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Olsavsky AK, Chirico I, Ali D, Christensen H, Boggs B, Svete L, Ketcham K, Hutchison K, Zeanah C, Tottenham N, Riggs P, Epperson CN. Maternal Childhood Maltreatment, Internal Working Models, and Perinatal Substance Use: Is There a Role for Hyperkatifeia? A Systematic Review. Subst Abuse 2023; 17:11782218231186371. [PMID: 37476500 PMCID: PMC10354827 DOI: 10.1177/11782218231186371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 06/16/2023] [Indexed: 07/22/2023]
Abstract
The parent-infant relationship is critical for socioemotional development and is adversely impacted by perinatal substance use. This systematic review posits that the mechanisms underlying these risks to mother-infant relationships center on 3 primary processes: (1) mothers' childhood maltreatment experiences; (2) attachment styles and consequent internal working models of interpersonal relationships; and (3) perinatal substance use. Further, the review considers the role of hyperkatifeia, or hypersensitivity to negative affect which occurs when people with substance use disorders are not using substances, and which drives the negative reinforcement in addiction. The authors performed a systematic review of articles (published 2000-2022) related to these constructs and their impact on mother-infant relationships and offspring outcomes, including original clinical research articles addressing relationships between these constructs, and excluding case studies, reviews, non-human animal studies, intervention studies, studies with fewer than 30% female-sex participants, clinical guidelines, studies limited to obstetric outcomes, mechanistic/biological studies, and studies with methodological issues precluding interpretation. Overall 1844 articles were screened, 377 were selected for full text review, and data were extracted from 157 articles. Results revealed strong relationships between mothers' childhood maltreatment experiences, less optimal internal working models, and increased risk for perinatal substance use, and importantly, all of these predictors interacted with hyperkatifeia and exerted a marked impact on mother-infant relationships with less data available on offspring outcomes. These data strongly support the need for future studies addressing the additive impact of maternal childhood maltreatment experiences, suboptimal internal working models, and perinatal substance use, with hyperkatifeia as a potential moderator, and their interacting effects on mother-infant socioemotional outcomes.
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Affiliation(s)
- Aviva K. Olsavsky
- University of Colorado School of Medicine, Aurora, CO, USA
- Children’s Hospital Colorado, Aurora, CO, USA
| | - Isabella Chirico
- SUNY Downstate Health Sciences University College of Medicine, Brooklyn, NY, USA
| | - Diab Ali
- University of Colorado School of Medicine, Aurora, CO, USA
| | - Hannah Christensen
- University of Colorado School of Medicine, Aurora, CO, USA
- Children’s Hospital Colorado, Aurora, CO, USA
| | - Brianna Boggs
- University of Colorado School of Medicine, Aurora, CO, USA
- Children’s Hospital Colorado, Aurora, CO, USA
| | - Lillian Svete
- University of Colorado School of Medicine, Aurora, CO, USA
- University of Kentucky College of Medicine, Louisville, KY, USA
| | | | - Kent Hutchison
- University of Colorado School of Medicine, Aurora, CO, USA
| | - Charles Zeanah
- Tulane University School of Medicine, New Orleans, LA, USA
| | | | - Paula Riggs
- University of Colorado School of Medicine, Aurora, CO, USA
- Children’s Hospital Colorado, Aurora, CO, USA
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Marquez B, Lebensohn-Chialvo F, Huang X, Zhang X, Allison M. Improving Relational Functioning in Mother-Daughter Dyads With Obesity. FAMILY & COMMUNITY HEALTH 2023; 46:103-111. [PMID: 36799943 PMCID: PMC10959269 DOI: 10.1097/fch.0000000000000359] [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] [Indexed: 06/18/2023]
Abstract
Family-level interventions have the potential to address intergenerational obesity among Mexican American women. Given that poor family functioning is associated with worse weight loss outcomes, this study tested a weight management program aimed at improving relational functioning in mothers and daughters with obesity. Mexican American mothers and their adult daughters were randomly assigned to participate in a 16-week group-based standard behavioral (SB) weight loss program without or with relationship skills training (SRT). Relational functioning was assessed via observational behavioral coding using the Global Structural Family Rating Scale. General relational functioning and specifically positive alliance patterns and conflict avoidance improved significantly more in the SRT group than in the SB group. Average weight changes included percent weight loss of -5.6% in the SRT group versus -3.9% in the SB group and body mass index reduction of -2.2 kg/m2 in the SRT group versus -1.2 kg/m2 in the SB group. More participants in the SRT group (75%) than in the SB group (40%) tended to achieve at least 3% weight loss. Greater changes in positive alliance patterns increased the likelihood of losing 3% of body weight. Improving relational functioning in mother-daughter dyads may promote favorable outcomes in a behavioral weight loss intervention.
