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Lim N, O'Reilly M, Russell-George A, Londoño FV. A Meta-Analysis of Parenting Interventions for Immigrants. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2023; 24:1152-1173. [PMID: 36633767 DOI: 10.1007/s11121-022-01488-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/20/2022] [Indexed: 01/13/2023]
Abstract
In light of increasing migration rates and the unique experiences of immigrants, this meta-analysis examined the effects of parenting interventions for immigrants. Specifically, we described the characteristics of parenting interventions for immigrants, examined cultural and/or linguistic adaptations made to the interventions, analyzed intervention effects, and examined potential moderating variables. Four electronic databases were searched in February 2021 for peer-reviewed articles published in English. Studies that involved immigrant parents, used an experimental design, and investigated an intervention targeting skills that parents could use directly with their children were included. Sixteen group design and two single-case design studies met inclusion criteria. The risk of publication bias was examined using funnel plots and found to be low. Overall, most parenting interventions for immigrants focused on young children and were delivered in groups. Interventions produced small to moderate effects on parent and child outcomes, which is comparable to those for the general population. All studies made cultural adaptations, with the most common being language. Moderator analyses indicate that the effects of interventions with surface structure adaptations were similar to those with deep structure adaptations. Limitations included the low methodological rigor of included studies and the exclusion of grey literature. More works of research on the relative effects of specific adaptations, such as ethnicity matching, are needed to better serve this population.
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Affiliation(s)
- Nataly Lim
- The University of Texas at Austin, Speedway, Austin, TX, USA.
| | - Mark O'Reilly
- The University of Texas at Austin, Speedway, Austin, TX, USA
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Factors Associated with Condom Knowledge, Attitude, and Use among Black Heterosexual Men in Ontario, Canada. ScientificWorldJournal 2021; 2021:8862534. [PMID: 34566521 PMCID: PMC8463252 DOI: 10.1155/2021/8862534] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2020] [Revised: 04/03/2021] [Accepted: 04/21/2021] [Indexed: 11/26/2022] Open
Abstract
African, Caribbean, and Black (ACB) men living in Canada share a heightened risk of HIV infection and the associated risk factors such as suboptimal use of family planning services such as condom use. In this study, we assessed the factors associated with knowledge, attitude, and condom use among ACB men in Ontario. Methods. This was a cross-sectional study that surveyed heterosexual ACB men regardless of their residency status living in Ontario (n = 430). This is a part of a larger mixed methods study informed by critical race theory, intersectionality, and community-based participatory research (CBPR). Outcome variables were knowledge of condom use, attitude towards condom use, and actual use of condom during the last 12 months. Results. Of 430 participants, 77.70% has good knowledge of condom use as a protection against HIV transmission, 31.77% had positive attitude towards condom use, and 62.43% reported using condom regularly with casual partners during the last 12 months. Men who were currently married had more positive attitude towards condom use compared with their unmarried counterparts (odds ratio = 1.46, 95% CI = 1.20, 1.78). Canadian residents were found to have higher odds of having correct knowledge of condom (odds ratio = 1.31, 95% CI = 1.11, 1.55), and positive attitude towards condom use (odds ratio = 1.44, 95%CI = 1.09, 1.92). Men who visited sexual health clinics showed a positive association with having correct knowledge of condom (odds ratio = 1.78, 95% CI = 1.30, 2.44) and reported experiences of difficulty in accessing sexual health. This showed a negative association towards condom use (odds ratio = 0.45, 95% CI = 0.21, 0.97]. Conclusion. A considerable percentage of heterosexual ACB men did not have correct knowledge regarding the protective effect of condom use against HIV and positive attitude towards the use of condom. Several sociodemographic and healthcare-related factors were significantly associated with knowledge, attitude, and use of condom.
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Li AHT, Lam NN, Dhanani S, Weir M, Prakash V, Kim J, Knoll G, Garg AX. Registration for deceased organ and tissue donation among Ontario immigrants: a population-based cross-sectional study. CMAJ Open 2016; 4:E551-E561. [PMID: 28443265 PMCID: PMC5396453 DOI: 10.9778/cmajo.20160024] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Canada has low rates of deceased organ and tissue donation. Immigrants to Canada may differ in their registered support for deceased organ donation based on their country of origin. METHODS We used linked administrative databases in Ontario (about 11 million residents aged ≥ 16 yr) to study the proportion of immigrants and long-term residents registered for deceased organ and tissue donation as of October 2013. We used modified Poisson regression to identify and quantify predictors of donor registration. RESULTS Compared with long-term residents (n = 9 244 570), immigrants (n = 1 947 646) were much less likely to register for deceased organ and tissue donation (11.9% v. 26.5%). Immigrants from the United States, Australia and New Zealand had the highest registration rate (40.0%), whereas immigrants with the lowest registration rates were from Eastern Europe and Central Asia (9.4%), East Asia and Pacific (8.4%) and sub-Saharan Africa (7.9%). The largest numbers of unregistered immigrants were from India (n = 202 548), China (n = 186 678) and the Philippines (n = 125 686). Characteristics among the immigrant population associated with a higher likelihood of registration included economic immigrant status, living in a rural area (population < 10 000), living in an area with a lower ethnic concentration, less material deprivation, a higher education, ability to speak English and French, and more years residing in Canada. INTERPRETATION Immigrants in Ontario were less likely to register for deceased organ and tissue donation than long-term residents. There is a need to better understand reasons for lower registration rates among Canadian immigrants and to create culture-sensitive materials to build support for deceased organ and tissue donation.
