LATINOS\HISPANICS AND DISABILITY:
An Annotated Resource Bibliography

Prepared by Jose O. Arrom, Research Coordinator
Midwest Latino Health Research, Training, and Policy Center
University
of Illinois at Chicago

Under a grant from the
National Institute of Disability and Rehabilitation Research (NIDDR)
to the
UIC Center on Emergent Disabilities-
Institute on Disabilities and Human Development

Edition: September 1997

Midwest Latino Health Research, Training, and Policy Center

Jane Addams College of Social Work
University of Illinois at Chicago
1640 W. Roosevelt Rd.
Suite 636 M/C 625
Chicago, IL 60608
312-413-1952
josarrom@uic.edu

INTRODUCTION

There is very little known or published about disabilities and their trends among Latino (or Hispanic) populations in the U.S. This bibliography has the purpose of collecting some of the studies and writing about Latinos and disabilities in general as a first step in assessing this state of affairs. The literature tends to be both limited and scattered. In fact, most works deal with Latinos only in passing.

Definitions of Disability

Disability has many varying definitions. Cultural groups define disability differently. The concept of disability has changed over time in response to advocacy by the disabled, changing resource availability (economic development), concepts of work and human productivity, perspectives on the disabled as deviants or minorities, and social policy. For example, just within the U.S. government, there are different definitions of disability based on specific legislation such as the Rehabilitation Act of 1992, Americans with Disability Act (1990), Social Security legislation and regulations, and so forth.

Some definitions are work-related or educationally-related and tend to be global, focusing on a time-measure of inability to work or go to school. Others are concerned with functional limitations or a person’s capacity and\or independence to perform activities of daily living (ADL's and IADL's). Some investigators view disability as a consequence of certain chronic conditions and aging - which have predisposing risk factors and which may or may not have an endpoint in death (mortality). Others are concerned with their risk factors in term of how the disabilities and their defining conditions or events may be prevented. Other recent indicators of disability relate to the use of assistive (and communication) technology, physical access and employment, the use of social and health services and special education, and the receipt of social entitlements or benefits (i.e., SSI). Very recently, disability has been approached from more multidimensional "quality of life" (QOL) measures of health status. These different definitions result in different estimates of disability, and the need to have included various measures in the 1994-1995 National Health Interview Survey (NHIS).

Organization

This bibliography is divided into ten major sections:

  1. Latino Children and Disability- This section covers birth defects, developmental, congenital\genetic, and parental adaptation.
  2. Learning and Language Disabilities & Mental Retardation. This section covers a critical emerging area which profoundly impacts academic outcomes but the ability of these persons to participate effectively in the U.S. workforce which is increasingly knowledge-information based.
  3. Disability of Working Age Latinos. These abstracts cover mental health, injury, occupational, and other behaviorally related conditions occurring to persons 18-60 years of age. A subsection on post-traumatic stress disorders (PTSD) as a disabling condition is included.
  4. Chronic Conditions and Aging - Focusing on the slowly developing conditions of primarily the elderly, including diabetes and dementias.
  5. Service Delivery and Rehabilitation Issues - Reviews access and utilization of services, how disability is perceived in general by Latinos, and how services should be delivered in a culturally competent manner to persons with disabilities.
  6. Latino Health Status: Risk Factors for Chronic Conditions and Disability - which addresses the risk factors which places people at risk for developing chronic conditions, impairments, disabilities, and handicaps. A major subsection presents works related to risks and outcomes of injury and physical trauma.
  7. Multicultural and Cross-Cultural Perspectives in Disability - Presents additional studies for other U.S. ethnic-racial groups, as well as studies in other (international) settings.
  8. Measurement, Research, and Surveillance Issues - How to measure and monitor disability, risk factors, and chronic conditions in Latino and other ethnic-racial populations.
  9. Disability Databases - Briefly lists the major databases where one may find data on Latinos and disability, chronic conditions, and risk factors and presents key articles describing them.
  10. Disability Statistics and Studies - Includes key recent general publications which may include some disability statistics or which may guide the reader to the disability field.

There is an overlap between the different sections. It was extremely difficult to decide how to classify many items or which classifications to use. There are dozens of disabling conditions, yet the literature and the availability of data on Latinos and their specific disabilities is scarce. For example, the literature on Latinos and diabetes mellitus is rapidly growing. In the Southwest US, most of the work on diabetes is being conducted with Latinos, given its high levels of prevalence. Yet, the disability data is only beginning to emerge. We choose age groups because they are broad enough to cover key groupings of conditions as they emerge throughout the lifespan. Ultimately, we hope to index this annotated bibliography to meet different user needs.

Methodology

We compiled this bibliography from a wide variety of sources, including the literature from aging, public health - chronic conditions, education, and rehabilitation. To do so, we searched MEDLINE, PsychLIT, CBIB, ERIC, CINAHL, CDC-WONDER, WSSI, and other electronic databases. In addition, we searched servers related to National Institute on Disability and Rehabilitation Research (http://dsc.ucsf.edu/indextxt.html) on the Internet. Documents available from the Internet are marked @. Some databases have limited time depth; others have some overlap. Key terms used were primarily "Hispanic or Latino", "disability", "handicap", "impairment", "functional limitation" and "rehabilitation", "injury or trauma". In addition, items have been included from our previous searches and bibliographies on the aging\elderly, chronic conditions, pregnancy outcomes, and research methodology. Most of the articles and items included have not been evaluated for quality, that is, how they include, identify, collect, disaggregate, and analyze data, particularly for Latino and other ethnic subgroups.

1. Latino Children and Disability 

BIRTH DEFECTS

Canfield, MA. Annexes, JF. Brender, JD. Cooper, SP. Greenberg, F. Hispanic Origin and Neural Tube Defects in Houston Harris County, Texas. 1. Descriptive Epidemiology. American Journal of Epidemiology. 1996, 143(1), 1-11. High prevalence of anencephaly and neural tube defects (NTDs) have recently been recorded for several Texas counties bordering Mexico. In addition, a few investigators have reported Hispanics to be at elevated risk for NTDs (anencephaly and spina bifida). Factors contributing to this risk have not been established. The authors conducted a study of NTDs in Harris County, Texas, to determine the prevalence of each defect. Prevalence was established by identifying cases among resident live births and fetal deaths (stillbirths at greater than or equal to 20 weeks) occurring from April 1, 1989, through December 31, 1991. Using multiple case ascertainment methods, 59 cases of anencephaly and 32 cases of spina bifida were detected, resulting in prevalence of 3.8 (95% confidence interval 2.9-4.9) and 2.0 (95% confidence interval 1.4-2.8) per 10,000 live births, respectively. The ratio of anencephaly prevalence to spina bifida prevalence was 2:1 in 1989, 1:1 in 1990, and 3:1 in 1991, with a significant difference in 1991. The female:male prevalence ratio was 1.0 for spina bifida and 2.2 for anencephaly, and was higher still for anencephaly among non-Hispanics (prevalence ratio = 5.6). For each defect, Hispanics experienced a prevalence approximately three times that of non-Hispanics. This ethnic difference was greater for males with anencephaly and for females with spina bifida. For anencephaly, the Hispanic: white/Anglo prevalence ratio (4.2) and the African- American: white/Anglo prevalence ratio (1.9) were greatly elevated and the Hispanic: African-American prevalence ratio (2.2) was similar, relative to comparable studies from the past two decades. The prevalence of anencephaly recorded for public hospitals (7.0 per 10,000) was three times greater than that for private hospitals (2.4 per 10,000). Spina bifida figures were similar for public (prevalence = 2.2 per 10,000) and private (prevalence = 2.0 per 10,000) hospitals. A significantly higher prevalence of both defects was documented among Hispanics in Harris County. The higher anencephaly rates among Hispanics, African-Americans, and those using public hospitals in an era of NTD screening, prenatal diagnosis, and elective pregnancy termination suggest that socioeconomic and perhaps cultural/religious factors might influence the recorded birth prevalence of this defect in particular groups.

Canfield, MA. Annexes, JF. Brender, JD. Cooper, SP. & Greenberg, F. Hispanic Origin and Neural Tube Defects in Houston Harris County, Texas. 2. Risk Factors. American Journal of Epidemiology. 1996, 143(1), 12-24. Several investigators have reported Hispanics to be at elevated risk for neural tube defects (anencephaly acid spina bifida). Factors contributing to this risk have not been established. The authors conducted a case-control study of neural tube defects (NTDs) among births occurring in Harris County, Texas, from April 1, 1989, through December 31, 1991. Through the use of multiple ascertainment methods, 59 cases of anencephaly and 32 cases of spina bifida were detected. Controls (n=451) were sampled for the same time period from Harris County vital records. Regardless of how Hispanic ethnicity was classified, having a Hispanic parent was a risk factor for both anencephaly and spina bifida. The primary etiologic question was whether increased NTD risk in Hispanics is explained by maternal diabetes or by other factors (e.g., maternal birthplace, prenatal care, reproductive history, age, socioeconomic status). Mexico-born Hispanics were no more likely than Texas-born Hispanics to deliver a fetus or infant with an NTD. Having a Hispanic mother was a risk factor for anencephaly among infants born to women with early prenatal care (odds ratio (OR) = 4.54, 95% confidence interval (Cl) 2.21-9.40) but not for those born to latecomers. Earlier prenatal care seemed "protective" for non-Hispanics (OR = 0.18, 95% Cl 0.06-0.65) but not for Hispanics. After simultaneous adjustment for eight variables in multivariate analysis, having a Hispanic (versus non-Hispanic) mother remained a strong risk factor for both anencephaly (OR = 2.58, 95% Cl 1.19-5.61) and spina bifida (OR = 3.71, 95% Cl 1.48-9.31). Any previous pregnancy termination/fetal loss was also associated with anencephaly in a final logistic regression model (OR = 2.48, 95% CI 1.20-5.10), and having a teenage mother (aged <20 years) approached significance (OR = 2.21, 95% Cl 0.92-5.31). "Hispanic mother" was the only study variable significantly associated with spina bifida in multivariate analysis. Results for diabetes suggested no association with anencephaly (OR = 1.24, 95% CI 0.25-6.17). An increased risk of NTDs among Hispanics remained after controlling for other factors. For anencephaly, this risk might be partially explained by economic and cultural differences between Hispanics and non-Hispanics, and the effect of these factors on rates of prenatal diagnosis acid elective pregnancy termination.