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Affiliation(s)
- Becky Marquez
- Herbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, California, United States of America
| | - Florencia Lebensohn-Chialvo
- Department of Counseling & Marital and Family Therapy Program, University of San Diego, San Diego, United States of America
| | - Xinyi Huang
- Herbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, California, United States of America
| | - Xinlian Zhang
- Herbert Wertheim School of Public Health & Human Longevity Science, University of California San Diego, La Jolla, California, United States of America
| | - Matthew Allison
- Department of Family Medicine, University of California San Diego, La Jolla, California, United States of America
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3
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Rabin J, Lawlace M, Zhen-Duan J, Nuñez M, Jacquez F. A social interaction learning model approach to understand adverse childhood experiences and drug use among Latinx youth. J Ethn Subst Abuse 2021:1-15. [PMID: 34597244 DOI: 10.1080/15332640.2021.1982804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Latinx youth, members of an ethnic minority group growing faster than the national growth rate, are at increased risk of experiencing adverse childhood experiences (ACEs) but it remains unclear how ACEs relate to externalizing behaviors, such as substance use and behaviors leading to injury and violence, in this population. In a sample of 100 Latinx youth, the current study examined how ACEs related to drug use and behaviors leading to injury and violence. Exposure to ACEs was associated with increased drug use, and that association was significantly moderated by behaviors leading to injury and violence for Latina adolescents. Given these findings, more attention needs to be diverted to screening for ACEs and externalizing behaviors in Latina girls.
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Affiliation(s)
- Julia Rabin
- Department of Psychology, University of Cincinnati, Cincinnati, OH
| | - Margaret Lawlace
- Department of Psychology, University of Cincinnati, Cincinnati, OH
| | - Jenny Zhen-Duan
- Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA.,Department of Medicine, Harvard Medical School, Boston, MA
| | - Miguel Nuñez
- Department of Psychology, University of Cincinnati, Cincinnati, OH
| | - Farrah Jacquez
- Department of Psychology, University of Cincinnati, Cincinnati, OH
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Arellano RAB, Jandoc K, Ramos YAG. Do Mothers’ Status, Autonomy, and Parenting Style Influence Their Children’s Initiation Into Smoking and Alcohol Use? JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE 2021. [DOI: 10.1080/1067828x.2021.1922324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
| | - Karl Jandoc
- University of the Philippines, Quezon City, Philippines
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5
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De La Rosa M, Huang H, Brook JS, Sanchez M, Rojas P, Kanamori M, Cano MÁ, Martinez M. Sociocultural determinants of substance misuse among adult Latinas of Caribbean and South and Central American descent: A longitudinal study of a community-based sample. J Ethn Subst Abuse 2018; 17:303-323. [PMID: 27436513 PMCID: PMC5638709 DOI: 10.1080/15332640.2016.1201716] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Few studies have examined the socio-cultural determinants of alcohol and drug misuse trajectories among adult Latinas. To assess the associations between socio-cultural determinants and alcohol and drug misuse, we used a longitudinal design to follow a sample of adult Latina mother-daughter-dyads (N = 267) for ten years, and collected four waves of data. They were adult Latinas of Caribbean, South and Central American descent. Specifically, this study investigated the effects of the following factors: (1) Individual Determinants (e.g., socioeconomic conditions, mental health, and medical status); (2) Cultural Determinants (e.g., acculturation to US culture); (3) Interpersonal Determinants (e.g., interpersonal support, relationship stress, mother-daughter attachment, intimate partner violence); (4) Community Determinants (e.g., neighborhood related stress); and (5) Institutional Determinants (e.g., religious involvement, involvement with the criminal justice system). Using hierarchical modeling, we found that taking prescribed medication on a regular basis for a physical problem, religious involvement, and mother-daughter attachment were negatively associated with drug misuse, while involvement in criminal activity was positively associated with drug misuse. Regarding alcohol misuse, results showed that age at arrival in the United States, number of years in the United States, and religious involvement were negatively associated with alcohol misuse, while involvement in criminal activity was positively associated with alcohol misuse. Based on our findings, explicit implications are provided for culturally relevant interventions.
