them. Results: Two beliefs—that motherhood provides fulfillment and that children ensure future security—functioned more as "myths" and were often rejected by interviewees. Three beliefs—that women are "wired" to want children; women are nurturing; and motherhood bestows a unique form of joy —functioned as essentialist "mystiques," remaining unquestioned or only slightly revised by interviewees. Further, all beliefs, but particularly the "mystiques," complicated many women's parenthood decision‐making processes and experiences of childlessness. Conclusion: To understand how the institution of motherhood impacts women who have not (yet) had children, it is crucial to account for the role of cultural beliefs that support its appeal. This study highlights the heterogeneous ways that cultural beliefs that encourage motherhood impact women's parenthood decision‐making and their experiences of childlessness. It emphasizes, in particular, the durability and universality of essentialist ideas (mystiques) about motherhood. [ABSTRACT FROM AUTHOR]

Hawaiʻi's diverse population prime it to be an exemplary environment to study representation in science, technology, engineering, mathematics, and medicine (STEMM). In actuality, Hawaiʻi has low STEMM enrollment and therefore, low representation in STEMM. What primarily inhibits Hawaiʻi from having a strong STEMM workforce is the lack of education in STEMM, resources allocated to STEMM, and mentorship to succeed in STEMM. Other factors such as cultural values, high costs of living, and geographical barriers also contribute to Hawaiʻi's low STEMM enrollment. To combat these issues, I offer suggestions to encourage STEMM enrollment, such as directing funds toward after‐school education. I also suggest combatting the lack of resources by providing more online opportunities for students and workers. As for Hawaiʻi's low mentorship, I suggest that more programs be created within communities and universities to create a platform for mentors and mentees to network. This manuscript seeks to highlight these areas of improvement and recognize lessons to be learned from Hawaiʻi, thus serving as a resource for individuals internationally. [ABSTRACT FROM AUTHOR]

Ghosting, or ignoring someone to end a relationship, is often considered a harmful aspect of growing digital connectivity. However, research on ghosting has focused on the experiences of European/European Americans in romantic contexts. Thus, we broadly explored experiences of being ghosted among 29 undergraduates primarily from underrepresented populations (75.9% Latinx, 6.9% Asian, 6.9% Black) in the United States. We conducted face‐to‐face semi‐structured interviews regarding general experiences with being ghosted, a memorable experience of being ghosted, and attitudes toward ghosting. Inductive thematic analysis yielded eight themes surrounding the process of being ghosted (Sensing Shifts in Communication Patterns), ghosting attributions (Unreciprocated Feelings, Incompatibility), responses to ghosting (Stages of Grief, Various Coping Methods, Lost Respect for Ghoster, Insight from Experiencing Both Sides), and ghosting attitudes (Good Reasons). Future research might examine the role of both individual (e.g., cultural values) and situational (e.g., ghosting circumstance) factors in various trajectories of ghosting responses, as well as the psychological consequences of these trajectories. [ABSTRACT FROM AUTHOR]

Creators of UX undergraduate curricula face tough decisions regarding how to prepare students for the job market. This paper argues for the importance of a cultural lens when teaching professional development to undergraduate design students. A cultural lens is important because it gives context to how hard and soft skills might be applied within a local business culture with social mores and complicated hierarchies of power. This argument is based on exploratory qualitative research in the form of an initial survey (n = 44), subsequent interviews (n = 12), and a follow-up survey (n = 26) with students taking a professional development class in an undergraduate UX design degree at a large, public university in the United States. To show the value of a cultural lens when teaching professional development, first, culture and skills are defined. Second, UX design is defined as it relates to this specific educational context. Third, the context, administration, and methodology of the research is explained. Fourth, research results are analyzed. Fifth, lessons learned from applying a cultural lens are discussed. Finally, the author explains the limitations of this research and speculates on further research. [ABSTRACT FROM AUTHOR]

