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Acculturation and sexual function in Canadian East Asian men.

https://arctichealth.org/en/permalink/ahliterature166675
Source
J Sex Med. 2007 Jan;4(1):72-82
Publication Type
Article
Date
Jan-2007
Author
Lori A Brotto
Jane S T Woo
Andrew G Ryder
Author Affiliation
University of British Columbia, Obstetrics/Gynaecology, Vancouver, BC, Canada. lori.brotto@vch.ca
Source
J Sex Med. 2007 Jan;4(1):72-82
Date
Jan-2007
Language
English
Publication Type
Article
Keywords
Acculturation
Adult
Asian Americans - psychology
Attitude to Health - ethnology
Canada - epidemiology
Cultural Characteristics
European Continental Ancestry Group - psychology
Humans
Male
Men - psychology
Questionnaires
Sexual Behavior - ethnology
Social Values - ethnology
Students - psychology
Abstract
Recent studies have demonstrated the importance of considering acculturation when investigating the sexuality of East Asian women in North America. Moreover, bidimensional assessment of both heritage and mainstream cultural affiliations provides significantly more information about sexual attitudes than simple unidimensional measures, such as length of residency in the Western culture.
The goal of this study was to extend the findings in women to a sample of East Asian men.
Self-report measures of sexual behaviors, sexual responses, and sexual satisfaction.
Euro-Canadian (N = 124) and East Asian (N = 137) male university students privately completed a battery of questionnaires in exchange for course credit. Results. Group comparisons revealed East Asian men to have significantly lower liberal sexual attitudes and experiences, and a significantly lower proportion had engaged in sexual intercourse compared with the Euro-Canadian sample. In addition, the East Asian men had significantly higher Impotence and Avoidance subscale scores on the Golombok Rust Inventory of Sexual Satisfaction, a measure of sexual dysfunction. Focusing on East Asian men alone, mainstream acculturation, but not length of residency in Canada, was significantly related to sexual attitudes, experiences, and responses.
Overall, these data replicate the findings in women and suggest that specific acculturation effects over and above length of residency should be included in the cultural assessment of men's sexual health.
PubMed ID
17087799 View in PubMed
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High rates of psychosis for black inpatients in Padua and Montreal: different contexts, similar findings.

https://arctichealth.org/en/permalink/ahliterature145331
Source
Soc Psychiatry Psychiatr Epidemiol. 2011 Mar;46(3):247-53
Publication Type
Article
Date
Mar-2011
Author
G Eric Jarvis
Irene Toniolo
Andrew G Ryder
Francesco Sessa
Carla Cremonese
Author Affiliation
McGill University, Montreal, QC, Canada. eric.jarvis@mcgill.ca
Source
Soc Psychiatry Psychiatr Epidemiol. 2011 Mar;46(3):247-53
Date
Mar-2011
Language
English
Publication Type
Article
Keywords
African Continental Ancestry Group - statistics & numerical data
Canada - epidemiology - ethnology
Cross-Cultural Comparison
European Continental Ancestry Group - statistics & numerical data
Female
Hospitalization - statistics & numerical data
Humans
International Classification of Diseases - statistics & numerical data
Italy - epidemiology - ethnology
Logistic Models
Male
Population Groups - statistics & numerical data
Psychiatric Department, Hospital - statistics & numerical data
Psychotic Disorders - diagnosis - epidemiology - ethnology
Transients and Migrants - statistics & numerical data
Abstract
This study tested the hypothesis that despite differences in setting, specifically in Padua or Montreal, black psychiatric inpatients will have higher rates of assigned diagnosis of psychosis than their non-black counterparts.
Data on psychotic patients admitted to the psychiatry ward were extracted from records of general hospitals in Padua and Montreal. Logistic regression analyses were conducted separately for each site to determine the relation between being black and receiving a diagnosis of psychosis, while controlling for sex and age.
Most black patients at both sites received a diagnosis of psychosis (76% in Padua and 81% in Montreal). Being black was independently and positively associated with being diagnosed with psychosis compared to patients from other groups.
Black patients admitted to psychiatry, whether in Padua or Montreal, were more likely to be assigned a diagnosis of psychosis than were other patients.
PubMed ID
20165832 View in PubMed
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Acculturation and sexual function in Asian women.

