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Fernandez A, Lozano A, Lee TK, Prado G. Screening for Adolescent Risk Behaviors: Preliminary Evidence for a Family Functioning Tool. Int J Behav Med 2024; 31:669-678. [PMID: 37580481 DOI: 10.1007/s12529-023-10209-7] [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] [Accepted: 07/31/2023] [Indexed: 08/16/2023]
Abstract
BACKGROUND Family functioning is associated with adolescent drug use, alcohol use, cigarette use, and sexual risk behaviors. Assessing adolescents for family functioning, commonly associated with multiple risk behaviors, may help identify adolescents at risk for adverse health outcomes. This study examined whether a latent family functioning construct, encompassing multiple dimensions of family functioning, was associated with adolescents' substance use and sexual risk behaviors. METHOD This study used data harmonization with three intervention trials, including data from 1451 adolescents (M = 13.6, SD = 1.0), to perform a full-information item bifactor analysis on 46 family functioning items from five pre-existing family functioning measures. Regression analysis was used to examine the association between the identified subset of items and the following outcomes: cigarette use, alcohol use, drug use, and condom use. RESULTS Bifactor analysis identified a 26-item latent family functioning construct. Regression analysis indicated that a 26-item latent family functioning construct was associated negatively with lifetime and past 90-day cigarette use, alcohol use, and drug use. CONCLUSION In sum, the multi-dimensional latent family functioning construct may target specific barriers to risk screening in adolescent populations, including time constraint, hesitancy in discussing sensitive health topics, and use culturally appropriate and age-appropriate assessments.
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Affiliation(s)
- Alejandra Fernandez
- Department of Health Promotion and Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Dallas, TX, USA.
| | - Alyssa Lozano
- School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA
| | - Tae Kyoung Lee
- Department of Child Psychology and Education/Social Innovation Convergence Program, Sungkyunkwan University, Seoul, South Korea
| | - Guillermo Prado
- School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA
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2
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Zapata JP, Queiroz A, Rodriguez-Diaz CE, Mustanski B. Factors Associated with HIV Testing Among Spanish and English-Speaking Latino Adolescents Aged 13-18. AIDS Behav 2024; 28:343-356. [PMID: 37848599 DOI: 10.1007/s10461-023-04206-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/28/2023] [Indexed: 10/19/2023]
Abstract
Adolescent Latino men who have sex with men (LMSM) in the U.S. are disproportionately impacted by HIV. However, there has been limited focus on their HIV prevention and risk behaviors. In this study, we examine the rates of HIV testing and explore the significant demographic and healthcare factors that influence HIV prevention among adolescent LMSM. The analysis for this study utilized data collected during the baseline assessment of SMART, a pragmatic trial aimed at evaluating the effectiveness of an online HIV prevention intervention for adolescent LMSM (N = 524). Only 35.5% of participants had ever had an HIV test in their lifetime. Rates of testing increased among adolescent LMSM who had a doctor with whom they spoke about their sexual health (odds ratio: 4.0; 95% confidence interval: 2.1-8.4; P < 0.001) or HIV testing (odds ratio: 5.8; 95% confidence interval: 3.1-10.7; P < 0.001). Out of the 61 participants who took part in the survey conducted in Spanish, only 26% reported ever having an HIV test. Additionally, 24.5% stated that they had discussed their sexual orientation with a doctor, and only 8.2% had undergone HIV testing. Spanish-speaking adolescents who completed the SMART survey were less likely to openly discuss their sexual orientation or sexual health with most people or have a doctor with whom they discussed these topics, compared to those who completed the survey in English. These findings suggest that Spanish-speaking adolescent LMSM may face obstacles in accessing HIV prevention services in the U.S.
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Affiliation(s)
- Juan Pablo Zapata
- Department of Medical Social Science and the Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N Michigan Ave, Chicago, IL, USA
| | - Artur Queiroz
- Department of Medical Social Science and the Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N Michigan Ave, Chicago, IL, USA
| | - Carlos E Rodriguez-Diaz
- School of Public Health, Boston University, 801 Massachusetts Ave. Suite 431, Boston, MA, USA
| | - Brian Mustanski
- Department of Medical Social Science and the Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N Michigan Ave, Chicago, IL, USA.
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3
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Maas MK, LaBrenz CA, Cary KM, Buenabad NA, Parra-Cardona JR. Gender, romantic relationships and sexual health in Mexico: Parents' experiences of discussion with their children. CULTURE, HEALTH & SEXUALITY 2023; 25:762-775. [PMID: 35862272 PMCID: PMC9859938 DOI: 10.1080/13691058.2022.2097740] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Accepted: 06/30/2022] [Indexed: 06/02/2023]
Abstract
A focus on promoting sexual health and preventing sexual violence remains largely unaddressed in most evidence-based parenting prevention programmes, despite the promise of success in addressing these topics after foundational parenting practices have been strengthened. The primary objective of this study was to understand how Mexican family and gender values shape the way families in Mexico City approach discussion of sexual health and violence with their adolescent children. The goal was to inform the development of a culturally relevant sexual health promotion and violence prevention module to add to an existing parenting intervention. During focus groups with 17 mothers and 3 fathers who had recently completed a parenting intervention, five major themes were identified: mediating messages from the outside world; the view that dads are not part of sex education; the belief that romantic relationships spell trouble; gender differences in responsibility and fear; and comfort talking about condoms. Findings indicate that caregivers adopt different approaches to education about sexual health and the prevention of sexual violence according to whether their adolescent is a boy or a girl. These differential approaches were primarily informed by cultural and contextual influences. Strategies for more overtly addressing gender relations in parenting interventions for sexual health promotion and violence prevention are discussed.
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Affiliation(s)
- Megan K. Maas
- Human Development and Family Studies, Michigan State University, East Lansing, MI, USA
| | | | - Kyla M. Cary
- Human Development and Family Studies, Michigan State University, East Lansing, MI, USA
| | - Nancy Amador Buenabad
- Directorate of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
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4
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Ramos-Olazagasti MA, Elkington KS, Wainberg ML, Feng T, Corbeil T, Canino GJ, Bird HR, Scorza P, Wildsmith E, Alegria M, Duarte CS. Does Context and Adversity Shape Sexual Behavior in Youth? Findings from Two Representative Samples of Puerto Rican Youth. ARCHIVES OF SEXUAL BEHAVIOR 2023; 52:217-231. [PMID: 36169776 PMCID: PMC9868044 DOI: 10.1007/s10508-022-02328-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2020] [Revised: 02/23/2022] [Accepted: 03/12/2022] [Indexed: 06/16/2023]
Abstract
Sexual risk behaviors often co-occur. Understanding the heterogeneity in patterns of sexual behavior among youth and how context of majority and minoritized status may be related to these behaviors can inform targeted STIs/HIV interventions. Data are from the Boricua Youth Study, a longitudinal study of two probability samples of Puerto Rican youth recruited in the South Bronx (SBx) and the metropolitan area in Puerto Rico (PR). We identified patterns of sexual behaviors among young adults (ages 15-24) with sexual experience (N = 1,203) using latent class analysis. Analyses examined context differences and the prospective relationship between adverse childhood experiences (ACEs) (childhood maltreatment/violence, family/parental dysfunction) and patterns of sexual behaviors (age at first sex, number of sex partners, sex with a high-risk partner, condom use, sex while intoxicated, oral sex, anal sex). We identified five classes of sexual behaviors: (1) currently inactive (16.51%); (2) single partner, low activity (13.49%); (3) single partner, inconsistent condom use (32.19%); (4) single partner, sex without a condom (27.65%); and (5) multirisk (10.16%). Young adults from the SBx (minoritized context), those who identified as male, and those with higher child maltreatment/violence ACEs were more likely to be in the multi-risk class relative to the single partner, inconsistent condom use class. Those from the SBx were also more likely to be in the single partner, sex without condom class, relative to the single partner, inconsistent condom use class. Differences in young adults' patterns of sexual behaviors between the two contexts, one representing the minoritized context (SBx) contrasted to the majority context (PR), were not explained by ACEs. Findings highlight the heterogeneity in the patterns of sexual behaviors among Puerto Rican young adults as well as how such patterns vary based on sociocultural contexts. Exposure to child maltreatment/violence ACEs was related to the riskier patterns; however, they did not explain why riskier patterns of sexual behaviors were found in the SBx compared to PR. Results underscore the need for tailored interventions and more in-depth examination of differences across contexts.
