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Amesty S, Perez-Figueroa R, Stonbraker S, Halpern M, Donastorg Y, Perez-Mencia M, Lantigua F, Soriano L, Baez-Caraballo P, Gilbert J, Buccini F, Sharp J, Hernandez B, Gelfond J, Cardwell E, Nicholas C, Egan KA, Gomes A, Van Dyke E, Nicholas SW, Grodman M, Taylor BS. High burden of sexually transmitted infections among under-resourced populations in the Dominican Republic. Ther Adv Infect Dis 2023; 10:20499361231193561. [PMID: 37663112 PMCID: PMC10472826 DOI: 10.1177/20499361231193561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 07/17/2023] [Indexed: 09/05/2023] Open
Abstract
Background Sexually transmitted infections (STIs) are a major health issue, exacerbated by limited financial and infrastructural resources in developing countries. Methods Prevalence of STIs was assessed in two urban centers of the Dominican Republic (DR) among populations at high risk for STIs: pregnant youth, men who have sex with men (MSM), trans women (TG), batey residents, female sex workers, and people living with human immunodeficiency virus (HIV). We conducted a cross-sectional survey and biological specimen collection to screen for Chlamydia trachomatis, Neisseria gonorrhea, Mycoplasma genitalium, Trichomonas vaginalis (trichomoniasis), Treponema pallidum (syphilis), HIV, hepatitis B and C, and human papillomavirus (HPV) among at-risk populations between 2015 and 2018. Ureaplasma urealyticum testing was also conducted even though it is not considered a STI. A non-probability community sample was recruited. Descriptive statistics examined the prevalence of STIs by population. Results A total of 1991 subjects participated in the study. The median age was 26 years (range: 18-65). Most participants were female (65.3%), heterosexual (76.7%), and were not partnered (55.7%). Most of the participants reported unprotected vaginal sex in the last 6 months (54%); among MSM and TG almost half of the participants reported unprotected anal sex in the last 6 months and 17.6% reported drug use in the last 6 months. Almost half of the participants (49%) tested positive for one or more STIs. The most prevalent STI was Chlamydia trachomatis (12.8%), and human papillomavirus (11.9%). Among transgender women, 65.3% tested positive for an STI, 64.8% of female sex workers tested positive for an STI, and 53.8% of pregnant adolescents tested positive for an STI. Conclusion There is a high prevalence of STIs among key and under resourced populations in the DR. Our findings highlight the need to conduct further research to optimize prevention and care strategies for structurally vulnerable and under resourced populations in the DR.
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Affiliation(s)
- Silvia Amesty
- Department of Medical Humanities and Ethics, Center for Family and Community Medicine, Mailman School of Public Health, Columbia University Irving Medical Center, 10 Ft. Washington Avenue, PH, New York, NY 10032-8300, USA
| | - Rafael Perez-Figueroa
- Department of Urban-Global Health, Rutgers University School of Public Health, Piscataway, NJ, USA
| | - Samantha Stonbraker
- University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, CO, USA
| | - Mina Halpern
- Clínica de Familia La Romana, La Romana, Dominican Republic
| | - Yeycy Donastorg
- Instituto Dermatológico de Cirugía y Piel Humberto Borgart, Santo Domingo, Dominican Republic
| | - Martha Perez-Mencia
- Instituto Dermatológico de Cirugía y Piel Humberto Borgart, Santo Domingo, Dominican Republic
| | - Flavia Lantigua
- Instituto Dermatológico de Cirugía y Piel Humberto Borgart, Santo Domingo, Dominican Republic
| | - Leidy Soriano
- Clínica de Familia La Romana, La Romana, Dominican Republic
| | | | | | | | - James Sharp
- BioReference Laboratories, Elmwood Park, NJ, USA
| | - Brian Hernandez
- Joe R. and Teresa Lozano Long School of Medicine, University of Texas Health Science Center San Antonio, San Antonio, TX, USA
| | - Jonathan Gelfond
- Joe R. and Teresa Lozano Long School of Medicine, University of Texas Health Science Center San Antonio, San Antonio, TX, USA
| | - Ethan Cardwell
- Melbourne School of Global and Population Health, University of Melbourne, Melbourne, VIC, Australia
| | - Catherine Nicholas
- University of Rochester Medical Center, Golisano Children’s Hospital, Rochester, NY, USA
| | | | - Angelina Gomes
