Thesis (Ph. D.)--UCLA, 2009. / Vita. Includes bibliographical references (leaves 207-216).

This study examined the experiences of United States America nurses caring for Mexican immigrant women; it focused on the language and cultural barriers that appear to be critical factors in delivering culturally appropriate healthcare. The questions that guided the research were: What adjustment issues .related to providing culturally appropriate healthcare to female Mexican patients do nurses have to face? What specific knowledge, skills can nurses learn to handle issues of cultural differences in patient care? Ten U.S. American nurses caring for Mexican immigrant women were interviewed; from these interviews, critical incidents were developed specific to caring for female Mexican women issues. Subsequently four bi-lingual bi-cultural Mexican women reviewed the incidents; their comments and incidents were incorporated into a cultural sensitizer to be used in future trainings of U.S. American nurses caring for Mexican immigrant women. My research shows that in attempting to make sense of ambiguous situations, U.S. American nurses tend to attribute the cause of Mexican immigrant women behavior through their own cultural filter. For this research, I identified salient intercultural concepts and skills that should be taught to U.S. American nurses caring for Mexican immigrant women. These intercultural skills, knowledge, and concepts are incorporated into the cultural sensitizer I designed and can be found in Chapter VI.

The current neoliberal education system often positions bilingual youth as deficient or lacking in skills. The discourse from some academic research paradigms tends to also take up this deficit orientation, focusing on the issues and needs of Latinx bilingual students, or the pedagogical strategies to “close achievement gaps.” The NYC Department of Education has attempted to address gaps in achievement by offering increased access to college and career readiness programs, positioning access as synonymous to equity. However, access alone does not lead to equity when the systems and norms that prioritize assimilation to the dominant white culture are not being challenged; moreover, increased access will not lead to equity if the voices and experiences of marginalized youth experiencing the transition to college are not amplified. This project will add to the growing body of scholarly work that aims to subvert deficit discourse around bilingual students by inviting them to author their own stories about their experiences in the transition to college. These narratives bring up various aspects of the transition to college: how first-generation Latinx bilingual youth navigate cultural and linguistic expectations in college, how they navigate the white, western, and patriarchal institutional norms of the college going process, sources of support in their educational journeys, what factors influenced their college choices, and how they have experienced college in the context of a global pandemic. This research recognizes bilingual students’ experiences and knowledges as truths, positioning them as knowledge creators. The purpose of this study is to document and explore how first-generation Latinx/ bilingual students experience the transition from high school to college, and how they navigate and question spaces in high school and college fraught with linguistic and cultural erasure. Employing Chicana Feminist epistemologies and post-positive realist perspectives of identity, this study will use pláticas to better understand the experiences of Latinx students as they transition to college, what educators can do to support their transition, and to think about how educators can work alongside Latinx students to fight erasure.

The purpose of this study was to explore individual characteristics that allowed college achievement in Latina women who experienced teenage pregnancy. A specific objective of this study was to examine strengths for overcoming barriers and obstacles to higher education.

Diabetes and related complications are one of the leading causes of death for Mexican American women. Although dietary behavior is a critical component of diabetes management, research is lacking in relation to the interplay of food habits, culture, and diabetes among this population. The specific aims of this ethnographic study were to: (1) explore the relationships between culture, food habits, and type 2 diabetes as experienced by low income Mexican American women; (2) examine the role of food in the cultural identity of low-income Mexican American women; (3) examine how trying to adhere to the ADA dietary guidelines for people with diabetes impacts the relationship between food and culture of low income Mexican American women with type 2 diabetes. This sample consisted of 16 Mexican American women between the ages of 39 to 60 years. Twelve of the sixteen had experienced diabetes for at least 10 years, and were considered experts in the management of their illness. The remaining four had experienced diabetes for a shorter period of time and were considered novices. Individual interviews were conducted with each informant. All interviews were audiotaped with the exception of one. The interviews, observations, and field notes were analyzed for data. The analysis of data rendered 6 themes: (1) “la dieta,” (2) the location and fluidity of food (3) confidence-defiance self-management connection, (4) negotiating sociocultural and biomedical expectations, (5) eating for diabetes is a family affair, and (6) strategies for self-care. In addition, preliminary comparisons were conducted between experienced and more novice individuals with diabetes. / text

This study examined the distinct effects of partner violence and psychological abuse on women's mental health over time. Latent growth modeling was used to examine stability and change over time, evaluating the course and consequences of each form of abuse. The size of women's social support network was examined as a mediator. The sample consisted of 835 African American, Euro-American, and Mexican American low-income women. Participants who completed Waves 1, 2, 3, and 5 were included in the study (n = 585). In general, partner violence decreased over time for all groups, while psychological abuse decreased over time for only Euro-American women. Whereas initial and prolonged exposure to psychological abuse was related to and directly impacted women's mental health, partner violence was only related to initial levels of mental health. Surprisingly, social support was only related to initial violence and distress and had no impact on the rate of change over time. These results have important implications for researchers and health care professionals. First, differences in the pattern of results were found for each ethnic group, reaffirming the notion that counselors and researchers must be sensitive to multicultural concerns in both assessment and intervention. For example, psychological abuse had a greater impact on the mental health of African American and Mexican American women than it did for Euro-American women, suggesting a shift in focus depending on the ethnicity of the client may be warranted. Second, this longitudinal study highlights the importance of future research to considerer individual differences in treating and studying victimized women. Understanding factors that contribute to individual trajectories will help counselors gain insight into the problem and in devising plans to prevent or reduce the occurrence and negative health impact of partner abuse.