Dissertations / Theses: 'Youth – services for – cross-cultural studies'

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Pick, Rachel. "Youth, sex, and the permissive society : South Wales, c. 1955 - c. 1975." Thesis, Swansea University, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.668344.

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Hachmeister, Philip, and Andrian Satrio. "Services marketing in a cross cultural environment : the case of Brazil." Thesis, University of Gävle, Department of Business Administration and Economics, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-4814.

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ABSTRACT

Aim: Despite the domestic and international importance of services the research about the internationalization of services it is limited. Compared to products, services differ in nature. They are intangible and heterogeneous, meaning they are usually consumed at the point of purchase and are performed, as well as perceived differently. When a service provider wants to market its offerings in culturally distant country, the local country's culture is an important factor during the process of adaptation/standardization of the service. What is acceptable in one country might not be acceptable in another. Thus, this study aims to identify how adaptation/standardization of a service in a foreign country takes place, how the problems of intangibility and heterogeneity are handled.

Method: This study presents the single case of the Swedish medical systems company Elekta and its efforts to market its Gamma Knife Technology, a neurosurgical method, to Brazil. It is based on secondary data, in form of topic related books, scientific articles and internet sources, only. For gathering primary data, an exploratory research design was chosen to conduct a qualitative research. Structured interviews were chosen to acquire data since they are particularly helpful when dealing with complex issues. The interviews were sent in form of email questionnaires to a contact person at Elekta's head quarter in Sweden, as well as the Swedish/Brazilian co-operation. However, both interviewees did not respond contrary to prior agreements.

Result & conclusion: The analysis of the findings revealed that, according to Hofstede's Five Cultural Dimensions both countries differ greatly in culture. Whilst some service characteristics are likely to be fully or mainly standardized, others will have to be adapted in order to fit the local culture. The service itself, as well as the service's process, its people involved and its physical evidence offer great potential for standardization, whereas pricing and promotion tend to be affected strongly by income and language and thus, is likely to require adaptation. Clearly, the local culture plays an important role during the process of adaptation/standardization. Cultural adaption can make service offering more tangible by reducing the gap of misunderstanding. Service providers should standardise service offerings, ideas, values and beliefs connected to the quality of a service and adapt factors related to the market. Standardisation and adaptation can both be implemented successfully in the market. A balanced combination makes services more homogenous and tangible.

Suggestion for further research: There is limited research available concerning the internationalization of services, with special regards to the process of adaptation /standardization. This study is based only on a single case, without primary research. Further research in Trust and Networking is required to complete the model. Furthermore, lacking primary sources from both companies, further research regarding of how both companies are providing services are required.

Contribution of the thesis: This work seeks to make a contribution towards a clearer understanding of international services marketing and the process of adaptation/standardization of services. It emphasizes on the importance of culture during the process of adaptation/standardization with regards to the intangibility and heterogeneity of services. It is based on previous research conduct by Hyder & Fregidou-Malama (2007) focusing on the adaptation/standardization of Elekta's services in Egypt.

Key words: International services marketing, service, adaptation, standardization, culture, intangibility and heterogeneity

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Murakami, Miki. "A Study of Compensation for Face-Threatening Acts in Service Encounters in Japan and the United States." PDXScholar, 2011. https://pdxscholar.library.pdx.edu/open_access_etds/381.

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This study examines how people compensate for their inability to accommodate the needs of others in service encounters. Being unable to meet others' needs violates the positive face of one of the participants in a discourse. Many previous studies on speech acts demonstrate how people control their utterances to avoid causing a face-threatening act. However, the language behavior that follows a face-threatening act has not yet received much focus. This paper looks at two different kinds of data in Japan and the United State (hereafter "U.S.") using two different approaches: observation and role-play. In the first, the observational phase, the author acted as a customer in several convenience stores in Japan and asked for an item that they did not carry. In the U.S., a native English speaker interacted with the salesclerk as the customer. (No recording device was used in either situation.) All exchanges were immediately recorded by hand and later coded by semantic formulas. In the second, the role-play phase, native speakers were asked to role-play a parallel situation in which they acted as a salesclerk and had to react to not being able to satisfy customers' requests. The results demonstrate that Japanese sales clerks compensate in the face of their inability to meet another's need (they avoid a direct face-threatening act) whereas most U.S. sales clerks do not attempt to compensate for their inability. These behaviors correlate with social expectations of the participants within both respective service encounters. Moreover, the results also suggest a re-thinking of speech acts and emphasize the importance of natural data.

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Navrkal, Denise Antionette. "Teenage pregnancy: Cultural and familial predictors." CSUSB ScholarWorks, 1995. https://scholarworks.lib.csusb.edu/etd-project/1094.

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Vang, TangJudy. "The Role of Psycho-Sociocultural Factors in Suicide Risk Among Mong/Hmong Youth." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/1037.

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This study examined psychological, social, and cultural factors that can affect suicide risk among Mong/Hmong youth between the ages of 18 and 25. Emerging evidence suggests that Mong/Hmong youth are at an increased risk for suicide (Huang, Lee, & Arganza, 2004; Jesilow & Xiong, 2007). Additionally, initial findings and theories have suggested potential associations between Mong/Hmong youth suicide risk and intergenerational family conflict, ethnic identity, acculturation, depression, and spirituality. The seriousness of suicide risk among Mong/Hmong youth in this country has been overlooked for decades; therefore, the purpose of this study was to examine these associations with the hope that the findings would be beneficial in future efforts to reduce suicide risk among Mong/Hmong youth. This research was a cross-sectional exploratory study that used a purposive sampling method in addition to snowball sampling. The sample consisted of 165 Mong/Hmong youth between the ages of 18 and 25 from three California academic institutions. Results indicated that of 165 respondents, 59% (n=98) have had passing thoughts of suicide. There was a correlation between ethnic identity, intergenerational family conflict, depression, and spiritual beliefs. Furthermore, ethnic identity and intergenerational family conflict were significant predictors of depression. Lastly, depression and having a belief in Mong/Hmong traditional spiritual and healing practices were predictors of suicide risk among the sampled population. Two open-ended protective factor questions were explored to encourage participants to reflect on their resilience to suicide by sharing how they responded to thoughts of ending their life and what helped them to overcome those thoughts. Five themes were identified as protective factors: (1) having the cognitive ability to understand how death affects loved ones; (2) optimism and having a positive orientation toward the future; (3) connectedness with family, friends, and community; (4) having a sense of self-worth; and (5) a social life. Implications for social work practice and policy include the development, expansion and delivery of culturally appropriate mental health treatment services for young adults. This entails the incorporation of traditional Mong/Hmong mental health healing practices into western mental health treatment, ongoing clinical research to better understand the mental health needs of the Mong/Hmong young adult population, and educating and empowering the Mong/Hmong community to access the mental health system, thereby reducing the stigma associated with mental health and increasing access to treatment.

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Locklear, Von Sevastion. "A cross cultural study to determine how mental health is defined in a tri-racial county in southeastern North Carolina /." The Ohio State University, 1986. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487261919113203.