- Grossman School of Medicine, New York University, New York, NY, USA
| | | | | | - Marc Grodman
- Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Barbara S. Taylor
- Joe R. and Teresa Lozano Long School of Medicine, University of Texas Health Science Center San Antonio, San Antonio, TX, USA
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Bancalari P, Nicholas C, Halpern M, Stonbraker S, Taylor B, Soriano L, Ljubicic D, Amesty S. High prevalence of rectal chlamydia among pregnant adolescents in La Romana, Dominican Republic warrants extragenital STI testing. Int J STD AIDS 2021; 33:31-37. [PMID: 34565231 DOI: 10.1177/09564624211043082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
To our knowledge, there are no studies estimating the prevalence of extragenital sexually transmitted infections (STIs) among pregnant adolescents in the Caribbean. This study sought to fill this gap by assessing the prevalence and correlates of oral, genital, and rectal chlamydia (CT) among a sample of pregnant adolescents in La Romana, Dominican Republic. Two hundred pregnant youths, aged 15-24 years, were recruited by systematic sampling during their first prenatal visit to a maternal care unit. A sociodemographic and behavioral questionnaire was administered and urine and oral/anal swabs were collected and tested for CT. Descriptive analyses and Fisher's exact tests were performed. The prevalence of oral, genital, and rectal CT was 6%, 15%, and 23%, respectively, although less than 5% of participants reported ever engaging in receptive anal intercourse. This discrepancy could be explained by autoinoculation, concurrent transmission during sex, undertreatment of rectal CT, or underreporting of anal sex. Almost half of CT infections would have been missed if only genital samples were collected, as current protocol dictates. More research is needed to understand sexual behaviors and rectal STI risk factors among heterosexual adolescent women. STI screening procedures for pregnant and sexually active adolescents should include routine testing of extragenital sites.
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Affiliation(s)
- Pilar Bancalari
- 33638Columbia University Mailman School of Public Health, New York, NY, USA
| | - Catherine Nicholas
- 12294Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
| | - Mina Halpern
- Clínica de Familia La Romana, La Romana, Dominican Republic
| | - Samantha Stonbraker
- 129263University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, CO, USA
| | - Barbara Taylor
- University of Texas Health Science Center San Antonio, San Antonio, TX, USA
| | - Leidy Soriano
- Clínica de Familia La Romana, La Romana, Dominican Republic
| | - Dana Ljubicic
- 236434Columbia University School of General Studies, New York, NY, USA
| | - Silvia Amesty
- 33638Columbia University Mailman School of Public Health, New York, NY, USA
- 12294Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
- 5798Columbia University Irving Medical Center, New York, NY, USA
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Lushin V, Mandell D, Beidas R, Marcus S, Nuske H, Kaploun V, Seidman M, Gaston D, Locke J. Trajectories of Evidence Based Treatment for School Children with Autism: What's the Right Level for the Implementation? J Autism Dev Disord 2019; 50:881-892. [PMID: 31797182 DOI: 10.1007/s10803-019-04304-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Evidence-based practices (EBP) for children with autism are under-used in special-education schools. No research compared child-level versus teacher-level influences on EBP use, which could guide implementation strategies. We derived longitudinal profiles of EBP receipt by children (N = 234) in 69 autism-support classrooms, over an academic year. We compared overall impacts of child-level and teacher-level factors on profile membership. Most children received little EBP throughout the year; however substantial subgroups received increasing, and decreasing, doses of EBP. Child-level and teacher-level factors contributed about equally to profile membership. Children's autism symptoms and verbal ability, teachers' EBP skills, training/experience, classroom support, class size, and implementation leadership climate predicted profile membership. Early identification of treatment profiles could facilitate targeted implementation strategies increasing EBP use.
