Abstract
The Unites States continues to experience a rapid demographic change with regard to culturally diverse (i.e., ethnic and racial minority) populations. As examples, people of Asian-origin heritage (e.g., Chinese, Japanese, Korean) have increased by over 200% (Leong et al., 2003) and people of Latino origin (e.g., Mexican, Puerto Rican, Dominican) have experienced a growth rate eight times faster than Caucasians (U.S. Bureau of the Census, 2000) in the last couple of decades. In fact, Latinos have surpassed African-Americans as the largest ethnic minority group in the United States. Given this trend with Asians, Latinos, and other ethnic and racial minority groups, it is expected that ethnic minorities will constitute the majority of the US population in the next few decades. Part of this rapid shift in demographics is driven by the continued high immigration patterns with some of these groups.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alegria M, Canino G, Rios R, Vera M, Calderon J, Rusch D, Ortega A. Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatr Serv. 2002;53:547–55.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, Revised 4th ed. Washington, D.C.: Author; 2000.
American Psychological Association. Guidelines on multicultural education, training, research, practice, and organizational change for psychologists. Am Psychol. 2003;58:377–402.
Andrulis DP, Brack C. Integrating literacy, culture, and language to improve health care quality for diverse populations. Am J Health Behav. 2007;31(1):122–33.
Arnold CL, Davis TC, Berkel HJ, Jackson RH, Nandy I, London S. Smoking status, reading level, and knowledge of tobacco effects among low-income pregnant women. Prevent Med. 2001;32(4):313–20.
Barnett PG, Wong W, Hall S. The cost-effectiveness of a smoking cessation program for out-patients in treatment for depression. Addiction. 2008;103(5):834–40.
Benotsch EG, Kalichman S, Weinhardt LS. HIV–AIDS patients’ evaluation of health information on the internet: the digital divide and vulnerability to fraudulent claims. J Consult Clin Psychol. 2004;72(6):1004–11.
Berland GK, Elliot MN, Morales LS, Algazy JI, Kravitz RL, Broder MS et al. Health information on the internet: accessability, quality, and readability in English and Spanish. JAMA. 2001;285(20):2612–21.
Berry JW. Conceptual approaches to acculturation. In: Chun KM, Organista PB, editors. Acculturation: advances in theory, measurement, and applied research. Washington, DC: American Psychological Association; 2003. p. 17–37.
Birru MS, Monaco VM, Lonelyss C, Drew H, Njie V, Bierria T et al. Internet usage by low-literacy adults seeking health information: an observational analysis. J Med Internet Res. 2004;6(3):e25. Retrieved September 25, 2009 from http://www.jmir.org.
Bower P, Gilbody S. Stepped care in psychological therapies: access, effectiveness and efficiency. Br J Psychiatry. 2005;186(1):11–7.
Brown ER, Ojeda VD, Wyn R. Levan R. Racial and ethnic disparities in access to health insurance and health care (Rep No. 104). Los Angeles, California: UCLA Center for Health Policy Research; 2000.
Chen W, Wellman B. Charting and bridging digital divides: comparing socio-economic, gender, life stage, and rural-urban internet access and use in eight countries. AMD Global Consumer Advisory Board, Retrieved September 17th 2009 from http://www.amd.com/us_en/assets/content_type/DownloadableAssests/FINAL_REPORT_CHARTING_DIGI_DIVIDES.pdf; 2003.
Day JC, Janus A, and Davis J. Computer and internet use in the United States: 2003. Retrieved September 17th 2009 from the U.S. Census Bureau Web site: http://www.census.gov/prod/2005pubs/p23-208.pdf-2005-10-27;2005.
Elder JP, Ayala GX, Parra-Medina D, Talavera GA. Health communication in the Latino community: issues and approaches. Ann Rev Public Health. 2009;30:227–51.
Fairlie RW. Are we really a nation online? Ethnic and racial disparities in access to technology and their consequences. Retrieved September 17th 2009 from http://www.ecs.org/html/Document.asp?chouseid=6676; 2005.
Fontes LA. Interviewing clients across cultures. New York: Guilford Press; 2008.
Fox S, Livinston G. Latinos online: hispanics with lower levels of education and english proficiency remain largely disconnected from the internet. Washington, DC: Pew Hispanic and Pew Internet Project. (ERIC Document Reproduction Service No. ED495954); 2007.
Frist WH. Overcoming disparities in U.S. health care. Health Affairs. 2005;24(2):445–451.
Gazmararian JA, Baker DW, Williams MV, Parker RM, Scott TL, Green DC et al. Health literacy among Medicare enrollees in a managed care organization. JAMA. 1999;28(6):545–51.