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Affiliation(s)
| | - Hui Huang
- Florida International University, Miami, Florida
| | | | | | - Patria Rojas
- Florida International University, Miami, Florida
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6
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Fairbairn CE, Briley DA, Kang D, Fraley RC, Hankin BL, Ariss T. A meta-analysis of longitudinal associations between substance use and interpersonal attachment security. Psychol Bull 2018; 144:532-555. [PMID: 29494194 DOI: 10.1037/bul0000141] [Citation(s) in RCA: 80] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Substance use has long been associated with close relationship distress. Although the direction of influence for this association has not been established, it has often been assumed that substance use is the causal agent and that close relationship distress is the effect. But research seeking to establish temporal precedence in this link has produced mixed findings. Further, theoretical models of substance use and close relationship processes present the plausibility of the inverse pathway-that insecure close relationships may serve as a vulnerability factor for the development of later substance problems. The current review applies an attachment-theoretical framework to the association between close social bonds and substance use and substance-related problems. Targeting longitudinal studies of attachment and substance use, we examined 665 effect sizes drawn from 34 samples (total N = 56,721) spanning time frames ranging from 1 month to 20 years (M = 3.8 years). Results revealed a significant prospective correlation between earlier attachment and later substance use (r = -.11, 95% CI [-.14, -0.08]). Further, cross-lagged coefficients were calculated which parsed auto-regressive effects, indicating that lower attachment security temporally preceded increases in substance use (r = -.05, 95% CI [-.06, -.04]). Analyses further indicated that the pathway from earlier attachment to later substance use was significantly stronger than that from earlier substance use to later attachment. Results also revealed several moderators of the attachment-substance use link. These findings suggest that insecure attachment may be a vulnerability factor for substance use, and indicate close relationship quality as a promising line of inquiry in research on substance use disorder risk. (PsycINFO Database Record
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Affiliation(s)
| | - Daniel A Briley
- Department of Psychology, University of Illinois at Urbana-Champaign
| | - Dahyeon Kang
- Department of Psychology, University of Illinois at Urbana-Champaign
| | - R Chris Fraley
- Department of Psychology, University of Illinois at Urbana-Champaign
| | - Benjamin L Hankin
- Department of Psychology, University of Illinois at Urbana-Champaign
| | - Talia Ariss
- Department of Psychology, University of Illinois at Urbana-Champaign
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Wilson MN, Langille DB, Ogilvie R, Asbridge M. When parents supply alcohol to their children: Exploring associations with drinking frequency, alcohol-related harms, and the role of parental monitoring. Drug Alcohol Depend 2018; 183:141-149. [PMID: 29248692 DOI: 10.1016/j.drugalcdep.2017.10.037] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 10/24/2017] [Accepted: 10/25/2017] [Indexed: 11/26/2022]
Abstract
BACKGROUND Youth obtain alcohol from many sources, including friends, siblings, parents and other adults. Whether parental supply, relative to other sources, is associated with experiencing a negative alcohol-related outcome is an area of considerable debate. Less well understood is whether the observed association is further contextualized by level of parental monitoring of the child. OBJECTIVES This study has two main objectives: 1) determine if there is a relationship between parental supply, drinking frequency, and alcohol-related harms among youth; and 2) assess whether parental monitoring moderates this relationship. METHODS Participants were drawn from the 2012 Student Drug Use Survey in Canada's Atlantic Provinces, an anonymous cross-sectional survey of high school students (ages 15-19 years). Adjusted regression models assessed the association between drinking frequency, experiencing alcohol-related harms, and four different sources of supply. Additional analyses stratified on levels of parental monitoring. RESULTS Relative to receiving alcohol from friends, parental supply was associated with lower odds of experiencing any alcohol-related harm (AOR 0.42; 95% CI 0.28-0.61) and loss of control (AOR = 0.42; 95% CI 0.29-0.62). Drinking frequency did not differ by source of supply. Associations between parental supply and harm were absent among youth reporting low levels of parental monitoring. CONCLUSIONS Youth who receive alcohol from parents' report fewer alcohol-related harms relative to those who obtain their alcohol from friends, despite no observed differences in drinking frequency. Understanding how parents may help to minimize experiences of alcohol-related harm among youth beyond the simple promotion of abstinence from drinking is warranted.