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Affiliation(s)
- Victor Lushin
- Long Island University, Brooklyn, NY, USA. .,Long Island University Brooklyn, School of Health Professions, 1 University Plaza, Room 246, Brooklyn, NY, 11201, USA.
| | | | - Rinad Beidas
- University of Pennsylvania, Philadelphia, PA, USA
| | | | | | - Victor Kaploun
- National Research University Higher School of Economics, St. Petersburg, Russia
| | - Max Seidman
- University of Pennsylvania, Philadelphia, PA, USA
| | | | - Jill Locke
- University of Washington, Seattle, WA, USA
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Russell C, Martinez D, Wong B, Zandberg J, Lin H, Marlinga J, Loh L. Sexual health knowledge in a vulnerable population: a survey of adolescents in the bateyes of La Romana, Dominican Republic. Int J Adolesc Med Health 2016; 29:/j/ijamh.ahead-of-print/ijamh-2015-0104/ijamh-2015-0104.xml. [PMID: 26926859 DOI: 10.1515/ijamh-2015-0104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2015] [Accepted: 01/14/2016] [Indexed: 06/05/2023]
Abstract
OBJECTIVE Undocumented Haitian migrants to the Dominican Republic often live in impoverished communities called bateyes. These contexts present challenges for adolescent sexual health education. To inform development of appropriate adolescent education programs, this study assessed their general sexual health knowledge. METHODS A locally developed sexual health knowledge survey was administered to 930 grade 7-12 adolescents attending six batey schools. Analysis of aggregated responses reviewed general demographics (e.g. age and sex), and identified top community sexual health concerns and most trusted information sources. RESULTS Top concerns included menstruation (25.5%), HIV (21.8%), and family planning (13.3%); stratification by sex identified discordance around menstruation (89.2% female, 10.8% male) and HIV (67.1% male, 32.9% female), but not family planning (47.2% male, 52.8% female). Parents were identified as the most trusted information source, irrespective of concern. CONCLUSION Community concerns around menstruation matches extant developing-world literature that links menarche with female stigma and school absence. Interest in HIV and family planning suggests targeted promoted efforts would be of benefit. Trust in parents is reflective of cultural traditions and suggests potential knowledge impacts arising from effective parental education.
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Strunin L, Rosa Díaz-Martínez L, Díaz-Martínez A, Heeren T, Winter M, Kuranz S, Hernández-Ávila CA, Fernández-Varela H, Solís-Torres C. Parental monitoring and family relations: associations with drinking patterns among male and female Mexican students. Addict Behav 2015; 51:143-51. [PMID: 26256470 PMCID: PMC4558234 DOI: 10.1016/j.addbeh.2015.07.025] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2015] [Revised: 06/29/2015] [Accepted: 07/24/2015] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Parental monitoring and family relations are recognized as protective factors for youth alcohol use. The purpose of this study was to investigate perceived parental monitoring and family relations among subgroups of Mexican youths with different patterns of drinking behaviors and consequences. METHODS A latent profile analysis (LPA) identified profiles of drinking behavior in a cross-sectional survey of entering first year university students. Multinomial regression examined associations between parental monitoring, family relations and drinking profiles among 22,224 students. RESULTS Both lower perceived parental monitoring and weaker perceived family relations were associated with heavier drinking profiles among males and females, but more strongly associated with female than male heavier drinking profiles. Being older, having parents with lower education, and not living with parents were also associated with lower parental monitoring and weaker family relations. There was a general trend of lower parental monitoring and weaker family relations as the profiles increased from Non/Infrequent-No Consequences to Excessive-Many Consequences Drinkers. Lower perceived parental monitoring and weaker perceived family relations were more strongly associated with drinking profiles among females than among males. Both the parental monitoring and family relations scales had similar associations with drinking profiles. CONCLUSIONS Findings suggest that drinking norms and values may contribute to any protective influences of parental monitoring and family relations on Mexican youths' drinking. Research about changes in drinking norms, contextual factors, and youth-parent trust would inform the utility of parental monitoring or family relations as protective strategies against alcohol misuse among Mexican and Mexican American youths and also youths from other backgrounds.