Harris, JA. Shaw, GM. Neural Tube Defects - Why Are Rates High among Populations of Mexican Descent. Environmental Health Perspectives. 1995, 103(6), 163-164. [KW: Anencephaly. Birth-defects. Folate. Spina bifida. Vitamins-prevalence.] (No abstract.)

Harris, J. Kallen, B. Robert, E. The Epidemiology of Anotia and Microtia. Journal of Medical Genetics. 1996, 33(10), 809-813. We studied a large data set from three registries of congenital malformations (central-east France, Sweden, and California), a total of 954 cases, known chromosome anomalies excluded. The prevalence at birth varied significantly between programmed, probably to a large extent because of different ascertainment and inclusion criteria, from 0.76 per 10,000 births in the French program to 2.35 in the Swedish. Within the California program, there is a racial variability in prevalence with lower values among whites (and probably blacks) than in Hispanics and Asians. Also the proportion of anotia and microtia varies between races with the lowest proportion of anotia in whites. Anotia and microtia are equally often associated with other malformations and show other similar epidemiological characteristics. In unilateral cases, the right side is more frequently malformed than the left side, especially when the ear malformation is isolated. There is a male excess, most pronounced in isolated forms. Among associated malformations, facial clefts and cardiac defects are the most common ones (each about 30% of infants with associated malformations), followed by anophthalmia or microphthalmia (14%), limb reduction defects or severe renal malformations (11%), and holoprosencephaly (7%). There is a maternal parity effect seen, an increased risk at parity 4+ (standardized for maternal age), more pronounced for anotia than microtia.

Shaw, GM. Jensvold, NG. Wasserman, CR. Lammer, EJ. Epidemiologic Characteristics of Phenotypically Distinct Neural Tube Defects among 0.7 Million California Births, 1983-1987. Teratology. 1994, 49(2), 143-149. Isolated neural tube defects (NTDs) appear to have different risk factors compared to nonisolated NTDs. To extend those observations, we explored routinely collected child and parental characteristics as possible risk factors among isolated versus nonisolated NTD cases, among high versus low spina bifida cases, and among open versus skin-covered spina bifida cases. Fetuses and liveborn infants with anencephaly or spina bifida among the 1983-87 cohort of births and fetal deaths (n=712,863) were ascertained by the California Birth Defects Monitoring Program. One hundred and ninety-three anencephalic cases and 272 spina bifida cases were compared to a random sample of 5,000 liveborn infants. Among anencephalic cases, 55% were live births and 85% were isolated. The proportion of males was similar to females across all subgroups. Increased risks were found for Hispanic whites, with risk estimates highest for nonisolated cases (odds ratio = 4.0, 95% confidence interval `1.5,10.5ï). Among spina bifida cases, 92% were live births, 81% isolated, 82% open, and 86% were low. More males were found among the group with isolated high open defects, and fewer males were found among the group of all closed defects. The proportion of males was similar to females in all other subgroups. Cases were more likely to be Hispanic with risks largest for high open defects (odds ratio = 2.9, '1.2,6.6ï), particularly for nonisolated cases. This study provides some evidence that further classifications of NTDs may reveal subgroupings of cases with different etiologies. (C) Wiley-Liss. [Birth Defects.]

Stierman, L. Birth Defects in Eleven California Counties: 1990-1992. Fresno, CA: California Birth Defects Monitoring Program, June 1996. This report presents data on birth defects from 11 registry counties in California by demographic characteristics and 10 sentinel defects. In general, children of women of Hispanic and Asian origins had fewer birth defects than those of White and African-American descent. However, Mexican-American women had a 50% higher risk of having children with neural tube defects, spina bifida, or anencephaly. [Address: 2511 West Shaw Ave., Fresno CA 97311-3325 FAX: 209-224-0252]


SENSORY\COMMUNICATION IMPAIRMENTS

Bennett, AT. Gateways to powerlessness: Incorporating Hispanic deaf children and families into formal schooling. Disability, Handicap & Society. 1988, 3(2), 119-151. Describes a 2-yr ethnographic field study of the formal intake process (assessment, programming, placement, and evaluation) involving 8 deaf Hispanic children (aged 3-6 yrs) in a private school for the deaf. Practices of noninvolvement of Hispanic parents in educational decision making are discussed, as well as the construction of particular ideological and social relations between participants in the intake process. The progress of one family through the intake is analyzed in detail to demonstrate the social and cultural complexities of these relationships. (PsycINFO)

Christensen, KM. Conceptual sign language acquisition by Spanish-speaking parents of hearing-impaired children. American Annals of the Deaf. 1986, 131(4), 285-287. Describes a trilingual (Spanish, English, and Sign Language) approach to conceptual Sign Language acquisition for monolingual Spanish- speaking parents of deaf children. Members of 58 families who were Spanish speakers participated in a 2-year televised trilingual class. Competence in conceptual Sign Language communication was achieved by Ss who viewed the program regularly. Positive attitudinal changes among Ss involved feelings about communication with their deaf child and about the school setting in general. (PsycINFO)

Correa, VI. Working with Hispanic parents of visually impaired children: Cultural implications. Journal of Visual Impairment & Blindness, 1987, 81(6), 260-264. Discusses 2 types of problems faced by teachers working with visually impaired Hispanic children and their families: difficulties associated with accepting the impairment and cultural and linguistic differences. A frame-work is provided for understanding the cultural differences in the Hispanic population so that teachers can be more sensitive to the needs of these families. (PsycINFO)

Ferullo, RJ. Objectivity in the assessment of preschool hearing impaired bilingual- Hispanic children. Journal of School Health. 1983, 53(2), 131-135. Public Law 94-142, the Education for All Handicapped Children Act, mandates the development of an individualized education plan for school-aged children with special needs. The development of such a plan requires a team meeting of various specialists who have conducted assessments of the children being "cored." Often such meetings become an arena for the enunciation of favored philosophical and methodological positions that tend to obstruct the development of scientifically based goals and objectives. The author stresses the importance of avoiding one's favored philosophy in the evaluation and assessment of preschool hearing-impaired Hispanic bilingual children. A case illustration is presented to demonstrate the need for objectivity in the team-evaluation process. Some guidelines for use in working with Hispanic families are offered. (PsycINFO)

Lee, DJ. Gomez Marin, O. Lee, HM. Prevalence of Childhood Hearing Loss - The Hispanic Health and Nutrition Examination Survey and the National Health and Nutrition Examination Survey II. American Journal of Epidemiology. 1996, 144(5), 442-449. Comparative analysis of the epidemiology of childhood hearing loss was undertaken among African-American, Hispanic- American, and non-Hispanic white children. Audiometric data on children aged 6-19 years were obtained from 688 African Americans, 330 Cuban Americans, 2,602 Mexican Americans, 1,025 Puerto Ricans, and 3,243 non-Hispanic whites who participated in either the National Health and Nutrition Examination Survey II, 1976-1980, or the Hispanic Health and Nutrition Examination Survey, 1982-1984, Hearing loss was defined as a pure-tone decibel hearing threshold level (averaged over 500, 1,000, and 2,000 Hz) greater than 15 in the ear with the best response. The prevalence (per 1,000) of bilateral hearing loss was 17.0 for African-American, 68.3 for Cuban-American, 27.6 for Mexican-American, 57.7 for Puerto Rican, and 15.5 for non-Hispanic white children. Differences in prevalence by ethnicity/race diminished when a more stringent definition of hearing loss (i.e., moderate or greater than 30 dB hearing threshold level) was used. There were no adolescent African-American males aged 16-19 years who had a hearing loss, After adjustment for age, the odds of hearing loss was significantly greater in males than in females only in non-Hispanic whites (odds ratio = 2.2; 95% confidence interval 1.6-3.3). On the basis of 1993 census population estimates in the United States, over 819,000 children aged 6-19 years have some degree of hearing impairment, and over 216,000 of these children have moderate or greater hearing impairment.


PARENTAL ADAPTATION TO DISABILITY

Espinosa, Maria E. Attitude of Hispanic and Anglo parents toward children with epilepsy in relation to selected variables of knowledge, demography, and epilepsy experience in six elementary schools in Oklahoma City. Dissertation Abstracts International. 1983, 43(10-B), 3183-3184. [Knowledge & demographic characteristics & epilepsy experience, attitudes toward children with epilepsy, Hispanic vs Anglo parents of elementary school students.]

Gary, SD. Perceived levels of stress of Black, White and Hispanic mothers of infants with disabilities. Dissertation Abstracts International. 1992, 52(7-A), 2499.

Hanline, MF. Daley, SE. Family coping strategies and strengths in Hispanic, African-American, and Caucasian families of young children. Topics in Early Childhood Special Education. 1992, 12(3), 351-366. Examined the relationship between maternal perceptions of family coping strategies and family strengths in 59 Hispanic, 66 African-American, and 81 Caucasian families of young children (aged <3 yrs) with and without disabilities. The use of internal family coping strategies tended to be more predictive of family strengths than was the use of social supports outside the family within all 3 ethnic groups. Analysis revealed no differences in family coping strategies and family strengths between Hispanic families of children with and without disabilities, one difference related to social support among the 2 types of African-American families, and multiple differences among the 2 types of Caucasian families. (PsycINFO) [Care giving, Parents.]

Lequerica, M. Stress in immigrant families with handicapped children: A child advocacy approach. American Journal of Orthopsychiatry. 1993, 63(4), 545-552. Discusses factors affecting the adjustment of Latinos who have immigrated to the US. Topics addressed include immigration and stress, based on such things as culture shock and crisis of loss and load; handicap and stress; and poverty and immigration. Also discussed are how factors related to the client and to the type of service required can impede service delivery. Since service delivery agencies are often overcrowded and lack coordinated outreach to families, and since the language barrier and cultural gap need to be overcome, an advocate is recommended. An advocate would be able to coordinate various providers' efforts by easing the communication between those involved and by giving to the immigrant family a sense of cohesion and unified effort. The advocate would also serve as a familiar and trusted source for help when a problem develops or when the party being aided becomes discouraged. (PsycINFO)

Mardiros, M. Conception of childhood disability among Mexican- American parents. Medical Anthropologist, 1989, 12(1), 55-68. [No abstract.]

