{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T16:05:34Z","timestamp":1777910734651,"version":"3.51.4"},"reference-count":44,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2011,2,22]],"date-time":"2011-02-22T00:00:00Z","timestamp":1298332800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Educ"],"published-print":{"date-parts":[[2011,3]]},"abstract":"<jats:p>Purpose<\/jats:p>\n                  <jats:p>This study explores the potential utility of a culturally tailored diabetes management intervention approach by testing associations between acculturation and diabetes-related beliefs among Mexican-American adults with type 2 diabetes.<\/jats:p>\n                  <jats:p>Methods<\/jats:p>\n                  <jats:p>Data from 288 Mexican-American adults with type 2 diabetes were obtained via a bilingual, telephone-administered survey. Participants were drawn from a stratified, random sample designed to obtain maximum variability in acculturation. The survey assessed diabetes-related beliefs, intervention preferences, and the following three acculturation constructs from the Hazuda acculturation and assimilation scales: Spanish use, value for preserving Mexican culture, and interaction with Mexican Americans.<\/jats:p>\n                  <jats:p>Results<\/jats:p>\n                  <jats:p>Only one outcome\u2014preference for a program for Mexican Americans\u2014was associated with all three acculturation variables. Spanish use was positively associated with belief in susto as a cause of diabetes, preference for expert-driven health guidance, and involvement of others in taking care of diabetes. Value for preserving Mexican culture was related to a more holistic view of health, as evidenced by an increased likelihood of consulting a curandero, use of prayer, and interest in a diabetes program with religious content. Value for cultural preservation was also related to higher suspicion of free diabetes programs. Interaction with Mexican Americans was associated with a belief that insulin causes blindness.<\/jats:p>\n                  <jats:p>Conclusion<\/jats:p>\n                  <jats:p>Findings from this study suggest distinct relationships between acculturation constructs and diabetes-related beliefs and preferences, thus arguing against the use of a single acculturation construct to determine diabetes intervention design. Cultural tailoring may enhance the cultural appropriateness and ultimate effectiveness of diabetes interventions for Mexican American adults.<\/jats:p>","DOI":"10.1177\/0145721710395329","type":"journal-article","created":{"date-parts":[[2011,2,23]],"date-time":"2011-02-23T00:29:53Z","timestamp":1298420993000},"page":"227-238","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Pushing the Envelope for Cultural Appropriateness"],"prefix":"10.1177","volume":"37","author":[{"given":"Rachel E.","family":"Davis","sequence":"first","affiliation":[{"name":"The Department of Environmental Health Sciences, University\rof Michigan School of Public Health, Ann Arbor, Michigan, reda@umich.edu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen E.","family":"Peterson","sequence":"additional","affiliation":[{"name":"The Department of Environmental Health Sciences, University\rof Michigan School of Public Health, Ann Arbor, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven K.","family":"Rothschild","sequence":"additional","affiliation":[{"name":"Preventive Medicine, Rush University Medical Center,\rChicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Resnicow","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Education,\rUniversity of Michigan School of Public Health, Ann Arbor, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,2,22]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2005.10.015"},{"key":"atypb2","first-page":"S66","volume":"57","year":"1999","journal-title":"Nutr Rev"},{"key":"atypb3","first-page":"11","volume":"3","year":"1993","journal-title":"Ethn Dis"},{"key":"atypb4","volume-title":"The Hispanic Population","year":"2001"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1177\/014572179902500207"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1177\/0145721706290435"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1177\/014572179902500208"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-1313"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1177\/0145721707304170"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.066134"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1177\/0145721707304075"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1207\/s15324796abm2903_9"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.1.110"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.25.2.259"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-7599.2009.00439.x"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1177\/1043659606298615"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.5993\/AJHB.27.1.s3.6"},{"key":"atypb18","first-page":"673","volume":"133","year":"2007","journal-title":"Meta-analytic review of tailored print health behavior change interventions Psychol Bull"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1080\/10810730903089606"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.24.1.49"},{"key":"atypb21","unstructured":"Hazuda HP Items and scoring procedures for the Hazuda acculturation and assimilation measures. 1994. 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