Despite the critical role of social determinants of health (SDOH) in shaping health outcomes and disparities, traditional interventions aimed at addressing these determinants have demonstrated limited efficacy in significantly reducing health disparities and enhancing population health. This limitation underscores the urgent need for innovative educational methodologies that not only convey the systematic nature of SDOH but also deeply engage with the psychosocial experiences of individuals living under unequal conditions. This case study argues that current educational strategies in healthcare management education can be improved by incorporating the lived experiences of individuals, which are essential to understanding the complex interplay between socioeconomic factors and health. The case study posits that a more nuanced approach, which emphasizes personal narratives and the historical evolution of social inequalities, is crucial for a more effective education on SDOH. To bridge this gap, the case study proposes the innovative use of Hip-Hop music as an educational tool. Through its rich narratives and cultural relevance, Hip-Hop provides a unique lens to explore SDOH by highlighting social alienation, presenting the perspectives of marginalized communities, and examining the consequences of systemic oppression. Using "Brenda's Got a Baby" as an example, this case study demonstrates how Hip-Hop can be leveraged to deepen understanding of the systemic nature of SDOH and the psychosocial impacts on individuals living in disadvantaged conditions. This approach not only enriches the educational experience but also aligns with the imperative to develop more effective strategies for addressing health disparities and improving population health. [ABSTRACT FROM AUTHOR]

The article addresses end-of-life considerations for patients of East Asian descent, emphasizing the importance of culturally informed, patient-centered care while navigating diverse family dynamics and communication styles. Topics include the significance of cultural humility in clinician interactions, the role of medical interpreters in facilitating effective communication, and the balance between Western and Eastern values in medical decision-making.

The author comments on an article within the issue on the role of school nurses in providing menstrual education to school children in the U.S. since the early 20th century. Topics discussed include the limitations of menstrual education and its implications for public health, recommendations to address these challenges, and the reasons for the lack of use of the provision of menstrual education in schools.

Purpose: This article addresses considerations for the speech-language pathologist to ensure culturally competent dysphagia management in the school setting for children with oral motor, swallowing, and pediatric feeding disorders (PFDs). There is also discussion of the multifactorial cultural and linguistic influences that impact collaborative educational decisions when establishing and implementing school-based dysphagia services. Conclusions: The consideration of cultural and linguistic factors for the child with oral motor, swallowing, and/or PFDs is essential when diagnosing, treating, and planning for dysphagia service delivery. By recognizing and including culturally appropriate interventions and recommendations, speech-language pathologists enhance opportunities for positive outcomes and treatment efficacy when providing pediatric dysphagia services in the educational setting for children from culturally and linguistically diverse backgrounds. [ABSTRACT FROM AUTHOR]

Mainstream attachment literature has chiefly employed WEIRD (Western, Educated, Industrialized, Rich and Democratic) samples, yet cross-cultural studies investigating attachment dynamics outside of Western world corroborated universality of the basic tenets of attachment theory and normativity of attachment security. Importantly, these studies revealed country-level differences in the prevalence of insecure attachment tendencies. Of note, this line of work bears the limitation of reducing culture to country and relying on the individualism versus collectivism dichotomy. The present study offers a novel examination of individual-level links between distinct cultural mindsets and distinct attachment orientations. We investigated two community samples (N Turkey = 368, N USA = 350) from two diverse cultural contexts by employing an assorted battery of cultural value measures, including both overt and covert measures of cultural indicators. Results revealed distinct relationships between attachment anxiety and the interdependent mindset and attachment avoidance and the independent mindset in both cultural contexts. Findings are discussed in light of cultural implications. [ABSTRACT FROM AUTHOR]

Suicide among American Muslims is understudied, despite recent research highlighting increased suicide attempts among this population. While suicide is forbidden in Islam, formal guidelines for addressing and responding to suicide within Muslim communities did not exist until recently. The Stanford Muslim Mental Health and Islamic Psychology Lab has responded to a number of suicides in Muslim communities across North America and implemented an original model for suicide response and community healing. This approach incorporates Islamic principles and values to create a culturally and religiously congruent response to suicide that can support loss survivors and steer impacted communities toward healing. The Muslim Postvention Community Healing session described in this paper aims to provide a safe space for individuals impacted by suicide to come together and process their emotions, while also using Islamic teachings to guide the healing process. This unique model has the potential to serve as a valuable resource for Muslim communities across North America, and beyond, in addressing and responding to suicide. [ABSTRACT FROM AUTHOR]

This study aims to have a systemic understanding of Chinese international doctoral students (CIDS)' perceived stress-coping process during COVID-19 in the US with an emphasis on the role of family dynamics in the process. The unique sociopolitical background during COVID-19 May trigger CIDS' unique stressors and responses. Moreover, as family plays an important role in CIDS' mental health and well-being, how CIDS interact with their family may largely influence their stress management process. Hermeneutic phenomenology was used as a methodological approach to obtain an in-depth understanding of CIDS experiences. The results highlight the various interlocking stressors and coping strategies across multiple levels perceived by CIDS. Furthermore, the results emphasize the impact of family teachings, cultural values, and how larger sociopolitical background has shaped the interactions between CIDS and their family, which in turn, shaped the CIDS stress-coping process. Clinical implications are included to inform systemic prevention and intervention. [ABSTRACT FROM AUTHOR]

