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牙齿问题与家庭主义:美国中西部墨西哥裔成年人关于口腔健康问题的社交网络讨论

Dental problems and Familismo: social network discussion of oral health issues among adults of Mexican origin living in the Midwest United States.

作者信息

Maupome G, McConnell W R, Perry B L

机构信息

Indiana University / Purdue University at Indianapolis School of Dentistry. IN, USA.

Indiana University, Bloomington, IN, USA.

出版信息

Community Dent Health. 2016 Dec;33(4):303-308. doi: 10.1922/CDH_3946Maupome06.

DOI:10.1922/CDH_3946Maupome06
PMID:28537369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5457701/
Abstract

OBJECTIVE

To examine the influence of collectivist orientation (often called familismo when applied to the Latino sub-group in the United States) in oral health discussion networks.

BASIC RESEARCH DESIGN

Through respondent-driven sampling and face-to-face interviews, we identified respondents' (egos) personal social network members (alters). Egos stated whom they talked with about oral health, and how often they discussed dental problems in the preceding 12 months.

PARTICIPANTS

An urban community of adult Mexican-American immigrants in the Midwest United States. We interviewed 332 egos (90% born in Mexico); egos named an average of 3.9 alters in their networks, 1,299 in total.

METHOD

We applied egocentric network methods to examine the ego, alter, and network variables that characterize health discussion networks.

RESULTS

Kin were most often leveraged when dental problems arose; egos relied on individuals whom they perceive to have better knowledge about dental matters. However, reliance on knowledgeable alters decreased among egos with greater behavioral acculturation.

CONCLUSIONS

This paper developed a network-based conceptualization of familismo. We describe the structure of oral health networks, including kin, fictive kin, peers, and health professionals, and examine how networks and acculturation help shape oral health among these Mexican-Americans.

摘要

目的

研究集体主义取向(在美国应用于拉丁裔亚群体时通常称为家庭主义)对口腔健康讨论网络的影响。

基础研究设计

通过应答驱动抽样和面对面访谈,我们确定了受访者(自我)的个人社会网络成员(他人)。自我陈述了他们与谁谈论过口腔健康,以及在过去12个月里他们讨论牙齿问题的频率。

参与者

美国中西部一个成年墨西哥裔美国移民的城市社区。我们采访了332名自我(90%出生于墨西哥);自我在其网络中平均提及3.9个他人,总共1299人。

方法

我们应用自我中心网络方法来研究表征健康讨论网络的自我、他人和网络变量。

结果

出现牙齿问题时,亲属最常被求助;自我依赖他们认为在牙齿问题方面知识更丰富的人。然而,行为文化适应程度较高的自我对知识丰富的他人的依赖程度降低。

结论

本文提出了基于网络的家庭主义概念。我们描述了口腔健康网络的结构,包括亲属、拟亲属、同龄人及健康专业人员,并研究网络和文化适应如何影响这些墨西哥裔美国人的口腔健康。

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