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Marquez B, Lebensohn-Chialvo F, Huang X, Zhang X, Allison M. Improving Relational Functioning in Mother-Daughter Dyads With Obesity. Fam 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] [What about the content of this article? (0)] [Affiliation(s)] [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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Yeunjoo K, Williams AI, Liu C, Zhou Q. Dynamic associations between emotion expressions and strategy use in Chinese American and Mexican American preschoolers. Emotion 2023; 23:460-472. [PMID: 35389732 PMCID: PMC9635258 DOI: 10.1037/emo0001100] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Previous studies of emotion regulation in young children commonly used between-person approaches, which limit our understanding of dynamic and temporal relations between emotion expressions and strategy use. Further, previous work has mainly focused on temperamental reactivity among White children, and it is unclear whether these findings can generalize to children of Asian and Latinx origins. In the current study, we examined the within-person temporal associations between emotion expressions and strategy use among 3- to 5-year-old children in low-income Chinese American (CA) and Mexican American (MA) families. Children's emotion expressions (positive and negative) and strategy use (gaze aversion, self-soothing, fidgeting, and language) during an unfair social interaction task were coded by 10-s epoch. Executive functions were examined as between-person level predictors of strategy use. Multilevel modeling was conducted to examine whether positive and negative emotion expressions at one epoch (t-1) predicted strategy use at the following epoch (t). The results indicate that positive emotion expressions predicted an increase in fidgeting at the next epoch (β = .34, p < .01). Executive functions were unrelated to strategy use. Cultural group differences were found: CA children displayed lower intensity of positive emotion and fewer strategy use compared with MA children. The present findings inform theories on the dynamics of emotion regulation in young children and have implications for interventions with underrepresented immigrant populations. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Vintimilla R, Nevin T, Hall J, Johnson L, O’Bryant S. Cardiovascular Risk Factors and Cognitive Performance in Cognitively Normal Non-Hispanic Whites and Mexican Americans From the HABS-HD Cohort. Gerontol Geriatr Med 2022; 8:23337214221142958. [PMCID: PMC9742682 DOI: 10.1177/23337214221142958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 11/09/2022] [Accepted: 11/15/2022] [Indexed: 12/13/2022] Open
Abstract
Objectives: This study aimed to compare the impact of cardiovascular disease (CVD) and cardiovascular risk factors (CVRF) on cognition in non-Hispanic Whites (NHW) versus Mexicans Americans (MA). Methods: A cross sectional analysis was conducted on 663 NHW and 632 MA. Prevalence of specific CVRF were compared between both demographics. Cognition was tested with various neuropsychologic tests. Results: MA had a higher percentage of hypertension, abdominal circumference, diabetes, and current smoking while NHW had a higher prevalence of other CVD. However, specific CVRF impacted NHW neuropsychologic testing on cognition, executive function, and processing, while only memory was affected in MA. Discussion: MA have less access to healthcare services with a higher prevalence of specific CVRF, however previous research has cited a lower mortality compared to NHW, this is known as the Hispanic paradox effect. The Mexican American ethnicity may be a protective factor in cognition creating increased neuropsychologic resilience from CVRF.
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Affiliation(s)
- Raul Vintimilla
- University of North Texas Health Science Center, Fort Worth, USA,Raul Vintimilla, Institute for Translational Research, University of North Texas Health Science Center, 855 Montgomery Street, Fort Worth, TX 76123, USA.
| | - Thomas Nevin
- University of North Texas Health Science Center, Fort Worth, USA
| | - James Hall
- University of North Texas Health Science Center, Fort Worth, USA
| | - Leigh Johnson
- University of North Texas Health Science Center, Fort Worth, USA
| | - Sid O’Bryant
- University of North Texas Health Science Center, Fort Worth, USA
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McClellan SP, Boyd TW, Hendrix J, Peña K, Swider SM, Martin MA, Rothschild SK. Behind Closed Doors: A Thematic Analysis of Diabetes Community Health Worker Home Visit Content. Fam Community Health 2022; 45:299-307. [PMID: 35985028 PMCID: PMC9394926 DOI: 10.1097/fch.0000000000000341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The present work studies how community health workers (CHWs) perform the role of educator and how this relates to the implementation of other CHW roles, skills, and qualities. Prior studies on this topic have relied on interviews or focus groups rather than analysis of CHW interactions. We conducted a thematic analysis of 24 transcripts of conversations occurring between CHWs and participants during home visits as part of the Mexican American Trial of Community Health Workers, a randomized controlled trial that improved clinical outcomes among low-income Mexican American adults with type 2 diabetes. Three themes describing interactions related to diabetes self-management education accounted for about half of encounter content. The other half of encounter content was dedicated to interactions not explicitly related to diabetes described by 4 subthemes. In a successful CHW intervention, focused educational content was balanced with other interactions. Interactions not explicitly related to diabetes may have provided space for the implementation of core CHW roles, skills, and qualities other than educator, particularly those related to relationship building. It is important that interventions provide CHWs with sufficient time and flexibility to develop strong relationships with participants.
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Affiliation(s)
- Sean P. McClellan
- Department of Family and Community Medicine, University of Illinois at Chicago College of Medicine, Chicago, IL, USA
| | - Tyler W. Boyd
- Rush Medical College, Rush University Medical Center, Chicago, IL, USA
| | | | - Kryztal Peña
- School of Public Health, University of Illinois at Chicago, Chicago, IL, USA
| | - Susan M. Swider
- Department of Community Systems and Mental Health Nursing, Rush College of Nursing, Chicago, IL, USA
| | - Molly A. Martin
- Department of Pediatrics, University of Illinois at Chicago College of Medicine, Chicago, IL, USA
| | - Steven K. Rothschild
- Departments of Family Medicine and Preventative Medicine, Rush University Medical Center, Chicago, IL, USA
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O’Bryant SE, Zhang F, Petersen M, Hall JR, Johnson LA, Yaffe K, Braskie M, Vig R, Toga AW, Rissman RA. Proteomic Profiles of Neurodegeneration Among Mexican Americans and Non-Hispanic Whites in the HABS-HD Study. J Alzheimers Dis 2022; 86:1243-1254. [PMID: 35180110 PMCID: PMC9376967 DOI: 10.3233/jad-210543] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
BACKGROUND Hispanics are expected to experience the largest increase in Alzheimer's disease (AD) and AD related dementias over the next several decades. However, few studies have examined biomarkers of AD among Mexican Americans, the largest segment of the U.S. Hispanic population. OBJECTIVE We sought to examine proteomic profiles of an MRI-based marker of neurodegeneration from the AT(N) framework among a multi-ethnic, community-dwelling cohort. METHODS Community-dwelling Mexican Americans and non-Hispanic white adults and elders were recruited. All participants underwent comprehensive assessments including an interview, functional exam, clinical labs, informant interview, neuropsychological testing, and 3T MRI of the brain. A neurodegeneration MRI meta-ROI biomarker for the AT(N) framework was calculated. RESULTS Data was examined from n = 1,291 participants. Proteomic profiles were highly accurate for detecting neurodegeneration (i.e., N+) among both Mexican Americans (AUC = 1.0) and non-Hispanic whites (AUC = 0.98). The proteomic profile of N + was different between ethnic groups. Further analyses revealed that the proteomic profiles of N + varied by diagnostic status (control, MCI, dementia) and ethnicity (Mexican American versus non-Hispanic whites) though diagnostic accuracy was high for all classifications. CONCLUSION A proteomic profile of neurodegeneration has tremendous value and point towards novel diagnostic and intervention opportunities. The current findings demonstrate that the underlying biological factors associated with neurodegeneration are different between Mexican Americans versus non-Hispanic whites as well as at different levels of disease progression.