Objective: This study examines local identity and mental health at one of the most ethnically diverse universities in the United States to move beyond the dichotomy between international and domestic students. Participants: Undergraduate students (N = 1,098) attending a university in Hawai'i completed anonymous surveys during class. Results: Self-identified local students who were born and/or raised in Hawai'i had lower levels of depressive symptoms than non-local students, over and above their nativity status, gender, age, race/ethnicity, multiracial status, and socioeconomic background. Sobel tests further confirmed significant mediators, which suggested that locals were less psychologically distressed than non-locals because of their stronger familiarity with the "aloha spirit," rooted in Native Hawaiian culture, and their lower risk of discrimination. Conclusions: These new findings can inform mental health services and interventions to better target non-local (international and out-of-state domestic) students by considering the stress of discrimination and the protective role of cultural values. [ABSTRACT FROM AUTHOR]

Racial disparities in hospice use are a longstanding concern in the U.S. Asian Americans are among the least likely to receive hospice care and to be included in studies on this topic. This study examined the knowledge, attitudes, and preferences related to hospice care among older Chinese immigrants and associated factors. A sample of 262 Chinese immigrants age 60+ was recruited from six older adult centers in NYC. In-person interviews were conducted in Mandarin and Cantonese. Non-English-speaking older Chinese immigrants had very limited knowledge about hospice care. Only 26% of respondents had heard of hospice, and a few could correctly define any components. After receiving a comprehensive definition of hospice care, study participants expressed a positive attitude and a strong willingness to use hospice if near the end of life. Notably, some respondents still held misconceptions about hospice and were less positive in their attitude and preference for hospice care. These findings underscore the necessity for clear and accessible information about hospice among this population throughout the trajectory from good health to end of life. Further research is needed to identify the range of factors that influence the attitudes and preferences of older Chinese immigrants toward hospice care. [ABSTRACT FROM AUTHOR]

The purpose of this study was to examine the impact of a culturally based intervention, the Intertribal Talking Circle program, compared to a standard alcohol and drug abuse education, the Be A Winner program. Community‐based participatory research was used to implement a two‐condition, quasi‐experimental study. The sample included 540 Native American youth ages 10−12 years old from three tribal areas in the United States. Data were collected at baseline, 6 and 12‐months post‐intervention for both the intervention and control groups using demographic, cultural identity, alcohol use, and drug use questionnaires. Regression models evaluated participants' improvement in decreasing alcohol and drug use and increasing cultural identity. Findings revealed that alcohol and drug use decreased more significantly among youth who participated in the Intertribal Talking Circle (ITC) intervention program than youth who participated in a standard alcohol and drug abuse education Be A Winner (BAW) program. Cultural identity also increased more significantly among participants who completed the Talking Circle intervention program. Native American youth ages 10−12 years old respond positively to a culturally based intervention for the reduction of alcohol and drug use. The findings highlight the importance of cultural values and identity and their significance in preventing and reducing alcohol and drug use among Native American youth. [ABSTRACT FROM AUTHOR]

Stigmatisation of mental illness and substance use disorders has negative health implications. Previous research suggests that religious fundamentalism relates to stigmatising attitudes; Christian evangelicalism, as one type of fundamentalism, is a prevalent influence on personal belief systems in the United States. We recruited 380 participants from Amazon's Mechanical Turk, who self-identified as evangelical or non-evangelical, read vignettes depicting schizophrenia, alcohol use disorder (AUD), or asthma (control), and completed a stigmatisation measure. Notably, about a quarter of the non-evangelical group were non-religious individuals. Evangelicals had higher stigmatisation of schizophrenia and asthma, but no between-group difference was found regarding AUD. Higher stigmatisation of schizophrenia among evangelicals might reflect perceived violations of societal and religious norms, while widespread stigmatising attitudes related to AUD in the general population might explain the comparable stigmatisation of AUD among both groups. These findings highlight the importance of considering evangelical religious beliefs in stigma research and anti-stigma interventions. [ABSTRACT FROM AUTHOR]