Green KE, Iverson KM. Computerized cognitive-behavioral therapy in a stepped care model of treatment. Prof Psychol-Res Pr. 2009;40(1):96–103.
Hargittai E, Hinnant A. Digital inequality: differences in young adults’ use of the internet. Communication Res. 2008;35(5):602–21.
Hester RK, Miller JH. Computer-based tools for diagnosis and treatment of alcohol problems. Alcohol Res Health. 2006;29(1):36–40.
Hoffman DL, Novak TP. Bridging the digital divide: the impact of race on computer access and internet use. Nashville, TN: Vanderbilt University (ERIC Document Reproduction No. ED421563); 1998.
Horrigan JB. Home broadband adoption 2009: broadband adoption increases, but monthly prices do too. Retrieved from Pew Internet and American Life Project Web Site: http://pewinternet.org/Reports/2009/10-Home-Broadband-Adoption-2009.aspx; 2009.
Institute of Medicine. Health literacy: a prescription to end confusion. Washington, D.C.: The National Academies Press; 2004.
Kalichman SC, Benotsch E, Weinhardt L, Detwiler SM, Fogel J, Alber SM et al. Quality of health information on the internet. JAMA. 2001;285(20):2612–21.
KewalRamani A, Gilbertson L, Fox M, Provasnik S. Status and trends in the education of racial and ethnic minorities (NCES 2007-039). Washington, DC: U.S. Department of Education; 2007.
Kim YC, Jung JY, Ball-Rokeach SJ. Ethnicity, place, and communication technology: effects of ethnicity on multi-dimensional internet connectedness. Inform Technol People. 2007;20(3):282–303.
Kirsch IS, Jungeblut A, Jenkins L, Kolstad A. Adult literacy in America: a first look at the national adult literacy survey (NCES 1993–275). Washington, DC: National Center for Education Statistics, U.S. Department of Education; 1993.
Kutner M, Greenberg E, Jin Y, Paulsen C. The health literacy of America’s adults: results from the 2003 national assessment of adult literacy (NCES 2006–483). U.S. Department of Education. Washington, DC: National Center for Education Statistics; 2006.
LaChausse RG. Attitudes toward tobacco advertising among Hispanic migrant farm workers. J Immigrant Health. 2001;3(2):107–110.
Laugksch RC. Scientific literacy: a conceptual overview. Sci Educ. 2000;84(1):71–94.
Lenhart A, Horrigan J, Rainie L, Allen K, Boyce A, Madden M, et al. (2003). The ever-shifting internet populations: A new look at internet access and the digital divide. Retrieved September 17th from Pew Internet and American Life Project Web Site: http://www.pewinternet.org/reports/toc.asp?Report_88; 2003.
Leong FTL, Kohout J, Smith J, Wicherski M. A profile of ethnic minority psychology. In: Bernal G, Trimble JE, Burlew AK, Leong FTL, editors. Handbook of racial and ethnic minority psychology. Thousand Oaks, CA: Sage Publications; 2003. p. 76–99.
McCabe K, Yeh M, Hough R, Landsverk J, Hurlburt M, Culver S, Reynolds B. Racial/ethnic representation across five public sectors of care for youth. J Emotion Behav Disord. 1999;7:72–82.
Monnier J, Knapp RG, Frueh BC. Recent advances in telepsychiatry: an updated review. Psychiatric Serv. 2003;54(12):1604–9.
Nadeem E, Lange JM, Edge D, Fongwa M, Belin T, Miranda J. Does stigma keep poor young immigrant and U.S.-born Black and Latina women from seeking mental health care? Psychiatric Serv. 2007;58(12):1547–54.
National Science Board. Science and technology: public attitudes and understanding. In: Science and Engineering (chap. 2). Retrieved September 24, 2009 from http://www.nsf.gov/statistics/seind04/c7/c7i.htm; 2004.
National Telecommunication and Information Administration. A nation online: how Americans are expanding their use of the internet. Retrieved September 17th 2009 from http://www.ntia.doc.gov/reports/anol/index.html; 2002.
Newman MG, Consoli AJ, Taylor CB. A palmtop computer program for the treatment of generalized anxiety disorder. Behav Modif. 1999;23(4):597–619.
Norman CD, Skinner HA. EHealth literacy: essential skills for consumer health in a networked world. J Med Internet Res. 2006;8(2):e9. Retrieved September 22, 2009 from http://www.jmir.org.
Porter CE, Donthu N. Using the technology acceptance model to explain how attitudes determine internet usage: the role of perceived access barriers and demographics. J Business Res. 2006;59(9):999–1007.