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Affiliation(s)
- Maria N Wilson
- Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, 5790 University Avenue, Halifax, NS, Canada, B3H 1V7, Canada
| | - Donald B Langille
- Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, 5790 University Avenue, Halifax, NS, Canada, B3H 1V7, Canada
| | - Rachel Ogilvie
- Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, 5790 University Avenue, Halifax, NS, Canada, B3H 1V7, Canada
| | - Mark Asbridge
- Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, 5790 University Avenue, Halifax, NS, Canada, B3H 1V7, Canada.
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Dillon FR, Ertl MM, Verile M, Siraj N, Babino R, De La Rosa M. A Social Ecological Study of Psychological Distress among Recently Immigrated, Latina Young Adults. JOURNAL OF LATINX PSYCHOLOGY 2018; 7:39-58. [PMID: 30800533 PMCID: PMC6386459 DOI: 10.1037/lat0000106] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
The present study examined potential individual-, cultural-, and interpersonal-level determinants of psychological distress among young adult Latina immigrants during their initial months in the United States (US). Five hundred thirty participants (aged 18-23 years old) immigrated an average of one year before assessment. Higher levels of psychological distress (as measured by the Brief Symptom Inventory, Derogatis & Fitzpatrick, 2004) were associated with undocumented immigration status, more immersion in the dominant (US) society, and more acculturative stress. Participants who more strongly endorsed certain marianismo beliefs [i.e., Latina women should be (a) the spiritual leaders of their family and are responsible for the family's spiritual growth and (b) virtuous and chaste] indicated less distress. Participants who endorsed the belief that Latina women should be subordinate and self-silencing to maintain harmony in relationships reported more intense distress. Women who endorsed the belief that Latinas should be the main source of strength for their family also reported more distress. Participants' attachment to their social network served as a moderator of several direct effects. Participants who experienced close attachment to their social network and more ethnic immersion reported substantively less distress than other participants did. Participants reporting lower attachment and lower endorsement of the virtuous and chaste belief experienced more distress than their peers did. Participants indicating lower attachment and higher endorsement of subordinate and self-silencing beliefs also reported more distress than peers did. Finally, participants who spent less time in the US and reported lower attachment indicated higher levels of distress. Findings inform interventions to eliminate mental health disparities affecting Latina young adults.
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Affiliation(s)
| | | | | | - Nusrat Siraj
- University at Albany - State University of New York
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Schinke S, Schwinn T, Hopkins J, Wahlstrom L. Drug abuse risk and protective factors among Hispanic adolescents. Prev Med Rep 2016; 3:185-8. [PMID: 27419013 PMCID: PMC4929185 DOI: 10.1016/j.pmedr.2016.01.012] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Drug use is a disquieting problem among the growing population of U.S. Hispanic adolescents. This study examined risk and protective factors associated with drug use in a sample of 507 Hispanic adolescents. Data were collected in 2014 and 2015 from youths across the United States. The sample had a mean age of 14.1 years and was 37.3% male. Youths responded to an online questionnaire about their drug use and risk and protective factors associated with drug use. Negative self-image, higher levels of stress, weaker coping skills, peer drug use, lower levels of self-control, goal-setting, problem-solving skills, and self-efficacy, and higher intentions to use drugs in the future were associated with increased odds of past-month drug use. Youths with higher self-images who spoke mostly English at home were less likely to use drugs than youths with higher self-images who spoke mostly Spanish at home.Study results have implications for gaining a better understanding of drug use risk and protective factors among America's growing population of Hispanic adolescents. Efforts to better examine and enhance Hispanic youths' cognitive-behavioral skills seem a wise investment.