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Affiliation(s)
- Lee Strunin
- Department of Community Health Sciences, Boston University School of Public Health, 801 Massachusetts Ave., Boston, MA 02118, USA.
| | - L Rosa Díaz-Martínez
- Department of Psychiatry and Mental Health, Faculty of Medicine, National Autonomous University of Mexico/National Institute on Psychiatry Ramón de la Fuente Muñíz, Calzada México-Xochimilco No. 101, Colonia San Lorenzo Huipulco, Delegacion Tlalpan, México, D.F. 14570, Mexico
| | - Alejandro Díaz-Martínez
- Department of Psychiatry and Mental Health, Faculty of Medicine, National Autonomous University of Mexico, Edifico "F" Primer Piso. Circuito Escolar S/N. Ciudad Universitaria, Delegación Coyoacan, México, D.F. 04510, Mexico
| | - Timothy Heeren
- Department of Biostatistics, Boston University School of Public Health, 801 Massachusetts Ave., Boston, MA 02118, USA
| | - Michael Winter
- Data Coordinating Center, Boston University School of Public Health, 801 Massachusetts Ave., Boston, MA 02118, USA
| | - Seth Kuranz
- Department of Community Health Sciences, Boston University School of Public Health, 801 Massachusetts Ave., Boston, MA 02118, USA
| | - Carlos A Hernández-Ávila
- Department of Psychiatry and Alcohol Research Center, University of Connecticut School of Medicine, 263 Farmington Ave., Farmington, CT 06030, USA
| | - Héctor Fernández-Varela
- General Medical Services, National Autonomous University of Mexico, Circuito Escolar S-N Ciudad Universitaria, Delegación Coyoacan, México, D.F. 04510, Mexico
| | - Cuauhtémoc Solís-Torres
- General Medical Services, National Autonomous University of Mexico, Circuito Escolar S-N Ciudad Universitaria, Delegación Coyoacan, México, D.F. 04510, Mexico
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Strunin L, Díaz-Martínez A, Díaz-Martínez LR, Kuranz S, Hernández-Ávila CA, Pantridge CE, Fernández-Varela H. Natural mentors and youth drinking: a qualitative study of Mexican youths. HEALTH EDUCATION RESEARCH 2015; 30:660-670. [PMID: 26187913 PMCID: PMC4592352 DOI: 10.1093/her/cyv030] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/18/2014] [Accepted: 06/18/2015] [Indexed: 06/04/2023]
Abstract
Parental influences on youth drinking are well documented but not the influence of extended family members. This article explores extended family influences on alcohol use among Mexican youths and whether extended family members can be considered natural mentors. We conducted a qualitative study using ethnographic open ended interviews with 117 first year university students in Mexico City. The ethnographic interviews revealed six drinking groups: excessive, heavy, regular, occasional, abstainers and non drinkers. Youths reported close relationships with extended family members who provided counsel and acted as representatives of familial norms and values. The alcohol beliefs and behaviors of these family members, including their alcohol misuse, had a positive influence on youths' alcohol attitudes. The naturally occurring mentoring relationships of Mexican extended family members can positively influence moderate youth drinking. Natural mentoring relationships should be encouraged and facilitated in prevention efforts for Mexican youths, Mexican-American youths and potentially other Hispanic/Latino youths.
