An Integrative Review of the Cultural Context of Health, Illness, and Healing Traditions of Mexican-Americans with Clinical Implications for Cardiovascular Health Promotion

2.50
Hdl Handle:
http://hdl.handle.net/10755/155169
Type:
Presentation
Title:
An Integrative Review of the Cultural Context of Health, Illness, and Healing Traditions of Mexican-Americans with Clinical Implications for Cardiovascular Health Promotion
Abstract:
An Integrative Review of the Cultural Context of Health, Illness, and Healing Traditions of Mexican-Americans with Clinical Implications for Cardiovascular Health Promotion
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Benavente, Viola, RN, CNS
P.I. Institution Name:University of Pennsylvania
Title:Research Associate
[Research Presentation] Purpose: The purpose of this integrative literature review is to provide a selected summary of key research findings regarding the cultural context of pathways to health, illness management, and healing traditions of Mexican-Americans, in order to document a research agenda with direct clinical application for cardiovascular health promotion. Mexican-Americans, the largest sub-cultural group of the United States (US) Hispanic population, experience a disproportionate burden of death and disability from cardiovascular disease. For Mexican-Americans, "care" typically occurs in a cultural context, which then guides health behaviors and illness responses whether they are health-promoting or risk-enhancing. Failure of health care professionals to understand ethnic variations of health and illness can be detrimental to care planning and delivery. Methods: Four databases were searched from 1980 to 2008 for published research in US journals. A total of 25 articles met inclusion criteria, consisting of nine experimental studies, two mixed methods, and fourteen non-experimental studies with two literature reviews. Key information and core topics were coded and grouped based on conceptual similarities, facilitating identification of emergent themes and demonstrating a qualitative technique of content analysis that accentuates the clinical importance of literature reviews. Results: Data synthesis highlights lack of empirical research, and consolidates thematic outcomes. Three themes indicate cultural factors explain (a) prevalence of service access and utilization, (b) relative advantages and disadvantages of health behaviors, and (c) importance of "ethno-specific" cultural care considerations. Intra-cultural diversity, intergenerational differences, varying acculturation levels, and cultural care competency persist as remaining gaps in the literature and contributory factors to misunderstanding Mexican-American cultural mores and health. Conclusion: Increased understanding can contribute toward developing culturally coherent intervention programming and achieving culturally congruent care that may extend short-term gains of coronary heart disease prevention and risk reduction into long-term effectiveness for better cardiovascular health profiles among Mexican-Americans.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Integrative Review of the Cultural Context of Health, Illness, and Healing Traditions of Mexican-Americans with Clinical Implications for Cardiovascular Health Promotionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155169-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Integrative Review of the Cultural Context of Health, Illness, and Healing Traditions of Mexican-Americans with Clinical Implications for Cardiovascular Health Promotion</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Benavente, Viola, RN, CNS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Pennsylvania</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research Associate</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">violaben@nursing.upenn.edu</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Purpose: The purpose of this integrative literature review is to provide a selected summary of key research findings regarding the cultural context of pathways to health, illness management, and healing traditions of Mexican-Americans, in order to document a research agenda with direct clinical application for cardiovascular health promotion. Mexican-Americans, the largest sub-cultural group of the United States (US) Hispanic population, experience a disproportionate burden of death and disability from cardiovascular disease. For Mexican-Americans, &quot;care&quot; typically occurs in a cultural context, which then guides health behaviors and illness responses whether they are health-promoting or risk-enhancing. Failure of health care professionals to understand ethnic variations of health and illness can be detrimental to care planning and delivery. Methods: Four databases were searched from 1980 to 2008 for published research in US journals. A total of 25 articles met inclusion criteria, consisting of nine experimental studies, two mixed methods, and fourteen non-experimental studies with two literature reviews. Key information and core topics were coded and grouped based on conceptual similarities, facilitating identification of emergent themes and demonstrating a qualitative technique of content analysis that accentuates the clinical importance of literature reviews. Results: Data synthesis highlights lack of empirical research, and consolidates thematic outcomes. Three themes indicate cultural factors explain (a) prevalence of service access and utilization, (b) relative advantages and disadvantages of health behaviors, and (c) importance of &quot;ethno-specific&quot; cultural care considerations. Intra-cultural diversity, intergenerational differences, varying acculturation levels, and cultural care competency persist as remaining gaps in the literature and contributory factors to misunderstanding Mexican-American cultural mores and health. Conclusion: Increased understanding can contribute toward developing culturally coherent intervention programming and achieving culturally congruent care that may extend short-term gains of coronary heart disease prevention and risk reduction into long-term effectiveness for better cardiovascular health profiles among Mexican-Americans.</td></tr></table>en_GB
dc.date.available2011-10-26T13:36:02Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:36:02Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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