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Affiliation(s)
- Maria A Ramos-Olazagasti
- Reproductive Health and Family Formation, Child Trends, 7315 Wisconsin Ave, Ste 1200W, Bethesda, MD, 20814, USA.
- Child and Adolescent Psychiatry, Columbia University, New York, NY, USA.
| | - Katherine S Elkington
- Child and Adolescent Psychiatry, Columbia University, New York, NY, USA
- New York State Psychiatric Institute, New York, NY, USA
| | - Milton L Wainberg
- Child and Adolescent Psychiatry, Columbia University, New York, NY, USA
- New York State Psychiatric Institute, New York, NY, USA
| | - Tianshu Feng
- New York State Psychiatric Institute, New York, NY, USA
| | | | - Glorisa J Canino
- Medical Sciences Campus, University of Puerto Rico, Rio Piedras, Puerto Rico, USA
| | - Hector R Bird
- Child and Adolescent Psychiatry, Columbia University, New York, NY, USA
| | - Pamela Scorza
- Child and Adolescent Psychiatry, Columbia University, New York, NY, USA
- New York State Psychiatric Institute, New York, NY, USA
| | - Elizabeth Wildsmith
- Reproductive Health and Family Formation, Child Trends, 7315 Wisconsin Ave, Ste 1200W, Bethesda, MD, 20814, USA
| | - Margarita Alegria
- Disparities Research Unit, Massachusetts General Hospital, Boston, MA, USA
| | - Cristiane S Duarte
- Child and Adolescent Psychiatry, Columbia University, New York, NY, USA
- New York State Psychiatric Institute, New York, NY, USA
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5
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“You are not alone”: Family-based HIV risk and protective factors for Hispanic/Latino men who have sex with men in San Juan, PR. PLoS One 2022; 17:e0268742. [PMID: 35709145 PMCID: PMC9202870 DOI: 10.1371/journal.pone.0268742] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Accepted: 05/06/2022] [Indexed: 11/19/2022] Open
Abstract
Hispanic/Latino men who have sex with men (MSM) have the second largest HIV infection rate in the United States and Puerto Rico (PR) has ranked number five with the greatest number of Hispanics living with HIV. This study aims to understand how family affects HIV risk and protective factors for young adults. PR MSM ages 21 through 30 in San Juan, PR completed semi-structured interviews exploring the influence interpersonal family relationships have on HIV risk and protective factors. PR MSM (N = 15) completed a semi-structured in-depth individual interview. NVivo was used for administering a thematic analysis based on the transcripts in the original language of the interview, 14 in Spanish and one in English. The following five general themes emerged from the data analysis: 1) Immediate versus Extended Family; 2) The Matriarch; 3) Fractured Paternal Relationships; 4) Siblings Influence; and 5) Fictive Kin–Creating My Own Family. Findings suggest that the immediate family play an integral role in enhancing HIV protective factors for PR MSM as young adults. This study highlights the importance for developing family-based interventions that reinforce cultural beliefs and values through a strengths-based approach towards enhancing HIV protective behaviors for PR MSM.
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Ramírez-Ortiz D, Sheehan DM, Moore MP, Ibañez GE, Ibrahimou B, De La Rosa M, Cano MÁ. HIV Testing Among Latino Emerging Adults: Examining Associations with Familism Support, Nativity, and Gender. J Immigr Minor Health 2020; 22:1039-1048. [PMID: 32222904 PMCID: PMC7442717 DOI: 10.1007/s10903-020-01000-x] [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: 10/24/2022]
Abstract
Research examining factors associated with low uptake of HIV testing among Latino emerging adults is scarce. Thus, this study examined the association between familism support and lifetime history of HIV testing among Latino emerging adults, and whether nativity status and gender moderated this association. A cross-sectional online survey of 157 Latino emerging adults aged 18-25 years living in Arizona and Florida was conducted and data were analyzed using robust Poisson regression models. Results indicated that 59.9% of participants reported a lifetime history of HIV testing. Higher familism support was associated with a decreased prevalence of lifetime history of HIV testing (aPR = 0.81, 95% CI: 0.68- 0.95). Nativity status moderated the association between familism support and lifetime history of HIV testing, with this negative association, only found among immigrants (aPR = 0.46, 95% CI: 0.28-0.74). Gender did not moderate this association. Familism support plays a role in HIV testing behaviors, and thus should be considered when developing programs to increase HIV testing among Latinos.
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Affiliation(s)
- Daisy Ramírez-Ortiz
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC 5-488, Miami, FL, 33199, USA
| | - Diana M Sheehan
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC 5-488, Miami, FL, 33199, USA
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA
- Research Center in Minority Institutions, Florida International University, Miami, FL, USA
| | - Melanie Paige Moore
- Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Gladys E Ibañez
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC 5-488, Miami, FL, 33199, USA
| | - Boubakari Ibrahimou
- Department of Biostatistics, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA
| | - Mario De La Rosa
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA
- Department of Social Work, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA
| | - Miguel Ángel Cano
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC 5-488, Miami, FL, 33199, USA.
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.
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7
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Opara I, Lardier DT, Fernandez Y, Garcia-Reid P, Reid RJ. Intrapersonal psychological empowerment profiles on ethnic identity, social support, and lifetime drug use among Hispanic adolescent girls. J Ethn Subst Abuse 2020; 21:886-913. [PMID: 32787746 DOI: 10.1080/15332640.2020.1803780] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The abbreviated Sociopolitical Control Scale for Youth (SPCS-Y) factor structure, used to measure intrapersonal psychological empowerment, was tested among a sample of Hispanic adolescent girls (N = 490). Confirmatory factor analysis and latent class analyses were conducted, and five distinct cluster groups emerged. Multivariate analysis of covariance was used to examine conceptually related variables and support the two-factor structure and validity of the scale. Participants with higher levels of intrapersonal psychological empowerment also had high social support, ethnic identity, and lower levels of alcohol and drug use. Findings support the use of the scale on Hispanic adolescent girls and contribute to alcohol and drug use prevention research.
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8
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Evans R, Widman L, Stokes M, Javidi H, Hope E, Brasileiro J. Sexual Health Programs for Latinx Adolescents: A Meta-analysis. Pediatrics 2020; 146:peds.2019-3572. [PMID: 32522785 DOI: 10.1542/peds.2019-3572] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/17/2020] [Indexed: 11/24/2022] Open
Abstract
CONTEXT Latinx adolescents are at risk for negative sexual health outcomes, and many interventions have been developed to reduce this risk. OBJECTIVE In this meta-analysis, we synthesized the literature on sexual health interventions for Latinx adolescents and examined intervention effects on 3 behavioral outcomes (abstinence, condom use, number of sex partners) and 3 psychological outcomes (safer sex knowledge, intentions, self-efficacy). Moderators of intervention success were explored. DATA SOURCES A systematic search of studies published through January 2019 was conducted by using PubMed, PsycINFO, and Cumulative Index to Nursing and Allied Health Literature databases. STUDY SELECTION All studies included a US-based sample of Latinx adolescents, evaluated sexual health intervention by using an experimental or quasiexperimental design, included a behavioral outcome, and were in English. DATA EXTRACTION Standardized mean difference (d) and 95% confidence intervals (CIs) were meta-analyzed by using random-effects models. RESULTS Effect sizes from 12 studies, sampling 4673 adolescents, were synthesized. Sexual health interventions improved abstinence (d = 0.15, 95% CI: 0.02 to 0.28), condom use (d = 0.44, 95% CI: 0.18 to 0.70), number of sex partners (d = -0.19, 95% CI: -0.37 to -0.001), and sexual health knowledge (d = 0.40, 95% CI: 0.10 to 0.70), compared with control conditions. Effects were consistent across a number of demographic and clinical characteristics, although culturally tailored interventions produced greater change in condom use than nontailored interventions. LIMITATIONS There was variation across studies in measures of sexual behavior, and some elements of individual study quality were unclear. CONCLUSIONS Sexual health interventions have a small but significant impact on improving safer sexual behavior among Latinx adolescents. Health educators should consider the importance of cultural tailoring to program success.