Mary, NL. Reactions of Black, Hispanic, and White mothers to having a child with handicaps. Mental Retardation. 1990, 28(1), 1-5. Interviewed 20 Black, 20 Hispanic, and 20 White mothers of disabled children (DCs) aged <6 yrs to explore their feelings and reactions toward DCs. Trends revealed that Hispanic Ss reported an attitude of self-sacrifice toward DCs and greater spousal denial of disabilities more often than Black or White Ss. Stages of reaction from strong negative feelings to later periods of adjustment were most often reported by Hispanic and White Ss, and by 75% of Ss with DCs with Down's syndrome. Although severity of retardation was not predictive of parental reporting of stages, Ss who received diagnoses within 1 mo of the DCs' births were more likely to report subsequent adjustment stages. (PsycINFO)

Mary, NL. A cross-cultural study of mothers of young developmentally disabled children. Dissertation Abstracts International. 1986, 47(4-A), 1486.

Shapiro, J. Tittle, K. Maternal adaptation to child disability in a Hispanic population. Family Relations. 1990, 39(Apr.), 179-85.

Tirado, LA. Attitudes toward childhood disabilities among Puerto Rican parents. Dissertation Abstracts International. 1982, 43(1-B) 268. [Attitudes toward causes of childhood handicaps, utilization of social services; childrearing attitudes & practices, Puerto Rican parents.]


SERVICE DELIVERY

Brookins, GK. Culture, Ethnicity, and Bicultural Competence - Implications for Children with Chronic Illness and Disability. Pediatrics. 1993, 91(5), 1056-1062. [No abstract.]

Bruder, MB. Anderson, R. Schutz, G. Caldera, M. Niños Especiales Program: A culturally sensitive early intervention model. Journal of Early Intervention. 1991, 15(3), 268-277. Describes a 3-yr model demonstration designed to provide culturally sensitive early intervention services to Puerto Rican infants with severe disabilities and their families. The program delivered home-based interventions that emphasized the needs of the family unit. Elements of the model are described for cultural sensitivity, the transdisciplinary team process, interagency coordination, and transition. Assessments of 15 children and families who were in the program for at least 1 year show that as a family's support and informational needs were met, more attention was focused on child intervention needs. An illustrative case study is presented. (PsycINFO) [Service Delivery, Early Intervention.]

Butler, JA. Singer, JD. Palfrey, JS. Walker, DK. Health insurance coverage and physician use among children with disabilities: findings from probability samples in five metropolitan areas. Pediatrics, 1987, 79 (1): 89-98. The effect of insurance coverage on physician use for children in the United States who have been identified as disabled by their schools under the provisions of the Education for All Handicapped Children Act (PL 94-142) is examined. The research is based on identically drawn stratified random samples of children from the elementary school special education populations of five large metropolitan school systems. It was found that health insurance coverage was a predictor of whether a disabled child had seen a doctor in the past year even after adjustment for site, family background characteristics, type and severity of childhood disability, and structural access factors (adjusted odds ratio, 1.76, P less than .05); Hispanic children with disabilities were more likely than white children to be without any health insurance (adjusted odds ratio, 3.63; P less than .001), but there was no similar statistically significant difference between blacks and whites; and wide variations persist in scope of insurance payment for care, such that parents of publicly insured children paid out of pocket for only 5% of all physician visits as compared to 30% of visits for the privately insured. Even for children with various low-prevalence disabilities, when privately insured, parents paid out of pocket for 23% of all physician visits. These data help clarify the extent of health insurance coverage among children with disabilities and indicate that insurance remains an important predictor of physician use even though it continues to pay for only certain elements of care. [Access.]

Eyman, RK. Boroskin, A. Hostetter, S. Use of alternative living plans for developmentally disabled children by minority parents. Mental Retardation. 1977, 15(1), 21-23. Investigated the current use of alternative living plans for developmentally disabled children by various groups of clients eligible for services. The sample consisted of 8,009 Ss, most of whom were mentally retarded, receiving developmental disabilities services in California, Colorado, and Nevada. Results show that the more severe the level of retardation, the more likely the Ss would be found in an institution regardless of race. However, 65% of the moderately and mildly retarded Ss from Black or Spanish- American homes remained with their families in contrast to about 50% of the White Ss. Differences between the groups were even greater for the severely retarded: 60% of the Black or Spanish- American Ss lived at home while only 33% of the White Ss lived at home. Two possible reasons for these findings are presented, and the need for increased communication concerning available community resources is noted. (PsycINFO)

Geber, G. Race and Ethnicity - Issues for Adolescents with Chronic Illnesses And Disabilities - An Annotated Bibliography. Pediatrics. 1993, 91(5), 1071-1081. (No abstract)

Kasper, MJ. Robbins, L. Root, L. Peterson, MG. Allegrante, JP. A musculoskeletal outreach screening, treatment, and education program for urban minority children. Arthritis Care Research, 1993, 6(3), 126-33. Purpose: A hospital-based outreach program was initiated to screen minority children in medically underserved areas of New York City for musculoskeletal diseases. We examine the number of such diseases in this population, and evaluate the program's success to facilitate referral and follow-up of children with referral conditions. Methods: Screenings were conducted at schools and day-care centers. Children requiring further evaluation were referred to the sponsoring hospital, a major referral center for musculoskeletal diseases. Bilingual educational strategies, transportation reimbursement, and coverage for uninsured children were used to foster participation and increase follow-up. Results: A total of 2,523 children were screened, 168 (6.7%) of whom were referred for one of 45 different musculoskeletal disorders, including scoliosis and back problems, foot problems, in- and out-toeing, knee or hip pain, and problems of joint range of motion. Sixty-seven percent of those referred had a follow-up medical consultation. Conclusions: A substantial proportion of urban minority children have previously undiagnosed musculoskeletal disorders that, if left untreated, have the potential to lead to significant disability in later life. Targeted screening programs can be effective in identifying such disorders, and providing and opportunity for early diagnosis, treatment, and education. [Disability Risk.]

Martinez, M. The satellite clinic: Providing access to intervention in rural Texas. Zero to Three. 1986, 6(5), 15-16. Describes a program designed for early detection of developmental problems and early intervention with low birthweight premature infants living in the rural Texas panhandle. A case study is presented in which one of the program's nurse coordinators investigated a young family having problems with a sick child and provided them with goals that would (1) help the mother to accept responsibility for the baby, (2) change their medical care regime to preventive and wellness measures, and (3) utilize local agency help. (PsycINFO)

McCubbin, HI. Thompson, EA. Thompson, AI. McCubbin, MA. Kaston, AJ. Culture, Ethnicity, and the Family - Critical Factors in Childhood Chronic Illnesses and Disabilities. Pediatrics. 1993, 91(5), 1063-1070.

Rueda, RS. Martinez, I. Fiesta Educativa: One community's approach to parent training in developmental disabilities for Latino families. Journal of the Association for Persons with Severe Handicaps. 1992, 17(2), 95-103. Describes the history and program of Fiesta Educativa, a successful education and training activity for Latino families with children with disabilities. It is suggested that many minority families do not become engaged in service delivery systems and treatment programs because of the inaccessibility of services, class and cultural barriers, and language barriers. The goal of Fiesta Educativa was to provide a large-scale 2-day special training event for Latino parents and families of children with developmental disabilities to acquaint them with the available service systems and to provide advocacy training for treatment planning and service. Indicators of effectiveness and adaptations are discussed. (PsycINFO) [Parent Training, Service Delivery.]

2. Learning and Language Disabilities & Mental Retardation 

This is one of the largest sections. There is a large amount of literature in this area specifically relating to Latinos. We have tried to include the literature on assessment/ identification/diagnosis, etiology, and epidemiology as well as the those relating to service delivery. There are major concerns about the misdiagnosis of learning disorders for Latino and minority populations. Some area related to the fact English is the second language of these children. Others to possible cultural bias of testing tools. On the other hand, there may be underdiagnosis because the evaluators may assume the problem may be related to language learning. However, these conditions may be increasing since more Latino children are surviving beyond infancy, are increasingly at risk of being exposed to environmental hazards (lead, pollutants, agricultural sprays), and receive less primary care.


Ambert, AN. Identifying language disorders in Spanish-speakers. Journal of Reading, Writing, & Learning Disabilities International. 1986, 2(1), 21-41. Collected Spanish language samples from the spontaneous speech productions of 30 5-12 yr old Puerto Rican children living in the US, who were both limited English proficient (LEP) and language disordered. Samples were analyzed for global linguistic performance, including structural and pragmatic analyses. The disorders identified were categorized into disorders of receptive language and of expressive language. Results show that the Ss’ language proficiency deviated from the language of Spanish-speaking children acquiring language normally. The Ss presented both structural difficulties and pragmatic problems. It is suggested that although the Ss were living in a bilingual setting, the impact of English on their language development was minimal. It is posited that LEP Hispanic children have been frequently misidentified as language disordered because they were assessed in English or assessed in Spanish by assessors who were not fluent in Spanish and/or not familiar with the regional variety of Spanish spoken by the child. (PsycINFO) [Assessment.]

Argulewicz, EN. Effects of ethnic membership, socioeconomic status, and home language on LD, EMR, and EH placements. Learning Disability Quarterly. 1983, 6(2), 195-200. Proportions of special education placements for Anglos, Blacks, and Hispanics were compiled for a large elementary school district in the Southwest. The data pool consisted of all students (N=9,950) in each of the 3 ethnic groups enrolled in kindergarten through 6th grade. Types of placements were also examined for each group within the context of SES (low or mid-high) and home language (Spanish or English). Results show significant Ethnicity * SES interaction effects, with mid-high Spanish-speaking Hispanics being placed at the highest rate and mid-high Blacks being placed least frequently. Data also revealed that the learning-disability category was by far the most frequently assigned placement. Factors that may have influenced the results and implications for placement decision making are discussed. (PsycINFO) [Service Delivery; Placement.]

