Development of a Bidimensional Simpatía Scale for Use With Mexican American, Puerto Rican, and Cuban American Adults.

BACKGROUND: Through its influence on social interactions, simpatía may have a wide-ranging influence on Latinx health. Simpatía-which does not have a direct English translation-refers to being perceived as likeable, pleasant, and easygoing. Research to investigate the influence simpatía on Latinx health is limited, likely due to a lack of options for measuring simpatía among diverse Latinx populations. OBJECTIVES: The goal of this research was to develop a bilingual, survey-based simpatía scale for use among ethnically diverse Latinx adults in health-related settings. METHODS: Data were obtained through a telephone survey data of 1,296 Mexican American, Puerto Rican, and Cuban American adults living in the United States. Interviews were conducted in English and Spanish. Exploratory factor analysis, item response theory analysis, confirmatory factor analysis, and computation of estimates of internal consistency reliability were conducted to inform the development of the final simpatía scale. RESULTS: Results indicate that the final, nine-item, simpatía scale has high internal consistency (α = .83) and measurement invariance among Mexican American, Puerto Rican, and Cuban American adults. Two dimensions were identified, as indicated by a perceptions subscale and a behavior subscale. Cuban Americans were found to have the highest simpatía scores, followed by Puerto Ricans and Mexican Americans. DISCUSSION: Culture is often identified as a powerful potential influence on health-related behaviors, but measures are often not available to assess specific cultural traits. By developing a new tool for measuring simpatía, this research advances opportunities for understanding and promoting Latinx health.

Measuring the Elusive Construct of Personalismo among Mexican American, Puerto Rican, and Cuban American Adults.

Personalismo may have a broad influence on the well-being of U.S. Latinos by shaping social networks, and, in turn, access to information and resources. However, research on personalismo is currently constrained by the lack of a psychometrically sound measure of this cultural construct. This research used a mixed methods approach to develop a personalismo scale across three studies: a cognitive interviewing study with Mexican American adults (n=33); a cognitive interviewing study with non-Latino white, Mexican American, Puerto Rican, and Cuban American adults (n=61); and a psychometric telephone survey with Mexican American, Puerto Rican, and Cuban American adults (n=1,296). The final, 12-item scale had high internal consistency reliability and appears to be appropriate for use with Mexican American, Puerto Rican, and Cuban American adults. Significant differences emerged across Latino subgroups, with higher personalismo observed among Cuban Americans and female respondents, providing empirical evidence of cultural heterogeneity among U.S. Latino populations.

Acculturation and health survey question comprehension among Latino respondents in the US.

Although research has documented cultural variability in respondent comprehension and interpretation of survey questions, little information is currently available on the role that acculturation might play in minimizing cross-cultural differences in the comprehension or interpretation of survey questions. To investigate this problem, we examine the potential effects of acculturation to host culture on respondent comprehension of a set of health survey questions among two distinct Latino populations on the US mainland: Mexican-Americans and Puerto Ricans. Specifically, comprehension-related respondent behaviors coded from 345 face-to-face interviews conducted with Mexican-American, Puerto Rican, African American, and non-Latino White adults living in Chicago are examined. Findings indicate that Latino respondents who were born outside of the US and who have a preference for communicating in Spanish, relative to English, were more likely to express comprehension difficulties. These findings suggest that pretest survey instruments with immigrant populations may be a useful strategy for identifying problematic questions.

Acculturation and cardiovascular disease screening practices among Mexican Americans living in Chicago.

OBJECTIVE: To examine acculturation as a correlate of cardiovascular disease screening practices among Mexican Americans. METHODS: A modified Behavioral Risk Factor Surveillance System (BRFSS) survey was administered to adults age 18 and older in four Chicago neighborhoods during the winter of 2000 (N=435). RESULTS: Regression analyses that accounted for complex sampling design found that Mexican Americans who were acculturated, were female, and had healthcare coverage were more likely to have been screened after controlling for age, healthcare coverage, education, and marital status. Acculturated Mexican Americans were 4.97 times more likely to have had blood cholesterol screening, 3.4 times more likely to have had blood pressure screening, and 7.99 times more likely to have had a routine checkup in the preceding two years when compared to unacculturated Mexican Americans. Mexican Americans with healthcare coverage were more likely to have had their blood pressure checked and to have obtained a routine check-up than did those without coverage. Women were more likely to have had a blood pressure screening and have obtained a routine check-up in the past two years. CONCLUSIONS: The results suggest that more acculturated Mexican Americans, as well as those who are female and who have healthcare coverage, are more likely to obtain cardiovascular disease (CVD)-related screenings. The findings indicate a need for promoting CVD-related screenings among Mexican Americans and underscores the need for Spanish-speaking health professionals.