The current study focused on familism-related content that emerged in a primarily qualitative analysis of U.S. Mexican mother-child conversations about sibling conflicts (M age = 10.55; English = 43 (24 female); Spanish = 43 (19 female)). The study's goals were to (1) describe how familism, a central Latinx value, is conveyed to children in late middle childhood, (2) uncover signs that children at this age actively or passively accept or reject mothers' observations and expectations, and (3) determine if there are differences in conversation content based on language preference, child gender, or birth order. During discussions about sibling conflict, mothers' and children's comments revolved around four pillars of familism: establishing and maintaining harmony and devotion, recognizing the specialness of family ties (in this case sibling ties), accepting role obligations, and developing other-orientation. These values were expressed more implicitly than explicitly by a majority of the dyads. Most children accepted at least some of mothers' statements, but resistance was also high. Chi-square tests indicated no gender-of-child or birth order differences in the content of the discussions, but dyads who spoke Spanish during the conversations were more likely than those who spoke English to speak in explicit familistic terms and to point to the specialness of the sibling tie. Our study is strengths-based as we demonstrate that in U.S. Mexican families, children's conflicts with their siblings may serve as catalysts for "teaching moments" during which parents impart culturally relevant values. [ABSTRACT FROM AUTHOR]

The global COVID‐19 pandemic has fundamentally changed the way we live and work in the short‐term, but history suggests that the crisis may also exert deeper, longer‐lasting effects. With the aim of providing preliminary insight into this possibility, we theoretically construct and empirically test hypotheses for how exposure to COVID‐19 stimuli (e.g., reading or watching media coverage, observing relief efforts) relates to the deep‐seated values that guide workers' attitudes and behaviors. Specifically, we build from prior work to posit that exposure to COVID‐19 stimuli is positively associated with workers' self‐transcendent prosocial values, which motivate prosocial behaviors directed toward society as a whole (i.e., charitable donations) and coworkers (i.e., helping). Extend the extant literature, we further argue that exposure to COVID‐19 stimuli will be positively associated with conservation values emphasizing self‐restraint, submission, protection of order, and harmony in relations, which in turn influences workers' willingness to tolerate mistreatment by authorities (i.e., abusive supervision, authoritarian leadership, exploitation). Evidence from 2,929 full‐time Chinese employees tracked for nearly 2 months and a diverse sample of 310 workers in the United States generally support our arguments, but also provide insight into potential cultural nuances. [ABSTRACT FROM AUTHOR]

An editorial is presented on the challenges of aging in place (AIP) for older adults in Japan and the U.S., and it emphasizes the need for cultural exchange to merge knowledge from diverse healthcare systems. It discusses workforce development for educators and clinicians, the insufficiency of support for AIP, and the underutilized approach of cross-cultural exchange. It reports on a cultural exchange program funded by the Japan Foundation of New York.

Latin American families' history and life experiences impact the priorities and values the families have for their children with disabilities. It may be beneficial for early intervention (EI) providers to explore and integrate Latin American families' backgrounds to improve EI services. We completed a qualitative interview study using a collective case study analysis to (a) learn about Latin American families' parenting values and (b) explore families' experiences with a statewide early intervention model. Three mothers with young children who had received EI services completed two interviews. We found that each family had unique histories, compositions, support networks, and priorities that impacted their experiences with a statewide coaching model. Families revealed how their funds of knowledge were, at times, integrated into the EI they received. Our study describes a valuable method of learning about Latin American families' cultural backgrounds so that EI providers may sustain families' cultures within the services they provide. [ABSTRACT FROM AUTHOR]

American Indian and Alaska Native (AI/AN) youth use alcohol and drugs at a higher rate with earlier onset than the overall youth population in the United States. Youth interventions are needed to support the prevention and reduction of substance misuse-related issues. Connecting AI/AN children to their heritage through culturally grounded prevention programs has been shown to be more effective than programs designed for the general population. The objective of this formative evaluation was to provide community-informed updates for an existing culturally grounded substance use prevention program, The Beauty Way. This study was conducted in partnership with an AI/AN-serving community organization using key informant interviews and talking circles with community members and parents. Participants revealed the challenges and obstacles AI/AN youth face, the impact of cultural values, and activities which engage youth to prevent problematic substance use. Recommendations include the importance of 1) incorporating current challenges to behavioral health such as social media and vaping, 2) including cultural values and activities including land-based learning, and 3) creating a robust facilitator guide and hiring culturally sensitive program staff. These results generated recommendations to strengthen the cultural focus and application of The Beauty Way for AI/AN youth. [ABSTRACT FROM AUTHOR]

The article examines the implications for social work practitioners of expanding the conceptualization and investigation of domestic violence among immigrants from South Asia. It identifies tactics used to perpetuate abuse of daughters-in-law and warns about the likelihood of immigration-related abuse in marital relationships. It explores strategies to support domestic violence victims such as assessment tools, interventions and encouraging community discussion of victimization experiences.