Arrigo, HR. Language learning disabilities among Hispanic students: A statistical search for discriminants. Dissertation Abstracts International. 1990, 50(11-B), 5342.

Barona, A. Santos de Barona, M. Faykus, SP. The simultaneous effects of sociocultural variables and WISC--R factors on MR, LD, and non placement of ethnic minorities in special education. Education & Training in Mental Retardation. 1993, 28(1), 66-74. 300 students referred for consideration of special education placement and found to be either learning disabled, mentally retarded (MR), or not eligible (NE) were examined to determine the differential contribution of sociocultural variables on special education eligibility decisions when examined in the context of Wechsler Intelligence Scale for Children--Revised (WISC--R) factors. Mean ages were 117.76, 128.66, and 118.56 mo for the learning-disabled, NE, and MR groups, respectively. Analyses were conducted using WISC--R factors (Verbal Comprehension, Perceptual Organization, Freedom from Distractibility) and sociocultural variables (e.g., SES, ethnicity, family size, and father absence). Ethnicity made differential significant contributions to the prediction of the MR and NE groups when adjusted for WISC--R factors. SES accounted for a significant amount of the variance in MR eligibility with the exception of when Verbal Comprehension was adjusted for independently. (PsycINFO)

Barona, A. Faykus, SP. Differential effects of sociocultural variables on special education eligibility categories. Psychology in the Schools. 1992, 29(4), 313-320. Examined the influence of sociocultural factors (ethnicity, SES, father absence, and family size) on special education eligibility (SEDE) for 3 ethnic groups: White, Black, or Mexican-American. A multiple regression procedure was used to analyze the data on 300 students (aged 8-13.5 yrs) referred as mentally retarded or learning disabled. Only SES and ethnicity made a significant contribution to the prediction of SEDE for all 3 groups. Results suggest that legislative mandates to control for sociocultural factors in the determination of SEDE have been only partially successful. (PsycINFO)

Bauermeister, JJ. Vargas, I. Colberg, C. Gonzalez, LE., et al. Development of the Inventario de Comportamiento Escolar (IDCE) for Puerto Rican children. Hispanic Journal of Behavioral Sciences. 1987, 9(1), 49-67. Developed the Inventario de Comportamiento Escolar, a teacher rating inventory for the assessment of Puerto Rican children with attention deficit disorder, learning disabilities, or academic underachievement. Factor analysis of classroom behavior ratings of 961 Puerto Rican students (kindergarten to 6th grade) yielded 5 scales as did factor analysis of school performance ratings. (PsycINFO)

Bebout, L. Arthur, B. Cross-cultural attitudes toward speech disorders. Journal of Speech & Hearing Research. 1992, 35(1), 45-52. Used a questionnaire to look at attitudes toward 4 disorders (cleft palate, stuttering, hearing impairment, and misarticulations) among 166 university students (aged 17-48 yrs) representing English-speaking North American culture and other cultures (e.g., Chinese, Southeast Asian, Hispanic). Results show significant group differences on items involving Ss' beliefs about the emotional health of persons with speech disorders and about the potential ability of speech-disordered persons to improve their speech. Also: "On cultural sensitivity in assessing cross-cultural attitudes": Reply. Journal of Speech & Hearing Research. 1994, 37(2) 343. Replies to criticisms by A. Martinez et al of L. Bebout and B. Arthur's study on cross-cultural attitudes toward speech disorders. The questionnaire was not intended to assess into the attitudes of non-North American cultures, while the 'deficit' focus was on cultural misunderstanding or naivete that might impede treatment. (PsycINFO)

Beltran, D. Rafael, D. A comparative investigation of two adaptive behavior scales (CABS-SV and ABS-SE Part One): Across three educational program classifications (regular, learning disabled, and mildly retarded) using a sample of Hispanic children. Dissertation Abstracts International. 1984, 45(3-A), 820.

Benson, BA. Behavior disorders and mental retardation: Associations with age, sex, and level of functioning in an outpatient clinic sample. Applied Research in Mental Retardation. 1985, 6(1) 79-85. Expanded an earlier survey by S. Reiss (see PA, Vol 68:10652) that studied 66 clients by including 64 additional clients referred to an outpatient mental health clinic. The total sample, which included 53 children and adolescents and 77 adults, ranged in age from 4 to 55 yrs. There were 40 female and 90 male Ss. 53.9% of the Ss were mildly mentally retarded, 24.6% were moderately mentally retarded, and 21.5% were profoundly mentally retarded. The sample included 56 Blacks, 60 Whites, and 14 Hispanics. Three categories of behavior problems accounted for a majority of the referrals: schizoid-unresponsive and psychotic disorders, conduct disorder, and anxious-depressed withdrawal disorder. The distribution of referrals among the 3 categories was examined as a function of level of intellectual functioning, age, and client sex. Comparisons are made with previous surveys of mentally retarded and of nonretarded clinic populations. Implications of the survey results for planning mental health services with mentally retarded individuals are discussed. (PsycINFO)

Brosnan, FL. Overrepresentation of low-socioeconomic minority students in special education programs in California. Learning Disability Quarterly. 1983, 6(4), 517-525. Results of a survey conducted of 61 school districts in California indicate the following: (1) Black students from minority and low-SES school districts were overrepresented in mental retardation and specific learning disability programs. (2) Students from low-SES school districts were overrepresented in specific learning disabilities. (3) Overrepresentation of Hispanic students in classes for the mentally retarded no longer exists on a state level. (4) The number of students identified as learning disabled has increased as the number of students identified as mentally retarded has decreased. (PsycINFO)

Cardoza, D. Rueda, R. Educational and occupational outcomes of Hispanic learning-disabled high school students. Journal of Special Education, 1986, 20(1), 111-126. Examined educational characteristics of 6 subgroups (N=2,656) in the High School and Beyond (National Opinion Research Center, 1980) data set. These included senior learning disabled Hispanic students, senior learning disabled Anglo students, and a randomly selected Anglo senior nonhandicapped subsample. In addition, 3 parallel sophomore groups were included. The groups were compared in terms of their course-taking behavior, educational aspirations, and educational/occupational outcomes. Results indicate significant differences between the handicapped and nonhandicapped groups. However, in general, differences between the Anglo and Hispanic handicapped groups were not significant. (PsycINFO)

Collier, C. Hoover, JJ. Sociocultural considerations when referring minority children for learning disabilities. Learning Disabilities Focus, 1987, 3(1), 39-45. Discusses sociocultural considerations in dealing with culturally and linguistically different children referred for specific learning disabilities (LDs). In some instances behaviors that educators may believe to indicate LDs may be typical and normal for a specific cultural/linguistic background or a by-product of the acculturative process, including second-language acquisition. When a minority child is referred for suspected LDs, the child's native culture and language, as well as stage of acculturation, must be considered. Such considerations may help educators reduce unnecessary referrals and bias in decisions about special education placement. (PsycINFO) [Assessment.]

Coppock, BA. A comparison of suspension rates of secondary handicapped students by race, gender, handicap and school level. Dissertation Abstracts International. 1984, 45(2-A) 488-489. [ID: race & sex & handicap & school level, suspension rates, mainstreamed mildly handicapped vs emotionally disturbed vs mentally retarded vs learning disabled junior vs senior high school students.]

Correa, VI. Tulbert, B. Collaboration between school personnel in special education and Hispanic families. Journal of Educational & Psychological Consultation. 1993, 4(3), 253-265. Discusses the building of collaborative relationships between school personnel in special education and Hispanic families, focusing on issues paramount in understanding the values and beliefs of the Hispanic family. A 4-step collaboration action plan is proposed that includes (1) promoting a positive attitude toward school personnel, (2) assisting school personnel by providing training, (3) gathering information on the family, and (4) developing a culturally sensitive program based on need. School personnel who take the time to understand the unique values and beliefs of the Hispanic culture will more adequately provide culturally sensitive services to Hispanic families and their children with disabilities. (PsycINFO)

Collier, C. Hoover, JJ. Sociocultural considerations when referring minority children for learning disabilities. Learning Disabilities Focus. 1987, 3(1), 39-45. Discusses sociocultural considerations in dealing with culturally and linguistically different children referred for specific learning disabilities (LDs). In some instances behaviors that educators may believe to indicate LDs may be typical and normal for a specific cultural/linguistic background or a by-product of the acculturative process, including second-language acquisition. When a minority child is referred for suspected LDs, the child's native culture and language, as well as stage of acculturation, must be considered. Such considerations may help educators reduce unnecessary referrals and bias in decisions about special education placement. (PsycINFO) [Assessment, Bias.]

Echevarria, J. Interactive Reading Instruction - A Comparison of Proximal and Distal Effects of Instructional Conversations. Exceptional Children. 1995, 61(6), 536-552. This study examined the effects of an interactive approach, instructional conversations (IC), on the language and concept development of Hispanic students with learning disabilities. This study compared traditional instruction (basal approach) with instructional conversations. Results of proximal measures indicated higher levels of discourse and greater participation with IC than with a basal approach. The distal indexes yielded uneven results: evidence of greater understanding of the concept following IC but no differences in literal comprehension or post-lesson narrative results. The overall results suggest that IC may provide linguistically rich learning opportunities for culturally diverse students with learning disabilities. [Instructional Methods, Communication.]