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Mathoho, Evelinah. "Cultural differences in using a telephone answering machine : views on conveying information or maintaining relationships." Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/1989.

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Lee, Jee Hyang. "A cross-cultural study of Hwa-Byung with middle-aged women between native Koreans in South Korea and Korean immigrants in the United States." Thesis, The University of Iowa, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3638398.

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Hwa-Byung, known as an anger illness, was conceptualized in Korean culture and listed in the glossary under Culture-Bound Syndromes in the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994). Hwa-Byung develops when the emotions of anger have been suppressed for a long period of time and it becomes difficult to control those feelings. Common complaints of Hwa-Byung have two dimensions, psychological and physical symptoms. The prevalence of Hwa-Byung exhibits gender differences in that the majority of individuals who experience Hwa-Byung are women between the ages of 40 and 60. However, as the number of Korean immigrants in the United States continues to increase and their issues draw attention from researchers, the topic of Hwa-Byung receives little. Because Korean immigrants in the United States share a cultural background with their origin of ethnicity, and at the same time, may also assimilate the American culture during the acculturation process, this study will address the cultural differences in Hwa-Byung between native Koreans who live in South Korea and Korean immigrants in the United States. Accordingly, the purpose of this study was to examine the differences and similarities of Hwa-Byung in native Korean middle-aged women in South Korea and Korean immigrants in the United States, roughly between the age range of late-30's to middle 60's, by investigating the influencing factors of stressful life events, stress response, anger expression, and demographic background.

A sample size of at least 200 participants, required for each group, using both paper-pencil and web-based methods, depended on participants' preferences, which were influenced by a gap in ages and the level of familiarity with and/or ability to access Internet. Participants were randomly selected from major cities, both in South Korea (including Seoul, Incheon, Busan, Daejeon, and Gyeonggi Province) and the United States (including Chicago, New York, and Los Angeles), using similar proportions of ages for both groups for the equivalences of participants in cross-cultural research.

Survey measures included five instruments: (a) the Hwa-Byung scale (Kwon, Kim, Park, Lee, Min, & Kwon, 2008); (b) Life Stress for Korean women (Chon & Kim, 2003); (c) stress response inventory (SRI) (Koh, Park, & Kim, 2000); (d) anger expression (Hahn, Chon, Lee, & Spielberger, 1997), and (e) demographic background that measured the variables used in this study. To minimize the weakness of language differences used in the different cultural contexts, survey packages for Korean immigrant participants in the United States were formatted in both Korean and English for each item. Thus, a translation process became necessary, especially for the Korean instruments of the Hwa-Byung Scale, Life Stress for Korean women and Stress Response Inventory (SRI), from Korean into Englishtwo of which were (originally developed by Korean researchers) . On the other hand, native Koreans submitted only the Korean version of questionnaires because they fully understood the meaning of questionnaire statements, as well as in order to get rid of possible distractions by the inclusion of English sentences.

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Keel, Monique. "Refugee settlement: Acculturation, ethnic identity, ethnicity and social network development." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1999. https://ro.ecu.edu.au/theses/1269.

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Refugees arriving in Australia undergo a number of settlement processes including adaptation and acculturation, social support and network development, and an exploration of their ethnic identity. This research examines the settlement processes of mixed marriage refugees from what was Yugoslavia who arrived in Perth, Western Australia in the early to mid 1990's. A mixed marriage is one where the couple are from different ethnic backgrounds. This research has two main aims. The first aim is to examine the processes of acculturation and adaptation, the development of social support networks, and ethnic identity, within the refugees. These processes provide a framework from which to understand the settlement process. The second aim is to investigate the initial settlement programs and supports provided by Australia's government and community groups, and to provide recommendations for future service provision. Throughout the research, the experiences of the refugees are located within the sociopolitical context of the conflict in what was Yugoslavia and their migration. The impact of the refugees' ethnicity and ethnic identity is also considered. The research was comprised of a study in two stages. The first stage involved scoping interviews with critical participants and refugees to identify key conceptual domains for the purpose of guiding subsequent interviews. The second stage consisted of multiple-case, conversational interviews with 12 mixed marriage refugees from what was Yugoslavia. Data was analysed thematically and the results indicated that the participants were moving towards an acculturation outcome of bi-culturalism. The majority have taken out Australian citizenship, were proud of and grateful for it and saw it as a security for the future. The results also indicated that ethnicity impacts on the development of social networks. The participants generally socialised with other mixed marriage refugees as they felt comfortable and emotionally supported by them. Mainstream Australians provided more instrumental support. The participants referred to a feeling of belonging to Australia increasing with participation in the community and have made substantial efforts to understand the Australian way of life. Feeling part of the Australian community was a process that was taking time. The participants described their ethnic identity as either Yugoslav or Bosnian, regardless of their ethnicity. Whilst maintaining this identity, being Australian was also important and did not conflict with feeling Yugoslav or Bosnian. The links between the various settlement processes are discussed as well as the validity of the research process and recommendations for future research and for settlement programs. The results illustrated the diversity of experiences of the participants as well as a commonality resulting from their being in a mixed marriage. With respect to the second aim, the initial settlement experience is characterised by stress, due in part to the nature of the refugee experience and exacerbated by a lack of English, receiving confusing and untimely information, difficulties in finding work and difficulties in meeting mainstream Australians. The refugees who went through the On-Arrival Accommodation program felt less supported than those who went through the Community Resettlement Support Scheme, which offered a chance to meet Australians and provided better material assistance.

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Scheldeman, Griet. "Performing diabetes : balancing between 'patients' and 'carers', bodies and pumps, Scotland and beyond." Thesis, University of St Andrews, 2006. http://hdl.handle.net/10023/11085.

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This study is about young people (age 11-16) with diabetes. Based on fieldwork in a paediatric diabetes centre in Scotland, it describes the ways diabetes is lived and done by young people, their health carers and insulin pumps. This enactment is contrasted with other ways of doing diabetes, as observed on short fieldwork trips to paediatric centres in Brussels, Gothenburg and Boston. I explore the dynamics of diabetes care on two levels. I consider the interaction between health carers and patients. Comparative data from various paediatric centres make apparent how culturally and socially informed approaches towards adolescence, health and illness shape both care practices and patients' experiences, resulting in different medical outcomes. Concretely in the Scottish centre, a non-hierarchical holistic care approach by health carers emphasizing quality of life over health, informs the young people's perspective on diabetes. Being a free adolescent takes priority over managing diabetes, with the results of ill health and possible future complications. The existing dynamics in this care framework change as a third actor enters the scene: the insulin pump, a pager-sized technological device continuously attached to the body. I explore the balancing act between young people and their pumps. As the adolescents actively engage with their pumps not to search for better health but rather to pursue a better quality of life, the guiding question becomes: how can a technological device for insulin injection double as a tool towards a desired identity and a different illness? This work then, can be read as a concrete case study of how a uniform technological device is embedded and used in a specific cultural and social context. It can also be read as an argument for a re-orientation of paediatric diabetes care in the Scottish centre: care centred on collaboration and inclusion rather than focused on merely containing underlying conflict (between adults and adolescents, diabetes and life, health and quality of life). Centres in Brussels, Gothenburg and Boston, and the insulin pump concretely, show how collaboration can lead to good health and quality of life. To leave us to wonder: is 'doing diabetes differently' synonymous with 'doing a different diabetes'?

