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Hispanic Women's Perceptions and
      Attitudes of Health
          Sandra L. Paredes

       Johns Hopkins University
          Master's Candidate
           Communication
Acculturation & Disease Prevention

If we frame health
messages within the
intended audiences'
cultural context,
can we shift the locus of
control and increase
disease prevention?
Impetus
Health Perspectives
Literature Review
Coronado, Thompson, Tejeda & Garcia (2004)
    • 
     diabetes risk factors: heredity, diet high in fat and sugar, obesity
    •  emotional trigger: susto made them susceptible to getting diabetes
Pérez-Stable, Sabogal, Otero-Sabogal, Hiatt, & McPhee (1992)
    •  cancer causes : sugar substitutes, bruises, microwaves, antibiotics
    •  attitudes: death sentence, punishment from God, and unpreventable
Flórez, Aguirre, Viladrich, Céspedes, De La Cruz, & Abraído (2009)
    •  locus of control: internal (individual action) & external (God’s will)
    •  nuance: God helps people who help themselves
    •  proactive: regular screenings, especially if at risk for breast cancer
Health Literacy
Intended Audience Perspective

 Craft messages that
   resonate with the
   intended audience.

 Capture the emotional
   nuances of health within
   audience's life context.

Source: DC Cancer Consortium & Westat. (2009). Is your body talking? Take time to Listen: An ovarian
and endometrial cancer awareness campaign. www.dccancerconsortium.org
Social Science Perspective
  A complete medical education must include,
  alongside physical and biological science,
  the perspectives and findings that flow from
  the behavioral and social sciences.


  BEHAVIORAL AND SOCIAL SCIENCE INTERVENTIONS FOR
  HEALTH CARE ATTAINMENT

  Healthful Mind-body Interaction -- stress reduction relaxation,
  non-pharmacologic pain and anxiety treatment, substance abuse
  treatment, sobriety maintenance

  Health Promotion and Wellness -- public and social media
  health education, community motivational interventions, impactful
  health literacy.




Source: Association of American Medical Colleges. (2011). Behavioral and social science foundations to
future physicians. www.aamc.org
Research Design
Research Questions


RQ1: How does acculturation
  affect Hispanic women’s
  culturally bound health
  attitudes and perceptions?

RQ2: How do Hispanic
  women adopt biomedical
  health attitudes in the
  U.S.?
Methodology & Audience
Focus groups
   • 
    2 groups, each with 6 -8 participants (n ≈ 14)
   • 
    English & Spanish
   • 
    Recruit via local businesses, social media &
    word-of-mouth in Washington, D.C.

Audience
   • 
    Women
   • 
    Ages 18+
   • 
    Hispanic & Hispanic-American
Screening Tool
Demographics
  i.e., birthplace, years living in the U.S., age at arrival

Acculturation
  •  Language preference for media (i.e., radio, newspaper, books, websites)
  •  Language preference for socializing (i.e., family, friends, work, school
  •  Cultural self-identification (i.e., Hispanic, Hispanic-American)
Health Behaviors & Beliefs
  •  Preventative (i.e., vaccines, women’s exams, eye & dental exams)
  •  Familiarity with cultural health beliefs (i.e., mal de ojo, susto)
  •  Cancer beliefs (i.e. preventable, treatable, curable)
Focus Group Segments

                More              Less
                Acculturated      Acculturated
Primary         English           Spanish
language
Birthplace      U.S. or foreign   foreign

U.S. arrival    child             adult

Age             Under 40          40+

Self-identity   Hispanic-         Hispanic
                American
Last thought …
Thank you
      Sandra L. Paredes
        slp22@jhu.edu
                @slp22
Hispanic Women's Perceptions and Attitudes of Health

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Hispanic Women's Perceptions and Attitudes of Health

  • 1. Hispanic Women's Perceptions and Attitudes of Health Sandra L. Paredes Johns Hopkins University Master's Candidate Communication
  • 2. Acculturation & Disease Prevention If we frame health messages within the intended audiences' cultural context, can we shift the locus of control and increase disease prevention?
  • 5. Literature Review Coronado, Thompson, Tejeda & Garcia (2004) •  diabetes risk factors: heredity, diet high in fat and sugar, obesity •  emotional trigger: susto made them susceptible to getting diabetes Pérez-Stable, Sabogal, Otero-Sabogal, Hiatt, & McPhee (1992) •  cancer causes : sugar substitutes, bruises, microwaves, antibiotics •  attitudes: death sentence, punishment from God, and unpreventable Flórez, Aguirre, Viladrich, Céspedes, De La Cruz, & Abraído (2009) •  locus of control: internal (individual action) & external (God’s will) •  nuance: God helps people who help themselves •  proactive: regular screenings, especially if at risk for breast cancer
  • 7. Intended Audience Perspective Craft messages that resonate with the intended audience. Capture the emotional nuances of health within audience's life context. Source: DC Cancer Consortium & Westat. (2009). Is your body talking? Take time to Listen: An ovarian and endometrial cancer awareness campaign. www.dccancerconsortium.org
  • 8. Social Science Perspective A complete medical education must include, alongside physical and biological science, the perspectives and findings that flow from the behavioral and social sciences. BEHAVIORAL AND SOCIAL SCIENCE INTERVENTIONS FOR HEALTH CARE ATTAINMENT Healthful Mind-body Interaction -- stress reduction relaxation, non-pharmacologic pain and anxiety treatment, substance abuse treatment, sobriety maintenance Health Promotion and Wellness -- public and social media health education, community motivational interventions, impactful health literacy. Source: Association of American Medical Colleges. (2011). Behavioral and social science foundations to future physicians. www.aamc.org
  • 10. Research Questions RQ1: How does acculturation affect Hispanic women’s culturally bound health attitudes and perceptions? RQ2: How do Hispanic women adopt biomedical health attitudes in the U.S.?
  • 11. Methodology & Audience Focus groups •  2 groups, each with 6 -8 participants (n ≈ 14) •  English & Spanish •  Recruit via local businesses, social media & word-of-mouth in Washington, D.C. Audience •  Women •  Ages 18+ •  Hispanic & Hispanic-American
  • 12. Screening Tool Demographics i.e., birthplace, years living in the U.S., age at arrival Acculturation •  Language preference for media (i.e., radio, newspaper, books, websites) •  Language preference for socializing (i.e., family, friends, work, school •  Cultural self-identification (i.e., Hispanic, Hispanic-American) Health Behaviors & Beliefs •  Preventative (i.e., vaccines, women’s exams, eye & dental exams) •  Familiarity with cultural health beliefs (i.e., mal de ojo, susto) •  Cancer beliefs (i.e. preventable, treatable, curable)
  • 13. Focus Group Segments More Less Acculturated Acculturated Primary English Spanish language Birthplace U.S. or foreign foreign U.S. arrival child adult Age Under 40 40+ Self-identity Hispanic- Hispanic American
  • 15. Thank you Sandra L. Paredes slp22@jhu.edu @slp22