Elliott, SN. Argulewicz, EN. The influence of student ethnicity on teachers' behavior ratings of normal and learning disabled children. Hispanic Journal of Behavioral Sciences. 1983, 5(3), 337-345. Behavioral rating scores on the Devereux Elementary School Behavior Rating Scale (DESBRS) for 64 learning disabled (LD) or non-LD Anglo and Mexican-American second-6th graders were analyzed to explore the influence of ethnicity and diagnostic label on behavior ratings by Anglo teachers and the relationship between the behavior ratings of a sample of Mexican-American children and the normative sample of the DESBRS. Significant multivariate F 's were observed for the main effects of ethnicity and diagnostic label. Univariate analyses of ethnicity revealed that Mexican-American and Anglo Ss were rated as being significantly different on 3 factors: Comprehension, Creative initiative, and Closeness to the Teacher. The LD and non-LD Ss differed significantly on such DESBRS factors as Classroom Disturbance, Inattentive-Withdrawn, and Slow Worker. (PsycINFO)

Fourqurean, JM. A K-ABC and WISC--R comparison for Latino learning-disabled children of limited English proficiency. Journal of School Psychology. 1987, 25(1), 15-21. Examined the performance of 42 Mexican-American learning-disabled children (aged 6-12.5 yrs) of limited English proficiency on the Kaufman Assessment Battery for Children (K-ABC) and the Wechsler Intelligence Scale for Children--Revised (WISC--R), using correlational procedures and direct comparisons. Results show that (1) the WISC-R Full Scale IQ was significantly lower than the K-ABC Mental Processing Composite; (2) the Full Scale IQ and the Mental Processing Composite standard scores correlated .63; and (3) all subscales of the WISC-R and the K-ABC correlated significantly except the K-ABC Sequential scale, which failed to correlate significantly with any WISC-R scales. Ss had particular difficulty with the WISC-R Verbal scale and the K-ABC Achievement scale (means = 68.14 and 67.67, respectively). It is concluded that claims of construct validity for the K-ABC are upheld. Subjects difficulty with sequential processing is discussed. (PsycINFO)

Garcia, SB. Yates, JR. Policy issues associated with serving bilingual exceptional children. Journal of Reading, Writing, & Learning Disabilities International. 1986, 2(2), 123-137. Discusses the need for improved policy and practice in the referral, assessment, and placement of learning-disabled and speech-impaired minority students, especially Hispanics. Specific implications for school districts are described, and professional development is discussed. Illustrative data from research conducted by the first author (unpublished) is provided, relating to the identification and placement of 111 Hispanic and non-Hispanic students in learning-disabled programs in Texas. Professional development implications involve higher education and in-service training. (PsycINFO)

Garcia, SB. Effects of student characteristics, school programs and organization on decision making for the placement of Hispanic students in classes for the learning disabled. Dissertation Abstracts International. 1985, 46(4-A), 855.

Goldstein BC. Harris KC. Klein, MD. Assessment of Oral Storytelling Abilities of Latino Junior High School Students with Learning Handicaps. Journal of Learning Disabilities. 1993, 26(2), 138-143. This study investigated the relationship between reading comprehension and oral storytelling abilities. Thirty-one Latino junior high school students with learning handicaps were selected as subjects based on learning handicapped designation, home language, and language proficiency status. Reading comprehension was measured by the Reading Comprehension subtest of the Peabody Individual Achievement Test. Storytelling was measured by (a) the Oral Production subtest of the Language Assessment Scales using the standard scoring protocol and (b) a story structure analysis. A comparison of the standard scoring protocol and reading comprehension revealed no relationship, while the comparison of the story structure analysis and reading comprehension revealed a significant correlation. The implications of these results for language assessment of bilingual students are discussed.

Goldstein, BSC. Critical pedagogy in a bilingual special education classroom. Journal of Learning Disabilities. 1995, 28(8), 463-475. Describes a program in which the author attempted to apply critical pedagogical principles, including language acquisition theory, holistic and constructivist learning, and bicultural development, in a first- and second grade bilingual day class. Participants were 11 Latino children with limited English proficiency and learning disabilities. The program illustrates the dialogical process between and among students and teacher and the students' subsequent recognition of their own abilities to name their world, engage with and critique existing knowledge, and create new forms of knowledge that will enable them to actively change their world. Recommendations for translating critical pedagogy to classroom practice are given. Children's awareness of economic and social barriers that education cannot bridge are discussed. (PsycINFO) [Instructional Methods.]

Goody, MH. A comparative study of cross-cultural patterns of intellectual abilities on WISC and WISC-R among Anglo, Chinese, and Hispanic educationally handicapped boys with reading disabilities. Dissertation Abstracts International. 1981, 42(1-A), 141. [ID: intellectual abilities as measured by WISC & WISC-R, 7.5-12.9 yr old monolingual Anglo vs bilingual Hispanic vs Chinese males with reading disabilities.]

Gottlieb, J. Gottlieb, BW. Trongone, S. Parent and teacher referrals for a psychoeducational evaluation. Journal of Special Education, 1991, 25(2), 155-167. Studied the school records of 439 first-8th graders who had been referred for special education evaluation: 5% were Asian, 21.2% were White, 38.3% were Black, and 40.5% were Hispanic. 328 Ss were referred by teachers and 111 by parents. Both parents and teachers referred Ss primarily for academic reasons, but parents did so more often. Parents referred higher functioning Ss than teachers referred. White parents were more likely than minority parents to refer Ss, whereas teachers referred more minority Ss. Seven Ss were eventually classified as neurologically impaired and emotionally handicapped and 72 as emotionally handicapped. 141 were classified as learning disabled and placed in self-contained classes, 154 were classified as learning disabled and placed in resource rooms, and 65 were ineligible for special education services. There were too few purely behavioral reasons for referral. (PsycINFO)

Gregory, JF. Shanahan, T. Walberg, HJ. Learning disabled 10th graders in mainstreamed settings: A descriptive analysis. RASE: Remedial and Special Education. 1985, 6(4), 25-33. Of the 30,030 10th graders for whom survey data from the national High School and Beyond study (J. Coleman et al, 1982; E. Page and T. Keith, 1981; S. Peng et al, 1981 and 1982) were complete, 810 identified themselves as having specific learning disabilities. Various comparisons between these learning disabled (LD) Ss and their non-LD (NLD) peers were made. The LD group was older, had a disproportionately high representation of Blacks and Hispanics and an underrepresentation of Whites, and reported more secondary handicapping conditions than did the NLD cohort. In all areas of academic achievement tested, the LD Ss showed significant deficits. The LD Ss also had lower indices of motivation, adjustment, locus of control, independence, self-perception of attractiveness and popularity, and scholastic orientation of close friends. They also evidenced more legal and school-related problems. However, the 2 groups acknowledged spending equal amounts of time in extracurricular activities. (PsycINFO)

Harry, B. These Families, Those Families - The Impact of Researcher Identities on the Research Act. Exceptional Children. 1996, 62(4), 292-300. This article discusses the various, sometimes competing, self-identities of the qualitative researcher and the impact of these identities on decision making in the research process. The author proposes that while culture provides the backdrop to identity, various aspects of the microcultures to which a researcher belongs may result in varying ''personas'' that influence decision making about the research process. The author illustrates these points with examples from her ethnographic research with African- American/Latino, low- to middle-income families of children with disabilities. [Methodology.]

Harry, B. An ethnographic study of cross-cultural communication with Puerto Rican-American families in the special education system. American Educational Research Journal. 1992, 29(3), 471-494. Addresses the challenge of parent-professional (PP) interaction in a cross-cultural context with 12 Spanish-speaking, Puerto Rican-American families whose children were classified as learning disabled or mildly mentally retarded. Parents' views and experiences were sought through ethnographic interviewing, review of students' documents, and participant observation of PP conferences and community events. The data revealed that inadequate provision of information on the meaning of events and the school district's reliance on formalized, written communi-cation led to mistrust and withdrawal on the part of parents. Deference to authority disguised parents' real opinions. Changes implemented in the school district were beginning to have a beneficial effect on PP relationships and to result in exemplary parent conferences. (PsycINFO)

Harry, B. Making sense of disability: low-income, Puerto Rican parents' theories of the problem. Exceptional Children, 1992, 59(1), 27-40. This article reports findings from an ethnographic study of the views of 12 low-income Puerto Rican parents whose children were classified as learning disabled or mildly mentally retarded. Different cultural meanings of disability and normalcy led parents to reject the notion of disability and focus on the impact of family identity, language confusion, and detrimental educational practices on children's school performance. Parents' views were in line with current arguments against labeling and English-only instruction. (Parental Perceptions.]

Heller, T. Markwardt, R. Rowitz, L. Farber, B. Adaptation of Hispanic families to a member with mental retardation. American Journal on Mental Retardation. 1994, 99(3), 289-300. Examined the adaptation of 51 Hispanic and 195 non-Hispanic White families to having a family member with mental retardation (MR). Primary caregivers completed surveys and interviews about the characteristics of the family and the member with MR, their religious values, support resources, and caregiver burden. Hispanic Ss had younger children with MR and a lower socioeconomic level than did non-Hispanic Ss. More Hispanic than non-Hispanic Ss reported that having a family member with MR increased their religiosity, and more Hispanic Ss believed that taking care of a family member with MR was a religious duty. Hispanic Ss viewed caring for a family member with MR as less of a burden than non-Hispanic Ss did. (PsycINFO)

Inglis, J. Lawson, JS. The cross-cultural validity of the Learning Disability Index: A reanalysis of Mishra's data. Journal of Clinical Psychology. 1985, 41(5), 680-5. This study investigated the nature of a learning disability index (LDI) for the objective assessment of verbal-nonverbal patterns of intellectual deficit on the WISC-R. The Factor II score coefficients derived from an unrotated principal components analysis of the WISC-R normative data, in combination with the individual's (or group's) average scaled scores, are used for this purpose. The mean LDI of various groups of learning disabled children, including Mishra's (1984a; 1984b) Mexican-American and Papago groups, are shown to be reliably different from the mean LDI of the normative population and thus demonstrate its cross-cultural validity.

Langdon, HW. English Language Learning by Immigrant Spanish Speakers - A United States Perspective. Topics in Language Disorders. 1996, 16(4), 38-53. This article discusses the impor-tance of three contextual variables in ensuring Hispanic individuals' success in learning English by citing various examples taken from the author's experience. These contexts include consideration of the impact of majority social context and its attitude toward immigrants, the individual's family views on the importance of acquiring English, and the classroom instructional strategies used. Implications for monolingual and bilingual speech-language pathologists evaluating Hispanic students who are suspected of having language-learning disabilities are discussed.

