Stevenson Robert S, Rosales Alvina, Fortier Michelle A, Campos Belinda, Golianu Brenda, Zuk Jeannie, Gold Jeffrey, Kain Zeev N
Department of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA.
UCI Center on Stress and Health, 505 S. Main St., Suite 940, Orange, CA, 92868, USA.
J Immigr Minor Health. 2017 Jun;19(3):738-744. doi: 10.1007/s10903-016-0357-7.
This study examined the effects of acculturation on anxiety and stress in Latino and non-Latino white parents of children undergoing outpatient surgery. Participants included 686 parent-child dyads from four major children's hospitals in the United States. Latino parents who grew up in the U.S. reported higher levels of anxiety (p = 0.009) and stress (p < 0.001) compared to parents who grew up in a Latin American country. Additionally, English-speaking Latino parents reported higher anxiety and stress compared to both Spanish-speaking Latino and non-Latino white parents (p's < 0.05), whereas Spanish-speaking Latino and non-Latino white parents reported similar levels of stress and anxiety. Results of the current study were consistent with the immigrant health paradox in that more acculturated Latino parents reported higher levels of anxiety and stress than less acculturated Latino and non-Latino white parents, supporting the need for culturally tailored interventions in the perioperative environment.
本研究调查了文化适应对接受门诊手术儿童的拉丁裔和非拉丁裔白人父母焦虑和压力的影响。参与者包括来自美国四家主要儿童医院的686对亲子。在美国长大的拉丁裔父母比在拉丁美洲国家长大的父母报告了更高水平的焦虑（p = 0.009）和压力（p < 0.001）。此外，说英语的拉丁裔父母比说西班牙语的拉丁裔和非拉丁裔白人父母报告了更高的焦虑和压力（p值 < 0.05），而说西班牙语的拉丁裔和非拉丁裔白人父母报告的压力和焦虑水平相似。本研究结果与移民健康悖论一致，即文化适应程度更高的拉丁裔父母比文化适应程度较低的拉丁裔和非拉丁裔白人父母报告了更高水平的焦虑和压力，这支持了在围手术期环境中进行文化定制干预的必要性。
