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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~±l.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. © Copyright by Samantha Sangsanoi-Terkchareon All Rights Reserved 2015 Dedication This dissertation is dedicated to my mother, Plang Sangsanoi, who has sacrificed for her nine children, sixteen grandchildren, and fourteen great grandchildren for the last sixty-five years. My mother, who was recently diagnosed with Alzheimer's disease, is strong, wise, resilient, and hardworking. She managed to keep our family together and alive despite living through early part of communism during Khmer Rouge and the death of my father, Reung Lath, and numerous relatives in the war. She made sure that we all had everything we needed for school and to achieve our highest potential. This dissertation is also dedicated to my husband, Somkied Terkchareon, who is very active in the Thai communities of San Diego and Los Angeles. He has made it his life goal to help provide free prosthetic limbs to the people of Thailand and its border countries. He has been very supportive and instrumental in my journey in obtaining my PhD, sacrificing many days and weekends over the last two years to drive me around to speak to gatekeepers, conduct blood pressure screenings, and conduct research in different cities. Finally, this dissertation is dedicated to my two brothers, six sisters, and sixteen nieces and nephews, all of whom have been active in the Cambodian community. Their presence and testimony throughout the community of being trustworthy, helpful, and kind-hearted made it much easier to conduct this research.

Knowledge of Stroke Symptom and Rick Factors and Acculturation Among Cambodian Immigrants Living in Southern California