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Bermejo, Emilio Russ Layon. "A constructivist inquiry of the bicultural experiences and social support systems of Southeast Asian refugee youth." CSUSB ScholarWorks, 1996. https://scholarworks.lib.csusb.edu/etd-project/1193.

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Imaeda, Chieko. "Cross-cultural pragmatics: Politeness for the customer in spoken aspects of service in the restaurant in Australian English and Japanese." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2002. https://ro.ecu.edu.au/theses/755.

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In listening to members of different cultures, it is possible to feel bad, even while recognising that the speaker is trying to speak politely. Sometimes we do not feel very comfortable with someone else’s speech, even though their expressions might be very polite with the choice of specific linguistic forms to show a high level of formality such as terms of address and specific types of formulaic expression such as ' I (don 't) think ... ' or ' I (don't) believe' . The speaker may be intending to speak politely in a considerate way. But the hearer's reaction may be quite different.

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Roy, Brandy L. "An exploration of the role of intercultural training in developing intercultural competency among exchange students : a case study of rotary youth exchange." Scholarly Commons, 2012. https://scholarlycommons.pacific.edu/uop_etds/815.

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This study works with Rotary Youth Exchange to investigate the role of predeparture intercultural training in preparing students to study abroad so that they 5 positively integrate their experience to become interculturally competent people. The Intercultural Effectiveness Scale (IES) along with an intercultural background survey were administered to each student during the first one to four months of his or her exchange to measure his or her intercultural competency development and to learn li about the student's intercultural background. Developing explicit evidence for the role of intercultural training through this study proved unsuccessful because of the students' Jack of knowledge about the subject. However, through analysis of students' answers to decipher the quality of training received and comparing that information to the students' IES scores, the vital role of intercultural training in predeparture orientation is implied.

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Haghshenas, Abbas Public Health &amp Community Medicine Faculty of Medicine UNSW. "Negotiating norms, navigating care: the practice of culturally competent care in cardiac rehabilitation." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/32280.

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BACKGROUND Increasingly, it is recognised that the unique needs of people from culturally and linguistically diverse backgrounds (CaLDB) should be addressed within a framework of cultural competence. To date, there are limited data on the issues facing CaLDB patients in the Cardiac Rehabilitation (CR) setting. Appreciation of an individual???s values, attitudes and beliefs underpins negotiation of behaviour change in the CR setting. Therefore an understanding of patient and professional interactions is of key importance. OBJECTIVES The focus of this study has been to undertake an exploration of CR service delivery to people from culturally and linguistically diverse backgrounds, using Arabic speaking people as an exemplar of a CaLDB group. More broadly, this research project has sought to identify factors, which influence the practice of health professionals towards CaLDB patients, and to develop a model for evaluation of culturally competent health care in the CR setting. The study sought to achieve these aims by addressing the following research questions: 1. In what way do health practitioners in CR adjust their treatment and support to accommodate the perceived needs of CaLDB communities? 2. In what way do factors (such as individual and organisation perspectives) influence the adjustment of clinical practice and service delivery of CR practitioners; and what are practitioners??? and patients??? perception of barriers and facilitators to service delivery? 3. To what level are CaLDB patients satisfied with CR services? This study design is comprised of the following elements: (1) interviews with health practitioners and Arabic speaking background patients as an exemplar of CaLDB patients; (2) review of policy and procedure documents and medical records; and (3) field observation. METHOD This thesis embraces a qualitative approach as the primary method of investigation to align with the exploratory and descriptive nature of the study. The main methods used in the study were: in depth interviews with health professionals and patients; field observations; appraisal of relevant documents and consultation with expert panels. Study samples were selected through a purposive sampling strategy.Data were analysed using the method of content analysis, guided by the research questions. FINDINGS In total, 25 health professionals (20 female and 5 male) and 32 patients (21 male and 11 female) were interviewed. The method of qualitative content analysis was used for data analysis. Data analysis revealed four major themes: 1) The challenging context; 2) Tuning practices; 3) Influencing factors; and 4) Goodness of fit. The study demonstrated a challenging context for CR delivery, both from the perspective of patients and health professionals. Data reveal a process of reflection, negotiation, and navigation of care by CR health professionals in an effort to understand and meet the diverse needs of CALDB patients. CONCLUSION On the basis of the study findings, a process-oriented model of tuning practice to achieve cultural competence in CR delivery is proposed to inform policy, research and clinical practice.

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Chiang, Jing Fen. "Cultural impact on customer perception of service quality in the hotel industry: A comparative study of Eastern and Western respondents." CSUSB ScholarWorks, 2006. https://scholarworks.lib.csusb.edu/etd-project/3041.

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The purpose of the study was to investigate cultural aspects that influence customer perception of service quality in the hotel industry, specifically those that influence Eastern and Western respondents. A questionnaire was developed to assess cultural differences on perceptions, which included a modified version of the SERVQUAL scales, an instrument used to measure service quality. The convenience sample consisted of students enrolled in the MBA program at a Western university (N=152; Eastern=57.9%, Western=34.9%, Other=7.2%). Findings indicated that there were no significant differences between Eastern and Western cultures in perceptions of service quality. A sample questionnaire is included.

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Zavala-Arias, Monica. "Child welfare workers' attitudes toward culturally diverse consumers." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2595.

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The purpose of this study is to examine child welfare workers' attitudes towards culturally diverse consumers. Social workers from four local foster family agencies were asked to complete a voluntary and anonymous questionaire. The survey also consisted of filling out the Multicultural Counseling Inventory (MCI) which, consisted of forty Likert type questions. The MCI served as an instrument scale to measure the workers' multicultural competencies.

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Lux, Judith Ellen. "An exploratory study of child protective services social worker knowledge of the culture of the deaf." CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1792.

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Müller, Otto. "Service quality perceptions among different cultures in the Nelson Mandela Metropole." Thesis, Nelson Mandela Metropolitan University, 2006. http://hdl.handle.net/10948/d1011687.

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Managing cultural differences in today’s work environment has received the attention of researchers all over the world. What has received far less attention is the managing of the cultural differences between service provider workers and customers and how this is perceived to lead to achieving great service quality. This research project focuses on the cultural differences between culturally diverse South African service provider workers and South African customers, with some reference to international customers. The questionnaire used in this research includes questions embodying the service quality instruments developed by Parasuraman, Zeithaml, and Berry (1988) and Hofstede’s (1991) cultural dimensions. The questionnaire was completed by 81 students of the East Cape Midland College in the Nelson Mandela Metropole. A Pearson’s correlation coefficient was calculated for each service quality instrument and each cultural dimension. The resulting correlation coefficients were analysed and a positive or negative correlation between each service quality instrument and each cultural dimension is shown. The implications of each positive and negative correlation are shown and how it impacts on perceived service quality delivery. The implications for service quality management are shown, followed by recommendations for the management of a culturally diverse workforce.