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Affiliation(s)
- Sid E. O’Bryant
- Institute for Translational Research, University of North Texas Health Science Center, Fort Worth, Texas, USA,Address correspondence to: Sid O’Bryant, Ph.D., University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, Texas, 76107 USA; ; 1+817-735-2962
| | - Fan Zhang
- Institute for Translational Research, University of North Texas Health Science Center, Fort Worth, Texas, USA,Department of Family Medicine, University of North Texas Health Science Center, Fort Worth, Texas, USA
| | - Melissa Petersen
- Institute for Translational Research, University of North Texas Health Science Center, Fort Worth, Texas, USA,Department of Family Medicine, University of North Texas Health Science Center, Fort Worth, Texas, USA
| | - James R. Hall
- Institute for Translational Research, University of North Texas Health Science Center, Fort Worth, Texas, USA,Department of Pharmacology and Neuroscience, University of North Texas Health Science Center, Fort Worth, Texas, USA
| | - Leigh A. Johnson
- Institute for Translational Research, University of North Texas Health Science Center, Fort Worth, Texas, USA,Department of Pharmacology and Neuroscience, University of North Texas Health Science Center, Fort Worth, Texas, USA
| | - Kristine Yaffe
- Department of Psychiatry, Neurology, and Epidemiology and Biostatistics, University of California, San Francisco, CA, USA,San Francisco VA Medical Center, San Francisco, CA, USA
| | - Meredith Braskie
- Imaging Genetics Center, USC Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | - Rocky Vig
- Imaging, Midtown Medical Imaging, Fort Worth, Texas, USA; Department of Neurosciences, University of California, San Diego, La Jolla, CA, USA
| | - Arthur W. Toga
- Laboratory of Neuro Imaging, USC Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA
| | - Robert A. Rissman
- Department of Neurosciences, University of California, San Diego, La Jolla, CA and Veterans Affairs San Diego Healthcare System, San Diego, CA, USA
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Gonzales XF, Heeringa SG, Briceño EM, Mehdipanah R, Levine DA, Langa KM, Garcia N, Longoria R, Morgenstern LB. Mexican Americans Participate in Research More than Expected while non-Hispanic Whites Participate Less than Expected. J Health Care Poor Underserved 2022; 33:590-596. [PMID: 35574862 PMCID: PMC9132253 DOI: 10.1353/hpu.2022.0049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To identify Hispanic/Latinx and non Hispanic White participation rates in a community-based project using door-to-door recruitment. METHODS We conducted a two-stage area probability sample of housing units in Nueces County, Texas, using Census data including Mexican Americans (MAs) and non-Hispanic Whites (NHWs). From May 2018-February 2020, residents over 64 were asked to take a cognitive screen. We compared expected and observed ethnic-specific participation. RESULTS Nearly a thousand (996) participants enrolled. Accounting for sampling error, the observed count of MAs (n=609) significantly exceeded expectations ([inline-graphic 01], [95% CI: 521,542]). The observed count of NHWs (n=387) was less than expected ([inline-graphic 02], [95% CI: 455, 473]. The sub-group with the largest difference in observed vs. expected participants was MA women, n=376 observed, 306 (95% CI: 300, 312) expected. CONCLUSIONS Mexican Americans were significantly more likely to participate than expected, challenging the notion that ethnic minority populations are less likely to agree to research.
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Abstract
Children learn the words of their native language(s) from interactions with their caregivers. Although previous research has found that the language children hear during those interactions predicts vocabulary outcomes, few studies have investigated how qualitative features of social interactions work together to affect children's vocabulary development, particularly for underresourced, language minoritized children. This study examined patterns of maternal interactive behaviors during toddlerhood in relation to children's later Spanish and English vocabulary development among 318 low-income, Mexican American families. Five maternal behaviors (acknowledging, elaborating, gaze, vocal appropriateness, and overriding) were coded from video recordings at age 24 months. At 36 and 54 months, child expressive vocabulary was assessed in both English and Spanish. Latent class analysis identified five distinct patterns of maternal interactive behaviors, which differentially supported or compromised child expressive language in English and Spanish. Implications of these findings for better understanding the role of caregiver interactions in dual language vocabulary development are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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McDermott ER, Jahromi LB, Umaña-Taylor AJ, Martinez-Fuentes S, Jones SM, Updegraff KA. Mexican-Origin Adolescent Mothers' Economic Contexts, Educational Re-Engagement, and Their Children's School Readiness. Child Dev 2021; 92:e513-e530. [PMID: 33470434 PMCID: PMC8289935 DOI: 10.1111/cdev.13514] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Drawing on data from a longitudinal study of 204 Mexican-origin adolescent mothers, their mother figures, and their children, the current investigation examined (a) adolescent mothers' educational re-engagement and attainment beginning during their pregnancy and ending when their child was 5 years old; and (b) the influence of the family economic context on adolescent mothers' educational re-engagement and attainment and their children's academic and social-emotional outcomes. Findings detailed adolescent mothers' re-engagement in school after the birth of their child and revealed that family income during adolescents' pregnancies was directly associated with re-engagement and attainment, and also initiated cascade effects that shaped adolescents' economic contexts, their subsequent re-engagement and attainment, and ultimately their children's academic and social-emotional outcomes at age 5.
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Mongraw-Chaffin M, Hairston KG, Hanley AJG, Tooze JA, Norris JM, Palmer ND, Bowden DW, Lorenzo C, Chen YDI, Wagenknecht LE. Association of Visceral Adipose Tissue and Insulin Resistance with Incident Metabolic Syndrome Independent of Obesity Status: The IRAS Family Study. Obesity (Silver Spring) 2021; 29:1195-1202. [PMID: 33998167 PMCID: PMC9022784 DOI: 10.1002/oby.23177] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 02/12/2021] [Accepted: 03/08/2021] [Indexed: 01/23/2023]
Abstract
OBJECTIVE Although increasing evidence suggests that visceral adipose tissue (VAT) is a major underlying cause of metabolic syndrome (MetS), few studies have measured VAT at multiple time points in diverse populations. VAT and insulin resistance were hypothesized to differ by MetS status within BMI category in the Insulin Resistance Atherosclerosis Study (IRAS) Family Study and, further, that baseline VAT and insulin resistance and increases over time are associated with incident MetS. METHODS Generalized estimating equations were used for differences in body fat distribution and insulin resistance by MetS status. Mixed effects logistic regression was used for the association of baseline and change in adiposity and insulin resistance with incident MetS across 5 years, adjusted for age, sex, race/ethnicity, and family correlation. RESULTS VAT and insulin sensitivity differed significantly by MetS status and BMI category at baseline. VAT and homeostatic model assessment of insulin resistance (HOMA-IR) at baseline (VAT odds ratio [OR] = 1.16 [95% CI: 1.12-2.31]; HOMA-IR OR = 1.85 [95% CI: 1.32-2.58]) and increases over time (VAT OR = 1.55 [95% CI: 1.22-1.98]; HOMA-IR OR = 3.23 [95% CI: 2.20-4.73]) were associated with incident MetS independent of BMI category. CONCLUSIONS Differing levels of VAT may be driving metabolic heterogeneity within BMI categories. Both overall and abdominal obesity (VAT) may play a role in the development of MetS. Increased VAT over time contributed additional risk.