Leckart, B. A revised dissimulation scale applicable to the MMPI-2. American Journal of Forensic Psychology. 1994, 12(3), 5-15. Investigated the score comparability of the 29 remaining items of the original 40 on the Dissimulation Scale--Revised (Ds--R) included in the MMPI-2 (DSR-MMPI-2) to the entire 40 item Ds--R. 120 disability claimants who completed the MMPI were divided into 6 equal gender/ethnic groups: African- American, Hispanic, and Caucasian and males and females. Pearson product moment correlations were performed between the full Ds--R and the 29 items on the DSR-MMPI-2. Results reveal a small correlation of +.914 among the 6 groups indicating little difference between the 2 scores. (PsycINFO)

Maltzman, CM. Cross-cultural patterns of response to the WISC/WISC-R and Bender Gestalt Test by Chinese-American, Hispanic-American, and Occidental-American educationally handicapped boys. Dissertation Abstracts International. 1981, 42(2-A), 658. [ID: ethnicity, scores on WISC/WISC-R & Bender Gestalt Test, Chinese American vs Hispanic vs Occidental American 7.5-12 yr olds 1.5 yrs below grade level in reading, implications for remedial reading strategies.]

Merino, BJ. Language development in normal and language handicapped Spanish- speaking children. Hispanic Journal of Behavioral Sciences. 1983, 5(4), 379-400. Examined the language development of 22 5-8 yr old language-handicapped children who spoke Spanish as a first language and who were classified as being of limited English-speaking ability by comparing their language skills to those of a group of controls matched for age, ethnicity, SES, first language, exposure to school English, and language use patterns. The focus was on the differences and similarities found in the Ss' first language, Spanish. A battery of instruments, including measures of syntax, articulation, vocabulary, and competence in pragmatics, was administered to 50 monolingual Spanish speakers aged 3-8 yrs to establish baseline data. The language-delayed Ss were then administered the same instruments and procedures and comparisons were made to the control group. Handicapped Ss performed significantly worse than controls in the production of syntactic features, but not in comprehension. Handicapped Ss also exhibited a significantly higher number of articulation errors. It is concluded that such procedures are necessary to ensure the adequate provision of therapy for the bilingual handicapped child. (PsycINFO)

Meyers, CE. Borthwick, SA. Eyman, RK. Place of residence by age, ethnicity, and level of retardation of the mentally retarded/developmentally disabled population of California. American Journal of Mental Deficiency. 1985, 90(3), 266-270. Examined data from the California State Department of Developmental Services on the age, ethnicity, level of mental retardation, and kind of residence for 59,399 mentally retarded/developmentally disabled individuals. Findings indicate that 52.5% of the Ss lived in the natural home. The second and third most popular places of residence were small family care units and institutions, which held 14.2 and 12.8% of the Ss, respectively. The proportion of Ss in the natural home decreased with age and level of retardation, dropping precipitously among profoundly and severely impaired Ss. 44% of White Ss reside in the natural home, compared to 70% of Latino Ss, 64.3% of Black Ss, and 69% of Ss from other ethnic groups. Findings suggest that, while different states may operate under their own procedures and policies, ethnicity, level of retardation, and age are important factors in the determination of residential placement outside the natural home. (PsycINFO)

Miramontes, OB. Oral reading miscues of Hispanic students: Implications for assessment of learning disabilities. Journal of Learning Disabilities. 1987, 20(10), 627-632. Assessed 20 Hispanic successful readers and 20 Hispanic students (all 4th-6th graders) identified as having learning disabilities in reading in English and Spanish using the Reading Miscue Inventory. Oral reading miscues were analyzed to determine similarities and differences between the groups in their first and second reading languages. Data were analyzed for graphic similarity, sound similarity, grammatical function, comprehension, and grammatical relationships. Significant differences were found to exist in all these categories when analyzed in the students' first reading language and in the last 3 categories when analyzed for English reading. The data for students classified as learning disabled suggest the need for more extensive consideration of primary language reading in the determination of a learning disability. (PsycINFO)

Morrison, GM. Laughlin, J. Smith, D. Ollansky, E., et al. Preferences for sources of social support of Hispanic male adolescents with mild learning handicaps. Education & Training in Mental Retardation. 1992, 27(2), 132-144. Examined the preferences for social support of Hispanic male adolescents with and without mild learning handicaps for various kinds of life stressors. These junior high school students (22 with and 11 without mild learning handicaps) responded to questions concerning whom they would talk to about a variety of everyday stressors. Ss with mild learning handicaps in resource room and special day class settings had higher rates of choosing the category of "nobody" and lower rates of choosing siblings than their nonhandicapped peers. Differences existed between resource room and special day class students in their preferences for parents, peers, and teachers. Situational variations in these overall patterns are described. (PsycINFO)

Ochoa, AM. Pacheco, R. O'Mark, DR. Addressing the learning disability needs of limited-English proficient students: Beyond language and race issues. Learning Disability Quarterly. 1988, 11(3), 257-264. Argues that students with exceptional learning needs should not be denied access to special education programs because of their language or race. However, such factors should not be ignored either. The issue of disproportionate representation of limited-English proficient (LEP) Hispanic students in classes for the learning disabled is discussed, based on 1981 statistics from California. It is noted that fully English proficient Hispanic students are overreferred, while LEP students are underreferred. On-site reviews of school districts suggest inadequate assessment, evaluation, placement, and reevaluation of LEP Hispanic students. 16 policy considerations are provided in an effort to help school districts to ensure that LEP learning disabled students receive equal access to appropriate learning opportunities. (PsycINFO)

Ochoa, SH. Palmer, DJ. A sociometric analysis of between-group differences and within-group status variability of Hispanic learning disabled and nonhandicapped pupils in academic and play contexts. Learning Disability Quarterly. 1991, 14(3), 208-218. Assessed the sociometric status of mainstreamed Hispanic learning disabled (LD) and nonhandicapped pupils. 733 4th- and 5th-graders from a small metropolitan school district in the Southwest participated. Sociometric data were collected from 35 classrooms across 10 schools. Hispanic LD Ss received lower sociometric peer ratings than their nonhandicapped peers. However, a peer rating/nomination classification procedure resulted in considerable variability in sociometric status for both LD and nonhandicapped Ss. Although 30% of the LD Ss were in the rejected status group, almost 50% of the LD Ss attained average sociometric status. Sociometric context (i.e., academic and play) also influenced membership in status groups. (PsycINFO)

Olivarez, A. Palmer, DJ. Guillemard, L. Predictive bias with referred and nonreferred Black, Hispanic, and White pupils. Learning Disability Quarterly. 1992, 15(3), 175-186. Predictive bias between IQ and achievement was examined using data obtained from ethnically diverse referred and nonreferred samples in an extension of a study by D. J. Palmer et al. Achievement and intelligence measures included the Wechsler Intelligence Scale for Children--Revised (WISC--R), Kaufman Assessment Battery for Children, Woodcock-Johnson Psycho-Educational Battery, and the Woodcock Language Proficiency Battery. The sample consisted of 94 second-, 74 third-, and 68 4th-grade students (58 White, 57 Black, and 121 Hispanic) from a large urban district. Results revealed evidence of predictive bias in several sets of intelligence-achievement measures. The achievement performance of Black and Hispanic Ss was overpredicted. For the most part, intercept bias was more evident than slope bias (differential validity). (PsycINFO)

Ortiz, AA. Wilkinson, CY. Adapting IEPs for limited English proficient students. Academic Therapy. 1989, 24(5), 555-568. Examined the content of individualized education plans (IEPs) developed for 203 learning disabled and mentally handicapped Hispanic second-5th graders with limited English proficiency (LP) to determine how Ss' LP influenced the selection of IEP goals and objectives. Results suggest that Ss' degree of bilingualism and LP exerted little influence on the IEP committee's selection of instructional goals and objectives. Native language instruction and instruction in English as a second language were infrequently incorporated into special education services. (PsycINFO)

Ortiz, AA. Garcia, SB. Serving Hispanic Students with Learning Disabilities - Recommended Policies and Practices. Urban Education. 1995, 29(4), 471-481. Educators continue to have difficulty distinguishing learning disabilities from second language differences among Hispanic students. This article identifies major issues in the identification, assessment, and placement of Hispanic students in programs for students with learning disabilities, with a focus on limited English proficient Hispanic students. The authors recommend policies and practices which can help safeguard these students against inappropriate special education placement.

Ortiz, AA. Maldonado-Colon, E. Recognizing learning disabilities in bilingual children: How to lessen inappropriate referrals of language minority students to special education. Journal of Reading, Writing, & Learning Disabilities International. 1986, 2(1), 43-56. Discusses ways of reducing inappropriate special education placements/referrals due to behaviors erroneously identified as deviant because of linguistic, cultural, or economic characteristics. A student behavior checklist for special education referral is discussed in terms of what may be normal for some students. Two examples of normal but different behaviors are described: language, which constitutes the most frequent reason for referral of minority students, and learned helplessness, behaviors that predispose the student to school failure. It is suggested that the key to distinguishing differences from handicapping conditions is the careful documentation of prior interventions. Students' difficulties may be the result of a lack of adult-mediated learning experiences. It is concluded that if the student continues to experience difficulty after adaptation of the instructional environment to accommodate learning style, then a referral to special education becomes appropriate, since it can be assumed that problems are not the result of differences of language, culture, socioeconomic status (SES), or lack of opportunity. (PsycINFO)

Palmer, DJ. Olivarez, A. Willson, Victor, L. Fordyce, T. Ethnicity and language dominance: Influence on the prediction of achievement based on intelligence test scores in nonreferred and referred samples. Learning Disability Quarterly. 1989, 12(4), 261-274. Examined the influence of ethnicity on the prediction of achievement on intelligence tests in 236 referred and nonreferred Black, Hispanic, and Anglo second, third, and 4th grade pupils who were assessed with the Wechsler Intelligence Scale for Children--Revised (WISC--R) and Kaufman Assessment Battery for Children (K-ABC) cognitive and achievement scales. Approximately 38% of the Hispanic Ss were identified as limited-English proficient (LEP). Analysis of various procedures revealed differences in cognitive and achievement performance due to pupils' ethnicity, referral status, and LEP status. For both WISC-R and K-ABC IQ measures, a number of regressions on the K-ABC Total and Arithmetic achievement measures evidenced bias across ethnic groups for both referred and nonreferred Ss. Bias due to language dominance also was found for WISC-R and K-ABC composite scales. Implications of predictive bias are discussed for assessment and placement of minority and LEP children in special education classes. (PsycINFO)