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Affiliation(s)
- Lee Strunin
- Department of Community Health Sciences, Boston University School of Public Health, Medical Campus, 801 Massachusetts Avenue, Rm 452, Boston, MA 02118, USA,
| | - Alejandro Díaz-Martínez
- Department of Psychiatry and Mental Health, Faculty of Medicine, National Autonomous University of Mexico, Mexico City 04510, Mexico
| | - L Rosa Díaz-Martínez
- Department of Psychiatry and Mental Health, Faculty of Medicine, National Autonomous University of Mexico/National Institute on Psychiatry Ramón de la Fuente Muñíz, Mexico City 04510, Mexico
| | - Seth Kuranz
- Department of Community Health Sciences, Boston University School of Public Health, Medical Campus, 801 Massachusetts Avenue, Rm 452, Boston, MA 02118, USA
| | - Carlos A Hernández-Ávila
- Department of Psychiatry and Alcohol Research Center, University of Connecticut School of Medicine, Farmington, CT 06030, USA and
| | - Caroline E Pantridge
- Department of Community Health Sciences, Boston University School of Public Health, Medical Campus, 801 Massachusetts Avenue, Rm 452, Boston, MA 02118, USA
| | - Héctor Fernández-Varela
- General Medical Services, National Autonomous University of Mexico, Mexico City 04510, Mexico
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Dohn MN, Jiménez Méndez SA, Nolasco Pozo M, Altagracia Cabrera E, Dohn AL. Alcohol use and church attendance among seventh through twelfth grade students, Dominican Republic, 2011. JOURNAL OF RELIGION AND HEALTH 2014. [PMID: 23180008 PMCID: PMC3982211 DOI: 10.1007/s10943-012-9663-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Excessive alcohol consumption increases the years of life lost to premature death and disability worldwide. Religion is a mitigating factor in alcohol consumption. A survey in the Dominican Republic showed increasing church attendance by middle and high school students (N = 3,478) was associated with a delay in age at first alcoholic drink, fewer students who had consumed alcohol in the past month (current drinkers), lower alcohol consumption levels, fewer episodes of inebriation, and less heavy episodic alcohol consumption (all P < 0.0001). The results suggested that it may be useful to conceive of church-attending youth as a subset of the adolescent social network when planning primary alcohol prevention programs for young people.
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Affiliation(s)
- Michael N Dohn
- Programa de Salud Comunitaria, Clínica Esperanza y Caridad, Iglesia Episcopal Dominicana, Apartado 509, C/ Sánchez #9, esq. Freddy Gaton Arce, Sector Miramar, San Pedro de Macorís, 21000, Dominican Republic,
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Guilamo-Ramos V, Padilla M, Cedar AL, Lee J, Robles G. HIV sexual risk behavior and family dynamics in a Dominican tourism town. ARCHIVES OF SEXUAL BEHAVIOR 2013; 42:1255-1265. [PMID: 23436038 PMCID: PMC3686998 DOI: 10.1007/s10508-012-0064-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2011] [Revised: 10/24/2012] [Accepted: 11/07/2012] [Indexed: 06/01/2023]
Abstract
Expansion of the tourism industry in the Dominican Republic has had far-reaching health consequences for the local population. Research suggests families with one or more members living in tourism areas experience heightened vulnerability to HIV/STIs due to exposure to tourism environments, which can promote behaviors such as commercial and transactional sex and elevated alcohol use. Nevertheless, little is known about how tourism contexts influence family dynamics, which, in turn, shape HIV risk. This qualitative study examined family relationships through in-depth interviews with 32 adults residing in Sosúa, an internationally known destination for sex tourism. Interviewees situated HIV risk within a context of limited employment opportunities, high rates of migration, heavy alcohol use, and separation from family. This study has implications for effective design of health interventions that make use of the role of the family to prevent HIV transmission in tourism environments.