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Affiliation(s)
| | - Kristen G Hairston
- Department of Endocrinology and Metabolism, Wake Forest School of Medicine, Winston-Salem, NC
| | - Anthony JG Hanley
- Department of Nutritional Sciences, University of Toronto, Toronto, Canada
| | - Janet A Tooze
- Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC
| | - Jill M Norris
- Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO
| | - Nicolette D Palmer
- Department of Biochemistry, Wake Forest School of Medicine, Winston-Salem, NC
| | - Donald W Bowden
- Department of Biochemistry, Wake Forest School of Medicine, Winston-Salem, NC
| | - Carlos Lorenzo
- Department of Medicine, University of Texas at San Antonio Health Sciences Center, San Antonio TX
| | - Yii-Der Ida Chen
- Medical Genetics Institute, Cedars-Sinai Medical Center, Los Angeles, CA
| | - Lynne E Wagenknecht
- Department of Epidemiology & Prevention, Wake Forest School of Medicine, Winston-Salem, NC
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Winstone LK, Luecken LJ, Crnic KA, Gonzales NA. Patterns of family negativity in the perinatal period: Implications for mental health among Mexican-origin women. J Fam Psychol 2020; 34:642-651. [PMID: 32162941 PMCID: PMC7373671 DOI: 10.1037/fam0000648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Negativity in the family environment during the perinatal period is likely to have detrimental effects on maternal well-being, especially among low-income ethnic minority mothers who are at increased risk for experiencing postpartum depressive symptoms. With a sample of 322 Mexican and Mexican American families, this study used latent class growth analysis to identify meaningful subgroups of women based on their perceived family negativity reported prenatally and at 6, 12, 18, and 24 weeks postpartum. A 4-trajectory model of family negativity fit the data well: low-stable (58%), moderate-increasing (26%), high-decreasing (8%), and high-increasing (8%). Higher prenatal depressive symptomatology predicted membership in the moderate-increasing, high-decreasing, and high-increasing trajectories, relative to the low-stable trajectory. Findings suggest substantial heterogeneity in family negativity, identifying three significant growth patterns during the perinatal period with differential implications for maternal depressive symptomatology at 24 weeks and 12 months after delivery. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Petersen M, Hall J, Parsons T, Johnson L, O'Bryant S. Combining Select Blood-Based Biomarkers with Neuropsychological Assessment to Detect Mild Cognitive Impairment among Mexican Americans. J Alzheimers Dis 2020; 75:739-750. [PMID: 32310167 DOI: 10.3233/jad-191264] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Recent work has supported use of blood-based biomarkers in detection of amnestic mild cognitive impairment (MCI). Inclusion of neuropsychological measures has shown promise in enhancing utility of biomarkers to detect disease. OBJECTIVE The present study sought to develop cognitive-biomarker profiles for detection of MCI. METHODS Data were analyzed on 463 participants (normal control n = 378; MCI n = 85) from HABLE. Random forest analyses determined proteomic profile of MCI. Separate linear regression analyses determined variance accounted for by select biomarkers per neuropsychological measure. When neuropsychological measure with the least shared variance was identified, it was then combined with select biomarkers to create a biomarker-cognitive profile. RESULTS The biomarker-cognitive profile was 90% accurate in detecting MCI. Among amnestic MCI cases, the detection accuracy of the biomarker-cognitive profile was 92% and increased to 94% with demographic variables. CONCLUSION The biomarker-cognitive profile for MCI was highly accurate in its detection with use of only five biomarkers.
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Affiliation(s)
- Melissa Petersen
- Department of Family Medicine, University of North Texas Health Science Center, Institute for Translational Research, Fort Worth, TX, USA
| | - James Hall
- Department of Pharmacology & Neuroscience, University of North Texas Health Science Center, Institute for Translational Research, Fort Worth, TX, USA
| | - Thomas Parsons
- Department of Psychology, University of North Texas, Denton, TX, USA
| | - Leigh Johnson
- Department of Pharmacology & Neuroscience, University of North Texas Health Science Center, Institute for Translational Research, Fort Worth, TX, USA
| | - Sid O'Bryant
- Department of Pharmacology & Neuroscience, University of North Texas Health Science Center, Institute for Translational Research, Fort Worth, TX, USA
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12
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Shen Y, Seo E, Hu Y, Zhang M, Chao RK. Measurement invariance of language brokering extent and attitudes in linguistic minority adolescents: Item response theory analyses. Cultur Divers Ethnic Minor Psychol 2019; 25:170-178. [PMID: 30307261 PMCID: PMC6438748 DOI: 10.1037/cdp0000224] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
OBJECTIVE Using item response theory, we sought to evaluate measurement invariance of language brokering extent and attitudes in 3 linguistic minority groups of adolescents. METHOD The sample included 765 (302 Chinese American, 327 Korean American, and 136 Mexican American; 57% females) ninth graders from immigrant families. RESULTS Differential item functioning was detected for several items, and we retained items with equivalent parameters across 3 groups. The final items showed adequate internal consistency reliability and criterion validity. CONCLUSION The refined scale is cross-ethnically invariant and appropriate for use with Chinese-American, Korean-American, and Mexican-American adolescents to compare their language brokering experiences. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Affiliation(s)
- Yishan Shen
- School of Family and Consumer Sciences, Texas State University
| | - Eunjin Seo
- School of Family and Consumer Sciences, Texas State University
| | - Yueqin Hu
- Department of Psychology, Texas State University
| | - Minyu Zhang
- Department of Human Development and Family Sciences, University of Texas at Austin
| | - Ruth K Chao
- Department of Psychology, University of California at Riverside
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Tindula G, Gunier RB, Deardorff J, Nabaglo K, Hubbard A, Huen K, Eskenazi B, Holland N. Early-Life Home Environment and Obesity in a Mexican American Birth Cohort: The CHAMACOS Study. Psychosom Med 2019; 81:209-19. [PMID: 30676531 DOI: 10.1097/PSY.0000000000000663] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
OBJECTIVE Little is known about the impact of the home environment on biomarkers of obesity, such as adipokines, in children. In this study, we examined the relationship of maternal depressive symptoms and potentially protective social factors, including maternal support and the home learning environment, with body mass index and adipokines. METHODS Data were obtained from 326 Mexican American participants from the Center for the Health Assessment of Mothers and Children of Salinas cohort. Plasma adipokine levels were assessed in 326 children by enzyme-linked immunoassay at birth or ages 5, 9, or 14 years. Maternal depressive symptoms were evaluated using the Center for Epidemiological Studies Depression Scale when children were 1, 3.5, 7, and 9 years old; social support was assessed by the Duke-University of North Carolina Questionnaire at ages 1 and 5 years; and home learning environment by the Home Observation for the Measurement of the Environment (HOME) at ages of 6 months and 1, 2, 3.5, 7, 9, and 10.5 years. RESULTS Age was significantly associated with adiponectin (B = -5.0, SE = 0.2) and leptin (B = 0.01, SE = 0.003) levels. Individual time point analyses identified significant positive associations of HOME scores in childhood with adiponectin at ages 9 years (HOME score; age 3.5 years: B = 0.9, p = .04) and 14 years (HOME score; age 7 years: B = 0.6, p = .02, age 9 years: B = 0.6, p = .05, age 10.5 years: B = 0.5, p = .04). We observed significant relationships of maternal depressive symptoms at age 9 years with adiponectin and body mass index z-score at age 14 years (B = -0.2, p = .003 and B = 0.02, p = .002, resp.), which were confirmed in longitudinal models. CONCLUSIONS This study adds new evidence that adverse and protective aspects of the home environment could lead to altered obesity status in children.