Social work has made significant strides in providing mental health services. However, advancement in mental health practices grounded in social work values, such as trauma-informed care and cultural humility mental health practice (CHMHP), is still lacking. One possible reason is that many strategies overlook clients' historical contexts, particularly the collective history held by the community to which the client belongs. By centering "history" in social work practices, clinical social workers can be more equipped to provide high-quality, client-centered services. This article advocates for adopting trauma-informed CHMHP as a critical strategy to elevate history in clinical social work practice and proposes that trauma-informed CHMHP can improve mental health service quality among clients of color who are profoundly disrupted by historical trauma. Specifically, this article proposes that using trauma-informed CHMHP to address historical trauma can enhance mental health treatment outcomes and experiences for African American women. Clinical social workers trained to address these interconnected issues can help reduce disparities in quality treatment access. [ABSTRACT FROM AUTHOR]

Previous studies show that Black women in the United States experience disproportionately poorer health outcomes compared to women of other racial/ethnic groups. Recently the focus is on improving the health of Black women in the United States. However, there is little empirical evidence on what Black women need to improve their health to be well. The goal of this constructivist grounded theory was to increase the understanding of wellness among middle-class Black women (N = 30) in a large Midwestern city in the United States through an intersectional lens. The findings show that the connection and balance between mind, body, and spirit was the core experience of wellness among middle-class Black women. Mind, body, and spirit was described in three ways--(a) mentally managing, (b) physically caring for my body, and (c) connecting spiritually--with the women also noting the barriers and facilitators they endured to be well. Each of these categories highlight the tension middle-class Black women experience with trying to be well. Implications for future practice and research with middle-class Black women are discussed. [ABSTRACT FROM AUTHOR]

Children's early socialization shapes their development and well-being. To date, research examining the socialization of preschool-aged Latine children remains limited, and primarily focused on immigrant, Spanish-speaking families. Given the heterogeneity in language(s) spoken, nativity, and education within Latine families, the present study used focus groups among 112 Latine families of children attending Head Start to understand and compare salient parenting beliefs, attitudes, and self-reported practices as they pertained to supporting their children's development among both English- and Spanish-speaking caregivers. Results showed that English- and Spanish-speaking caregivers viewed their children's bicultural socialization as critical to supporting their development. Caregivers actively socialized their children to be bicultural through an emphasis on two superordinate goals: fostering bilingualism and simultaneous transmission of heritage and US values. Although caregivers across groups shared many of the same beliefs, attitudes, and practices concerning bilingualism and transmission of values (respeto, egalitarian gender roles), differences were also found. Specifically, ethnic pride was more salient for caregivers in the English than Spanish groups, and the value of familismo was only discussed in the English groups. Additionally, caregivers in the English and Spanish focus groups described experiencing different language-related challenges that undermined their efforts to raise bicultural children. These findings can inform future efforts seeking to support low-income, Latine families reach the goals they have for their children from a culturally and contextually informed lens. Highlights: Comparisons between English and Spanish-speaking Latine families showed both aimed to raise bicultural children early on. Bicultural socialization was promoted by fostering bilingualism and by simultaneously instilling US and heritage values in children. Nuanced differences between language groups were found in the ways families fostered bilingualism and instilled values. Spanish and English-speaking caregivers encountered different language-related challenges in socializing their children to be bicultural. [ABSTRACT FROM AUTHOR]

Black learners, like all other learners, bring their cultural values into the classroom, how they express themselves, and how they problem-solve. In addition, their life experiences influence their social and emotional behaviors. This study examined the effects of a multicomponent intervention approach—including a culturally adapted social and emotional learning curriculum, check-in/check-out, and self-monitoring—on the externalizing behaviors of Black male learners in an urban elementary school. A multiple-baseline-across-classes, single-case, experimental design evaluated the effects of the intervention package. Results from the study show a consistent decrease in externalizing problem behaviors, increases in social and emotional competencies, and high levels of social validity for the intervention package based on the input of relevant stakeholders. An embedded alternating-treatment, single-case design explored the relative impact of self-monitoring. The authors also include a discussion of the limitations of this work and the implications for future research. [ABSTRACT FROM AUTHOR]