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Reyes, Alberta M. "Alternative Interventions Used to Help Mexican-American Students Improve Academic Achievement in Grades 9 - 12." NSUWorks, 2012. http://nsuworks.nova.edu/shss_dcar_etd/11.

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The purpose of this qualitative research study employing a cross-case analysis on previous case studies is to better understand the engagement of Latino students in a small number of cultural sensitivity programs and the teaching practices that are factors in the development of their academic achievement. In the traditional infrastructure of public schools, assimilation is built on fundamental values aligned with the U.S. political establishment rather than on the value of adaptation to the demands and conflicts of other cultures. Thus, less-empowered groups are at a disadvantage resulting in subgroups abandoning their ideas and reducing their contributions to human capital. In this study, the focus is alternative programs, specifically programs in which a there is a balance in the learning process between the teacher and student emphasizing the development of enhanced understanding of the cultural contexts an integral part of academic learning for Mexican American students. Also included in the case studies are innovative intervention programs that specifically help students improve academic achievement in Grades 9-12, especially those for students who are Mexican immigrants or of Mexican American ancestry in the state of California. The literature discusses concepts of assimilation, enculturation, oppression, culture capital, and the high and low contexts within the theoretical framework. Empirical literature revealed a deeper understanding of the relationship between Latino student learning styles and the dominant Eurocentric traditional academic culture within classroom practices. In sum, in the cross-case analysis of the 21 case studies, various features emerged across the cases that were categorized into three general themes: (a) alternative interventions, (b) caring, and (c) culturally responsive teaching/pedagogy.

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Hawkins, Misty Anne. "Affective traits and adiposity : a prospective, bidirectional analysis of the African American Health study data." Thesis, Proquest, 2013. http://hdl.handle.net/1805/4840.

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Indiana University-Purdue University Indianapolis (IUPUI)
Research indicates that negative affective traits (e.g., depression) are predictors and consequences of excess adiposity. Given that racial minorities and positive affective traits have been underrepresented in past investigations, more prospective studies are needed which examine multiple affective traits in relation to obesity in these populations. The objective of the current study was to investigate the prospective, bidirectional associations between multiple affective traits and multiple adiposity indicators in African Americans using data from the African American Health (AAH) study. The AAH study is a prospective cohort study of African Americans aged 49-65 years at baseline (N = 998). The longest follow-up period in the current study was 9 years (N = 579). Self-reported and measured body mass index (BMI; kg/m2) and body fat percent (BF%) were used as adiposity indicators. Depressive symptoms were assessed with the 11-item Center for Epidemiologic Studies-Depression Scale (CES-D), and anxiety was assessed using the Generalized Anxiety Disorder-2 (GAD-2) scale. Positive affective traits were assessed with the Vitality subscale of the Short Form-36 and Positive Affect subscale from the CES-D. Latent variable path analysis, a structural equation modeling technique, was conducted. Although fit statistics indicated that the models fit the data (RMSEA < .06), examination of the structural paths revealed that the CES-D and GAD-2 were not predictors or consequences of self-reported BMI, measured BMI, or BF% (ps > .05). Likewise, Vitality and CES-D Positive Affect were not related to any adiposity indicator (ps > .05). The results of this prospective cohort study suggest that affective traits are not predictors or consequences of adiposity in middle-aged African Americans and that this group may require obesity prevention or intervention programs with little to no emphasis on affective traits. Possible explanations for the current results include ethnic differences in the mechanistic pathways between affective traits and adiposity.

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Todes, Karyn. "Cross-cultural, cross-gender aspects of identity formation in youth." Thesis, 2009. http://hdl.handle.net/10210/2968.

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Cooper, Theressa N. "“Holla if you hear me”: A Conversation with Black, inner-city youth on career preparedness programs." 2010. http://trace.tennessee.edu/utk_graddiss/874.

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This research study specifically addressed; how vocational preparedness programs effect the career aspirations of Black youth, within the context of the Middle Tennessee Council Boy Scouts of America’s Exploring program. The goal of this research is to represent Black youth participating in a vocational preparedness program. Interviews, journals, and rich, thick descriptions are utilized in this work. Using the lens of narrative inquiry and cultural studies, I hoped to further the field of career development through the experiences of some of its key players, African American youth. Within the context of their stories five major themes surfaced around the ideas: (1) Advancement via Individual Determination. (AVID), (2) Career Self-efficacy, (3) Roles of significant others in career development, (4) Perceptions of the Exploring program, and (5) what would you like to see happen in the Exploring program? Beyond themes expressed by the research participants, the following underlying factors also came to light; (1) giving voice to Black youth which are part of the marginalized minority population and restoring a sense of narrative power and authority to the youths telling the stories, (2) The Advancement Via Individual Determination (AVID) program as a significant influencer, (3) structure and organization of the Learning for Life program, (4) the role of Black women as significant others in the career decisions of participants, and (5) career choice – trade vs. careers.

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Sommer, Marc. "Suicidal behaviour of high school students : attempts, ideation and risk factors of South African and German adolescents." Thesis, 2005. http://hdl.handle.net/10500/1685.

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The present study compared the suicidal behaviour and related measures of adolescents in high school in Germany (N=318) and South Africa (N=299). Participants completed a series of self-report measures of the SPS (Suicide Probability Scale), PSS-Fa (Perceived Social Support From Family Scale), PSS-Fr (Perceived Social Support From Friends Scale), SIB (Scale Of Interpersonal Behaviour) and a number of demographic questions. Analyses were conducted using content analysis, correlation coefficients and logistic regression to determine variables related to previous suicide attempts, stepwise multiple regression to account for variables predicting currents suicidal risk; and multivariate analysis of variance (MANOVA) to examine differences among the groups and among suicide attempters and non-attempters. 36 German (11.3%) and 48 South African (16.1%) adolescents reported that they had made previous suicide attempts. German adolescents reported 45 (14.2%) suicide attempts in the family and 82 (25.8%) suicide attempts by friends. South African adolescents reported 43 (14.4%) suicide attempts in the family and 92 (30.7%) suicide attempts by friends. The following variables were associated with previous suicide attempts in the German sample: attempted suicide by friends, a life-threatening event, previous psychiatric contact, the death of a friend, low perceived family support, female gender, attempted suicide in the family, suicide of a friend, and low perceived friend support. The following variables were associated with previous suicide attempts in the South African sample: low perceived family support, death of a friend, attempted suicide by friends, female gender, a life-threatening event, previous psychiatric contact, suicide of friends, and attempted suicide in the family. The following variables for the German sample were found to be significant predictors of current suicidal risk: low perceived family and friend support, previous suicide attempts, suicide attempts in the family, a life-threatening event, suicide attempts of friends, suicide of friends, female gender, and previous psychiatric contact. The following variables for the South African sample were found to be significant predictors of current suicidal risk: previous suicide attempts, low perceived family and friend support, death of a friend, a life-threatening event, previous psychiatric contact, suicide attempts in the family, suicide of friends, and suicide attempts of friends. These findings show that suicidal behaviour is frequent in both countries. Suicidal deaths of friends and family is more prevalent in Germany, whereas religion or belief in god does not protect against suicide attempts in both countries. Results indicate that perceived support from family is a strong protective factor against suicide attempts.
Psychology
M.A. (Psychology)

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Harrison, Janet E. "Community mediation and culture : a study of Oregon programs." Thesis, 1999. http://hdl.handle.net/1957/33603.