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Kim SY, Zhang M, Zeiders KH, Sim L, Gleason MEJ. Acute salivary cortisol response among Mexican American adolescents in immigrant families. Cultur Divers Ethnic Minor Psychol 2018; 24:510-520. [PMID: 30058831 PMCID: PMC6188823 DOI: 10.1037/cdp0000218] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
OBJECTIVES Though previous research has indicated that language brokering can be stressful, the findings are mixed, pointing to potential moderators of the association. Guided by an ecological perspective, we examined the role of individual, family, and environmental factors in Mexican American adolescents' acute cortisol responses to language brokering. METHOD The study consisted of 46 Mexican American adolescents recruited around a metropolitan city in Central Texas. Participants translated a difficult medical document from English to Spanish for their parents, followed by an arithmetic task (modeled after the Trier Social Stress Test [TSST]). Participants' perceptions (perceived efficacy and parental dependence), parental hostility, and discrimination experiences were assessed via self-report and were examined as moderators of adolescents' responses to the task. RESULTS Results revealed differential responses to the task based on individual, family, and environmental factors. High efficacy and low dependence-parental hostility-discrimination related to stress responses characterized by low baselines, steeper reactivity, and faster recovery. Low efficacy and high dependence related to greater baseline stress and a slower recovery. High levels of parental hostility related to a slower recovery. High levels of discrimination related to greater baseline stress. CONCLUSIONS The study demonstrates that the modified TSST task can elicit an acute hypothalamic-pituitary-adrenal axis response, but the nature of this response is dependent upon participants' perceptions of language brokering (parental dependence and efficacy), parental hostility, and discrimination experiences. Adolescents' individual characteristics and contextual demands remain important considerations in understanding their acute stress responses. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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Affiliation(s)
- Su Yeong Kim
- Department of Human Development and Family Sciences, University of Texas at Austin
| | - Minyu Zhang
- Department of Human Development and Family Sciences, University of Texas at Austin
| | | | - Lester Sim
- Department of Psychology, University of Michigan
| | - Marci E. J. Gleason
- Department of Human Development and Family Sciences, University of Texas at Austin
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Schofield TJ, Robins RW, Fox J, Abraham WT, Cutrona C. Family health and income: A two-sample replication. J Fam Psychol 2018; 32:632-642. [PMID: 29999344 PMCID: PMC6072564 DOI: 10.1037/fam0000424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The current study examined psychological and family health predictors of change over time in household income, using data from longitudinal studies of African American (N = 889, 93.5% female) and Mexican origin (N = 674, 100% female) families. Participants self-reported their household income, as well as their emotional, personality, and cognitive resources. Participant behavioral and physical resources were coded from observed family interactions. Although income did not predict change in any personal resources, all five classes of personal resources (i.e., emotional, personality, cognitive, behavioral, physical) predicted change in income across a 10-year span (Study 1) and a 6-year span (Study 2). Income is potentially caused by these personal resources, or both income and these personal resources share a common cause. The dominant approach of assuming income causes personal and family health needs stronger support. (PsycINFO Database Record
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Affiliation(s)
| | | | - Jonathan Fox
- Department of Human Development and Family Studies
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16
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Singelis TM, Garcia RI, Barker JC, Davis RE. An Experimental Test of the Two-Dimensional Theory of Cultural Sensitivity in Health Communication. J Health Commun 2018; 23:321-328. [PMID: 29509068 PMCID: PMC6101005 DOI: 10.1080/10810730.2018.1443526] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Based on a theoretical framework describing culturally sensitive (CS) health communication, this experiment tested the relative contributions of surface structure and deep structure in the recall of oral health information from pamphlets varied in written message and images. Using a 2 × 2 factorial design, Spanish-speaking Mexican heritage mothers of children under six (n = 160) were randomly assigned to read one of four 12-page pamphlets containing the same oral health information in Spanish: (1) standard written message/standard images; (2) standard written message/CS images; (3) CS written message/standard images; and (4) CS written message/CS images. Participants completed a 22-item oral health knowledge questionnaire before and after reading the pamphlet. Controlling for the effects of pretest scores, acculturation, and educational level on information recall, findings showed significant positive main effects for CS images (F(1, 152) = 5.03, p = .026, partial ŋ2 = .032) and CS written message (F(1, 152) = 5.21, p = .024, partial ŋ2 = .033). There was no interaction. These results support the two dimensions of CS and their independent effects. They should be applicable to a variety of health communication channels. Further research is needed to investigate the causal mechanism behind the observed effects.
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Affiliation(s)
- Theodore M. Singelis
- Corresponding Author, Department of Psychology, CSU, Chico, 400 West 1st Street, Chico, CA 95929; Tel: 530 898 4009;
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O’Bryant SE, Edwards M, Johnson L, Hall J, Gamboa A, O’Jile J. Texas Mexican American adult normative studies: Normative data for commonly used clinical neuropsychological measures for English- and Spanish-speakers. Dev Neuropsychol 2018; 43:1-26. [PMID: 29190120 PMCID: PMC5875704 DOI: 10.1080/87565641.2017.1401628] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
This study aimed to provide normative references for Mexican Americans on neuropsychological measures of cognitive functioning. Data were analyzed from a total of 797 Mexican-Americans recruited across three Texas-based studies with approximately one-half of the participants tested in Spanish. Normative tables include: MMSE, AMNART, WMS-III (Logical Memory I, II; Visual Reproduction I, II; Digit Span), CERAD, RAVLT, Exit25, CLOX 1 & 2, Trail Making Test- A&B, BNT, COWA, and Animal Naming. The norms were stratified by education then age. Normative references were generated for Texas-based Mexican Americans and data may be limited to the population sampled.
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Affiliation(s)
- Sid E. O’Bryant
- Institute for Healthy Aging, University of North Texas Health Science Center, Fort Worth Texas 76107, USA
| | - Melissa Edwards
- Department of Psychology, University of North Texas, Denton, Texas 76203, USA
| | - Leigh Johnson
- Institute for Healthy Aging, University of North Texas Health Science Center, Fort Worth Texas 76107, USA
| | - James Hall
- Institute for Healthy Aging, University of North Texas Health Science Center, Fort Worth Texas 76107, USA
| | - Adriana Gamboa
- Institute for Healthy Aging, University of North Texas Health Science Center, Fort Worth Texas 76107, USA
| | - Judith O’Jile
- Institute for Healthy Aging, University of North Texas Health Science Center, Fort Worth Texas 76107, USA
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Richter NL, Gorey KM, Haji-Jama S, Luginaah IN. Care and survival of Mexican American women with node negative breast cancer: historical cohort evidence of health insurance and barrio advantages. J Immigr Minor Health 2015; 17:652-9. [PMID: 24155037 PMCID: PMC3911961 DOI: 10.1007/s10903-013-9941-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
We hypothesized 3-way ethnicity by barrio by health insurance interactions such that the advantages of having adequate health insurance were greatest among Mexican American (MA) women who lived in barrios. Barrios were neighborhoods with relatively high concentrations of MAs (60% or more). Data were analyzed for 194 MA and 2,846 non-Hispanic white women diagnosed with, very treatable, node negative breast cancer in California between 1996 and 2000 and followed until 2011. Significant interactions were observed such that the protective effects of Medicare or private health insurance on radiation therapy access and long term survival were largest for MA women who resided in MA barrios, neighborhoods that also tended to be extremely poor. These paradoxical findings are consistent with the theory that more facilitative social and economic capital available to MA women in barrios enables them to better absorb the indirect and direct, but uncovered, costs of breast cancer care.
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Affiliation(s)
- Nancy L Richter
- School of Social Work, University of Windsor, 401 Sunset Avenue, Windsor, ON, N9B 3P4, Canada,
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19
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Cachelin FM, Shea M, Phimphasone P, Wilson GT, Thompson DR, Striegel RH. Culturally adapted cognitive behavioral guided self-help for binge eating: a feasibility study with Mexican Americans. Cultur Divers Ethnic Minor Psychol 2014; 20:449-457. [PMID: 25045955 PMCID: PMC4107360 DOI: 10.1037/a0035345] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Objective was to test feasibility and preliminary efficacy of a culturally adapted cognitive-behavioral self-help program to treat binge eating and related problems in Mexican Americans. Participants were 31 women recruited from the Los Angeles area and diagnosed with binge eating disorder, recurrent binge eating, or bulimia nervosa. Participants completed a culturally adapted version of a CBT-based self-help program with 8 guidance sessions over a 3-month period. Treatment efficacy was evaluated in terms of binge eating, psychological functioning, and weight loss. Intent-to-treat analyses revealed 35.5% abstinence from binge eating at posttreatment and 38.7% diagnostic remission. Results indicated significant pretreatment to posttreatment improvement on distress level, BMI, eating disorder psychopathology, and self-esteem. Satisfaction with the program was high. Findings demonstrate that the program is acceptable, feasible, and efficacious in reducing binge eating and associated symptoms for Mexican American women. Study provides "proof of concept" for implementation of culturally adapted forms of evidence-based programs.