This systematic review aims to provide a comprehensive review of the relationship between cultural values and mental health in informal Korean caregivers in the U.S. and South Korea. This systematic review searched across 5 databases through July 2022 following 2020 PRISMA guidelines. In 29 selected studies, informal Korean caregivers with a stronger sense of filial responsibility and familism had worse mental health. Caregivers with active religious engagements displayed more healthful mental health. Caregiver relationship type and quality were related to mental health. Health providers need to be knowledgeable of specific Korean cultural values that affect mental health. [ABSTRACT FROM AUTHOR]

As an increasing number of Native Hawaiian and Pacific Islander adults move to the continental United States, the development and implementation of resources that promote access to cultural foods and support food sovereignty on the continent is crucial to perpetuate cultural practice and connection to the ʻāina (land that feeds). Kalo (taro) is an important cultural food central to Native Hawaiian identity. Native Hawaiians connect their genealogy as far back to the cultivation of kalo and the creation of kalo itself. In this practice note, we describe the creation of a māla kalo (cultivated field for taro) in Oregon by the Kaʻaha Lāhui O ʻOlekona Hawaiian Civic Club. An ongoing project over the past 3 years, the creation of a māla kalo exceeded expectations. Not only did the māla allow the cultivation of kalo outside of Hawaii, the māla became a place for the community to unite toward common goals of connecting with the land, promoting mental health, and creating a sense of place in their diaspora. This project indicates that not only is the creation of māla kalo in Oregon feasible, it may also be an important opportunity for the growing number of Native Hawaiians and Pacific Islanders adults living on the continent to improve health outcomes through connections with cultural foods and practices. [ABSTRACT FROM AUTHOR]

This study explored Latino Migrant Farmworker (LMFW) youths' perceptions regarding access to health care in the United States (U.S.). Twenty semi-structured audio-voice recorded interviews were conducted with LMFW youths (aged 15—20 years old) in Georgia and Florida. Thematic analysis was used to explore whether, and how, LMFW youths would seek health care in the U.S. as well as their personal views toward health care. Five distinct perceptions regarding accessing health care were delineated: (1) cultural-related views and attitudes toward health care, (2) transportation dependency, (3) English language as a barrier for communication, (4) lack of knowledge of available resources, and (5) embracing the obligation, and the necessity, of work. Some of LMFW youths' perceptions of seeking access to health care in the U.S. point to barriers related to social determinants of health. These barriers suggest the need for significant reform within the U.S. health care system to include farmworker youths' health needs and to promote cultural responsiveness among clinicians and rural health providers to better serve this vulnerable population. [ABSTRACT FROM AUTHOR]

Asian Americans (AA) in the United States, and throughout the world, commonly hold a negative connotation or stigma regarding seeking mental health services. Unique cultural stigmas and beliefs of AA play an important role when examining why this population group is less likely to engage in therapy. This article explains why these cultural stigmas and beliefs contribute to the lack of mental health help seeking. Through examining these stigmas, perception of therapy, loss of face, and parental control among AA will allow therapists to have a better understanding when they are working with this population. Also, the consideration is given of how the increase of Anti-Asian racism due to the COVID-19 pandemic affects AA and the challenges it creates. This article includes a case example that provides information on how stigmas impact an AA family who have differing cultural values and expectations while experiencing discrimination from COVID-19. [ABSTRACT FROM AUTHOR]

Studies have shown that cultural norms such as filial responsibility and familism operate in the Korean American caregiving context. The purpose of our study is to understand the practice of Korean American caregivers who provide care to a family member living with dementia and their dementia care support needs. We conducted 2 focus groups and individual semi-structured interviews with a total of 20 Korean American caregivers. We used inductive thematic analysis to guide coding and generation of themes. Three themes were identified; 1) intersectionality in the Korean American caregiver experience, 2) complex family dynamics, and 3) dementia care barriers and caregiver support needs. Within the dyadic relationship and the family, cultural identity, generational, acculturational, and language factors shaped the caregiver experience. The need to navigate bicultural norms could lead to tensions but also provide opportunity for caregivers to consider self-care and use external supports to decrease the work of caregiving. Family was the unit of caregiving and caregiving was divided among family members based on acculturation and language fluency. Caregivers desired both medical information combined with knowledge that experienced lay support could provide. Support that reflects their cultural context was valued. Findings suggest the importance of understanding the diversity of response to strong elder care norms among Korean American caregivers and the intersection of multiple factors that influence their caregiving experience. Integrating acculturation and generational assessments may be useful as a way to tailor interventions to optimize engagement in dementia care interventions. [ABSTRACT FROM AUTHOR]