Palmer, DJ. Hughes, JN. Juarez, L. School psychology training and the education of minority at-risk youth: The Texas A&M University program emphasis on handicapped Hispanic children and youth. School Psychology Review. 1991, 20(4), 472-484. Increasing the number of qualified Hispanic and bilingual school psychologists is essential to delivering effective educational and mental health services to Hispanic children with learning or emotional handicaps. The Texas A&M School Psychology Doctoral Program, with support from the US Department of Education/Office of Special Education, offers an ongoing training emphasis in Hispanic children and youth with handicaps. Factors related to the recruitment and retention of Hispanic trainees are identified and discussed. Graduates from this program have influenced the education of Hispanic students with handicaps through delivering services directly to that population, conducting related research and development activities, and training school psychologists and special and regular education teachers. (PsycINFO)

Payette, KA. Clarizio, HF. Discrepant team decisions: The effects of race, gender, achievement, and IQ on LD eligibility. Psychology in the Schools. 1994, 31(1), 40-48. Examined the racial, gender, intellectual, achievement, and grade-level status of 344 students (aged 5 yrs 6 mo to 18 yrs) who had been referred for learning disability (LD) diagnosis to determine whether student characteristics might influence the misclassification of Ss with respect to LD status. In one-fourth of the cases, Ss were declared either eligible without a severe discrepancy or ineligible with a severe discrepancy regardless of method used (standard score vs regressed standard score) or cutoff value employed (15-point vs 22-point discrepancy). Being White, older, and of higher intelligence and achievement were characteristics of those found ineligible despite a severe discrepancy. Being female and less academically able were characteristics of those declared eligible without a severe discrepancy. (PsycINFO)

Plata, M. Using Spanish-Speaking Interpreters in Special Education. Remedial and Special Education. 1993, 14(5), 19-24. An increasing Hispanic population, with its diverse academic needs, presents a challenge for public schools. The lack of available bilingual and other appropriately trained personnel who can effectively interact with Spanish-speaking students and parents magnifies this challenge, especially when students are considered for special education placement. In such situations, interpreters are needed to communicate with parents. This article proposes criteria for selecting interpreters, discusses responsibilities of, and potential problems in using, interpreters, and suggests elements of a management system and training program for interpreters and those who rely on their services. [Service Delivery. Cultural Competence.]

Poppe, RL. A study of the WISC-R scores of Hispanic and non-Hispanic gifted/learning disabled students. Dissertation Abstracts International: Section A: The Humanities & Social Sciences. 1994, 54(7-A), 2537.

Ratleff, J Echevarria. The effects of instructional conversations on the language and concept development of learning handicapped students. Dissertation Abstracts International. 1993, 54(3-A), 892. ID: instructional conversations, language & concept development, bilingual Hispanic learning disabled students.

Reschly, DJ. Identification and Assessment of Students with Disabilities. The Future of Children. 1996, 6(1), 40-53. Students with disabilities or suspected disabilities are evaluated by schools to determine whether they are eligible for special education services and, if eligible, to determine what services will be provided. In many states, the results of this evaluation also affect how much funding assistance the school will receive to meet the students' special needs. Special education classification is not uniform across states or regions. Students with identical characteristics can be diagnosed as disabled in one state but not in another and may be reclassified when they move across state or school district lines. Most disabilities with a clear medical basis are recognized by the child's physician or parents soon after birth or during the preschool years. In contrast, the majority of students with disabilities are initially referred for evaluation by their classroom teacher (or parents) because of severe and chronic achievement or behavioral problems. There is evidence that the prevalence of some disabilities varies by age. The high-incidence disabilities such as learning disabilities and speech-language disabilities occur primarily at the mild level. The mild disabilities exist on broad continua in which there are no clear demarcations between those who have and those who do not have the disability, and even "mild" disabilities may constitute formidable barriers to academic progress and significantly limit career opportunities. Problems with the current classification system include stigma to the child, low reliability, poor correlation between categorization and treatment, obsolete assumptions still in use in treatment, and disproportionate representation of minority students. Both African-American and Hispanic students are disproportionately represented in special education but in opposite directions. The disproportionately high number of African Americans in special education reflects the fact that more African-American students than white students are diagnosed with mild mental retardation. Though poverty, cultural bias, and inherent differences have been suggested as reasons for this disproportionate representation, there are no compelling data that fully explain the phenomenon. In most states, classification of a student as disabled leads to increased funding from the state to the school district. This article suggests a revised funding system that weights four factors (number of deficits, degree of discrepancy, complexity of intervention, and intensity of intervention) in a regression equation that would yield a total amount of dollars available to support the special education of a particular student.

Ruiz NT. The social construction of ability and disability: I. Profile types of Latino children identified as language learning disabled. Journal of Learning Disabilities. 1995, 28(8), 476-490. During the course of an ethnographic study of a bilingual special education classroom, three profile types of students emerged, ranging from students with severe language learning disabilities to students with normal abilities. The study points out the inadequacy of a medical model view of student abilities and disabilities --a view that underestimates the communicative and academic competence of bilingual students. Concurrently, the results support a contextual performance view --a view that acknowledges the role of instructional context in revealing the upper or lower range of students' communicative and academic competence. The study further suggests some contextual features of instruction that are associated with students from all profile types showing their best in terms of language and literacy skills. (MEDLINE)

Ruiz, NT. The social construction of ability and disability: II. Optimal and at-risk lessons in a bilingual special education classroom. Journal of Learning Disability, 1995, 28(8), 491-502. Bilingual students' language and literacy skills were compared across three classroom events in a special day classroom for students with language learning disabilities. Events ranged from the teacher-structured, formal class openings to the informal, peer-structured socio-dramatic play. Results showed that certain contextual features were associated with enhanced student performance, whereas others were associated with communicative breakdowns and problems with literacy tasks. This ethnographic study, in conjunction with other naturalistic research on bilingual special education classrooms, undergirds the Optimal Learning Environment (OLE) Project by identifying effective instructional contexts for bilingual students identified as having language learning disabilities.

Sacristan, Jaime R. Mental health in Spanish-speaking mentally retarded people: The state of the art. Australia & New Zealand Journal of Developmental Disabilities. 1988, 14(1), 27-30. Describes the state of the art and the treatment of mentally retarded people with mental health problems in 4 Spanish- speaking populations: Spain, Hispanic groups in the US, Chile, and Mexico. In spite of some differences between them, these populations have cultural similarities and constitute a group with its own identity. (PsycINFO)

Shapiro, J. Simonsen, D. Educational Support Group for Latino Families of Children with Down Syndrome. Mental Retardation. 1994, 32(6), 403-415. Experiences and observations based on an ongoing parent education-support group for Mexican-origin Latino parents of children with Down syndrome were described. Culturally mediated concepts were discussed in terms of their relevance to specific aspects of group functioning, including group structure, membership, and leadership. Problems of particular concern to this population that might adversely affect maintenance and growth of the group were also examined. Finally, the potential value of such support groups for this parent population were considered as were guidelines for enhancing the group experience.

Sluzki, CE. The sounds of silence: Two cases of elective mutism in bilingual families. Family Therapy Collections. 1983, 6, 68-77. Compares the case histories of 2 families, each presenting with elective mutism in a 9-yr-old girl. One family was Mexican- American, and the other was Salvadorian and living in the San Francisco area. Both families practiced bilingualism. It is proposed that in a bilingual family, a choice of language activates allegiances, and there are settings and contingencies in which a choice between allegiances becomes untenable: The individual has neither the power or the ability to disobey the injunction to choose a language, nor the luxury of insight. Under those double-binding circumstances and constrictions, the way out is generally a symptomatic solution, as in these 2 cases. It is concluded that elective mutism constitutes just one of a vast number of language-related problems and symptoms--including learning disabilities, school underachievement, and many other disturbances--that can be found with alarming frequency in bilingual families. (PsycINFO)

Sontag, JC. Schacht, R. An Ethnic Comparison of Parent Participation and Information Needs in Early Intervention. Exceptional Children. 1994, 60(5), 422-433. This study investigated ethnic differences in (a) parent perceptions of their information needs and their sources of information, and (b) the nature of parent participation in early intervention and participation preferences. Interviews were conducted with 536 families with infants and toddlers who had developmental problems. Comparative analyses were conducted on white, Hispanic, and American Indian groups. Results suggested the need to provide more and better information to all parents and the importance of medical doctors as a source of information, individualizing the type and source of information to different ethnic groups, and identifying unique strategies to support the participation of parents from different ethnic groups.

Stein, RC. Hispanic parents' perspectives and participation in their children's special education program: Comparisons by program and race. Learning Disability Quarterly. 1983, l 6(4), 432-439. Interviewed 62 Hispanic families with children receiving special education (SE) services in kindergarten to Grade 12. Results, which were compared to previous findings by E. W. Lynch and the present author, suggest few differences between Hispanic parents of learning handicapped and other program children in terms of attitudes, satisfaction, or participation in the children's educational programs. However, Ss were significantly less actively involved than White parents in their children's SE. Possible cultural/ethnic reasons for this are discussed. (PsycINFO)

Valentin, S. Motivation in second language learning in Hispanic learning-disabled students. Dissertation Abstracts International. 1993, 54(6-A), 2049.