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Affiliation(s)
- Fary M Cachelin
- Department of Psychology, University of North Carolina at Charlotte
| | - Munyi Shea
- Department of Psychology, California State University
| | | | - G Terence Wilson
- Graduate School of Applied and Professional Psychology, Rutgers, The State University of New Jersey
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Jensen MR, Wong JJ, Gonzales NA, Dumka LE, Millsap R, Coxe S. Long-term effects of a universal family intervention: mediation through parent-adolescent conflict. J Clin Child Adolesc Psychol 2014; 43:415-27. [PMID: 24730357 PMCID: PMC4008685 DOI: 10.1080/15374416.2014.891228] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
This randomized trial of a family-focused preventive intervention for Mexican American middle schoolers examined internalizing, externalizing, and substance use outcomes in late adolescence, 5 years after completing the intervention. Parent-adolescent conflict was tested as a mediator of these effects. The role of parent and adolescent acculturation in these pathways was also examined. There were 494 seventh-grade adolescents and their primary female caregivers randomized to receive either a 9-week multicomponent intervention or a brief workshop control group. Assessments were conducted at pretest, 2-year follow-up (9th grade), and 5-year follow-up (when most participants were in the 12th grade). The Bridges program significantly reduced mother-adolescent conflict measured in the 9th grade, with conflict mediating program effects on internalizing and externalizing symptoms, adolescent substance use, and diagnosed internalizing disorder in late adolescence. Mother and child acculturation were both significantly predictive of late adolescence outcomes. Contrary to hypotheses, neither mother nor child acculturation emerged as a significant predictor of mother-adolescent conflict, and the interaction of mother and adolescent acculturation was similarly not related to mother-adolescent conflict. Intervention effects were largely consistent across different levels of acculturation. These findings provide support for the efficacy of family-focused intervention during early adolescence, both in reducing mental health problems and substance use in the long term and in impacting parent-adolescent conflict processes that appear to play an important role in the development of later adjustment problems.
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Page KA, Romero A, Buchanan TA, Xiang AH. Gestational diabetes mellitus, maternal obesity, and adiposity in offspring. J Pediatr 2014; 164:807-10. [PMID: 24388326 PMCID: PMC3962700 DOI: 10.1016/j.jpeds.2013.11.063] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2013] [Revised: 10/14/2013] [Accepted: 11/22/2013] [Indexed: 12/16/2022]
Abstract
OBJECTIVE To determine the effects of maternal gestational diabetes mellitus (GDM) on offspring adiposity in a well-characterized cohort of Mexican American mother-child pairs. STUDY DESIGN This study included 62 Mexican American mothers and their index offspring. Maternal GDM and normal glucose status during index pregnancy were documented, and mothers were previously matched by age, body mass index (BMI), and parity. Mother-child pairs were recruited when offspring were between the ages of 5 and 16 years. A medical history was collected, and anthropometrics were measured. Main outcome measures were offspring BMI, BMI z-scores, BMI percentiles, and hip and waist circumferences. RESULTS GDM-exposed offspring (n = 37) had greater measures of BMI (all P ≤ .02) and greater waist and hip circumferences (both P = .002) compared with 25 offspring of non-GDM mothers. Adjustment for offspring age, sex, Tanner stage, birth weight, months of breastfeeding, maternal prepregnancy BMI, and pregnancy weight gain attenuated the differences, but BMI z-score and BMI percentile remained significantly greater in the GDM-exposed group (P < .05). CONCLUSION Intrauterine exposure to GDM is associated with greater adiposity in Mexican American children, and this relationship is not mediated by maternal obesity. In contrast to previous reports, this study included only Mexican Americans; thus, ethnic variations may influence the contributions of maternal GDM and maternal obesity to offspring adiposity.
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Affiliation(s)
- Kathleen A Page
- Department of Medicine, Keck School of Medicine, the University of Southern California, Los Angeles, CA.
| | - Ana Romero
- Department of Medicine, Keck School of Medicine, the University of Southern California, Los Angeles, CA
| | - Thomas A Buchanan
- Department of Medicine, Keck School of Medicine, the University of Southern California, Los Angeles, CA
| | - Anny H Xiang
- Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA
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Gress-Smith JL, Roubinov DS, Tanaka R, Cmic K, Gonzales N, Enders C, Luecken LJ. Prenatal expectations in Mexican American women: development of a culturally sensitive measure. Arch Womens Ment Health 2013; 16:303-14. [PMID: 23592028 DOI: 10.1007/s00737-013-0350-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2012] [Accepted: 03/27/2013] [Indexed: 10/27/2022]
Abstract
Prenatal expectations describe various domains a woman envisions in preparation for her role as a new mother and influence how women transition into the maternal role. Although the maternal role is strongly influenced by the prevailing familial and sociocultural context, research characterizing prenatal expectations in ethnic minority and low-income women is lacking. As part of the largest growing minority group in the USA, Latina mothers represent an important group to study. Two hundred and ten low-income Mexican American women were administered the Prenatal Experiences Scale for Mexican Americans (PESMA) that was adapted to capture specific cultural aspects of prenatal expectations. Measures of current support, prenatal depressive symptoms, and other sociodemographic characteristics were also completed to assess validity. Exploratory factor analysis identified three underlying factors of prenatal expectations: paternal support, family support, and maternal role fulfillment. Associations among these subscales and demographic and cultural variables were conducted to characterize women who reported higher and lower levels of expectations. The PESMA demonstrated good concurrent validity when compared to measures of social support, prenatal depressive symptoms, and other sociodemographic constructs. A culturally sensitive measure of prenatal expectations is an important step towards a better understanding of how Mexican American women transition to the maternal role and identify culturally specific targets for interventions to promote maternal health.
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Vargas DA, Roosa MW, Knight GP, O'Donnell M. Family and cultural processes linking family instability to Mexican American adolescent adjustment. J Fam Psychol 2013; 27:387-397. [PMID: 23750521 PMCID: PMC3683892 DOI: 10.1037/a0032863] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Despite the rapidly growing Mexican American population, no studies to date have attempted to explain the underlying relations between family instability and Mexican American children's development. Using a diverse sample of 740 Mexican American adolescents (49% female; 5th grade, M age = 10.4 years; 7th grade, M age = 12.8 years) and their mothers, we prospectively examined the relations between family instability and adolescent academic outcomes and mental health in the 7th grade. The model fit the data well and results indicated that family instability between 5th and 7th grade was related to increased 7th-grade mother-adolescent conflict, and, in turn, mother-adolescent conflict was related to decreased school attachment and to increased externalizing and internalizing symptoms in the 7th grade. Results also indicated that 7th-grade mother-adolescent conflict mediated the relations between family instability and 7th-grade academic outcomes and mental health. Further, we explored adolescent familism values as a moderator and found that adolescent familism values served as a protective factor in the relation between mother-adolescent conflict and grades. Implications for future research and intervention strategies are discussed.
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Affiliation(s)
- Danyel A Vargas
- T. Denny Sanford School of Social and Family Dynamics, Arizona State University, Tempe, AZ 85287-3701, USA.