The current study examined the Five Cs model of positive youth development (PYD; Lerner et al., 2005) in U.S. Mexican-origin youth (N = 674, 50% female) and tested the extent to which ethnic pride, familismo, and respeto, as an index of cultural orientation, predicted PYD across midadolescence. PYD was modeled using a bifactor structure, which defined global PYD and the Five Cs (Caring, Character, Competence, Confidence, and Connection) using theoretically similar measures matched to the conceptual definitions of the Cs. Tests of longitudinal invariance of the bifactor model at ages 14 and 16 established scalar invariance, providing support for the structure and stability of the Five Cs and global PYD using the theoretically similar measures across time. Adolescents' cultural orientation (latent factor incorporating familismo, respeto, and ethnic pride) at age 14 was positively associated with the Five Cs within and across time. Greater cultural orientation at age 14 predicted increased global PYD across ages 14 and 16. The contribution of cultural orientation to the PYD across midadolescence did not differ by adolescent gender or nativity. These findings demonstrate the robust nature and stability of the Five Cs model of PYD and provide novel evidence that ethnic pride, familismo, and respeto promote greater PYD in Mexican-origin youth during midadolescence. Public Significance Statement: This study advances the idea that conducting strength-based research through the lens of cultural context may deepen scientific understanding of positive development in adolescence, particularly for samples of minoritized youth. Moreover, it provides evidence that increasing ethnic pride and connection to cultural values may significantly improve psychological well-being for Mexican-origin adolescents. [ABSTRACT FROM AUTHOR]

Objective: This research study aims to identify the fundamental components of community adaptation for a culturally tailored care partner activation program for Filipino American family caregivers of patients with Alzheimer's Disease and related dementia (ADRD). Design: The study utilized focus group interviews with community nurse leaders, stakeholders, and family caregivers of patients with ADRD. Results: The research revealed that education and knowledge about the disease, community‐based services and facilities, support groups and resources, spiritual and cultural values, and access to transportation are all critical components for community adaptation. Conclusion: The findings suggest that a culturally tailored care partner activation program that incorporates these components can enhance the quality of life for Filipino American caregivers and their loved ones with ADRD. The nursing implications of the study underscore the importance of nurses being culturally competent and sensitive to the unique challenges faced by Filipino American caregivers. Nurses can provide valuable support to caregivers by educating them, connecting them with community resources, and advocating for culturally responsive care practices. [ABSTRACT FROM AUTHOR]

This longitudinal investigation evaluated parental cultural socialization practices as a central mechanism by which parents' cultural values influence developmental outcomes in ethnic–racial minority children. Drawing on a sample of 129 Latina mothers and their children (48.1% daughters and 51.9% sons), path analyses evaluated hypothesized individual and interactive contributions of mothers' Latina heritage and American mainstream cultural orientations to changes in children's self‐esteem via overt and covert cultural socialization practices. Mothers reported on their cultural orientation and socialization practices when their children were ages 5 and 8, respectively. Children reported their self‐esteem at ages 8 and 10. Controlling for family socioeconomic status, mothers' nativity status, and prior child self‐esteem, path analyses revealed a significant indirect effect from mothers' heritage orientation to increased child self‐esteem via overt cultural socialization practices. Interestingly, a multigroup analysis by gender showed that mothers' heritage orientation was positively related to overt and covert cultural socialization practices toward both daughters and sons, but the indirect paths to child self‐esteem through cultural socialization did not attain significance for daughters. Moreover, among sons, the indirect path through overt cultural socialization predicted increased self‐esteem, whereas the indirect path through covert cultural socialization predicted decreased self‐esteem. These findings show that cultural socialization is a salient process by which parental cultural orientation influences children's self‐esteem while highlighting the specificity of these effects across overt and covert expressions of cultural socialization and child gender. Efforts to promote positive self‐esteem among Latinx children should encourage parental cultural socialization practices, such as teaching, reading, and/or performing activities that celebrate the Latinx culture. [ABSTRACT FROM AUTHOR]

