Thesis (D. Min.)--Northern Baptist Theological Seminary, 2003. / Abstract. Includes bibliographical references (leaves 177-184).

Thesis (M. Phil.)--Hong Kong University of Science and Technology, 2004. / Includes bibliographical references (leaves 147-155). Also available in electronic version. Access restricted to campus users.

Thesis (D. Min.)--Northern Baptist Theological Seminary, 2003. / Abstract. Includes bibliographical references (leaves 177-184).

Revision of the author's thesis (doctoral). / Includes bibliographical references (p. 213-222) and index.

Thesis (D. Min.)--Northern Baptist Theological Seminary, 2003. / Abstract. Includes bibliographical references (leaves 177-184).

Teen dating violence (TDV) has well-documented detrimental health effects. Scant research has examined the perspectives of ethnically diverse youth about the impact of culture on TDV. We sought to explore the intersection between culture and TDV specifically for South Asian adolescents residing in the US. We conducted semi-structured interviews with South Asian adolescents aged 16-21. The interview guide had three parts: 1) exploring participants’ perspectives on TDV and healthy relationships within the South Asian community; 2) examining how different components of their cultural identity impact their romantic relationships; and 3) understanding ideas for TDV prevention programs for South Asian youth. Interview transcripts were coded using thematic analysis. Twenty-five adolescent females participated; the majority (76%) trace their heritage to India, were born abroad (62%), and are in college (80%). The majority believed that dating was stigmatized within the South Asian community, forcing youth to hide relationships from their parents. Participants described aspects of culture that may negatively impact relationships (e.g. patriarchal attitudes and fear of stigma), as well as those that may protect teens (e.g. close-knit community). Conflicts about dating due to generational differences were also discussed. Adolescents suggested programs for South Asian youth focused on engaging parents in conversations about TDV and promoting gender equity. About half thought TDV prevention programs should be culturally-tailored for South Asian youth, while others believed multicultural programs would be more effective. Although South Asian culture may confer some protection for youth experiencing TDV, stigma against dating and generational differences may create unique challenges. Future work should examine how to mediate parent-adolescent cultural conflicts around dating. / 2019-10-23T00:00:00Z

Introduction: Eating disorders were previously regarded as a Western culture-bound syndrome affecting only young Western women. However they have been described in the UK and in across the world. Research has highlighted the prevalence of disordered eating among South Asian females. However little is known about the process of how this comes about, and little qualitative research has been conducted in this area. This research aimed to understand the issues relating to the development and maintenance of eating disorders among South Asian females and their help seeking behavior, as well as the barriers to accessing treatment. Methods: Three main studies were carried out; two systematic reviews, a review of prevalence (study 1), a qualitative review (study 2) and a qualitative study (study 3). For study 1, the review was planned and reported with reference to MOOSE guidelines (Stroup et al 2000) for systematic reviews of observational studies. For study 2, the quality of the studies was appraised in accordance with Critical Appraisal Skills Programme Criteria (CASP 2013), qualitative research check list. For both reviews, a systematic literature search was conducted across four data basis, Psychinfo, Medline, CINAL and EMBASE. All articles were screened against inclusion/exclusion criteria. The data extracted from the selected studies was tabulated in a way that demonstrated the methodological robustness and cultural quality of each study was also reported. For the qualitative study (study 3), semi-structured interviews were carried out with three groups of participants, ten South Asian females with eating disorders, seven parents and siblings and eighteen health care professionals. Results: For study 1, thirteen studies were initially selected. Overall, these studies reported higher prevalence of Bulimia among Asian females in the UK compared to Caucasian females. Studies conducted in Pakistan and India reported a lower prevalence rate of diagnosable eating disorders than reported in Western countries. In study 2, three studies were selected. They identified important themes; cultural conflict and controlling families. In study 3, two overarching themes were identified with corresponding sub-themes; development and maintenance of eating disorders in the context of family and cultural conflict; barriers and facilitators to accessing treatment. Conclusions: Reviewed prevalence study findings highlighted a need to consider the adaptation of measuring tools, as eating disorders may present differently in different cultures, and diagnostic criteria based on Western norms may not always be appropriate. There was a lack of qualitative studies and those available were of poor quality. The main aetiology and maintenance of Eating Disorders reported by South Asian females were focused on conflict with family and culture. Seeking treatment was difficult for these women due to stigma, shame, issues of confidentiality and lack of training and understanding in cultural competence among health care professionals.

Cervical cancer has been reported as the second most common malignancy among Asian Indian women (Sankaranarayanan, Budukh, & Rajkumar, 2001). Researchers suggested the use of a comprehensive health model in examining such issues for this population (Gupta, Kumar, & Stewart, 2003; Tang, Solomon, Yeh, & Worden, 1999). Utilizing a biopsychosocial model (Engel, 1977; Hoffman & Driscoll, 2000), the purpose of this study was to examine the biomedical (i.e., family history of cervical cancer), biosocial (i.e., acculturation), and psychosocial (i.e., personality) factors that may be associated with the level of knowledge and appropriate utilization of cervical cancer screening tests (i.e., Papanicolaou smears) among Asian Indian women in the United States. Totally, 123 1.5 and 2nd generation Asian Indian women were recruited to participate in this study. Participants' levels of knowledge and utilization of cervical cancer screenings were high and moderate, respectively. Regression analyses indicated that identification with one's heritage culture significantly predicted correct utilization of cervical cancer screenings. However, none of the three biopsychosocial factors was significantly associated with knowledge of cervical cancer. Findings support the need to further clarify and adequately identify factors of influence within the knowledge and utilization of cervical cancer screenings for this population. More specifically, it seems necessary to examine the influence of culture on Asian Indian women's health beliefs and their perceived risk of obtaining cervical cancer both in practice and research.

abstract: This dissertation explores South Asian American (SAA) emerging adult daughters' roles as their parents' reluctant confidants and mediators of conflict. Using Petronio's (2002) communication privacy management theory (CPM) as a framework, this dissertation investigates daughters' communicative strategies when engaged in familial roles. Findings from 15 respondent interviews with SAA women between the ages of 18 and 29 reveal daughters' intrinsic and extrinsic motivations for role-playing within their families, such as inherent satisfaction and parental expectations, respectively. Additionally, findings highlight daughters' use of coping and thwarting strategies after they become the recipients of their parents' unsolicited private information. Namely, daughters engaged in coping strategies (e.g., giving advice) to help their parents manage private information. Likewise, they enacted thwarting strategies (e.g., erecting territorial markers) to restore boundaries after their parents (the disclosers) violated them. Consequently, serving as parental confidants and mediators contributed to parent-child boundary dissolution and adversely affected daughters' well-being as well as their progression toward adulthood. This study provides theoretical contributions by extending CPM theory regarding reluctant confidants within the contexts of emerging adult child-parent relationships and ethnic minority groups in America. Practically, this study offers emerging adult children insight into how they might renegotiate boundaries when their parents change the relationship by disclosing personal information. Information gleaned from this study provides SAA emerging adult daughters with an understanding of the ramifications of prioritizing their familial roles and being a reluctant confidant, in addition to potential avenues for remediation. / Dissertation/Thesis / Ph.D. Communication Studies 2012

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