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This descriptive research project is a survey and analysis of nineteen community mediation programs in the State of Oregon. These programs were evaluated to determine their responsiveness to issues of culture and ethnicity. Data was gathered by face-to-face and telephone interviews with community program staff members and administrators. Information was written on cards or tape recorded for analysis. General questions were asked about kinds of services, target groups, and minority use of services provided. Other questions related to information about training, mediator selection, intake, and the mediation process. A review of selected authors, such as Hall, Hofstede and others, forms a background for cultural issues related to mediation. Cultural factors included in this study highlight the characteristics and variables of cultural and conflict. The literature review includes current thinking regarding the nature, merit and challenges of community mediation programs and a description of mediation in the State of Oregon. The findings of the research indicate that most community mediation programs in Oregon do not service minority communities. The need for adequate funding, personnel, time, and solutions to serve diverse populations within their neighborhoods produces a constant tension affecting the extent to which programs are responsive to diversity issues. Outreach to develop community awareness and recruit volunteers varies significantly. Very little outreach is specific to minority communities. Most advertising is in English. Training programs differ from location to location, but aspects related to culture are minimal. The intake process for each program varies only slightly. Usually procedures and techniques remain consistent regardless of the cultural or ethnic backgrounds of disputants. With the exception of language considerations, the mediation process also remains the same for all cases. Recommendations are included to strengthen the development of programs to be more responsive and open to the cultural needs of minorities.
Graduation date: 1999

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Acosta, Joie D. "Chronic community violence and adolescent peer group activity settings in Rio de Janeiro and Baltimore a cross cultural comparison /." Thesis, 2004. http://proquest.umi.com/pqdweb?index=0&did=766012281&SrchMode=2&sid=2&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1233341376&clientId=23440.

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Su, Wan. "Insights into Chinese youth culture : a comparison of personal values of Chinese and American college students." Thesis, 1992. http://hdl.handle.net/1957/37375.

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Schwartz and Bilsky (1987, 1990) constructed a universal psychological structure for cross-cultural studies of motivational dynamics. To test this structure, Simmons (1991) adapted data from a twenty year broad-based value survey of student cohorts at an American university. The availability of reliable, long-term data on American students permitted a comparison with responses of contemporary Chinese college students to a standardized personal value questionnaire. Ratings and priorities assigned by the Chinese and American students differed significantly. Chinese students emphasized Achievement, Maturity, and Prosocial motivational domains. American students emphasized Self-Direction, Security, and Enjoyment. Tradition, Power, and Stimulation were listed as least important for both groups. The effects of traditional Chinese religious and philosophical teachings on the stability of community norms were noted, as was some evidence of priority shifts in the values for Chinese youth, suggesting changes in response to altered political and economic expectations in China.
Graduation date: 1992

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Johnson, M. Audrey. "The impact of gender and ethnicity on the use of mental health services : a case study of twenty immigrant and refugee women." Thesis, 1992. http://hdl.handle.net/2429/3338.

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The voices and experiences of immigrant and refugee women in Canada have been conspicuously absent from policy issues, programme planning, and mental health literature. However, more immigrant and refugee women than men, from traditional cultures, are considered to have mental health needs, because of risk factors such as stress at the time of migration, and because of Canadian policies and programmes which disadvantage them. This study explores from the consumers perspective the reasons for disparate mental health service utilization between South Asian and Latin American women in Vancouver. Using a cross-sectional, exploratory, case study approach, and a feminist perspective, ten South Asian and ten Latin American women who have used mental health services were interviewed in depth. Sixty percent of the participants were survivors of violence and torture. Five Latin American women were survivors of pre-migration catastrophic stress. Their mental health needs were characterised by traumatic experiences, grieving and depression. Except for the three who were married, they had no traditional support networks. In contrast with the South Asian group they appeared to have less shame and covert behaviour. Mental illness, considered a ‘house secret’, carries great stigma in the South Asian community, and has serious ramifications for the immediate as well as the extended family. Among South Asian participants seven had been subjected to wife battering, and four of their spouses had a substance abuse problem. Their mental health needs were also triggered by traumatic experiences, grieving and depression. The more established South Asian women had extended family living in Vancouver, yet social support was still lacking. Having ‘no one to turn to’ was a pervasive theme across both groups of women; their experiences characterised by loss. Analysis of data exploring the decision to use services illustrates stages in a process of recovery from experienced violence. Post migration domestic violence and pre-migration violence have devastating, life-shattering consequences which require culturally sensitive interventions by social workers and other health care professionals. An obligatory stage in the clinical intervention process is to explore the issue of violence. Finally, policy decisions which impact upon women from ethnocultural communities in Canada must embrace a philosophy which considers well-trained, culturally-sensitive, linguistically—competent workers a priority.

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Yates, Charl. "`n Ondersoek na die gebruik van geselekteerde inisiatiefaktiwiteite in diverse jeuggroepe." Diss., 2004. http://hdl.handle.net/10500/1411.

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Summaries in Afrikaans and English
This research has shown that young people of different cultural groups have had and still have limited contact due to the history of our country. This contributed to the fact that there were, and still are, very few opportunities to build relationships. An introductory chapter in which the research methodology is explained, is followed by a discussion utilizing recent literature, of the question how the building of relationships can take place within the context of a diverse youth ministry (chapter 2). It became clear that the church, in its ministry to diverse youth groups, should create opportunities where the quality of relationships can be enhanced. In the research it was found that experiential learning activities, such as initiative activities, could have a positive influence on interpersonal skills in intercultural relationships (chapters 3 and 4). In chapter 5, firstly, certain conclusions were drawn. Secondly, recommendations were made and guidelines formulated regarding the building of relationships in the ministry to diverse youth groups.
Die navorsing vir hierdie studie het getoon dat jeugdiges van verskillende kultuurgroepe vanwee ons land se geskiedenis beperkte kontak gehad het en nog steeds het. Dit het meegebring dat geleenthede om verhoudinge te bou min was en steeds is. Na 'n inleidende hoofstuk waarin die navorsingsmetodologie uiteengesit word, volg 'n bespreking, aan die hand van resente literatuur oor die vraag hoe verhoudingsbou kan plaasvind in 'n diverse jeugbedieningkonteks (hoofstuk 2). Daaruit het dit duidelik geword dat die kerk in sy bediening aan diverse jeuggroepe geleenthede behoort te skep waartydens die kwaliteit van verhoudinge verbeter kan word. Die navorsing het bevind dat ervaringsleeraktiwiteite, byvoorbeeld inisiatiefaktiwiteite, 'n positiewe invloed kan he op interpersoonlike vaardighede in interkulturele verhoudinge (hoofstukke 3 en 4). In hoofstuk 5 is eerstens bepaalde gevolgtrekkings gemaak. Tweedens is aanbevelings gedoen en riglyne geformuleer met die oog op verhoudingsbou in die bediening aan diverse jeuggroepe.
Social Work
M. Diac. (Youth Work)

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Cheng, Chi-chia. "Identity formation in Taiwanese and American college students." Thesis, 2004. http://hdl.handle.net/2152/2230.