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Affiliation(s)
- Reina Evans
- Department of Psychology, North Carolina State University, Raleigh, North Carolina
| | - Laura Widman
- Department of Psychology, North Carolina State University, Raleigh, North Carolina
| | - McKenzie Stokes
- Department of Psychology, North Carolina State University, Raleigh, North Carolina
| | - Hannah Javidi
- Department of Psychology, North Carolina State University, Raleigh, North Carolina
| | - Elan Hope
- Department of Psychology, North Carolina State University, Raleigh, North Carolina
| | - Julia Brasileiro
- Department of Psychology, North Carolina State University, Raleigh, North Carolina
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9
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Arscott J, Humphreys J, Merwin E, Relf M. "That Guy is Gay and Black. That's a Red Flag." How HIV Stigma and Racism Affect Perception of Risk Among Young Black Men Who Have Sex with Men. AIDS Behav 2020; 24:173-184. [PMID: 31396765 PMCID: PMC9093063 DOI: 10.1007/s10461-019-02607-4] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Young Black men who have sex with men's (YBMSM) attitudes and personal beliefs about themselves and their risk for HIV can be modified as a result of experiences with racism and HIV stigma. In-depth qualitative interviews were conducted with 25 HIV-negative YBMSM, aged 18-24, in North Carolina and Maryland. Data were thematically analyzed to capture participants' experiences and thoughts related to stigmatizing experiences and their perception of risk for HIV. Participants reported experiencing HIV stigmatizing and blatant racist commentary related to their identities as YBMSM. Participants described diverse strategies to distance themselves from these negative stereotypes and decrease their sexual risk for HIV. The findings highlight that HIV stigma and racial stereotypes are one of the many types of discrimination that YBMSM experience within the Black and gay communities and in society; leading to psychological distress and an altered perception of self and sexual risk.
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Affiliation(s)
- Joyell Arscott
- School of Nursing, Johns Hopkins University, Baltimore, MD, USA.
| | | | - Elizabeth Merwin
- College of Nursing & Health Innovation, University of Texas at Arlington, Arlington, TX, USA
| | - Michael Relf
- School of Nursing, Duke University, Durham, NC, USA
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10
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Sanchez D, Whittaker TA, Crosnoe R. Preliminary Findings of the Links Between Gender Role Attitudes and Sexual Behaviors in Mexican American Early Adolescent Boys. PSYCHOLOGY OF MEN & MASCULINITY 2020; 21:1-12. [PMID: 33312072 PMCID: PMC7731931 DOI: 10.1037/men0000205] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This study explored the relations between Latino gender role attitudes (traditional machismo attitudes and caballerismo attitudes) and sexual behaviors among 242 Mexican American early adolescent boys in the southwest United States. Specifically, a multiple mediator model estimated the association between gender role attitudes and sexual activity through a mediational pathway connecting substance use, sexual motives, and peer influence. Results from analyzing this structural equation model indicated that traditional machismo attitudes were not associated with sexual behaviors. Caballerismo gender role attitudes, however, were indirectly linked with reduced sexual motives and substance via peer influence. This study underscores the importance of social context, behavior, and psychological motivations in explaining differences in sexual motives and substance use among young Mexican American adolescent boys who hold different kinds of beliefs about their gender.
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Affiliation(s)
- Delida Sanchez
- Department of Educational Psychology, The University of Texas at Austin
| | | | - Robert Crosnoe
- Department of Sociology, The University of Texas at Austin
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11
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Barral RL, Cartujano B, Perales J, Ramirez M, Cowden JD, Trent ME, Ramaswamy M, Kessler SF. Knowledge, Beliefs, and Attitudes About Contraception Among Rural Latino Adolescents and Young Adults. J Rural Health 2019; 36:38-47. [PMID: 31430396 DOI: 10.1111/jrh.12390] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
PURPOSE Latino youth experience significant disparities in rates of teen pregnancy, and reproductive health needs of rural Latino youth are not well understood. The purpose of this study was to describe knowledge, beliefs, and attitudes about contraception among rural Latino adolescents and young adults (Latino youth). METHODS Eighty-four Latino youth, aged 15-24 years from rural Kansas communities participated in 15 focus groups (FG) and completed an individual survey. The survey assessed demographics and acculturation. FG participants discussed attitudes, subjective norms, and perceived sexual behaviors regarding teen sexuality, pregnancy, and contraception. RESULTS FGs revealed multiple obstacles to accessing reproductive health services: geographical/rural location, cultural barriers, religious influences, lack of sexual education, and personal attitudes toward pregnancy and contraception use. Participants described close-knit communities with limited access to confidential reproductive health care. They identified cultural and religious factors (sexual taboo, virginity, Familismo, and family dishonor) that influence family planning behaviors among Latino youth and obstruct access to sexual health and contraception knowledge and services. Ambivalence regarding pregnancy intentions was common, along with the belief that contraception equates with abortion. CONCLUSIONS Latino youth in rural communities face multiple physical and sociocultural obstacles to accessing family planning information and services. Community-based pregnancy prevention interventions must target these obstacles to optimize reproductive health outcomes for Latino youth in rural settings.
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Affiliation(s)
- Romina L Barral
- Division of Adolescent Medicine, Children's Mercy Hospital and Clinics, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri
| | - Brenda Cartujano
- Department of Psychiatry, Maimonides Medical Center, Brooklyn, New York
| | - Jaime Perales
- University of Kansas Alzheimer's Disease Center, Kansas City, Kansas
| | - Mariana Ramirez
- Department of Preventive Medicine & Public Health, University of Kansas Medical Center, Kansas City, Kansas
| | - John D Cowden
- Department of Pediatrics, Children's Mercy Hospital and Clinics, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri
| | - Maria E Trent
- Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Megha Ramaswamy
- University of Kansas Alzheimer's Disease Center, Kansas City, Kansas
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12
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Opara I, Lardier DT, Reid RJ, Garcia-Reid P. "It All Starts With the Parents": A Qualitative Study on Protective Factors for Drug-Use Prevention Among Black and Hispanic Girls. AFFILIA 2019; 34:199-218. [PMID: 31341350 PMCID: PMC6655418 DOI: 10.1177/0886109918822543] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Using intersectionality theory as a theoretical framework, this qualitative study uncovered the protective factors present among black and Hispanic adolescent girls living in an urban, under-resourced neighborhood in the Northeastern United States. The sample used in this study includes eight focus groups that consisted of adolescent females only (N = 57). Female participants were sampled through six youth-serving summer programs throughout the target city. The female participants were between 11 and 17 years of age, with 73% self-identifying as black (n = 45) and 26% (n = 12) as Hispanic. Thematic analysis using an intersectional approach was used to analyze the narratives of participants in the study. Three main themes arose: environmental context, parent-child communication about drug use, and parental modeling. Participants were critically aware of their environmental context which normalized drug use. However, participants identified protective factors such as parents communicating about drug use and parental modeling to girls in the sample as the most salient factors against substance use in their community. Findings provide insight for researchers, social workers, and interventionists to create and implement family-centered, strengths-based substance-abuse prevention programs that are racial, ethnic, and gender specific for black and Hispanic adolescent girls.
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Affiliation(s)
- Ijeoma Opara
- Department of Family Science and Human Development, Montclair State University, Montclair, NJ, USA
| | - David T. Lardier
- Department of Individual, Family, and Community Education, University of New Mexico, Albuquerque, NM, USA
| | - Robert J. Reid
- Department of Family Science and Human Development, Montclair State University, Montclair, NJ, USA
| | - Pauline Garcia-Reid
- Department of Family Science and Human Development, Montclair State University, Montclair, NJ, USA
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13
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Guilamo-Ramos V, Bowman AS, Benzekri A, Ruiz Y, Beltran O. Misalignment of sexual and reproductive health priorities among older Latino adolescents and their mothers. Contraception 2018; 99:179-183. [PMID: 30471265 DOI: 10.1016/j.contraception.2018.11.011] [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] [Received: 03/30/2018] [Revised: 10/17/2018] [Accepted: 11/14/2018] [Indexed: 12/28/2022]
Abstract
OBJECTIVE The study describes maternal and adolescent perspectives on sexual decision making and the role of mothers in shaping use of contraception for the prevention of unplanned pregnancies and sexually transmitted infections (STIs) among older Latino adolescents. STUDY DESIGN Researchers used a semistructured interview guide to conduct focus group discussions with 21 mother-adolescent Latino dyads (n=42). Latino adolescents ages 17-19 were eligible for the study. We recruited families from the South Bronx, New York City, using area sampling methodology. For analysis of qualitative data, we used the framework method involving open coding, identification of dominant themes, refining of codebooks and indexing. RESULTS Overwhelmingly, results suggest asymmetric priorities and preferences regarding maternal involvement in older adolescent sexual and contraceptive decision making. Mothers primarily employed practices designed to prevent adolescent sexual activity. Most teens reported already having experienced sexual debut and were currently sexually active. Adolescents expressed a strong interest in practical support for sexual decision making, including maternal guidance regarding effective access to and use of contraception. Mothers offered limited guidance or support with such matters. Maternal views focused entirely on the health and social consequences of sex in lieu of specific guidance on contraception for older sexually active adolescents. The findings highlight a missed opportunity for Latino mothers to support their older adolescent children to prevent unplanned pregnancies, STIs and HIV. CONCLUSION Mothers have the potential to positively shape adolescent contraceptive decision making and behavior. Misalignment of priorities between mothers and adolescents diminishes the potential of reducing adolescent sexual and reproductive health (SRH) disparities. IMPLICATIONS Mothers are influential in reducing adolescent SRH risk. However, asymmetric priorities among Latino adolescents and their mothers regarding support for SRH reduce likelihood of reducing adolescent negative SRH outcomes and supporting adolescent health. Programs supporting better alignment of maternal guidance and adolescent SRH needs are warranted.