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Affiliation(s)
- Vincent Guilamo-Ramos
- Center for Latino Adolescent and Family Health, Silver School of Social Work, New York University, 15 Washington Place, New York, NY, 10003, USA,
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Colón-López V, Soto-Salgado M, Rodríguez-Díaz C, Suárez EL, Pérez CM. Addressing Health Disparities among Men: Demographic, Behavioral and Clinical Characteristics of Men who have Sex with Men Living in Puerto Rico. SEXUALITY RESEARCH & SOCIAL POLICY : JOURNAL OF NSRC : SR & SP 2013; 10:10.1007/s13178-013-0130-9. [PMID: 24288521 PMCID: PMC3839854 DOI: 10.1007/s13178-013-0130-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
The objective of this study was to compare sociodemographic, behavioral and clinical characteristics associated with HIV among Men who have sex with Men (MSM) and men who have sex with women (MSW) in Puerto Rico. Data from a population-based cross-sectional study in PR (2005-2008) was analyzed. Descriptive statistics were used to describe the study sample and bivariate analyses were performed to identify differences of sociodemographic, behavioral and clinical characteristics between MSM and MSW. Exact logistic regression models adjusting for age were constructed for each risk behavior associated to MSM in bivariate analysis. Of the 674 men interviewed, 6.1% (n=41) reported ever having sex with men. Age-adjusted logistic regression models indicated that MSM were significantly more likely than MSW to have first sexual intercourse before the age of 15 (POR=2.6; 95%CI= 1.3, 5.3) and have at least 10 lifetime sex partners (POR=2.8; 95%CI= 1.4,5.9). Also, MSM were significantly more likely to report lifetime use of marihuana (POR=2.7; 95%CI= 1.3,5.8), cocaine (POR=2.5; 95%CI= 1.2,5.0), amphetamines (POR=3.8; 95%CI= 1.4,9.2) and sedatives or tranquilizers (POR=3.3; 95%CI= 1.4,7.2). Also, MSM were 13 times more likely to be HIV seropositive as compared to MSW (POR=13.3; 95%CI=1.7,102.0). In this population-based sample of men living in Puerto Rico, self-reported same-sex behavior is strongly associated with HIV, and other behavioral factors associated with HIV. Future targeted research is still necessary for the development of intervention programs among MSM in Puerto Rico.
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Affiliation(s)
- Vivian Colón-López
- Cancer Control and Population Sciences Program, University of Puerto Rico Comprehensive Cancer Center, San Juan, PR
- Department of Health Services Administration, Graduate School of Public Health
| | - Marievelisse Soto-Salgado
- UPR/MDACC Partnership in Excellence in Cancer Research Program, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, PR
- Department of Social Sciences, Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico
| | - Carlos Rodríguez-Díaz
- Department of Social Sciences, Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico
| | - Erick L. Suárez
- Department of Biostatistics and Epidemiology, Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan, PR
| | - Cynthia M. Pérez
- Department of Biostatistics and Epidemiology, Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan, PR
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Guilamo-Ramos V, Jaccard J, Lushin V, Robles G, Lee J, Quiñones Z. Emotions and cognitions as correlates of early adolescent sexual behavior among Dominican youth in the United States and Dominican Republic. AIDS Behav 2013; 17:961-75. [PMID: 23001411 DOI: 10.1007/s10461-012-0289-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The present study examined cognitive and emotional correlates of sexual decision-making among three groups of Dominican adolescents: (a) Dominican youth who were born and raised in New York City, (b) Dominican youth who recently immigrated to New York City from the Dominican Republic, and (c) Dominican adolescents who were born and currently reside in the Dominican Republic. Data were collected via self-administered questionnaires from Dominican mother-adolescent dyads in New York City (n = 1,008) and the Dominican Republic (n = 213). Across groups, positive emotion constructs were consistently among the most important correlates of intentions to engage in sexual intercourse while issues related to STIs and HIV showed the lowest correlations. Interestingly, positive correlations with intentions to engage in intercourse were found among Dominican-residing males, as were positive correlations with intentions among Dominican-residing females. The implications for HIV prevention programs for Dominican youth are discussed.
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