Vaughn, S. Hogan, A. Kouzekanani, K. Shapiro, S. Peer acceptance, self-perceptions, and social skills of learning disabled students prior to identification. Journal of Educational Psychology. 1990, 82(1), 101-106. This study addressed how learning disabled students prior to identification (LDPI), low-

achieving (LA), average-achieving (AA), and high-achieving (HA) students compare on peer, teacher, and self assessments of social status and social skills in the fall and spring of kindergarten. Two hundred thirty-nine Black, Hispanic, and White students, 78% of a kindergarten population, participated. Controlling for age, sex, and achievement levels, four groups were identified: LDPI, LA, AA, and HA. In fall and spring of kindergarten all students were administered measures of peers' perceptions of social status, teacher's assessment of behavior problems and social skills, and self-perception. MANOVA and a stepwise discriminant function analysis revealed that as early as 8 weeks after entering kindergarten, LDPI students differed significantly from their peers on social variables and attention problems. Results suggest that later social difficulties of LD students are not solely a function of a history of low achievement and low teacher acceptance. (PsycINFO) [Assessment.]

Westby, CE. Rouse, GR. Culture in education and the instruction of language learning-disabled students. Topics in Language Disorders. 1985, 5(4) 15-28. Describes the organization of activities in an elementary classroom of eight 6-9 yr old language- learning-disabled Hispanic children and demonstrates how the use of ethnographic research methods can contribute to understanding the culture of the school. An ethnographic paradigm developed by E.T. Hall is used to describe the way in which cultures vary along a continuum in the degree to which their communication messages are contextualized. In high-context (HC) cultures most of the communicative information is either in the physical context or internalized in the person while very little is contained in the verbally transmitted part of the message. Low-context cultures, however, are highly individualized with relatively little mutual involvement among people. Cultural conflicts that arise in schools from the different values that HC and LC cultures place on the role of their members (the group vs the individual, language structure and function, and use of time) are discussed. Activity characteristics and teacher-child interactions designed to facilitate either HC or LC cultures within the learning program are presented. The program allowed the Ss to acquire, then maintain and use, aspects of HC culture in the LC environment of the school. It is suggested that such programs should not be evaluated solely on quantitative data regarding the students' performance on selected variables. (PsycINFO)

Wheeler, DS. Simultaneous-sequential processing in the analysis of limited English proficient learning disabled students. Dissertation Abstracts International. 1993, 54(4-A), 1299.

Whitworth, RH. Comparison of Anglo and Mexican American male high school students classified as learning disabilities. Hispanic Journal of Behavioral Sciences. 1988, 10(2), 127-137. Two groups of 80 Mexican American and Anglo male high school students were administered the Wechsler Adult Intelligence Scale (WAIS) and the Wide Range Achievement Test. Half of each group was classified as learning disabled (LD), and half attended regular classes and were included as normal controls. Analyses revealed significant ethnic differences for WAIS Verbal and Full-Scale IQS for both the LD and normal Ss. No significant differences in either Performance IQ or academic performance between Anglo and Mexican-American LD Ss were noted, suggesting that differences are due to limited-English proficiency or sociocultural factors rather than true learning disabilities. (PsycINFO)

Widaman, KF. MacMillan, DL. Hemsley, RE. Little, TD. et al. Differences in adolescents' self-concept as a function of academic level, ethnicity, and gender. Special Issue: Social skills. American Journal on Mental Retardation. 1992, 96(4), 387-403. A self-concept inventory assessing 11 aspects of self-concept was administered to 680 male and 454 female 8th graders stratified with regard to academic level (regular class, educationally marginal, learning handicapped), ethnicity (White, Black, and Hispanic), and gender. Regular class students had significantly higher levels of self-concept on most scales than did students who were educationally marginal or learning handicapped. The 190 Black students had significantly higher self-concept ratings than did the 803 White and the 341 Hispanic students on most scales. Gender did not moderate the effects of academic level on self-concept scores. Whites who were educationally marginal had the lowest level of academic and verbal self-concept. (PsycINFO)

Worthington, GB. Bening, ME. Use of the Kaufman Assessment Battery for Children in predicting achievement among students referred for special education services. Journal of Learning Disabilities. 1988, 21(6), 370-374. 21 male and 12 female White children, 23 male and 10 female Black children, and 17 male and 16 female Hispanic children (aged 8-12 yrs) referred for special education services were administered the Kaufman Assessment Battery for Children (K-ABC). Mean K-ABC mental processing composite scores for each group and for males and females were evaluated as predictors of reading, mathematics, and written language achievement on the Woodcock-Johnson Psycho-Educational Battery. Analyses confirmed the K-ABC's validity in predicting achievement for each ethnic group and for males in all areas. However, K-ABC scores were not valid predictors of written language achievement among females. (PsycINFO)

Wright, P. Santa-Cruz, R. Ethnic composition of special education programs in California. Learning Disability Quarterly. 1983, 6(4), 387-394. Obtained data from 2 documents prepared by the California State Department of Education: The Report of Special Education Local Planning Areas Handicapping Conditions by Ethnicity (1982) and the California Public Schools' Ethnicity by District, 1981-1982 CBEDS Database (1982). Findings indicate that Hispanic and Black students continue to be overrepresented in special education classes, primarily in mentally retarded and specific learning disability classes. (PsycINFO)

Zavala, J. Mims, J. Identification of learning disabled bilingual Hispanic students. Learning Disability Quarterly. 1983, 6(4), 479-488. Compared 10 limited-English proficient (LEP) bilingual Hispanic students in Grades 1-6 who had been identified as learning disabled (LD) with 10 age-, sex-, and SES-matched LEP bilingual students who were not identified as LD (NLD) based on standardized measures of achievement and potential. Behavioral surveys of both groups were conducted. The following tests predicted learning disabilities: Prueba de Lectura y Lenguaje Escrito, Test of Nonverbal Intelligence, Test of Reading Comprehension, Prueba de Desarrollo Inicial de Lenguaje, Test of Early Language Development, and the Perfil de Evaluacion del Comportamiento/Teacher Survey. Significant differences were found between the LD and NLD groups in 75% of the measures administered. Additional results indicate that the LD Ss scored poorly on the nonverbal IQ test and the language achievement tests, suggesting that the LD Ss would have been identified as LD based on the instruments used in the present study. (PsycINFO)

Zetlin, AG. Everyday stressors in the lives of Anglo and Hispanic learning handicapped adolescents. Journal of Youth & Adolescence, 1993, 22(3), 327-335. The sociocultural context of the lives of 10 learning handicapped adolescents (aged 16-18 yrs) was closely monitored over an entire school year using participant observation techniques. Everyday stressors and coping strategies of 5 Hispanic and 5 Anglo adolescents matched on age, sex, SES, class placement, and family intactness were documented in lengthy field notes. In addition to concerns typical of all adolescents (i.e., family, work, recreation, appearance), cross pressure from cultural conflicts and the learning handicapped status were major sources of stress for these adolescent subgroups. (PsycINFO)

3. Disability Among Working Age Latinos 

This section focuses on disability issues of working age Latinos. The conditions emerging in the age group can be largely attributed to behaviorally-related issues such as mental health, alcohol, tobacco, and other drug abuse, injury related to violence, motor vehicle crashes, and work. In the past 15 years, the most important emerging condition for this age group is AIDS or HIV-related disease (AIDS). HIV disease is now the fourth leading cause of death among all Latinos, and the leading cause of death among Latinos aged 25 to 44 years. As better strategies emerge for controlling HIV emerge, life expectancy will increase. However, certain disabling conditions also are emerging, including blindness and dementia, etc.


Angel, RJ. The costs of disability for Hispanic males. Social Science Quarterly. 1984, 65(June), 426-43. [Physically handicapped: Employment.]

Avolio, BJ. Waldman, DA. Variations in cognitive, perceptual, and psychomotor abilities across the working life span: Examining the effects of race, sex, experience, education, and occupational type. Psychology & Aging. 1994, 9(3), 430-442. Cognitive, perceptual, and psychomotor abilities were examined across the working life span for different racial groups, taking into consideration sex, job experience, education, and occupational type. Data included scores on all subtests of the General Aptitude Test Battery for White, Black, and Hispanic employees. Age and sex generally accounted for a relatively small percentage of the variance in ability test scores when experience, education, and occupational type were controlled. Race accounted for a substantial amount of variance in test performance, even after controlling for education, experience, occupational type, and age. Findings are discussed in terms of the potential for specific experiences and continuing education to affect the maintenance of abilities at later points in the life span for all racial groups. (PsycINFO).

Centers for Disease Control. Firearm-related deaths--Louisiana and Texas, 1970-1990. Morbidity & Mortality Weekly Report, 1992, 41(13): 213-5, 221. In 1990, firearm-related injuries surpassed motor-vehicle crashes as the leading cause of death from injuries in both Louisiana and Texas, and from 1979 through 1987, these states ranked third and fifth, respectively, for age-adjusted firearm-related death rates. Because firearm-related injuries are a major cause of death in Louisiana and Texas, the Louisiana Disability Prevention Program, Louisiana Office of Public Health, and the Injury Control Program, Epidemiology Division, Texas Department of Health, used death certificates to examine patterns in firearm-related mortality. This report summarizes the analysis of death certificate data for firearm-related mortality in these two states.

Fifield, J. Reisine, S. Sheehan, TJ. McQuillan, J. Gender, Paid Work, and Symptoms of Emotional Distress in Rheumatoid Arthritis Patients. Arthritis and Rheumatism. 1996, 39(3), 427-435. Objective. To evaluate the relative contribution of gender-related work conditions, gender-related socialization practices, and disease characteristics to the explanation of emotional distress in men and women with rheumatoid arthritis (RA). Methods. Three hundred sixty-nine RA patients who were employed outside the home were recruited from a national randomized sample of rheumatology practices. Data on paid work and disease characteristics were obtained by telephone interview. Emotional distress was measured by the Center for Epidemiological Studies Depression (CES-D) scale. Hierarchical ordinary least-squares regression was used to assess the relationship of sex, class, work characteristics, and disease characteristics to both the CES-D summary scale and the CES-D factor structure. Results. Differences in emotional distress were explained best by functional ability and pain and secondarily by the characteristics of paid work, with no independent effect for sex. Distress increased with decreasing functional ability, increasing pain, and exposure to such work characteristics as low autonomy, low income, and high demands. No sex differences in any of the CES-D subscales remained after controlling for disease and work variables. Conclusion. Among employed RA patients with high levels of