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Affiliation(s)
- Vincent Guilamo-Ramos
- The Center for Latino Adolescent and Family Health, Silver School of Social Work, New York University, New York, NYU, USA; Adolescent AIDS Program, Children's Hospital at Montefiore Medical Center, Bronx, NY, USA.
| | - Alex S Bowman
- The Center for Latino Adolescent and Family Health, Silver School of Social Work, New York University, New York, NYU, USA; Columbia University, College of Physicians and Surgeons New York, NY, USA
| | - Adam Benzekri
- The Center for Latino Adolescent and Family Health, Silver School of Social Work, New York University, New York, NYU, USA
| | - Yumary Ruiz
- The Center for Latino Adolescent and Family Health, Silver School of Social Work, New York University, New York, NYU, USA; Department of Health and Kinesiology, Perdue University, West Lafayette, IN, USA
| | - Oscar Beltran
- Women's and Gender Studies, University of Texas at El Paso, El Paso, TX, USA
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14
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Torregosa MB, Sada R, Perez I. Dealing with stroke: Perspectives from stroke survivors and stroke caregivers from an underserved Hispanic community. Nurs Health Sci 2018. [DOI: 10.1111/nhs.12414] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Marivic B. Torregosa
- College of Nursing and Health Sciences; Texas A&M International University; Laredo Texas USA
| | - Rosemary Sada
- College of Nursing and Health Sciences; Texas A&M International University; Laredo Texas USA
| | - Ilse Perez
- College of Nursing and Health Sciences; Texas A&M International University; Laredo Texas USA
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Moreno O, Janssen T, Cox MJ, Colby S, Jackson KM. Parent-adolescent relationships in Hispanic versus Caucasian families: Associations with alcohol and marijuana use onset. Addict Behav 2017; 74:74-81. [PMID: 28595060 DOI: 10.1016/j.addbeh.2017.05.029] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2017] [Revised: 05/05/2017] [Accepted: 05/22/2017] [Indexed: 02/05/2023]
Abstract
Parent-adolescent relationship (PAR) factors such as social support and negative interactions are associated with initiation of alcohol and marijuana use during adolescence. However, few studies have examined whether the relationship between PAR, especially the paternal role, and substance use onset varies by ethnicity. This is important given that ethnic group differences have been related to alcohol and marijuana use, cultural values and parenting. This study examines whether ethnicity moderates the prospective prediction of substance use onset by PAR factors. The sample comprised 124 adolescents who self-identified as Hispanic and 795 adolescents who self-identified as non-Hispanic Whites, and was drawn from an ongoing longitudinal survey on adolescent substance use. Discrete-time survival modeling was used to prospectively predict age at onset of substance use among participants who were substance-naïve at baseline. Interactions between ethnicity and PAR factors indicated that PAR factors had a larger influence on age of alcohol and marijuana onset for Hispanics than for Caucasians. Among Hispanics, greater social support from and greater negative interactions with the father-figure were more predictive of earlier onset of alcohol, and greater social support from the mother-figure was more predictive of later alcohol onset, compared to Caucasians. Similarly, greater negative interactions with the father-figure were more predictive of earlier onset of marijuana use among Hispanics than among Caucasians. These findings suggest the influence of PAR on alcohol and marijuana use onset may be larger for Hispanics than for Caucasians. Incorporating these parenting factors in substance use prevention programs advances public health in a culturally sensitive manner that is relevant to at-risk Hispanic adolescents.
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16
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Wheeler LA, Zeiders KH, Updegraff KA, Umaña-Taylor AJ, Rodríguez de Jesús SA, Perez-Brena NJ. Mexican-origin youth's risk behavior from adolescence to young adulthood: The role of familism values. Dev Psychol 2017; 53:126-137. [PMID: 28026193 DOI: 10.1037/dev0000251] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Engagement in risk behavior has implications for individuals' academic achievement, health, and well-being, yet there is a paucity of developmental research on the role of culturally relevant strengths in individual and family differences in risk behavior involvement among ethnic minority youth. In this study, we used a longitudinal cohort-sequential design to chart intraindividual trajectories of risk behavior and test variation by gender and familism values in 492 youth from 12 to 22 years of age. Participants were older and younger siblings from 246 Mexican-origin families who reported on their risk behaviors in interviews spaced over 8 years. Multilevel cohort-sequential growth models revealed that youth reported an increase in risk behavior from 12 to 18 years of age, and then a decline to age 22. Male youth reported greater overall levels and a steeper increase in risk behavior from ages 12 to 18, compared to female youth. For familism values, on occasions when youth reported higher levels, they also reported lower levels of risk behavior (i.e., within-person effect). For sibling dyads characterized by higher average levels of familism values, youth reported lower average levels of risk behavior (i.e., between-family effect). Findings provide unique insights into risk behavior from adolescence to young adulthood among Mexican-origin youth. (PsycINFO Database Record
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Affiliation(s)
- Lorey A Wheeler
- Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln
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17
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Vela JC, Lenz AS, Sparrow GS, Gonzalez SL. Using a Positive Psychology and Family Framework to Understand Mexican American Adolescents’ College-Going Beliefs. HISPANIC JOURNAL OF BEHAVIORAL SCIENCES 2016. [DOI: 10.1177/0739986316682717] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Positive psychology is a useful framework to understand Mexican American adolescents’ academic experiences. We used a quantitative, predictive design to explore how presence of meaning in life, search for meaning in life, subjective happiness, hope, and family importance influenced 131 Mexican American adolescents’ college-going beliefs. We used the Meaning in Life Questionnaire, Subjective Happiness Scale, Hope Scale, Pan-Hispanic Familism Scale, and College-Going Self-Efficacy Scale to measure the aforementioned factors. Using multiple regression analysis, findings indicated that hope and familism were significant predictors of college-going beliefs. Higher levels of hope and familism positively predicted college-going beliefs. We provide a discussion regarding the importance of these findings as well as recommendations for future research.
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Affiliation(s)
- Javier C. Vela
- The University of Texas Rio Grande Valley, Brownsville, TX, USA
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18
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Morales-Alemán MM, Scarinci IC. Correlates and predictors of sexual health among adolescent Latinas in the United States: A systematic review of the literature, 2004-2015. Prev Med 2016; 87:183-193. [PMID: 26972472 PMCID: PMC4884463 DOI: 10.1016/j.ypmed.2016.03.005] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Revised: 01/28/2016] [Accepted: 03/06/2016] [Indexed: 11/28/2022]
Abstract
Adolescent Latinas in the United States (US) are disproportionately affected by early pregnancy, sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) in comparison to their non-Hispanic white counterparts. However, only a few studies have sought to understand the multi-level factors associated with sexual health in adolescent Latinas. Adhering to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines, we conducted a systematic literature review to better understand the correlates and predictors of sexual health among adolescent Latinas in the US, identify gaps in the research, and suggest future directions for empirical studies and intervention efforts. Eleven studies were identified: five examined onset of sexual intercourse, nine examined determinants of sexual health/risk behaviors (e.g., number of sexual partners and condom use), and three examined determinants of a biological sexual health outcome (i.e., STIs or pregnancy). Two types of variables/factors emerged as important influences on sexual health outcomes: proximal context-level variables (i.e., variables pertaining to the individual's family, sexual/romantic partner or peer group) and individual-level variables (i.e., characteristics of the individual). A majority of the studies reviewed (n=9) examined some aspect of acculturation or Latino/a cultural values in relation to sexual health. Results varied widely between studies suggesting that the relationship between individual and proximal contextual variables (including acculturation) and sexual health may be more complex than previously conceived. This review integrates the findings on correlates and predictors of sexual health among adolescent Latinas, and supports the need for strengths-based theoretically guided research on the mechanisms driving these associations.
