Date of Award


Degree Name

PhD Nursing

Dissertation Committee

Dr. Jane Georges, PhD, RN, Dr. Cynthia Connelly, PhD, RN, FAAN, Dr. Ann Mayo, DNSc, RN, FAAN


acculturation, Cambodian Americans, Cambodian immigrants, cardiovascular, stroke


The purpose of this quantitative study was to describe and examine the relationships between age, gender, educational level, health insurance status, and income to level of acculturation and knowledge of stroke symptom and risk factors recognition among Cambodian immigrants (n=200) living in Southern California. The data were analyzed using Pearson correlation, Kendal Tau, Chi-Square, and multiple regression to the determine relationship between depend and independent variables. The results of this study were that Cambodian participants’ mean age was 46.07 (SD= 17.51), average years of education were 8.95 (SD=5.26) and the mean number of people in each household was 4.65 (SD= 2.13). These participants gravitate more toward Cambodian culture and tradition than American with a mean acculturation score of 2.3 (measured by the SL-ASIA tool; SD= .73). Cambodian immigrants were able to recognize a majority of stroke symptoms (measured by the SRQ tool; mean score M=6.45, SD=3.45) and stroke risk factors (M= 6.01, SD=3.16). Participants’ own mean stroke risk was 4.61 (SD=2.86), and they perceived themselves somewhat sure about stroke symptom recognition in another person (M=2.58, SD=1.39). This study also included a small qualitative component to explore the shared beliefs, values, practices, language, norms, and rituals surrounding stroke in the Cambodian community with a small subset of participants. The results of the dissertation research are organized by aims.

Document Type