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Affiliation(s)
- Steven Schinke
- School of Social Work, Columbia University, New York, NY, United States
| | - Traci Schwinn
- School of Social Work, Columbia University, New York, NY, United States
| | - Jessica Hopkins
- School of Social Work, Columbia University, New York, NY, United States
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10
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Kanamori M, De La Rosa M, Weissman J, Rojas P, Villar ME, Trepka MJ, Dillon F, Jaramillo M. Associations between drug/alcohol use and emotional abuse: Who perpetrates emotional abuse against Latina women? JOURNAL OF EPIDEMIOLOGICAL RESEARCH 2016; 2:95-101. [PMID: 32123752 PMCID: PMC7051010 DOI: 10.5430/jer.v2n1p95] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Emotional abuse is the most prevalent form of violence against Latinas. We examined dimensions and characteristics of Latino mothers' and daughters' exposure to emotional abuse and the associations between emotional abuse and heavy alcohol use and illicit drug illicit substance abuse. This 5-year longitudinal study included 112 Latino mothers and 121 Latino daughters. Analyses included: chi-square test and logistic regression. The proportion of women who reported being emotionally abused at Wave 2 but who did not report any emotional abuse during Wave 1 (5 years total) was 21.2% for daughters and 14.3% for mothers. Among emotionally abused women, 33.3% of mothers and 36.1% of daughters were abused by 2 or more people. Almost half of the mothers (48.0%) were emotionally abused by their son/daughter; 36.1% of daughters were emotionally abused by their mother. Mothers who abused drugs were more likely to be emotionally abused (OR = 3.86; 95% CI = 1.32, 11.34). Our findings suggest that attention should be given to emotional abuse and its potential for leading to substance abuse among Latinas.
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Affiliation(s)
- Mariano Kanamori
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, USA
| | - Mario De La Rosa
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, USA
| | - Jessica Weissman
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, USA
| | - Patria Rojas
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, USA
| | - Maria Elena Villar
- Department of Advertising and Public Relations, School of Journalism & Mass Communication, Florida International University, USA
| | - Mary Jo Trepka
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, USA
| | - Frank Dillon
- Department of Educational & Counseling Psychology, School of Education, University at Albany, USA
| | - Maritza Jaramillo
- Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, USA
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11
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Kanamori M, Weissman J, De La Rosa M, Trepka MJ, Rojas P, Cano MA, Melton J, Unterberger A. Latino Mother/Daughter Dyadic Attachment as a Mediator for Substance Use Disorder and Emotional Abuse. J Immigr Minor Health 2015; 18:896-903. [PMID: 26614091 DOI: 10.1007/s10903-015-0312-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
To date, no studies have investigated emotional abuse of adult Latina women by their mothers despite evidence that emotional maternal abuse may significantly contribute to the emotional abuse experienced by Latina women in their lifetime. Cross-sectional data including 316 women was analyzed using mediation and logistic regression. Overall, 7.1 % of mothers and 24.1 % of daughters abused drugs; and, 19.5 % of daughters were emotionally abused by their mothers. Mother's attachment to her daughter mediated the association between mother's drug abuse and emotionally abusing her adult daughter (indirect effect: 0.863). Latina women can serve as perpetrators of emotional abuse of their adult children. Since drug-abusing daughters are more likely to be victims of emotional abuse by their mothers and drug-abusing mothers are more likely to abuse their daughters, drug-rehabilitation practitioners should incorporate a family abuse component into rehabilitation programs.