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Affiliation(s)
| | - Isabel C Scarinci
- Division of Preventive Medicine, University of Alabama at Birmingham, United States
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19
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Karoly HC, Callahan T, Schmiege SJ, Ewing SWF. Evaluating the Hispanic Paradox in the Context of Adolescent Risky Sexual Behavior: The Role of Parent Monitoring. J Pediatr Psychol 2016; 41:429-40. [PMID: 25972373 PMCID: PMC4829736 DOI: 10.1093/jpepsy/jsv039] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2014] [Revised: 04/09/2015] [Accepted: 04/14/2015] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE In the United States, Hispanic adolescents are at elevated risk for negative outcomes related to risky sexual behavior. To evaluate potential protective factors for this group, we examined the fit of the Hispanic Paradox for sexual behavior among high-risk youth and the moderating role of parent monitoring. METHOD We enrolled 323 justice-involved Hispanic youth (73% male; mean age 16 years), and measured generational status, parent monitoring (monitoring location, who children spend time with outside of school, family dinner frequency), and sexual risk behavior. RESULTS There were no main effects for generational status on sexual behavior. Parent monitoring of location moderated the relationship between generational status and sexual behavior, such that greater monitoring of location was associated with less risky sexual behavior, but only for youth second generation and above. CONCLUSIONS Rather than direct evidence supporting the Hispanic Paradox, we found a more nuanced relationship for generational status in this sample.
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Affiliation(s)
- Hollis C Karoly
- Department of Psychology and Neuroscience, University of Colorado,
| | - Tiffany Callahan
- Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, and
| | - Sarah J Schmiege
- Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, and
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20
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Perceived Discrimination, Peer Influence and Sexual Behaviors in Mexican American Preadolescents. J Youth Adolesc 2016; 45:928-44. [PMID: 26792264 DOI: 10.1007/s10964-016-0420-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2015] [Accepted: 01/08/2016] [Indexed: 10/22/2022]
Abstract
Both discrimination and sexual health disparities have significant negative health implications for Latina/o preadolescent youth, including negative mental health outcomes, STIs/HIV, unintended pregnancy, and ongoing poverty. Studying these links within this population, therefore, has significant public health relevance, both in terms of promoting sexual health in general as well as serving the specific needs of Latina/o youth. This study explored the relationship between perceived discrimination, peer influence and sexual behaviors among 438 Mexican American preadolescents in the Southwest United States (55.3 % male). Additionally, this study examined whether psychological distress, substance use, and sexual motives mediated and whether gender moderated these relations. A multiple-group path analysis of the analytical model was performed to examine the hypothesized relations between perceived discrimination, peer influence, psychological distress, substance use, sexual motives and sexual behaviors. The findings indicated that perceived discrimination was directly linked to sexual behaviors among participants and indirectly linked via substance use. The findings also indicated that peer influence was indirectly linked to sexual behaviors via substance use among participants and via sexual motives among boys. This study underscores the importance of substance use in the perceived discrimination, peer influence and sexual behavior link in Mexican American preadolescents. Additionally, it highlights the importance of sexual motives in the link between peer influence and sexual behaviors of Mexican American boys.
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Abstract
Young Latinos aged 13-24 years in the USA are disproportionately impacted upon by HIV. Despite the elevated risk, lower rates of HIV testing have been documented among Latino youth relative to other racial/ethnic groups. The objective of the current study was to examine the influence of acculturation and cultural values on HIV testing among Latino youth. The study consisted of 51 sexually experienced young Latinos aged 13-16 years from a major city in the Southeastern USA. Participants completed a survey on HIV testing history, cultural orientation and Latino cultural values. Results indicate that 21.6% of the young people had been tested for HIV. The number of times tested ranged from one to four (M = 1.9 ± 1.0). HIV testing was associated with US American cultural orientation and familism (and emphasis on strong family commitment, family support and emotional closeness). Participants with greater orientation to US American culture were more likely, whereas those who endorsed higher familism value were less likely, to have had an HIV test. For participants scoring high on familism, the desire to maintain family honour may serve as a deterrent to testing. Incorporating culturally relevant strategies, such as promoting sexual communication and conversations on HIV prevention within the family, may enhance testing and narrow the gap in HIV infection between Latino youth and other ethnic groups.
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Affiliation(s)
- Mindy Ma
- a College of Psychology, Nova Southeastern University , Fort Lauderdale , USA
| | - Lydia R Malcolm
- a College of Psychology, Nova Southeastern University , Fort Lauderdale , USA
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22
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Mother-Youth Acculturation Gaps and Health-Risking/Emotional Problems among Latin-American Adolescents. SPANISH JOURNAL OF PSYCHOLOGY 2015; 18:E52. [PMID: 26190068 DOI: 10.1017/sjp.2015.52] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Second-generation Latin-American adolescents tend to show higher levels of various health-risking behaviors and emotional problems than first-generation Latin-American adolescents. This cross-sectional study of 40 mother-adolescent dyads examined the association of mother-youth acculturation gaps to youth adjustment problems. Intergenerational acculturation gaps were assessed as a bidimensional self-report component and a novel observational measurement component. The Latin-American adolescents were predominantly second-generation of Mexican descent (M age = 13.42 years, SD = 0.55). Most of the mothers were born in Mexico (M age = 39.18 years, SD = 5.17). Data were collected from mothers, adolescents, and coders, using questionnaires, structured interviews, and videotaped mother-youth interaction tasks. Findings revealed generally weak support for the acculturation gap-distress hypothesis. In addition, stronger relative adherence to their heritage culture by the adolescents was significantly (p < .05, ES = 0.15) related to less engagement in early health-risking sexual behaviors, possibly reflecting selective acculturation processes. Mother-youth acculturation gaps in orientation to the heritage culture were the most salient dimension, changing the focus on the original formulation of the acculturation gap-distress hypothesis.
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Haderxhanaj LT, Rhodes SD, Romaguera RA, Bloom FR, Leichliter JS. Hispanic Men in the United States: Acculturation and Recent Sexual Behaviors With Female Partners, 2006-2010. Am J Public Health 2015; 105:e126-33. [PMID: 26066961 DOI: 10.2105/ajph.2014.302524] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We examined Hispanic men's recent risky and protective sexual behaviors with female partners by acculturation. METHODS Using the 2006-2010 National Survey of Family Growth, we performed bivariate analyses to compare acculturation groups (Hispanic Spanish-speaking immigrants, Hispanic English-speaking immigrants, Hispanic US natives, and non-Hispanic White men) by demographics and recent sexual behaviors with women. Multivariable logistic regression models for sexual behaviors by acculturation group were adjusted for demographics. RESULTS Compared with Hispanic Spanish-speaking immigrants, non-Hispanic White men were less likely to report exchange of money or drugs for sex (adjusted odds ratio [AOR] = 0.3; 95% confidence interval [CI] = 0.1, 0.9), but were also less likely to report condom use at last vaginal (AOR = 0.6; 95% CI = 0.4, 0.8) and anal sex (AOR = 0.4; 95% CI = 0.3, 0.7). Hispanic US natives were less likely to report condom use at last vaginal sex than were Spanish-speaking immigrants (AOR = 0.6; 95% CI = 0.4, 0.8). English- and Spanish-speaking immigrants did not differ in risky or protective sexual behaviors. CONCLUSIONS Our findings suggest that targeted interventions focusing on unique sexual risks and sociodemographic differences by acculturation level, particularly nativity, may be helpful for preventing sexually transmitted infections.
