Purpose This study examined factors related to positive health practices (PHP) among Asian adolescents. More specifically, it tested theoretical relationships postulated between PHP and social support, optimism, self-esteem, loneliness, and acculturation in this population. Method A correlational research design was used and a convenience sample of 151 Asian adolescents was obtained. Participants completed a demographic sheet and six study instruments. Results Significant positive relationships were found between reported performance of PHP and social support, optimism, self-esteem, and acculturation. A significant inverse relationship was found between loneliness and PHP. Conclusions Study findings extend existing knowledge and contribute to a more comprehensive knowledge base regarding health practices among Asian adolescents. Having this knowledge base provides practitioners with a better understanding of the factors related to health practices in Asian adolescents and assists them in developing culturally sensitive interventions aimed at promoting PHP in this population.
Afable-Munsuz, A., & Brindis, C. D. (2006). Acculturation and sexual reproductive health of Latino youth in the United States: A Literature review. Perspectives on Sexual and Reproductive Health, 38, 208-219.
Asian American Health Initiative, Together To Build a Healthy America. (n.d). Health disparities among Asian Americans. Retrieved April 28, 2010, from http://www.aahiinfo.org/english/asianAmericans.php
Ayres, C. (2008). Mediators of the relationship between social support and positive health practices among middle adolescents. Journal of Pediatric Healthcare, 22, 94-102.
Ayres,C. (2010). Social support, acculturation and optimism: The role they play in understanding positive health practices in Asian adolescents. Manuscript submitted for publication.
Bandura, A. (1986). Social foundations of thought and action. Englewood Cliffs, NJ: Prentice Hall.
Barnes, J. S., & Bennett, C. E. (2002). Census 2000 brief: The Asian population 2000. Washington, DC: I. S. Census Bureau.
Berry, J.W. (1980). Acculturation as varieties of adaptation. In A. M. Padilla (Ed.), Acculturation theory, models, and some new findings AAAS Selected Symposium, series 39 (pp. 9-25). Boulder, CO:Westview.
Bond, M. L., Jones, M. E., Cason, C., Campbell, P., & Hall, J. (2002). Acculturation effects on health promoting lifestyle behaviors among Hispanic origin pregnant women. Journal of Multicultural Nursing & Health, 8, 61-68.
Brage-Hudson,D. E., Elek, S. M.,& Campbell-Grossman,C. (2000). Depression, self-esteem, loneliness, and social support among adolescent mothers participating in the new parents project. Adolescence, 35, 445-453.
Brandt, P. A., & Weinert, C. (1981). The PRQ: A social support measure. Nursing Research, 30, 277-280.
Brown,N., Muhlenkamp,A., Fox, L., & Osborn, M. (1983). The relationship among health beliefs, health values, and health promotion activity. Western Journal of Nursing Research, 5, 155-163.
Chassin, L., Presson, C., Rose, J., & Sherman, S. J. (1996). The natural history of cigarette smoking from adolescence to adulthood: Demographic predictors of continuity and change. Health Psychology, 15, 478-484.
Chen, K., & Kandel,D.B. (1995).The natural history of drug use from adolescence to the mid-thirties in a general population sample. Journal of Public Health, 85, 41-47.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
Cohen, R. Y., Brownell, K. D., & Felix, M. R. (1990). Age and sex differences in health habits and beliefs of schoolchildren. Health Psychology, 9, 208-224.
Cohen, S. (1988). Psychosocial models of the role of social support in the etiology of physical disease. Health Psychology, 7, 269-297.
Goodman, E., Knight, J. R.,& DuRant, R. H. (1997). Use of the Life Optimism Test among adolescents in a clinical setting: A report of reliability testing. Journal of Adolescent Health, 21, 218-220.
Holden, E.W., & Nitz, K. (1995). Epidemiology of adolescent health disorders. In J.Wallander & L. Siegel (Eds.), Adolescent health problems: Behavioral perspectives (pp. 7-21). New York, NY: Guilford Press.
Katchadourian, H. (1990). Sexuality. In Feldman, S. S., and Elliott, G. R. (Eds.), At the threshold: The developing adolescent. Cambridge, MA: Harvard University.
Langlie, J. K. (1977). Social networks, health beliefs, and preventive health behavior. Journal of Health and Social Behavior, 18, 244-260.
Lee, J. (2007). Role of acculturation on oral contraceptive use among Korean immigrant women (Doctoral dissertation, State University of New York at Buffalo, 2007). Dissertation Abstracts International, 68, 05.
Mahat, G., & Scoloveno, M. (2001). Factors influencing health practices of Nepalese adolescent girls. Journal of Pediatric Health Care, 15, 251-255.