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Meier, Corinne. "Ontstaan en ontwikkeling van sub- en kontrakulturele jeuggroeperinge in Suid-Afrika vanuit 'n opvoedkundige perspektief." Thesis, 1996. http://hdl.handle.net/10500/18468.

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In elke samelewing kan die jeug as 'n opsigselfstaande groep geldentifiseer word. Die unieke eienskappe van die jeugfase lei tot die ontstaan· van konstruktiewe of subkulturele jeuggroeperinge en destruktiewe of kontrakulturele jeuggroeperinge. Sub- en kontrakulturele jeuggroeperinge oefen 'n direkte invloed op die onderwys en opvoeding van die jeug uit. 'n Ondersoek na die faktore wat aanleiding gee tot die ontstaan en ontwikkeling van sub- en kontrakulturele jeuggroeperinge is in die lig daarvan van dwingende belang. 'n Analise van die stambegrippe kultuur, subkultuur en kontrakultuur is 'n voorvereiste vir die begryp en verstaan van die tema ter sprake. Kultuur is die somtotaal van menslike betrokkenheid in sy materiele en nie-materiele wereld. Hierdie betrokkenheid lei tot kultuurvorming. Die vorming, oordrag en verandering van kultuur bet 'n bepaalde gesindheidsverandering by individue tot gevolg. Die nie-konfonnering met kultuurverandering het die fonnulering van 'n altematiewe of subkulturele stel waardes en nonne tot gevolg. 'n Subkultuur kan beskryf word as enige segment van die dominante kultuur waarvan die waarde en normstruktuur van die dominante kultuur verskil, maar nie in konflik daarmee is nie. Die algehele afwysing of pogings tot die omverwerp van dominante waardes en nonne het kontrakulturele waardes en norme tot gevolg. Sub- en kontrakulturele jeuggroeperinge is eiesoortig van aard. Subkulturele jeuggroeperinge funksioneer met gemak in die dominante kultuur. Kontrakulturele jeuggroeperinge word deur die dominante kultuur as 'n bedreiging beskou. Die faktore wat tot die ontstaan en ontwikkeling van sub- en kontrakulturele jeuggroeperinge in Suid-Afrika aanleiding gee, kan kortliks saamgevat word as: politieke omstandighede, ideologiese invloede, ekonomiese, demografiese, sosiale (waaronder 'n gedepriveerde sosiale omgewing en huislike faktore, gesinsgrootte, enkelouergesinne, gesagskrisis, generasiekonflik en religieuse faktore), kulturele vervreemding en onderwyskundige faktore. Kontrakulturele jeuggroeperinge wat op geweld uitloop, bet 'n destruktiewe invloed op die fisiese en psigiese omgewing van die skool, die medeleerlinge, die gesagsdraers en die leeromgewing. Desnieteenstaande staan die skool in 'n ideate posisie ten opsigte van die identifisering, rehabilitering en akkommodering van kontrakulturele jeuggroeperinge en die onderrig van lewensvaardighede waardeur anti-normatiewe gedrag afgewys kan word.
In every society the youth can be identified as a separate group. The unique characteristics of the youth phase results in constructive or subcultural youth groupings, as well as destructive or countercultural youth groupings. Sub- and countercultural groupings exert a direct influence on the instruction and education of the youth. An investigation of the factors giving rise to the development of sub- and countercultural youth groupings is therefore imperative. An analysis of the key concepts of culture, subculture and counterculture is a prerequisite for the comprehension of the theme at issue. Culture is the sum total of people's involvement in their material and nonmaterial world. This involvement generates culture. Culture, and the forming, transmission and change of culture results in a change of mindset in individuals. Nonconformity with cultural change results in the formulation of an alternative or subcultural set of values and norms. A subculture can be defined as any segment of the dominant culture that subscribes to a set of values and norms that differ from, but are not in conflict with, those of the dominant culture. Complete rejection of, or attempts to overthrow dominant values and norms result in the formation of countercultural values and norms. Sub- and countercultural youth groupings are unique. Subcultural youth groupings function with ease in the context of the dominant culture. Countercultural youth groupings are perceived as a threat by the dominant culture. The factors leading to the origin and development of sub- and countercultural youth groupings in South Africa can be briefly summarised as: political circumstances, ideological influences, economic, demographic and social influences (including a deprived social environment and domestic factors, family size, single-parent families, authority crises, generation conflict and religious factors), cultural alienation and educational factors. Countercultural youth groupings that resort to violence have a destructive influence on the physical and psychic school environment, on fellow pupils, on office-bearers and on the learning environment. Despite all this, however, the school is ideally placed to identify, rehabilitate and accommodate countercultural youth groupings and to provide instruction in life skills with a view to expelling antinormative behaviour.
Educational Studies
D. Ed. (Historiese Opvoedkunde)

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Silanoi, Tongrawee. "Modelling the Relationship between Hotel Employee Commitment and Cultural difference." Thesis, 2015. https://vuir.vu.edu.au/34841/.

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This study aims to model the relationship between employee commitment and cultural difference in the hotel sectors in Hua Hin, Thailand and Melbourne, Australia. The purpose of this study is to clarify and better understand the relationship between employee commitment and human culture in the hospitality industry and to clarify the influence of culture using a sample of luxury four and five star hotels located in both Thailand and Australia. The focus is upon determining the relevance of culture by examining the impact of cultural difference on employee commitment.

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Finlay, Shannon. "Exploring challenges specific to cross racial adoption in Gauteng." Diss., 2006. http://hdl.handle.net/10500/2176.

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An empirical study was undertaken to conduct applied, exploratory, descriptive research to establish challenges specific to cross racial adoption in Gauteng, South Africa. The objectives of the overall aim were: * to conduct empirical work and to collect data through the use of focus groups with parents who have cross racially adopted, in order to explore challenges specific to cross racial adoptions * to conduct analysis in order to describe the findings of the empirical data * to conduct a thorough literature review on available literature pertaining to cross racial adoption * to draw conclusions and make recommendations on the completion of the afore mentioned objectives The empirical study demonstrated that: * Parents who cross racially adopt do experience challenges and there are challenges specific to cross racial adoption * A number of the challenges experienced by parents who cross racially adopt are directly linked to a lack of support throughout the adoption process * A need exists for a comprehensive model of support for parents who cross racially adopt The empirical study was successful in identifying, exploring and describing challenges experienced by parents who cross racially adopt in Gauteng.
Social work
M.Diac.(Play Therapy)

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Horton, Janell M. "Exploring the cultural experiences of family case managers : an interpretative phenomenological analysis." Thesis, 2014. http://hdl.handle.net/1805/4034.

