A Cross-Sectional Study of Psychological Flexibility as a Mediator for the Relationship Between Acculturative Stress and Cardiovascular Health Behaviors Among Second-Generation Arab Americans
Bibliographic Data
| ID | 19461998 |
|---|---|
| Authors | Randa Merizian (0000-0001-9824-780X, George Mason University, Fairfax, VA, USA, corresponding author), R Kevin Mallinson (0000-0003-2168-8855, George Mason University, Fairfax, VA, USA), Panagiota Kitsantas (0000-0003-0261-9002, George Mason University, Fairfax, VA, USA), Sina Gallo (0000-0002-6839-9834, University of Georgia, Athens, GA, USA) |
| Year | 2021 |
| Volume | 32 |
| Issue | 6 |
| Pages | 697-706 |
| Publication date | 2021-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Transcultural Nursing (JOURNAL) |
| Journal identifiers | ISSN: 1043-6596 • E-ISSN: 1552-7832 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/1043659620984515 |
| PMID | 33375879 |
| OpenAlex | W3117772123 |
| Language | EN |
| Citations received | 3 |
| References cited | 42 |
Introduction: Second-generation Arab Americans may be at risk for poor cardiovascular health behaviors, but these behaviors are poorly understood. The purpose of this study was to examine the effects of acculturative stress and psychological flexibility on cardiovascular health behaviors among second-generation Arab Americans. Method: In a cross-sectional study, survey data were collected in 2018 at local mosques, churches, and a university campus. Cardiovascular health behaviors were measured with a questionnaire based on the American Heart Association Life’s Simple 7. Acculturative stress and psychological flexibility were assessed using reliable and valid measures. Results: Participants ( n = 325) with higher acculturative stress were significantly more likely to report intermediate overall cardiovascular health behaviors ( p = .01) and poor to intermediate diet ( p = .00). Psychological flexibility partially mediated poor/intermediate smoking ( p = .02) and intermediate diet ( p = .00) scores. Discussion: Nurses may consider the role of acculturation when designing culturally sensitive interventions to promote cardiovascular health in second-generation populations
Acculturation · Cardiovascular health · Cross-sectional study · Ethnic group · Mediator · Psychological stress · Sociology · Clinical Psychology · Health and Well-being Studies · Medicine · Optimism, Hope, and Well-being · Psychology · Resilience and Mental Health · Gerontology
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| Unique citing works | 3 |
|---|---|
| Citations per year | 3 |
| Citation span | 2025 - 2026 (2) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 3 |