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Affiliation(s)
- Laura T Haderxhanaj
- Laura T. Haderxhanaj, Raul A. Romaguera, Fred R. Bloom, and Jami S. Leichliter are with the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Scott D. Rhodes is with the Division of Public Health Services, School of Medicine, Wake Forest University, Winston-Salem, NC
| | - Scott D Rhodes
- Laura T. Haderxhanaj, Raul A. Romaguera, Fred R. Bloom, and Jami S. Leichliter are with the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Scott D. Rhodes is with the Division of Public Health Services, School of Medicine, Wake Forest University, Winston-Salem, NC
| | - Raul A Romaguera
- Laura T. Haderxhanaj, Raul A. Romaguera, Fred R. Bloom, and Jami S. Leichliter are with the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Scott D. Rhodes is with the Division of Public Health Services, School of Medicine, Wake Forest University, Winston-Salem, NC
| | - Fred R Bloom
- Laura T. Haderxhanaj, Raul A. Romaguera, Fred R. Bloom, and Jami S. Leichliter are with the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Scott D. Rhodes is with the Division of Public Health Services, School of Medicine, Wake Forest University, Winston-Salem, NC
| | - Jami S Leichliter
- Laura T. Haderxhanaj, Raul A. Romaguera, Fred R. Bloom, and Jami S. Leichliter are with the Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Scott D. Rhodes is with the Division of Public Health Services, School of Medicine, Wake Forest University, Winston-Salem, NC
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24
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Strunin L, Díaz-Martínez A, Díaz-Martínez LR, Kuranz S, Hernández–Ávila CA, García-Bernabé CC, Fernández-Varela H. Alcohol Use among Mexican Youths: Is Familismo Protective for Moderate Drinking? JOURNAL OF CHILD AND FAMILY STUDIES 2015; 24:309-316. [PMID: 25642122 PMCID: PMC4308979 DOI: 10.1007/s10826-013-9837-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The construct of familismo has been identified as a potential protective cultural value in Hispanic cultures. This paper considers familismo and alcohol use among young people in Mexico. We conducted a qualitative study using ethnographic open ended interviews with 117 first year students at a large free public university in Mexico City between April-May 2011. The findings indicate that dimensions of familismo can act as protective factors against misuse of alcohol among Mexican youths and may be protective for moderate drinking. Future research should explore the relationship of familismo to gender roles and other cultural values during adolescence. Given the enduring influence of Mexican cultural values among Mexican Americans the research has implications for prevention programs for both Mexican and Mexican American 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
| | - Alejandro Díaz-Martínez
- Department of Psychiatry and Mental Health, Faculty of Medicine, National Autonomous University of Mexico, UNAM, Mexico City, Mexico
| | - L. Rosa Díaz-Martínez
- Department of Psychiatry and Mental Health, Faculty of Medicine, National Autonomous University of Mexico, UNAM, Mexico City, Mexico
| | - Seth Kuranz
- Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA
| | - Carlos A Hernández–Ávila
- Department of Psychiatry and Alcohol Research Center, University of Connecticut School of Medicine, Farmington, CT, USA
| | - C. Camilo García-Bernabé
- National Institute on Psychiatry Ramón de la Fuente Muñíz, Calzada México-Xochimilco no.101, Colonia San Lorenzo Huipulco, Delegacion Tlalpan, Mexico City, Mexico
| | - Héctor Fernández-Varela
- Director General, General Medical Services, National Autonomous University of Mexico, UNAM, Mexico City, Mexico
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25
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Becker D, Thing JP, Baezconde-Garbanati L, Schwartz SJ, Soto DW, Unger JB. Cultural measures associated with sexual risk behaviors among Latino youth in Southern California: a longitudinal study. PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH 2014; 46:193-201. [PMID: 24786352 PMCID: PMC4216635 DOI: 10.1363/46e1514] [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: 10/02/2013] [Revised: 02/14/2014] [Accepted: 02/20/2014] [Indexed: 05/12/2023]
Abstract
CONTEXT Cultural variables have been associated with sexual risk behaviors among Latino youth, but findings across studies are inconsistent. METHODS A longitudinal study of acculturation patterns followed Latino youth in Southern California from 2005 to 2012. Data from 995 participants were used in logistic and ordered regression analyses to test whether cultural variables measured in high school were associated with sexual risk behaviors in emerging adulthood, and whether gender moderated these associations. RESULTS The cultural value of respect for parents was negatively associated with participants' odds of reporting an earlier age at sexual debut (odds ratio, 0.8) and condom nonuse at most recent sexual intercourse (0.8). A measure of acculturation reflecting U.S. cultural practices was positively associated with the likelihood of being sexually experienced (1.2), having concurrent sexual partners (1.5) and, among males only, having a greater number of sexual partners (1.3). Second- and later-generation immigrant youth had lower odds of not using a condom at most recent sexual intercourse than first-generation youth (0.6 and 0.5, respectively). Strength of endorsement of Latino cultural practices was negatively associated with females' lifetime number of partners (0.8), but positively associated with males' (1.4). CONCLUSIONS The cultural measures associated with Latino youths' sexual behaviors differed across outcomes and by gender. Further understanding of these associations and their underlying mechanisms may help inform the development of culturally sensitive sexual health interventions.
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Affiliation(s)
- Davida Becker
- Postdoctoral Fellow, Institute for Health Promotion and Disease Prevention Research, Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, Los Angeles, CA, 90032-3628, USA. Tel: (323) 442-7259; Fax: (323) 442-8201
| | - James P. Thing
- Postdoctoral Fellow, Institute for Health Promotion and Disease Prevention Research, Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, Los Angeles, CA, 90032-3628, USA. Associate Professor, Institute for Health Promotion and Disease Prevention Research, Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, Los Angeles, CA, 90032-3628, USA
| | - Lourdes Baezconde-Garbanati
- Associate Professor, Institute for Health Promotion and Disease Prevention Research, Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, Los Angeles, CA, 90032-3628, USA
| | - Seth J. Schwartz
- Associate Professor, Department of Public Health Sciences, Leonard M. Miller School of Medicine, University of Miami, 1425 N. W. 10 Avenue, Suite 321, Miami, FL 33136
| | - Daniel W. Soto
- Project Manager, Institute for Health Promotion and Disease Prevention Research, Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, Los Angeles, CA, 90032-3628, USA
| | - Jennifer B. Unger
- Professor, Institute for Health Promotion and Disease Prevention Research, Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, Los Angeles, CA, 90032-3628, USA
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26
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Ma M, Malcolm LR, Diaz-Albertini K, Klinoff VA, Leeder E, Barrientos S, Kibler JL. Latino cultural values as protective factors against sexual risks among adolescents. J Adolesc 2014; 37:1215-25. [PMID: 25233526 DOI: 10.1016/j.adolescence.2014.08.012] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2014] [Revised: 08/21/2014] [Accepted: 08/22/2014] [Indexed: 11/26/2022]
Abstract
The study objective was to examine the associations between cultural values and sexual risk factors among Latino youth. A sample of 226 Latino adolescents ages 13-16 completed a survey on cultural and sexual variables. Results indicate higher levels of Latino cultural orientation were related to greater sexual self-efficacy and fewer sexual partners for female adolescents and greater condom use self-efficacy for both males and females. Greater endorsement of simpatia (belief in interpersonal relationship harmony) was associated with sexual abstinence and greater sexual self-efficacy for all adolescents, and with being older at sexual debut for females. Stronger endorsement of respeto (respect towards parents and other authority figures) was correlated with a lower intention to have sex during secondary school and greater condom use self-efficacy. American cultural orientation was associated with less condom use. Our findings indicate Latino cultural values may serve as protective factors against sexual risk behaviors among Latino youth.
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Affiliation(s)
- Mindy Ma
- Nova Southeastern University, Farquhar College of Arts and Sciences, Division of Social and Behavioral Sciences, 3301 College Avenue, Fort Lauderdale, FL 33314, USA.
| | - Lydia R Malcolm
- Nova Southeastern University, Center for Psychological Studies, 3301 College Avenue, Fort Lauderdale, FL 33314, USA.
| | - Kristine Diaz-Albertini
- Nova Southeastern University, Center for Psychological Studies, 3301 College Avenue, Fort Lauderdale, FL 33314, USA.
| | - Vera A Klinoff
- Nova Southeastern University, Center for Psychological Studies, 3301 College Avenue, Fort Lauderdale, FL 33314, USA.
| | - Elisa Leeder
- Nova Southeastern University, Humanities and Social Sciences, 3301 College Avenue, Fort Lauderdale, FL 33314, USA.
| | - Sohani Barrientos
- Nova Southeastern University, Center for Psychological Studies, 3301 College Avenue, Fort Lauderdale, FL 33314, USA.
| | - Jeffrey L Kibler
- Nova Southeastern University, Center for Psychological Studies, 3301 College Avenue, Fort Lauderdale, FL 33314, USA.
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Larson KL, Ballard SM, Nuncio BJ, Swanson M. Testing the feasibility of ¡Cuídate! With Mexican and Central American youth in a rural region of a southern state. Res Nurs Health 2014; 37:409-22. [PMID: 25185453 DOI: 10.1002/nur.21621] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/11/2014] [Indexed: 11/07/2022]
Abstract
Regions of the US with growing Latino populations are in need of culturally sensitive sexual risk reduction programs. A Latino community, a public school district, and a university in eastern North Carolina collaborated to test the feasibility of ¡Cuídate!, a culturally tailored, evidence-based sexual risk reduction program, with Mexican and Central American youth. Ten male and 10 female adolescents, ages 13-17 years, participated in the ¡Cuídate! program and post-program focus groups. Early adolescent boys and girls (ages 13-15) gained the most from this program. A safe environment facilitated healthy sexual communication, and condom skills-building provided a context for shared partner responsibility. Grade-level and gender differences were significant. Analysis of the focus group data identified three important messages: Everybody needs sex education, We like this program better because it is hands-on, and I'm going to make better decisions about sex. The findings of this study support the need for community-based interventions that ensure cultural respect, trust, and a safe environment in which to discuss sexual issues.