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Affiliation(s)
- Alvin Ho-Ting Li
- Department of Epidemiology and Biostatistics (Li, Weir, Garg), Western University, London, Ont.; Division of Nephrology (Lam), University of Alberta, Edmonton, Alta.; Trillium Gift of Life Network (Dhanani, Prakash), Toronto, Ont.; Division of Critical Care (Dhanani), Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ont.; Division of Nephrology (Weir, Garg), Western University, London, Ont.; Division of Nephrology (Kim), Department of Medicine, University of Toronto, Toronto, Ont.; Division of Nephrology and Ottawa Hospital Research Institute (Knoll), The Ottawa Hospital and University of Ottawa, Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Garg), London, Ont
| | - Ngan N Lam
- Department of Epidemiology and Biostatistics (Li, Weir, Garg), Western University, London, Ont.; Division of Nephrology (Lam), University of Alberta, Edmonton, Alta.; Trillium Gift of Life Network (Dhanani, Prakash), Toronto, Ont.; Division of Critical Care (Dhanani), Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ont.; Division of Nephrology (Weir, Garg), Western University, London, Ont.; Division of Nephrology (Kim), Department of Medicine, University of Toronto, Toronto, Ont.; Division of Nephrology and Ottawa Hospital Research Institute (Knoll), The Ottawa Hospital and University of Ottawa, Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Garg), London, Ont
| | - Sonny Dhanani
- Department of Epidemiology and Biostatistics (Li, Weir, Garg), Western University, London, Ont.; Division of Nephrology (Lam), University of Alberta, Edmonton, Alta.; Trillium Gift of Life Network (Dhanani, Prakash), Toronto, Ont.; Division of Critical Care (Dhanani), Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ont.; Division of Nephrology (Weir, Garg), Western University, London, Ont.; Division of Nephrology (Kim), Department of Medicine, University of Toronto, Toronto, Ont.; Division of Nephrology and Ottawa Hospital Research Institute (Knoll), The Ottawa Hospital and University of Ottawa, Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Garg), London, Ont
| | - Matthew Weir
- Department of Epidemiology and Biostatistics (Li, Weir, Garg), Western University, London, Ont.; Division of Nephrology (Lam), University of Alberta, Edmonton, Alta.; Trillium Gift of Life Network (Dhanani, Prakash), Toronto, Ont.; Division of Critical Care (Dhanani), Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ont.; Division of Nephrology (Weir, Garg), Western University, London, Ont.; Division of Nephrology (Kim), Department of Medicine, University of Toronto, Toronto, Ont.; Division of Nephrology and Ottawa Hospital Research Institute (Knoll), The Ottawa Hospital and University of Ottawa, Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Garg), London, Ont
| | - Versha Prakash
- Department of Epidemiology and Biostatistics (Li, Weir, Garg), Western University, London, Ont.; Division of Nephrology (Lam), University of Alberta, Edmonton, Alta.; Trillium Gift of Life Network (Dhanani, Prakash), Toronto, Ont.; Division of Critical Care (Dhanani), Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ont.; Division of Nephrology (Weir, Garg), Western University, London, Ont.; Division of Nephrology (Kim), Department of Medicine, University of Toronto, Toronto, Ont.; Division of Nephrology and Ottawa Hospital Research Institute (Knoll), The Ottawa Hospital and University of Ottawa, Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Garg), London, Ont
| | - Joseph Kim
- Department of Epidemiology and Biostatistics (Li, Weir, Garg), Western University, London, Ont.; Division of Nephrology (Lam), University of Alberta, Edmonton, Alta.; Trillium Gift of Life Network (Dhanani, Prakash), Toronto, Ont.; Division of Critical Care (Dhanani), Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ont.; Division of Nephrology (Weir, Garg), Western University, London, Ont.; Division of Nephrology (Kim), Department of Medicine, University of Toronto, Toronto, Ont.; Division of Nephrology and Ottawa Hospital Research Institute (Knoll), The Ottawa Hospital and University of Ottawa, Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Garg), London, Ont
| | - Greg Knoll
- Department of Epidemiology and Biostatistics (Li, Weir, Garg), Western University, London, Ont.; Division of Nephrology (Lam), University of Alberta, Edmonton, Alta.; Trillium Gift of Life Network (Dhanani, Prakash), Toronto, Ont.; Division of Critical Care (Dhanani), Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ont.; Division of Nephrology (Weir, Garg), Western University, London, Ont.; Division of Nephrology (Kim), Department of Medicine, University of Toronto, Toronto, Ont.; Division of Nephrology and Ottawa Hospital Research Institute (Knoll), The Ottawa Hospital and University of Ottawa, Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Garg), London, Ont
| | - Amit X Garg
- Department of Epidemiology and Biostatistics (Li, Weir, Garg), Western University, London, Ont.; Division of Nephrology (Lam), University of Alberta, Edmonton, Alta.; Trillium Gift of Life Network (Dhanani, Prakash), Toronto, Ont.; Division of Critical Care (Dhanani), Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ont.; Division of Nephrology (Weir, Garg), Western University, London, Ont.; Division of Nephrology (Kim), Department of Medicine, University of Toronto, Toronto, Ont.; Division of Nephrology and Ottawa Hospital Research Institute (Knoll), The Ottawa Hospital and University of Ottawa, Ottawa, Ont.; Institute for Clinical Evaluative Sciences (Garg), London, Ont
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