Reddick A, Boucher C. Tracking the dual digital divide. EKOS Research Associates, Inc. Retrieved September 17th 2009 from http://www.hrsdc.gc.ca/eng/hip/lld/olt/Skills_Development/OLTResearch/digital-divide_e.pdf; 2002.
Rojas V, Straubhaar J, Roychowdhury D, Ozlem O. Communities, cultural capital, and the digital divide. In: Bucy EP, Newhagen JE, editors. Media access: social and psychological dimensions of new technology use. Mahwah, NJ: Erlbaum; 2004. p. 107–30.
Rudd RE. Health literacy skills of U.S. adults. Am J Health Behav. 2007;31(1):8–18.
Ruskin PE, Reed S, Kumar R, Klink MA, Siegel E, Rosen M et al. Reliability and acceptability of psychiatric diagnosis via telecommunication and audiovisual technology. Psychiatr Serv. 1998;49(8):1086–8.
Shore JH, Brooks E, Savin D, Orton H, Grigsby J, Manson SM. Acceptability of telepsychiatry in American Indians. Telemed e-Health. 2008;14(5):461–6.
Snowden LR. Bias in mental health assessment and intervention: theory and evidence. Am J Public Health. 2003;93(2):239–43.
Snowden LR, Masland M, Ma Y, Ciemens E. Strategies to improve minority access to public health services in California: Description and preliminary evaluation. J Community Psychol. 2006;34(2):225–35.
Stanley LD. Beyond access: psychosocial barriers to computer literacy. Inform Soc. 2003;19(5):407–16.
Tsai JL, Butcher JN, Muñoz RF, Vitousek K. Culture, ethnicity, and psychopathology. In: Sutker PB, Adams HE, editors. Comprehensive handbook of psychopathology. 3rd ed. New York: Kluwer Academic/Plenum Publishers; 2001. p. 105–29.
U.S. Bureau of the Census. Overview of the race and Hispanic origin. Retrieved July 6, 2009, from http://www.census.gov/prod/2001pubs/cenbr01-1. pdf.; 2000.
U.S. Bureau of the Census. American community survey. Rockville, M.D.; 2004.
U.S. Department of Health and Human Services. Mental health: Culture, race, and ethnicity—a supplement to mental health: A report of the surgeon general. Rockville, MD: Author; 2001.
Van Servellen G, Brown JS, Lombardi E, Herrera G. Health literacy in low-income Latino men and women receiving antiretroviral therapy in community-based treatment centers. AIDS Patient Care and STDs. 2003;17(6):283–98.
Vega W, Kolody B, Aguilar-Gaxiola S. Help seeking for mental health problems among Mexican Americans. J Immigrant Health. 2001;3(3):133–40.
Wilhelm AG. Democracy in the digital age: challenges to political life in cyberspace. New York: Routledge; 2000.
Williams C, Martinez R. Increasing access to CBT: stepped care and CBT self-help models in practice. Behav Cogn Psychoth. 2008;36:675–83.
Wilson KR, Wallin JS, Reiser C. Social stratification and the digital divide. Soc Sci Comput Rev. 2003;21(2):133–43.
Woodward AM, Dwinell AD, Arons BS. Barriers to mental health care for Hispanic Americans: a literature review and discussion. J Ment Health Administration. 1992;19(3):224–36.
Yang LH, Phelan JC, Link BG. Stigma and beliefs of efficacy towards traditional Chinese medicine and western psychiatric treatment among Chinese-Americans. Cult Div Ethnic Min Psychol. 2008;14(1):10–18.
Zane N, Mak W. Major approaches to the measurement of acculturation among ethnic minority populations: a content analysis and an alternative empirical strategy. In: Chun KM, Organista PB, MarÃn G, editors. Acculturation: advances in theory, measurement, and applied research. Washington D.C.: American Psychological Association; 2003. p. 44–53.
Zarcadoolas C, Blanco M, Boyer JF, Pleasant A. Unweaving the web: an exploratory study of low-literate adults’ navigation skills on the World Wide Web. J Health Communication. 2002;7:309–24.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Borrego, J., Klinkebiel, C. (2011). Cultural Considerations in Stepped-Care and E-Health Interventions. In: Draper, C., O'Donohue, W. (eds) Stepped Care and e-Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6510-3_15
Download citation
DOI: https://doi.org/10.1007/978-1-4419-6510-3_15
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-6509-7
Online ISBN: 978-1-4419-6510-3
eBook Packages: Behavioral ScienceBehavioral Science and Psychology (R0)