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Affiliation(s)
- Kim L Larson
- Associate Professor, East Carolina University, College of Nursing, 3135 Health Science Building, Greenville, NC, 27858-4353
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28
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Du H, Li X. Acculturation and HIV-related sexual behaviours among international migrants: a systematic review and meta-analysis. Health Psychol Rev 2013; 9:103-22. [PMID: 25793493 DOI: 10.1080/17437199.2013.840952] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
This review examines the global literature regarding the relationship between acculturation and HIV-related sexual behaviours among international migrants. Seventy-nine articles published in English-language journals prior to July 2012 met the criteria for inclusion. We conducted a systematic review and subset meta-analysis of correlations between acculturation and five types of sexual behaviours including condom use, multiple partnerships, early sexual initiation, sexually transmitted diseases (STDs) and other unsafe sexual practices. Immigrants high in mainstream acculturation were more likely to have multiple partnerships, early sexual initiation, STDs and unsafe sex (rs ranged from 0.10 to 0.16), but acculturation was not associated with condom use (r = 0.02). Gender moderated the relationships between acculturation and multiple partnerships, STDs and unsafe sex. The relationship between acculturation and unsafe sex also varied across ethnicity. These findings suggest that acculturation may serve as a risk factor towards immigrants' HIV-related sexual health. We offered a theoretical framework and suggested applying cross-cultural and longitudinal designs in future research on acculturation and health behaviours.
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Affiliation(s)
- Hongfei Du
- a Pediatric Prevention Research Center, Department of Pediatrics , Wayne State University School of Medicine , Detroit , MI , USA
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Strunin L, Martínez AD, Martínez LRD, Heeren T, Kuranz S, Winter M, Hernández–Ávila CA, Varela HF, Torres CS. Parental monitoring and alcohol use among Mexican students. Addict Behav 2013; 38:2601-6. [PMID: 23846177 PMCID: PMC3756822 DOI: 10.1016/j.addbeh.2013.06.011] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2012] [Revised: 04/25/2013] [Accepted: 06/07/2013] [Indexed: 10/26/2022]
Abstract
Parental monitoring has been described as a protective factor and useful strategy to prevent substance misuse among youths. The aim of this study was to examine whether perceived parental monitoring influences frequency of alcohol use, age of drinking onset and risky drinking among entering public high school and university students in Mexico City. The study is a cross-sectional survey of entering first year students in the high school and university school system of a large public university in Mexico City conducted during registration at the beginning of the school year. In 2008, of 34,840 students accepted to the affiliated high schools, 28,996 students (51.8% female) completed the alcohol survey and of 37,683 students accepted into university 30,084 students (51.5% female) completed the alcohol survey. The findings suggest that compared to students with higher perceived parental monitoring those reporting lower perceived parental monitoring were more likely to report risky behavior. They were more likely to be ever drinkers, frequent drinkers, have earlier age of onset and high AUDIT scores. Overall, higher parental monitoring was strongly associated with being female and lower parental monitoring with being male. Our findings suggest that more research on parental monitoring as a protective strategy against alcohol misuse is needed. Research focusing on cultural factors including gender and age-related norms and familismo would increase knowledge of the association of parental monitoring and alcohol use among Mexican youths, Mexican American youths and potentially youths from other Hispanic 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
| | - 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, México
| | - 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, México
| | - Timothy Heeren
- Department of Biostatistics, 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
| | - Michael Winter
- Data Coordinating Center, 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 06030-2103, USA
| | - Héctor Fernández Varela
- General Medical Services, National Autonomous University of Mexico, Circuito Escolar S-N Ciudad Universitaria. Delegación Coyoacan, México, D.F., 04510, México
| | - Cuauhtémoc Solís Torres
- General Medical Services, National Autonomous University of Mexico, Circuito Escolar S-N Ciudad Universitaria. Delegación Coyoacan, México, D.F., 04510, México
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Lee YM, Dancy B, Florez E, Holm K. Factors Related to Sexual Practices and Successful Sexually Transmitted Infection/HIV Intervention Programs for Latino Adolescents. Public Health Nurs 2013; 30:390-401. [DOI: 10.1111/phn.12039] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Young-Me Lee
- School of Nursing; DePaul University; Chicago; Illinois
| | - Barbara Dancy
- Department of Health Systems Science; College of Nursing; University of Illinois; Chicago; Illinois
| | | | - Karyn Holm
- School of Nursing; DePaul University; Chicago; Illinois
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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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Blanco C, Morcillo C, Alegría M, Dedios MC, Fernández-Navarro P, Regincos R, Wang S. Acculturation and drug use disorders among Hispanics in the U.S. J Psychiatr Res 2013; 47:226-32. [PMID: 23128062 PMCID: PMC3529964 DOI: 10.1016/j.jpsychires.2012.09.019] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2012] [Revised: 08/24/2012] [Accepted: 09/27/2012] [Indexed: 11/18/2022]
Abstract
The authors' objective was to examine the relationship between degree of acculturation across five different dimensions of acculturation and risk of drug use disorders (DUD) among US Hispanics. Data were derived from a large national sample of the US adult population, the National Epidemiological Survey on Alcohol and Related Conditions, collected using face-to-face interviews. The sample included civilian non-institutionalized U.S. population aged 18 years and older, with oversampling of Hispanics, Blacks and those aged 18-24 years. Interviews of more than 34,000 adults were conducted during 2004-2005 using the Alcohol Use Disorder and Associated Disabilities Interview Schedule - DSM-IV Version. A total of 6359 subjects who identified themselves as Hispanics were included in this study. Acculturation measures used in this study assessed:, time spent in the U.S., age at immigration, language preference, social network composition, and ethnic identification. Among Hispanics, there was an inverse relationship between five complementary dimensions of acculturation and DUD. Moreover, this relationship showed a significant gradient across all acculturation dimensions and DUD. The prevalence of DUD increases with acculturation in Hispanics, across several measures of acculturation in a dose-response relationship. Hispanic cultural features and values exert a protective effect on risk of DUD. Preservation and promotion of Hispanic values may be an important component of preventive interventions for Hispanics.
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Affiliation(s)
- Carlos Blanco
- Department of Psychiatry, Columbia University/New York State Psychiatric Institute, New York, NY 10032, USA.
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Bermúdez MP, Castro Á, Buela-Casal G. Psychosocial Correlates of Condom Use and their Relationship with Worry about STI and HIV in Native and Immigrant Adolescents in Spain. SPANISH JOURNAL OF PSYCHOLOGY 2013; 14:746-54. [DOI: 10.5209/rev_sjop.2011.v14.n2.22] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The goal of this study was to analyze how worry about sexually-transmitted infections (STI) and HIV influences attitudes and self-efficacy towards condom use, HIV-related knowledge, HIV-perceived susceptibility and HIV-misconceptions in a multicultural sample in Spain. The sample was composed of 3,051 adolescents aged between 14 and 19 years old who lived in Spain. Of these, 67.7% were native Spaniards and the remaining 32.3% were Latin American immigrants. Results showed that worry about STI and HIV has a direct influence on condom use self-efficacy and HIV-knowledge and HIV-perceived susceptibility. Native Spanish adolescents showed higher positive attitudes towards condom use, greater HIV-knowledge and HIV-perceived susceptibility, and lower negative attitudes towards condoms use and HIV-misconceptions than Latin American adolescents. In the discussion, the importance of worry about STI and HIV is highlighted as a mediator variable that can predict risky sexual behavior and is related to cultural origin.
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Larson K, Sandelowski M, McQuiston C. "It's a touchy subject": Latino adolescent sexual risk behaviors in the school context. Appl Nurs Res 2012; 25:231-8. [PMID: 21741798 PMCID: PMC3193909 DOI: 10.1016/j.apnr.2011.04.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2011] [Revised: 03/14/2011] [Accepted: 04/22/2011] [Indexed: 10/18/2022]
Abstract
Adverse sexual health outcomes remain disproportionately high for Latino adolescents. To examine sexual risk behaviors in Latino adolescents, we conducted in-depth interviews with 18 Latino parents and 13 school staff members and carried out 1 year of fieldwork in the school and community. "It's a touchy subject [sex] here" exemplified the reluctance of addressing sexual risk behaviors. Community- and systems-level strategies are recommended.