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Indiana University-Purdue University Indianapolis (IUPUI)
This study explored the lived experiences of family case managers who routinely work with families who are culturally different from themselves. The purpose was to understand and interpret the meaning of culture and cultural difference as it relates to the engagement process with families. The research also sought to understand whether cultural insensitivity or bias may contribute to the overrepresentation of children of color in the child welfare system. The author conducted 10 in-depth, semi-structured interviews with graduates of a large, research-intensive Midwestern university’s Title-IV-E Social Work Program, who also were employed as family case managers in public child welfare. Interviews were transcribed and analyzed using Interpretative Phenomenological Analysis and the analytic process of the hermeneutic circle. Results suggest the concept of culture is a complex term that encompasses many characteristics and a number of dimensions. In addition, four themes were identified as underlying the engagement process with culturally different families. These themes routinely overlapped, and family case managers often had to attend to each of the thematic areas simultaneously. At nearly every step in the engagement process, family case managers modulated their interactions in order to find balance and stability in their relationship with the family. Finally, poverty was revealed to be the most salient cultural difference in working with families involved in the child welfare system. These results have important implications for social work education, child welfare practice, and research on the overrepresentation of children of color in the child welfare system.

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Madlala, Siphiwe Themba. "Perceptions of young males at the Free State School of Nursing with regards to teenage pregnancy." Thesis, 2015. http://hdl.handle.net/10321/1411.

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Submitted in fulfillment of the requirements for the Degree in Masters of Technology in Nursing, Durban University of Technology, Durban, South Africa, 2015.
Introduction Teenage pregnancy is a socioeconomic challenge and an important public health problem for communities in South Africa. Considerable research has been done on teenage pregnancy in South Africa but it focused mostly on teenage girls. Aim of the study The aim of the study was to explore and describe young males’ perceptions, to identify the roles they play in this phenomenon and to determine the factors that influence their perceptions as well as their practices regarding teenage pregnancy. Methodology A qualitative, explorative, descriptive design was used to conduct the study. The study was guided by the Johnson Behavioural Model System. The study population consisted of young males who were studying at the Free State School of Nursing. Data saturation was achieved after interviewing 10 participants. The four major themes emerged from data obtained were as follows: Theme 1: Perceptions regarding teenage pregnancies, Theme 2: Risk factors leading to teenage pregnancies, Theme 3: Cultural and traditional practices influencing perceptions about teenage pregnancies, Theme 4: Measures to prevent teenage pregnancies. Thematic analysis of data was done. Results The findings of this study revealed that young males were not involved in reproductive health programmes aiming to prevent teenage pregnancies. They lacked knowledge regarding the use of, and the available types of contraceptives. Cultural and traditional practices such as misinterpreting circumcision and cultural beliefs, including misconceptions about sexual practices, played a crucial role such as not using contraceptives during sexual intercourse that could lead to teenage pregnancy. This study recommends that young males need to be actively involved in reproductive health.

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Dare, Phillip. "Kissing and Holding Hands: Constructions of Male Same-Sex Attraction and Implications for HIV/AIDS Risk in Vietnam." Thesis, 2011. https://vuir.vu.edu.au/29493/.

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Employing an auto-ethnographic approach this thesis combines a number of different research traditions in the social sciences to consider what is gay sex and homosexuality in the Vietnamese context. Using auto-ethnographic narrative I tackle the sensitive and culturally imbedded subject matter via a personal journey presented as a memoir. The memoir is not about describing sex and labelling the other through the lenses of Western understandings of this phenomena; rather it is an attempt to address how these aspects of life play out in non-Western settings while considering the ramifications for HIV/AIDS public education programs. In Vietnam gay men, homosexual men, MSM or same sex attracted men are not included in any national surveillance testing. The state links research on MSM to, and constructs homosexuality as, transvestism. There is a paucity of research on Same-Sex attracted men in Vietnam. This research may well be the only ethnographic research undertaken on same-sex attracted men in contemporary Vietnam and the ways and by what means they negotiate new found opportunities to explore and experience sex and sexuality. These opportunities and experiences question Western understandings and Western research on Vietnamese homosexuality and HIV/AIDS risk. This ethnographic study highlights a contradiction between desk-bound literature reviews and real life events. Therefore this research has the capacity to both expand and contest the current literature on sex between men in Vietnam.

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Dzebu, Munyadziwa Jane. "The perceptions of women with fibroids from diverse cultures regarding hysterectomy." Diss., 2007. http://hdl.handle.net/10500/2411.

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The purpose of this study was to explore and describe contributing factors that influence the perceptions of women with fibroids from diverse cultures regarding hysterectomy. The area of research was delimited to issues of hysterectomy among women with fibroid uterus. The study employed a descriptive explorative method and data were collected by means of structured questionnaires. The study was conducted in one academic referral hospital, over a period of six months. The respondents were the patients with fibroid uterus and the doctors and nurses in the gynaecological units of the hospital. The majority of the patients indicated that they were afraid of undergoing a hysterectomy because of the social stigma associated with this life-saving procedure, such as alienation or marginalization by members of their respective communities. The nursing staff and gynaecologists in the unit emphasized the deep-seated fear of hysterectomy amongst women from diverse cultures. The study found that women need information about their bodies and how they function. Health education is also needed for women and their communities. Research is needed amongst members of different communities and diverse cultures to voice their perceptions of women undergoing hysterectomy because of ill health.
Health Studies
M.A. (Health studies)

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Panaretos, Panagiota. "Perceptions of the adult role among adolescent Greek girls in Johannesburg." Diss., 2001. http://hdl.handle.net/10500/788.

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The formulation of the perceptions of the adult role among adolescent Greek girls in Johannesburg, is a complex matter. The girls are influenced by their Greek cultural upbringing, while also experiencing the effects of inherent gender inequalities in the education system. This study investigated the perceptions of the adult role among adolescent Greek schoolgirls in Johannesburg and the implications for educational provision. A literature survey investigated the formation of gender identity among adolescent girls. Existing research on the issues of gender in education was reviewed. A qualitative study of the life-world of eight adolescent Greek schoolgirls was conducted. Data elicited from semi-structured interviews were analysed, discussed and synthesised. The major findings emanated. The girls were influenced in their adult role perceptions by their cultural backgrounds, but all expressed a desire to strive for new levels of independence. Guidelines for relevant educational provision were proposed.
Educational Studies
M. Ed. (Comparative Education)

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Tam, Louise. "Governing Through Competency: Race, Pathologization, and the Limits of Mental Health Outreach." Thesis, 2012. http://hdl.handle.net/1807/33677.