https://arctichealth.org/en/permalink/ahliterature171478
Source
Arch Sex Behav. 2005 Dec;34(6):613-26
Publication Type
Article
Date
Dec-2005
Author
Lori A Brotto
Heather M Chik
Andrew G Ryder
Boris B Gorzalka
Brooke N Seal
Author Affiliation
Department of Obstetrics & Gyneacology, University of British Columbia, Vancouver, Canada. Lori.Brotto@vch.ca
Source
Arch Sex Behav. 2005 Dec;34(6):613-26
Date
Dec-2005
Language
English
Publication Type
Article
Keywords
Acculturation
Adult
Asian Americans - psychology
Attitude to Health - ethnology
Canada
Cultural Characteristics
European Continental Ancestry Group - psychology
Female
Health Knowledge, Attitudes, Practice
Humans
Questionnaires
Sexual Behavior - ethnology
Social Values - ethnology
Students - psychology
Abstract
Cultural effects on sexuality are pervasive and potentially of great clinical importance, but have not yet received sustained empirical attention. The purpose of this study was to explore the role of acculturation on sexual permissiveness and sexual function, with a particular focus on arousal in Asian women living in Canada. We also compared questionnaire responses between Asian and Euro-Canadian groups in hopes of investigating whether acculturation captured unique information not predicted by ethnic group affiliation. Euro-Canadian (n = 173) and Asian (n = 176) female university students completed a battery of questionnaires in private. Euro-Canadian women had significantly more sexual knowledge and experiences, more liberal attitudes, and higher rates of desire, arousal, sexual receptivity, and sexual pleasure. Anxiety from anticipated sexual activity was significantly higher in Asian women, but the groups did not differ significantly on relationship satisfaction or problems with sexual function. Acculturation to Western culture, as well as maintained affiliation with traditional Asian heritage, were both significantly and independently related to sexual attitudes above and beyond length of residency in Canada, and beyond ethnic group comparisons. Overall, these data suggest that measurement of acculturation may capture information about an individual's unique acculturation pattern that is not evident when focusing solely on ethnic group comparisons or length of residency, and that such findings may be important in facilitating the assessment, classification, and treatment of sexual difficulties in Asian women.
PubMed ID
16362246 View in PubMed
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Common mental health problems in immigrants and refugees: general approach in primary care.

https://arctichealth.org/en/permalink/ahliterature142408
Source
CMAJ. 2011 Sep 6;183(12):E959-67
Publication Type
Article
Date
Sep-6-2011
Author
Laurence J Kirmayer
Lavanya Narasiah
Marie Munoz
Meb Rashid
Andrew G Ryder
Jaswant Guzder
Ghayda Hassan
Cécile Rousseau
Kevin Pottie
Author Affiliation
Division of Social and Transcultural Psychiatry, McGill University, Montréal, Que. laurence.kirmayer@mcgill.ca
Source
CMAJ. 2011 Sep 6;183(12):E959-67
Date
Sep-6-2011
Language
English
Publication Type
Article
Keywords
Canada - epidemiology
Cultural Characteristics
Emigrants and Immigrants
Health Status Indicators
Humans
Language
Mental Disorders - diagnosis - epidemiology - therapy
Prevalence
Primary Health Care
Refugees
Risk factors
Abstract
Recognizing and appropriately treating mental health problems among new immigrants and refugees in primary care poses a challenge because of differences in language and culture and because of specific stressors associated with migration and resettlement. We aimed to identify risk factors and strategies in the approach to mental health assessment and to prevention and treatment of common mental health problems for immigrants in primary care.
We searched and compiled literature on prevalence and risk factors for common mental health problems related to migration, the effect of cultural influences on health and illness, and clinical strategies to improve mental health care for immigrants and refugees. Publications were selected on the basis of relevance, use of recent data and quality in consultation with experts in immigrant and refugee mental health.
The migration trajectory can be divided into three components: premigration, migration and postmigration resettlement. Each phase is associated with specific risks and exposures. The prevalence of specific types of mental health problems is influenced by the nature of the migration experience, in terms of adversity experienced before, during and after resettlement. Specific challenges in migrant mental health include communication difficulties because of language and cultural differences; the effect of cultural shaping of symptoms and illness behaviour on diagnosis, coping and treatment; differences in family structure and process affecting adaptation, acculturation and intergenerational conflict; and aspects of acceptance by the receiving society that affect employment, social status and integration. These issues can be addressed through specific inquiry, the use of trained interpreters and culture brokers, meetings with families, and consultation with community organizations.
Systematic inquiry into patients' migration trajectory and subsequent follow-up on culturally appropriate indicators of social, vocational and family functioning over time will allow clinicians to recognize problems in adaptation and undertake mental health promotion, disease prevention or treatment interventions in a timely way.
Notes
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PubMed ID
20603342 View in PubMed
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