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White RMB, Zeiders KH, Gonzales NA, Tein JY, Roosa MW. Cultural values, U.S. neighborhood danger, and Mexican American parents' parenting. J Fam Psychol 2013; 27:365-75. [PMID: 23750519 PMCID: PMC3743437 DOI: 10.1037/a0032888] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
To begin accounting for cultural and contextual factors related to child rearing among Mexican American parents we examined whether parents' Mexican American cultural values and perceptions of neighborhood danger influenced patterns of parenting behavior in two-parent Mexican-origin families living in the U.S. To avoid forcing Mexican American parents into a predefined model of parenting styles, we used latent profile analysis to identify unique patterns of responsiveness and demandingness among mothers and fathers. Analyses were conducted using parent self-reports on parenting and replicated with youth reports on mothers' and fathers' parenting. Across reporters, most mothers and fathers exhibited a pattern of responsiveness and demandingness consistent with authoritative parenting. A small portion of parents exhibited a pattern of less-involved parenting. None of the patterns were indicative of authoritarianism. There was a modicum of evidence for no nonsense parenting among fathers. Both neighborhood danger and parents' cultural values were associated with the likelihood of employing one style of parenting over another. The value of using person-centered analytical techniques to examine parenting among Mexican Americans is discussed.
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Affiliation(s)
- Rebecca M B White
- T. Denny Sanford School of Social and Family Dynamics, Arizona State University, AZ 85287-3701, USA.
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Castro Y, Basen-Engquist K, Fernandez ME, Strong LL, Eakin EG, Resnicow K, Li Y, Wetter DW. Design of a randomized controlled trial for multiple cancer risk behaviors among Spanish-speaking Mexican-origin smokers. BMC Public Health 2013; 13:237. [PMID: 23506397 PMCID: PMC3610197 DOI: 10.1186/1471-2458-13-237] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2013] [Accepted: 03/04/2013] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND Smoking, poor diet, and physical inactivity account for as much as 60% of cancer risk. Latinos experience profound disparities in health behaviors, as well as the cancers associated with them. Currently, there is a dearth of controlled trials addressing these health behaviors among Latinos. Further, to the best of our knowledge, no studies address all three behaviors simultaneously, are culturally sensitive, and are guided by formative work with the target population. Latinos represent 14% of the U.S. population and are the fastest growing minority group in the country. Efforts to intervene on these important lifestyle factors among Latinos may accelerate the elimination of cancer-related health disparities. METHODS/DESIGN The proposed study will evaluate the efficacy of an evidence-based and theoretically-driven Motivation And Problem Solving (MAPS) intervention, adapted and culturally-tailored for reducing cancer risk related to smoking, poor diet, and physical inactivity among high-risk Mexican-origin smokers who are overweight/obese (n = 400). Participants will be randomly assigned to one of two groups: Health Education (HE) or MAPS (HE + up to 18 MAPS counseling calls over 18 months). Primary outcomes are smoking status, servings of fruits and vegetables, and both self-reported and objectively measured physical activity. Outcome assessments will occur at baseline, 6 months, 12 months, and 18 months. DISCUSSION The current study will contribute to a very limited evidence base on multiple risk factor intervention studies on Mexican-origin individuals and has the potential to inform both future research and practice related to reducing cancer risk disparities. An effective program targeting multiple cancer risk behaviors modeled after chronic care programs has the potential to make a large public health impact because of the dearth of evidence-based interventions for Latinos and the extended period of support that is provided in such a program. TRIAL REGISTRATION National Institutes of Health Clinical Trials Registry # NCT01504919.
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Affiliation(s)
- Yessenia Castro
- School of Social Work, The University of Texas at Austin, Austin, TX, USA
| | - Karen Basen-Engquist
- Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Maria E Fernandez
- Division of Health Promotion and Behavioral Science, The University of Texas School of Public Health, Houston, TX, USA
| | - Larkin L Strong
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Research - Unit 1440, PO Box 301402, Houston, TX, 77230-1402, USA
| | - Elizabeth G Eakin
- Cancer Prevention Research Centre, School of Population Health, The University of Queensland, Brisbane, QLD, Australia
| | - Ken Resnicow
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Yisheng Li
- Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - David W Wetter
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Research - Unit 1440, PO Box 301402, Houston, TX, 77230-1402, USA
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Horton KD, Loukas A. Discrimination, religious coping, and tobacco use among White, African American, and Mexican American vocational school students. J Relig Health 2013; 52:169-83. [PMID: 21249522 PMCID: PMC8117250 DOI: 10.1007/s10943-011-9462-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
This study examined whether religious coping moderates the impact of racial/ethnic discrimination on current (past 30 day) cigarette and cigar/cigarillo use among a racially/ethnically diverse sample of 984 technical/vocational school students (47.1% women; mean age = 25 years). Results indicate that discrimination increased the likelihood of current cigarette use among African American students and current cigar/cigarillo use among white and African American students. Positive religious coping decreased the likelihood of cigarette and cigar/cigarillo smoking for white students only. Negative religious coping increased the likelihood of cigarette use for white students and cigar/cigarillo use for white and African American students. Two 2-way interactions indicate that positive and negative religious coping moderate the discrimination-cigarette smoking relationship for African American and Mexican American students, respectively.
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Affiliation(s)
- Karissa D Horton
- Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX 78712, USA.
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O'Bryant SE, Johnson L, Balldin V, Edwards M, Barber R, Williams B, Devous M, Cushings B, Knebl J, Hall J. Characterization of Mexican Americans with mild cognitive impairment and Alzheimer's disease. J Alzheimers Dis 2013; 33:373-9. [PMID: 22976076 PMCID: PMC3524411 DOI: 10.3233/jad-2012-121420] [Citation(s) in RCA: 77] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
The purpose of the study was to provide characterization of Mexican Americans who meet criteria for Alzheimer's disease (AD) and mild cognitive impairment (MCI). For the study, 1,069 participants ages 40 and above who self-identified as either non-Hispanic white (n = 633) or Mexican American (n = 436) were recruited using a community-based participatory research approach. Global cognition was assessed via the Mini-Mental State Examination (MMSE), dementia severity by the Clinical Dementia Rating Scale, and depression via the Geriatric Depression Scale 30-item version. Age, gender, education, ApoE ε4 allele frequency, and diabetic diagnoses were also analyzed. The findings showed that Mexican Americans (normal controls, MCI, and AD) were younger, less highly educated, performed more poorly on the MMSE, endorsed more symptoms of depression, were more likely to be diagnosed with diabetes, and possessed the ApoE ε4 allele less frequently. Age was the only significant risk factor for cognitive dysfunction (AD/MCI) among Mexican Americans (OR = 1.06, 95% CI = 1.03-1.09). Age (B = 0.07, std = 0.02, p < 0.001) and ApoE ε4 presence (B = 0.9, std = 0.4, p = 0.02) were significantly related to increased disease severity. Given the rapidly growing and aging Mexican American population, there is a substantial need for research into cognitive aging, MCI, and AD among this ethnic group. The current findings hold important implications for both clinic and research settings and point to additional research needs.
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Affiliation(s)
- Sid E O'Bryant
- Department of Internal Medicine, University of North Texas Health Sciences Center, Fort Worth, TX 76107, USA. Sid.O’
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O'Bryant SE, Johnson L, Edwards M, Soares H, Devous MD, Ross S, Rohlfing G, Hall J. The link between C-reactive protein and Alzheimer's disease among Mexican Americans. J Alzheimers Dis 2013; 34:701-6. [PMID: 23254637 PMCID: PMC3608400 DOI: 10.3233/jad-122071] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
BACKGROUND The aim of this study is to evaluate the link between C-reactive protein (CRP) and Alzheimer's disease (AD) and mild cognitive impairment (MCI) among Mexican Americans. METHODS Non-fasting serum CRP levels, Mini-Mental State Examination scores, and Clinical Dementia Rating scale (CDR) scores were analyzed from 1,066 participants (Mexican American n = 471; non-Hispanic n = 595) of the Texas Alzheimer's Research & Care Consortium. RESULTS Among the total cohort, CRP levels among AD cases were significantly decreased as compared to normal controls (p < 0.001) and MCI cases (p = 0.002). CRP levels among MCI cases were decreased relative to controls (p = 0.03). Among Mexican American and non-Hispanic AD cases, CRP levels were significantly decreased among AD cases as compared to controls. CRP levels were only associated with disease severity (CDR scores) among non-Hispanics (p = 0.03) AD cases. CONCLUSIONS These results show that while CRP levels are decreased among Mexican American AD cases, CRP does not appear to be related to clinical variables as it is among non-Hispanic whites.