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Affiliation(s)
- Kim Larson
- East Carolina University College of Nursing, 3135 Health Sciences Building, Greenville, NC 27858-4353, 252-744-6527 (W), 252-744-6387 (fax)
| | | | - Chris McQuiston
- University of North Carolina at Chapel Hill School of Nursing, 919-932-6079
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Reimer RA, Houlihan AE, Gerrard M, Deer MM, Lund AJ. Ethnic differences in predictors of HPV vaccination: comparisons of predictors for Latina and non-Latina White women. JOURNAL OF SEX RESEARCH 2012; 50:748-756. [PMID: 23030843 DOI: 10.1080/00224499.2012.692406] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The purpose of this study was to examine how social and behavioral factors such as age of first intercourse, mother-daughter communication, and perceived norms are associated with human papillomavirus (HPV) vaccination behaviors, and whether ethnicity moderates those associations (non-Latina White versus Latina participants). From June through December 2009, we surveyed a community sample of 309 White and Latina women, ages 15 to 30. We recruited participants from local health care clinics in Des Moines, Iowa. Vaccination status was not significantly different for Whites versus Latinas. The effects of age at first intercourse, mother-daughter communication about values related to sex, and descriptive norms of HPV vaccine uptake were all significantly moderated by ethnicity. The current findings reveal that sociocultural and behavioral factors that affect HPV vaccine uptake do not affect White and Latina women in the same fashion. In the future, public health campaigns about HPV and the HPV vaccine may be more effective if their messages are sensitive to these differences.
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Bouris A, Guilamo-Ramos V, Cherry K, Dittus P, Michael S, Gloppen K. Preventing rapid repeat births among latina adolescents: the role of parents. Am J Public Health 2012; 102:1842-7. [PMID: 22897524 PMCID: PMC3490667 DOI: 10.2105/ajph.2011.300578] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/14/2011] [Indexed: 11/04/2022]
Abstract
Latina adolescent parents are at increased risk for rapid repeat births (second birth ≤ 24 months after the first), sexually transmitted infections, and negative educational and social outcomes. Although several effective parent-based interventions have been developed to prevent Latino youths' sexual risk taking, little research has explored the development of interventions to prevent repeat births that involve the parents of these adolescents. Existing preventative interventions involving parents suffer from important methodological limitations. Additional research is needed to advance theories of behavior, identify the causal pathways of parental influence, and specify appropriate behavioral targets. Future parent-based interventions to prevent repeat births should target pregnancy intentions, age of partners, contraceptive use, integrated prevention of pregnancies and sexually transmitted infections, educational attainment, and future orientations.
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Affiliation(s)
- Alida Bouris
- School of Social Service Administration, University of Chicago, IL 60637, USA.
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Nolle AP, Gulbas L, Kuhlberg JA, Zayas LH. Sacrifice for the sake of the family: expressions of familism by Latina teens in the context of suicide. THE AMERICAN JOURNAL OF ORTHOPSYCHIATRY 2012; 82:319-27. [PMID: 22880970 DOI: 10.1111/j.1939-0025.2012.01166.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Familism is a core value promoted by many individuals of Hispanic or Latino descent that emphasizes the primacy of the family over the individual. This study illuminates some aspects of the relationship between familism and adolescent suicidal behavior. Qualitative data from 24 female Hispanic teens with and without a history of suicidal behaviors and their parents were analyzed to understand the ways in which familism is expressed in their lives. Both suicide attempters and nonattempters demonstrate familism by making material or emotional (or both) sacrifices for the sake of their families. However, for those attempters who expressed a clear intent to die, a third type of sacrifice emerged: Girls expressed a desire to kill themselves in order to make things better for their families, literally sacrificing themselves for the sake of family. Findings point to the complexity of familism in understanding the risks of suicide attempts among teen Latinas and to the value of mixed methods in studying deeply the cultural factors that influence problem behaviors.
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Affiliation(s)
- Allyson P Nolle
- Center for Latino Family Research, Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130, USA.
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Kenny MC, Wurtele SK. Child sexual behavior inventory: a comparison between Latino and normative samples of preschoolers. JOURNAL OF SEX RESEARCH 2012; 50:449-457. [PMID: 22456487 DOI: 10.1080/00224499.2011.652265] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
There is a relative dearth of research examining normative sexual behavior in Latino preschool children, despite an increased presence of Latinos as a minority population in the United States. To meet this need, a sample of Latino mothers were asked to complete the Child Sexual Behavior Inventory (CSBI; Friedrich et al., 1992 ) on their preschool-aged children (3 to 5 years old; n = 188). When their children's scores were compared to CSBI normative data, significant differences emerged. Compared to the normative sample, Latino boys and girls scored significantly higher on the sexual abuse specific items subscale, and Latino girls scored significantly higher on the developmentally related sexual behavior subscale. Possible cultural explanations for these elevations are explored.
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Affiliation(s)
- Maureen C Kenny
- Department of Leadership & Professional Studies, Florida International University, Miami, FL 33199, USA.
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Warren JT, Harvey SM, Bovbjerg ML. Characteristics related to effective contraceptive use among a sample of nonurban Latinos. PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH 2011; 43:255-262. [PMID: 22151513 DOI: 10.1363/4325511] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
CONTEXT A better understanding of effective contraceptive use among Latinos is needed to reduce their high rate of unintended pregnancy. Most research has focused on urban Latinas and has overlooked the relationship context of effective contraceptive use. METHODS Interviews were conducted among a sample of 450 Latino women and men aged 18-25 in sexual relationships, who were recruited from community sites in four rural Oregon counties in 2006. Bivariate and multinomial logistic regression analyses were used to examine the associations between effective contraceptive use and -individual, cultural and relationship characteristics. RESULTS Half of participants reported effective contraceptive use in their primary relationships: Thirty-six percent consistently used a female method, and 15% consistently used condoms. Acculturation and confidence in one's -ability to practice contraception with a primary partner were associated with female method use rather than no effective use (risk ratios, 0.7 and 1.7, respectively). Participation in sexual decision making was positively associated with condom use rather than no effective method use (2.2) or female method use (1.9); partner involvement in birth control was positively associated with condom use rather than female method use (1.8). CONCLUSIONS Variations in effective contraceptive use among nonurban Latinos appear related to relationship characteristics and dynamics. Contraceptive counseling and unintended pregnancy prevention programs that are tailored to reflect relationship contexts and to include male partners where appropriate could improve the quality and cultural relevance of services among nonurban Latinos.
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Affiliation(s)
- Jocelyn T Warren
- Department of Public Health, Oregon State University, Corvallis, Oregon, USA.
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Minnis AM, Doherty I, vanDommelen-Gonzalez E, Cheng H, Otero-Sabogal R, Padian NS. Immigration and sexual partner risk among Latino adolescents in San Francisco. J Immigr Minor Health 2011; 12:900-8. [PMID: 20440647 DOI: 10.1007/s10903-010-9348-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Sexual partner characteristics increase risk for adverse reproductive health outcomes. Evidence is limited regarding whether choice of sexual partners among Latino adolescents changes with U.S. acculturation/adaptation. We used generalized estimating equations to assess the associations between immigrant generation (recent immigrant, 1.5 [immigrated prior to adolescence], 2nd and 3rd) and sexual partner risk in a prospective cohort study of 411 Latino adolescents aged 14-19. We examined three measures of partner risk and mediating effects of family influence (familism and parental monitoring). The odds of reporting a partner with frequent substance use increased with increasing immigrant generation (odds ratios (OR) [reference = recent immigrants]: 2.3, 3.4, and 5.6) as did having a partner who was in a gang/incarcerated (OR [reference = recent immigrants]: 2.4, 3.6, and 5.7). Though the odds of having high-risk partners decreased with higher parental monitoring, neither family influence measure mediated these relationships. Findings underscore the need for a prevention focus on partner choice with attention to increased risk with increasing U.S. generation.
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Affiliation(s)
- A M Minnis
- Women's Global Health Imperative, RTI International, San Francisco, CA 94104, USA.
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Social support associated with a reduced risk of sexually transmitted infection in Canadians. J Public Health (Oxf) 2010. [DOI: 10.1007/s10389-010-0351-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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