title: The Role of Ethnicity and Acculturation in Preoperative Distress in Parents of Children Undergoing Surgery.
abstract: This study examined the effects of acculturation on anxiety and stress in Latino and non-Latino white parents of children undergoing outpatient surgery. Participants included 686 parent-child dyads from four major children's hospitals in the United States. Latino parents who grew up in the U.S. reported higher levels of anxiety (p = 0.009) and stress (p < 0.001) compared to parents who grew up in a Latin American country. Additionally, English-speaking Latino parents reported higher anxiety and stress compared to both Spanish-speaking Latino and non-Latino white parents (p's < 0.05), whereas Spanish-speaking Latino and non-Latino white parents reported similar levels of stress and anxiety. Results of the current study were consistent with the immigrant health paradox in that more acculturated Latino parents reported higher levels of anxiety and stress than less acculturated Latino and non-Latino white parents, supporting the need for culturally tailored interventions in the perioperative environment.
authors.affiliation: Department of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA.|UCI Center on Stress and Health, 505 S. Main St., Suite 940, Orange, CA, 92868, USA.
authors.forename: Robert S
authors.initials: RS
authors.lastname: Stevenson
authors.affiliation: Department of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA.|Department of Pediatric Psychology, CHOC Children's, Orange, CA, USA.|UCI Center on Stress and Health, 505 S. Main St., Suite 940, Orange, CA, 92868, USA.
authors.forename: Alvina
authors.initials: A
authors.lastname: Rosales
authors.affiliation: Department of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA. mfortier@uci.edu.|Department of Pediatric Psychology, CHOC Children's, Orange, CA, USA. mfortier@uci.edu.|UCI Center on Stress and Health, 505 S. Main St., Suite 940, Orange, CA, 92868, USA. mfortier@uci.edu.
authors.forename: Michelle A
authors.initials: MA
authors.lastname: Fortier
authors.affiliation: Department of Chicano/Latino Studies, University of California, Irvine, Irvine, CA, USA.
authors.forename: Belinda
authors.initials: B
authors.lastname: Campos
authors.affiliation: Department of Anesthesiology and Perioperative Medicine, Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Brenda
authors.initials: B
authors.lastname: Golianu
authors.affiliation: Children's Hospital Colorado, University of Colorado School of Medicine, Denver, CO, USA.
authors.forename: Jeannie
authors.initials: J
authors.lastname: Zuk
authors.affiliation: Department of Anesthesiology and Pediatrics, University of Southern California School of Medicine, Los Angeles, CA, USA.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Gold
authors.affiliation: Department of Anesthesiology and Perioperative Care, University of California, Irvine, Irvine, CA, USA.|Departments of Pediatrics and Psychiatry and Human Behavior, University of California, Irvine, CA, USA.|Child Study Center, Yale University School of Medicine, New Haven, CT, USA.|UCI Center on Stress and Health, 505 S. Main St., Suite 940, Orange, CA, 92868, USA.
authors.forename: Zeev N
authors.initials: ZN
authors.lastname: Kain
mesh_terms: D000069:Acculturation; D000233:Adenoidectomy / Q000523:psychology; D000328:Adult; D001007:Anxiety / Q000208:ethnology*; D002648:Child; D002675:Child, Preschool; D054242:Emigrants and Immigrants / Q000523:psychology; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007802:Language; D008297:Male; D010290:Parents / Q000523:psychology*; D012737:Sex Factors; D013315:Stress, Psychological / Q000208:ethnology*; D014068:Tonsillectomy; D044465:White People / Q000523:psychology
keywords: Acculturation; Anxiety; Parental preoperative distress; Stress