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This thesis examines how cultural competency operates as a regime of governmentality. Inspired by Foucauldian genealogy, institutional ethnography, and Said’s concept of contrapuntality, this thesis problematizes the seamless production of racialized bodies in relation to mental disorder. I begin by elaborating a theoretical framework for interpreting race and madness as mutually constructed ordering practices. I then analyze what cultural competence produces and sustains in a position paper published by the Ontario Federation of Community Mental Health and Addiction Programs. I argue the Federation dismisses ongoing institutional violence—suggesting it is simply the perception, as opposed to the everyday reality, of discrimination that causes problems such as low educational attainment among youth of colour. To further support this claim, I deconstruct narratives of low self-esteem, maladaptive coping, depression, and denial of mental illness in the community needs assessments of two of the Federation’s member organizations: Hong Fook and Across Boundaries.

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Deka, Ankita. "RACIAL DISPARITIES IN SELF REPORTED HEALTH AND HEALTH CARE UTILIZATION. DOES PRIMARY CARE MATTER?" 2012. http://hdl.handle.net/1805/3044.

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Indiana University-Purdue University Indianapolis (IUPUI)
A significant body of literature has accumulated in the last decade that provides evidence of the growing health care disparities among racial and ethnic groups in the United States. The literature suggests that Black adults share a disproportionate burden in death, disability, and disease. In 2002, the Institute of Medicine report, Unequal Treatment, showed that racial-ethnic disparities in health cannot be entirely attributed to problems of health care access, clinical performance, or patients’ personal characteristics. Many studies have shown that institutional and individual level discrimination that Blacks face in the health care system impacts their health status. This study used secondary data analysis to examine how primary care experience impacts self-reported health status and health care utilization among Black adults. Data were from the Medical Expenditure Panel Survey (MEPS) implemented by the Agency for Healthcare Research and Quality (AHRQ). Specifically, MEPS Panel 10 (2005-2006) and Panel 11 (2006-2007) data were used in the analyses. The final sample comprised of N=15,295 respondents ages 18 and over. Logistic regression analyses were carried out using Stata Statistical Software, version 11. The study results reflect the disparities among Blacks and Whites on self-reported health and health care utilization. Blacks were 15% less likely to report good health status compared to Whites and had 0.11 less expected office-based doctor visits. Respondents who had better primary care experience had 0.05 times higher expected office-based doctor visits than respondents who did not have good primary care experience. Health care Social Workers should advocate for structural changes in health policy that will take into account the historical marginalization and contemporary inequities that continue to encompass the lives of many Black Americans.

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Zangeneh, Masood. "Gender differentiated motivational orientation and its relationship with the acculturation process." Thesis, 2015. http://hdl.handle.net/10500/19023.

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OBJECTIVE: The objective of this study was to examine the associations among gender-differentiated motivational orientations (integrative and instrumental), acculturation success, and risky behaviours (illicit substance use and gambling behaviour) among Iranian youth who have immigrated to Toronto. DESIGN: Given the exploratory nature of the proposed research, a cross-sectional research design was used. SUBJECTS: A combination of purposive-proportional quota sampling and snowball sampling methods were employed. The sample for this research was comprised of 308 participants (M=155, F=153) who 1) were born in Iran, 2) had recently immigrated to Canada from Iran 2-8 years ago, and 3) were currently attending high school, enrolled in Grade 9, 10, 11, or 12 (ages 15 to 18) in Toronto. RESULTS: The results of the current study confirm 1) the findings in the existing literature that adherence to an instrumental motivational orientation is positively correlated with risktaking behaviours; 2) confirm some of the existing literature findings, which suggest that lower levels of acculturation are negatively associated with problem behaviours; 3) show that males possess an instrumental motivational orientation significantly more than females, and that females possess an integrative motivational orientation significantly more than males; 4) indicate that male participants show significantly lower levels of acculturation while female participants demonstrate higher level of acculturation, which confirms that acculturation is significantly determined by gender; and 5) partially support some of the claims in the literature; for example, it found males are more at risk for illicit drugs, while females to be more at risk for alcohol consumption. DISCUSSION The current study is among the first to examine the interrelationships among illicit substance use and gambling behaviour, acculturation success/stress, and motivational orientation among Iranian adolescent immigrants. To understand the predictors of success or failure among adolescent youth, replication of the current study is necessary.
Psychology
D. Litt. et Phil. (Psychology)

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Muchiri, Beatrice Wamuyu. "Family management, relations risk and protective factors for adolescent substance abuse in South Africa." Diss., 2015. http://hdl.handle.net/10500/20094.

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Text in English
An increasingly recognised prevention approach for substance use entails reduction in risk factors and enhancement of promotive or protective factors in individuals and the environment surrounding them during their growth and development. However, in order to enhance the effectiveness of this approach, continuous study of risk aspects targeting different cultures, social groups and mixture of society has been recommended. This study evaluated the impact of potential risk and protective factors associated with family management and relations on adolescent substance abuse in South Africa. Exploratory analysis and cumulative odds ordinal logistic regression modelling was performed on the data while controlling for demographic and socio-economic characteristics on adolescent substance use. The most intensely used substances were tobacco, cannabis, cocaine, heroin and alcohol in decreasing order of use intensity. The specific protective or risk impact of family management or relations factors varied from substance to substance. Risk factors associated with demographic and socio-economic factors included being male, younger age, being in lower education grades, coloured ethnicity, adolescents from divorced parents and unemployed or fully employed mothers. Significant family relations risk and protective factors against substance use were classified as either family functioning and conflict or family bonding and support. Several family management factors, categorised as parental monitoring, discipline, behavioural control and rewards, demonstrated either risk or protective effect on adolescent substance use. Some factors had either interactive risk or protective impact on substance use or lost significance when analysed jointly with other factors such as controlled variables. Interaction amongst risk or protective factors as well as the type of substance should be considered when further considering interventions based on these risk or protective factors. Studies in other geographical regions, institutions and with better gender balance are recommended to improve upon the representativeness of the results. Several other considerations to be made when formulating interventions, the shortcomings of this study and possible improvements as well as future studies are also suggested.
Psychology
M. A. (Psychology)

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deRose, Barbara Sue. "The lived experience of obtaining required childhood vaccinations from Latino immigrants’ perspective." Thesis, 2014. http://hdl.handle.net/1805/4605.

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Indiana University-Purdue University Indianapolis (IUPUI)
Vaccinations are an important step in preventing childhood illnesses and disease outbreaks in the community. Complete immunizations before school assure eligibility for enrollment and protect children against severe illness. The fact that foreign-born children of Latino immigrants face health disparities in receiving vaccinations is well documented. However, there is little information in the literature about the actual experience of immigrants facing the complexities of the health system, and through their eyes, which factors ultimately affect vaccination rates of immigrant Latino children. The purpose of this study is to give voice to Latino immigrant families who have recently immigrated to the United States, in terms of the issues they encountered when engaging the health care system for vaccinations.

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Dissertations / Theses on the topic 'Youth – services for – cross-cultural studies'

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