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Affiliation(s)
- Sid E O'Bryant
- University of North Texas Health Sciences Center, Department of Internal Medicine, Fort Worth, TX 76107, USA. sid.o’
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White RMB, Roosa MW, Zeiders KH. Neighborhood and family intersections: prospective implications for Mexican American adolescents' mental health. J Fam Psychol 2012; 26:793-804. [PMID: 22866932 PMCID: PMC3474604 DOI: 10.1037/a0029426] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
We present an integrated model for understanding Mexican American youth mental health within family, neighborhood, and cultural contexts. We combined two common perspectives on neighborhood effects to hypothesize that (a) parents' perceptions of neighborhood risk would negatively impact their children's mental health by disrupting key parenting and family processes, and (b) objective neighborhood risk would alter the effect parent and family processes had on youth mental health. We further incorporated a cultural perspective to hypothesize that an ethnic minority group's culture-specific values may support parents to successfully confront neighborhood risk. We provided a conservative test of the integrated model by simultaneously examining three parenting and family process variables: maternal warmth, maternal harsh parenting, and family cohesion. The hypothesized model was estimated prospectively in a diverse, community-based sample of Mexican American adolescents and their mothers (N = 749) living in the southwestern United States. Support for specific elements of the hypothesized model varied depending on the parenting or family process variable examined. For family cohesion results were consistent with the combined neighborhood perspectives. The effects of maternal warmth on youth mental health were altered by objective neighborhood risk. For harsh parenting, results were somewhat consistent with the cultural perspective. The value of the integrated model for research on the impacts of family, neighborhood, and cultural contexts on youth mental health are discussed, as are implications for preventive interventions for Mexican American families and youth.
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Affiliation(s)
- Rebecca M B White
- School of Social and Family Dynamics, Arizona State University, Box 873701, Tempe, AZ 85287-3701, USA.
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Abstract
A manda is a religious quid pro quo whereby an older Mexican American promises to perform a religious act if the Virgin or one of the saints grants a request. The purpose of this study is to see whether making mandas is associated with health among older Mexican Americans. Findings from the study model suggest that making mandas is associated with a greater sense of personal control, and more personal control is associated, in turn, with better health.
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Affiliation(s)
- Neal Krause
- Neal Krause is the Marshal H. Becker Collegiate Professor in the Department of Health Education and Behavior, School of Public Health, the University of Michigan, 1420 Washington Heights, Ann Arbor, MI, 48109-2029.
| | - Elena Bastida
- Elena Bastida is a Professor and Chair of the Department of Health Promotion and Disease Prevention, Robert Stemple College of Public Health and Social Work, Florida International University, 11200 S. W. 8 St., Miami, FL, 33199.
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Strong LL, Anderson CB, Miranda PY, Bondy ML, Zhou R, Etzel C, Spitz M, Wilkinson AV. Gender differences in sociodemographic and behavioral influences of physical activity in Mexican-origin adolescents. J Phys Act Health 2012; 9:829-39. [PMID: 21952224 PMCID: PMC3250565 DOI: 10.1123/jpah.9.6.829] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Understanding the factors that contribute to physical activity (PA) in Mexican-origin adolescents is essential to the design of effective efforts to enhance PA participation in this population. METHODS Multivariable logistic regression was used to identify sociodemographic and behavioral correlates of self-reported PA in school and community settings in 1154 Mexican-origin adolescents aged 12-17 years in Houston, TX. RESULTS The majority of adolescents were born in the US (74%), approximately half (51%) were overweight or obese, and nearly three-quarters (73%) watched more than 2 hours of weekday television. Similarities and differences by setting and gender were observed in the relationships between sociodemographic and behavioral characteristics and PA. In boys, parental education and attending physical education (PE) were positively associated with PA across multiple PA outcomes. Adolescent linguistic acculturation was inversely associated with participation in community sports, whereas parental linguistic acculturation was positively associated with PA at school. In girls, PA in school and community settings was inversely associated with TV viewing and positively associated with PE participation. CONCLUSIONS These findings highlight similarities and differences in correlates of PA among boys and girls, and point toward potential sources of opportunities as well as disparities for PA behaviors in Mexican-origin adolescents.
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Affiliation(s)
- Larkin L Strong
- Department of Health Disparities Research, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA
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Cansler E, Updegraff KA, Simpkins SD. Mexican American 7(th) Graders' Future Work and Family Plans: Associations with Cultural Experiences and Adjustment. J Early Adolesc 2012; 32:313-339. [PMID: 23338812 PMCID: PMC3548621 DOI: 10.1177/0272431610397660] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
We describe Mexican American 7(th) graders' expectations for future work and family roles and investigate links between patterns of future expectations and adolescents' cultural experiences and adjustment. Adolescents participated in home interviews and a series of seven nightly phone calls. Five unique patterns of adolescents' future expectations were identified (N = 246): Career Oriented, Independent, Family Oriented, Early, and Inconsistent. Career Oriented adolescents had the highest socioeconomic status and contact with the U.S. (e.g., generation status) whereas Family Oriented adolescents had the lowest. Cultural orientations, values, and involvement also varied across groups. For example, Career Oriented adolescents reported significantly higher familism values compared to Inconsistent adolescents. Clusters also differed on adjustment: Career Oriented and Family Oriented adolescents reported higher parental warmth and less risky behavior compared to Independent and Inconsistent adolescents. Findings underscore the multi-faceted nature of adolescents' future expectations and the diversity in cultural experiences among Mexican origin youth.
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Affiliation(s)
- Emily Cansler
- Social & Family Dynamics, Arizona State University, P.O. Box 873701, Tempe, AZ 85287-3701, Phone: 480-965-6978, Fax 480-965-6779
| | - Kimberly A. Updegraff
- Social & Family Dynamic s, Arizona State University, P.O. Box 873701, Tempe, AZ 85287-3701, Phone: 480-965-6978, Fax 480-965-6779
| | - Sandra D. Simpkins
- Social & Family Dynamics, Arizona State University, P.O. Box 873701, Tempe, AZ 85287-3701, Phone: 480-965-6978, Fax 480-965-6779
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Zeiders KH, Doane LD, Roosa MW. Perceived discrimination and diurnal cortisol: examining relations among Mexican American adolescents. Horm Behav 2012; 61:541-8. [PMID: 22342577 PMCID: PMC3319173 DOI: 10.1016/j.yhbeh.2012.01.018] [Citation(s) in RCA: 74] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2011] [Revised: 01/30/2012] [Accepted: 01/31/2012] [Indexed: 11/23/2022]
Abstract
Perceived discrimination remains a salient and significant environmental stressor for ethnic and racial minority youth. Although many studies have examined the impact of racial/ethnic discrimination on mental health symptomatology and physical health, little is known of the potential physiological processes underlying such experiences, especially during adolescence. In an attempt to understand how varying perceptions of discrimination relate to functioning of the hypothalamic-pituitary-adrenal axis (HPA axis), the current study examined the relation between Mexican American adolescents' (N = 100, M(age) = 15.3 years old) perceptions of discrimination and aspects of their diurnal cortisol profiles. Three salivary samples (wakeup, +30 waking, bedtime) were collected across 3 days (total of 9 samples). Utilizing multi-level modeling, results revealed that adolescents' perceived discrimination related to greater overall cortisol output (area under the curve; AUC) after controlling for other life stressors, depressive symptoms, family income, acculturation level, daily stress levels and daily behaviors. Findings also revealed that perceived discrimination was marginally related to a steeper cortisol awakening response (CAR). Together, these findings suggest that perceived discrimination is a salient and impactful stressor for Mexican American adolescents. Understanding the physiological correlates of discrimination can provide insight into larger health disparities among ethnic and racial minority individuals.