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Affiliation(s)
- Mariano Kanamori
- Center for Research on U.S. Latinos HIV/AIDS and Drug Abuse, Florida International University, 11200 SW 8th Street. AHC5 422, Miami, FL, 33199, USA.
| | - Jessica Weissman
- Center for Research on U.S. Latinos HIV/AIDS and Drug Abuse, Florida International University, 11200 SW 8th Street. AHC5 422, Miami, FL, 33199, USA
| | - Mario De La Rosa
- Center for Research on U.S. Latinos HIV/AIDS and Drug Abuse, Florida International University, 11200 SW 8th Street. AHC5 422, Miami, FL, 33199, USA
| | - Mary Jo Trepka
- Center for Research on U.S. Latinos HIV/AIDS and Drug Abuse, Florida International University, 11200 SW 8th Street. AHC5 422, Miami, FL, 33199, USA
| | - Patria Rojas
- Center for Research on U.S. Latinos HIV/AIDS and Drug Abuse, Florida International University, 11200 SW 8th Street. AHC5 422, Miami, FL, 33199, USA
| | - Miguel Angel Cano
- Department of Epidemiology, College of Public Health and Social Work, Florida International University, Miami, FL, USA
| | - James Melton
- Center for Research on U.S. Latinos HIV/AIDS and Drug Abuse, Florida International University, 11200 SW 8th Street. AHC5 422, Miami, FL, 33199, USA
| | - Alayne Unterberger
- Center for Labor Research and Studies, Florida International University, Miami, FL, USA
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Lopez-Quintero C, Rojas P, Dillon FR, Varga LM, De La Rosa M. HIV testing practices among Latina women at risk of getting infected: a five-year follow-up of a community sample in South Florida. AIDS Care 2015; 28:137-46. [PMID: 26291133 DOI: 10.1080/09540121.2015.1071769] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Latinos are more likely to delay HIV testing, present to care with an AIDS defining illness, and die within one year of learning their HIV-positive status than non-Latino blacks and whites. For this paper, we explore the role of partner-relationship characteristics and health behaviors, in predicting HIV testing among Latina adult women who engaged in risky sexual behaviors (i.e., unprotected vaginal and/or anal sex). Data from a convenience sample of 168 Latina adult women who engaged in risky sexual behavior in the year prior to assessment were analyzed for this paper. Rates and predictors of HIV testing among this sample were assessed after a five-year follow-up. Descriptive and analytical estimates include incidence rates and adjusted odds ratios (AOR) from multilevel models. At five-year follow-up, 63.7% (n = 107) women reported having been tested for HIV, of whom 12.2% (n = 13) were women who never tested before. Main reasons for not having been tested at follow-up included: low risk perception (62.1%) and trusting their partner(s)/being in a monogamous relationship/knowing their partner's HIV status (17.2%). Predictors of HIV testing included: age (AOR: 0.96; 95% CI = 0.92-0.99), provider endorsement of HIV testing (AOR: 4.59; 95% CI = 1.77-11.95), poor quality of their romantic relationships (AOR: 1.12; 95% CI = 1.03-1.26), and knowing the HIV sero-status of sexual partner (AOR: 3.61; 95% CI = 1.46-8.95). This study characterizes a group of Latina women at high risk for HIV infection and their HIV testing behaviors. Our findings underscore the need of increasing access to quality health-care services and HIV behavioral interventions, and to strengthen the adherence to HIV/sexually transmitted disease testing recommendations and guidelines among local health-care providers serving the Latino community in South Florida.
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Affiliation(s)
- Catalina Lopez-Quintero
- a Department of Epidemiology and Biostatistics , College of Human Medicine, Michigan State University , East Lansing , MI 49924 , USA
| | - Patria Rojas
- b Center for Research on US Latinos HIV/AIDS and Drug Abuse , Florida International University , 11200 SW, 8th Street, Miami , FL 33199 , USA
| | - Frank R Dillon
- b Center for Research on US Latinos HIV/AIDS and Drug Abuse , Florida International University , 11200 SW, 8th Street, Miami , FL 33199 , USA.,c Department of Education and Counseling Psychology , State University of New York at Albany , 1400 Washington Avenue, Albany , NY 12222 , USA
| | - Leah M Varga
- b Center for Research on US Latinos HIV/AIDS and Drug Abuse , Florida International University , 11200 SW, 8th Street, Miami , FL 33199 , USA
| | - Mario De La Rosa
- b Center for Research on US Latinos HIV/AIDS and Drug Abuse , Florida International University , 11200 SW, 8th Street, Miami , FL 33199 , USA
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