Mahat,G., Scoloveno,M. A., & Whalen,C. (2002). Positive health practices of urban minority adolescents. Journal of School Nursing, 18, 244-260.
Mahon, N. E., & Yarcheski, A. (1992). Alternate explanations of loneliness in adolescents: A replication and extension study. Nursing Research, 41, 151-156.
Mahon, N. E., & Yarcheski, A. (2002). Alternative theories of happiness in early adolescents. Clinical Nursing Research, 11, 306-323.
Mahon, N. E., Yarcheski, A., & Yarcheski, T. J. (2001). Mental health variables and positive health practices in early adolescents. Psychological Reports, 88, 1023-1030.
Mahon,N. E.,Yarcheski, A., & Yarcheski,T. J. (2002). Psychometric evaluation of the Personal Lifestyle Questionnaire for adolescents. Research in Nursing and Health, 25, 68-75.
Mahon, N. E., Yarcheski, A., & Yarcheski, T. J. (2004). Social support and positive health practices in early adolescents: A test of mediating variables. Clinical Nursing Research, 13, 216-236.
McNicholas, S. L. (2001). An investigation of the mediators of the relationship between social support and positive health practices in middle-aged adults. (Doctoral Dissertation, Rutgers, The State University of New Jersey, 2001). Dissertation Abstracts International, 62, 1322.
Peplau, L. A., & Perlman,D. (1982). Perspectives on loneliness. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy (pp. 1-19). New York: John Wiley.
Polit, D. F. (2010). Statistics and data analysis for nursing research (2nd ed). New Jersey: Pearson Education.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University.
Russell, D., Peplau, L. A., & Cutrona, C. (1980). The Revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39, 472-480.
Scheier, M. F., & Carver, C. S. (1987). Dispositional optimism and physical well-being: The influence of generalized outcome expectancies on health. Journal of Personality, 55, 169-210.
Scheier,M. F., & Carver, C. S. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognitive Therapy and Research, 16, 201-228.
Sisenwein, R. J. (1964). Loneliness and the individual as viewed by himself and others. Unpublished doctoral dissertation, Teachers College, Columbia University, New York.
Sohn, L., & Harada, N. D. (2005). Knowledge and use of preventive health practices among Korean women in Los Angeles County. Preventive Medicine, 41, 167-178.
Suinn, R. M., Ahuna, C., & Khoo, G. (1992). The Suinn-Lew Asian Self-Identity Acculturation Scale: Concurrent and factorial validation. Educational and Psychological Measurement, 52, 1041-1046.
Suinn, R. M., Khoo, G., & Ahuna, C. (1995). The Suinn-Lew Asian Self-Identity Scale: Cross-cultural information. Journal of Multicultural Counseling and Development, 23, 139-148.
Terrill, D. R., Friedman, D. G., Gottschalk, L. A., & Haaga, D. A. (2002). Construct validity of the Life Orientation Test. Journal of Personality Assessment, 79, 550-563.
U.S. Department of Health and Human Services, National Center for Health Statistics. (2001). Healthy people 2010. Retrieved February 11, 2010, from http://www.cdc.gov
Weinert, C. (1987). A social support measure: PRQ85. Nursing Research, 36, 273-277.
Weiss, R. S. (1974). The provisions of social relationships. In Z. Rubin (Ed.), Doing unto others (pp. 17-26). Englewood Cliffs, NJ: Prentice Hall.
Williams, P.G., Holmbeck,G.N., & Greenley, R.N. (2002). Adolescent health psychology. Journal of Consulting and Clinical Psychology, 3, 828-842.
Yarcheski, A., & Mahon, N. E. (1989). A causal model of positive health practices: The relationship between approach and replication. Nursing Research, 38, 88-93.
Yarcheski, A., Mahon,N. E., & Yarcheski,T. J. (1997). Alternate models of positive health practices in adolescents. Nursing Research, 46, 85-92.
Yarcheski, A., Mahon, N. E., & Yarcheski, T. J. (2001). Social support and well-being in early adolescents:The role of mediating variables. Clinical Nursing Research, 10, 163-181.
Yarcheski,T. J., Mahon,N. E., & Yarcheski,A. (2003). Social support, self-esteem, and positive health practices of early adolescents. Psychological Reports, 92, 99-103.
Yarcheski, T. J., Mahon, N. E., & Yarcheski, A. (2004). Depression, optimism, and positive health practices in young adolescents. Psychological Reports, 95, 932-934.
Millstein, S. G., Nightingale, E. D., Peterson, A. C., Mortimer,A. M., & Hamburg,D.A. (1993). Promoting the healthy development of adolescents. Journal of the American Medical Association, 269, 1413-1415.