Background and Objectives Refugees flee their home countries due to life-threatening situations and are resettled in countries such as the United States. For older refugees, their cultural background and forced migration experience may affect how they perceive successful aging in their host countries. As such, it is important to understand how aging refugees perceive aging well to enhance their well-being in the host communities. Thus, the present study explores perceptions of successful aging among refugees in the United States. Research Design and Methods Twenty-one Burundian refugees, aged 50–67, were recruited from an upper Midwest community to participate in interviews on their perceptions of successful aging. The qualitative interviews were analyzed using thematic content analysis. Results Emergent themes showed that aging refugees' perceptions of successful aging were in some ways consistent with perceptions among other nonrefugee aging populations, such as perceptions related to physical functioning and health. Yet, in many ways, refugees' unique background and experiences seemed to lead to unique aging perceptions, such as perceiving an earlier onset of aging and expressing surprise and appreciation to experience old age. Discussion and Implications Study findings suggest important future directions and potential implications for refugee host regions and communities on how they can better support aging refugees as well as develop effective interventions to promote well-being. [ABSTRACT FROM AUTHOR]

This convergent parallel mixed methods study investigated rural K-12 public school principals' perceptions regarding the degree to which they use and value practices related to cultural competence in their roles as school leaders. While an abundance of literature regarding leadership in rural education, student educational gaps, and school change exists, inequities in policy and practice perpetuate academic and social setbacks for some of our nation's youth, including those who attend rural schools that are often racial/ethnically homogeneous and laden with socio-economic disparity. Using the lens of the Cultural Proficiency Framework, specifically the Essential Elements, this study aimed to address the research questions and add to the literature by examining (1) the school principals' value in using culturally competent practices; (2) the school principals' use of culturally competent practices; and (3) culturally competent policies and practices used in rural, public schools across the United States. The study's findings revealed the most and least important culturally competent practices to rural school principals. They identified culturally competent practices they use most and least frequently in their roles. Three themes emerged from the data: student support services, professional learning communities to support instruction and assessment, and a lack of diversity warranting little need for culturally competent practice. Conclusions were drawn from a convergence of the findings from the data analyses, and implications suggest that applying the Essential Elements of Cultural Proficiency to school improvement efforts can yield increased equity, access, and inclusion for our rural youth in all regions of the United States. [ABSTRACT FROM AUTHOR]

Sexual and gender minority (SGM) youth of color—in particular Latinx SGM youth—experience higher incidents of bullying compared to heterosexual and cisgender White youth. These disparities oftentimes explain increased negative mental health outcomes, such as depression. Parental acceptance may be a particularly important buffer to the effects of bullying on negative mental health outcomes among Latinx SGM youth. In a sample of 1,005 Latinx SGM youth (ages 13-17), we assessed: (a) the prevalence of parental acceptance and bullying, (b) the influence of bullying on depression, and (c) whether the relationship between bullying and depression was moderated by parental acceptance. Results showed that, on average, Latinx SGM youth reported rarely experiencing parental acceptance, frequently experiencing symptoms of depression, and frequently being bullied. Findings revealed that parental acceptance and bullying were significantly related to depression. Furthermore, there was no interaction between parental acceptance and bullying on depression. Findings have implications for how different Latinx cultural values may be further considered to better understand Latinx SGM youth's perception of their parental figure's acceptance of their sexual and gender identity and its role on bullying and depression. [ABSTRACT FROM AUTHOR]

Despite the social and ecological importance of residential spaces across the country, scant research examines urban yard management policies in the U.S. Governance scholarship points to the implementation challenges of navigating policy language. Our research provides an exploration of yard ordinance language, with implications for communities across the U.S. Specifically, we sought to determine whether—and in what instances—vegetation- and groundcover-related yard ordinances in the U.S. are ambiguous or clear. Our findings suggest that ordinances are often ambiguous when referring to the state or quality of the constituent parts that make up the residential yard (e.g., "neat" or "orderly"). Yet they are clear when providing guidance about what plant species are or are not allowed, or when articulating specific requirements regarding the size or dimensions of impervious surfaces and plants. We discuss the policy implications of these findings, especially in the context of how such policies may invite the subjective judgment by enforcers, leaving open the potential for discriminatory enforcement, especially with regard to marginalized communities where different cultural values and esthetics may be expressed in yards. [ABSTRACT FROM AUTHOR]

An adaptation of Hofstede's classic model of culture was applied to the fifty US states, to examine the connection between states' cultural values and the prevalence of public sector corruption. While the culture-corruption link has been widely studied at the country level, little research exists that examines this phenomenon at the level of the states. The ambivalence of the findings may be attributable to the challenge of disaggregating minor cultural differences among the states, in contrast to the enormous heterogeneity of the world's countries. [ABSTRACT FROM AUTHOR]