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Samper-Ternent R, Kuo YF, Ray LA, Ottenbacher KJ, Markides KS, Al Snih S. Prevalence of health conditions and predictors of mortality in oldest old Mexican Americans and non-Hispanic whites. J Am Med Dir Assoc 2012; 13:254-9. [PMID: 21450197 PMCID: PMC3128678 DOI: 10.1016/j.jamda.2010.07.010] [Citation(s) in RCA: 68] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2010] [Revised: 07/28/2010] [Accepted: 07/28/2010] [Indexed: 11/22/2022]
Abstract
BACKGROUND The oldest old represent a unique group of older adults. This group is rapidly growing worldwide and yet there are gaps in the knowledge related to their health condition. Ethnic differences in disease prevalence and mortality must be understood to better care for the oldest old. OBJECTIVE To compare prevalence of common health conditions and predictors of mortality in oldest old Mexican Americans and non-Hispanic whites. METHODS This study included 568 community-dwelling Mexican Americans (MA) aged 85 years and older from the Hispanic Established Population for the Epidemiological Study of the Elderly 2004-2005 and 933 non-Hispanic whites (NHW) of the same age from the Health and Retirement Study 2004. Measures included sociodemographic variables, self-reported medical conditions, activities of daily living (ADLs), and instrumental activities of daily living. Logistic regression analysis was used to examine 2-year mortality in both populations. RESULTS Heart attack was significantly more prevalent in oldest old NHW compared with MA, regardless of gender. Conversely, diabetes was significantly more prevalent among MA men and women compared with their NHW counterparts. Compared with NHW men, MA men had significantly higher prevalence of cognitive impairment and hypertension. Additionally, prevalence of hip fracture was significantly higher for MA women compared with NHW women. Significant differences in ADL disability were observed only between both groups of women, whereas significant differences in instrumental activities of daily living disability were observed only between men. MA men and women had higher prevalence of obesity compared with NHW. Predictors of 2-year mortality for both ethnic groups included older age, male gender, and ADL disability. Cognitive impairment was a mortality predictor only for NHW. Similarly, lung disease was a predictor only for MA. CONCLUSION Health-related conditions that affect the oldest old vary by gender and ethnicity and entail careful evaluation and monitoring in the clinical setting. Better care requires inclusion of such differences as part of the comprehensive evaluation of the oldest old adults.
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Affiliation(s)
- Rafael Samper-Ternent
- Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX 77555-0177, USA.
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Hamilton ER, Teitler JO, Reichman NE. Mexican American birthweight and child overweight: unraveling a possible early life course health transition. J Health Soc Behav 2011; 52:333-48. [PMID: 21788453 PMCID: PMC3733561 DOI: 10.1177/0022146511405335] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Mexican American children have a weight distribution that categorizes them as relatively healthy at birth but relatively unhealthy by age 3. This early life course transition in health based on weight raises the question of whether Mexican American children "outgrow" the epidemiologic paradox of favorable birth outcomes despite social disadvantage or whether their birthweight distribution places them on trajectory for overweight in childhood. We address this question using newly available 9-year follow-up data from the Fragile Families and Child Wellbeing birth cohort study linked to pre-natal medical records. We systematically investigate the roles of birthweight, pre-natal factors, and childhood factors in explaining racial/ethnic differences in childhood overweight. Our main finding is that Mexican American children do outgrow the paradox: Their rates of childhood overweight are higher than expected given their birthweight distribution. Observed pre-natal and childhood factors do not explain the elevated rates of overweight among Mexican American children.
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Affiliation(s)
- Erin R Hamilton
- Department of Sociology, University of California, Davis, USA.
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Abstract
Several processes contribute to variation in fasting insulin concentration, including fasting glucose, insulin resistance, insulin secretion, and insulin clearance. Our goal was to determine the relative contribution of each of these insulin-related traits, plus anthropometric parameters, to fasting insulin among 470 Mexican Americans. The euglycemic hyperinsulinemic clamp yielded insulin sensitivity (M value) and metabolic clearance rate of insulin (MCRI). Acute insulin secretion was estimated by the insulinogenic index (IGI30) from the oral glucose tolerance test. Regression (univariate) and generalized estimating equations (multivariate) were used to describe the relationship of insulin-related traits to fasting insulin. Univarate analyses were used to select which traits to include in the multivariate model. In multivariate analysis, MCRI, M, BMI, waist circumference, and fasting glucose were independently associated with fasting insulin. Decreasing M and MCRI were associated with increasing fasting insulin, whereas increasing BMI, waist circumference, and fasting glucose were associated with increasing fasting insulin. Standardized coefficients allowed determination of the relative strength of each trait's association with fasting insulin in the entire cohort (strongest to weakest): MCRI (-0.35, P < 0.0001), M (-0.24, P < 0.0001), BMI (0.20, P = 0.0011), waist circumference (0.16, P = 0.021), and fasting glucose (0.11, P = 0.014). Fasting insulin is a complex phenotype influenced by several independent processes, each of which might have its own environmental and genetic determinants. One of the most associated traits was insulin clearance, which has implications for studies that have used fasting insulin as a surrogate for insulin resistance.
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Affiliation(s)
- Mark O Goodarzi
- Cedars-Sinai Medical Center, Division of Endocrinology, Diabetes and Metabolism, 8700 Beverly Boulevard, Los Angeles, CA 90048, USA..
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Abstract
Latinos in the United States are an ethnically diverse group disproportionately affected by HIV/AIDS. We describe HIV seroprevalence, HIV risk behaviors and utilization of health services among Mexican American injection drug users (IDUs) in California (n = 286) and compare them to White (n = 830) and African American (n = 314) IDUs. Study participants were recruited from syringe exchange programs (n = 24) in California. HIV seroprevalence among Mexican Americans (0.5%) was dramatically lower than Whites (5%) and African Americans (8%). Mexican Americans reported fewer sex-related risks than Whites and African Americans though injection-related risks remained high. Compared to Whites, Mexican Americans were more likely to participate in drug treatment during a 6 month period (AOR 1.5, 95% CI 1.1, 2.0) but less likely to receive any health care (AOR 0.6, 95% CI 0.5, 0.8). Exploring cultural and structural factors among Mexican American IDUs may offer new insights into how to maintain low rates of HIV seroprevalence and reduce barriers to health care utilization.
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Affiliation(s)
- Alexis N Martinez
- Department of Sociology, San Francisco State University, San Francisco, CA 94132, USA.
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Berkel C, Knight GP, Zeiders KH, Tein JY, Roosa MW, Gonzales NA, Saenz D. Discrimination and adjustment for Mexican American adolescents: A prospective examination of the benefits of culturally-related values. J Res Adolesc 2010; 20:893-915. [PMID: 21359093 PMCID: PMC3045054 DOI: 10.1111/j.1532-7795.2010.00668.x] [Citation(s) in RCA: 104] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Mexican American adolescents face disparities in mental health and academic achievement, perhaps in part because of discrimination experiences. However, culturally-related values, fostered by ethnic pride and socialization, may serve to mitigate the negative impact of discrimination. Guided by the Stress Process Model, the current study examined risk and protective processes using a 2-wave multi-informant study with 750 Mexican American families. Specifically, we examined two possible mechanisms by which Mexican American values may support positive outcomes in the context of discrimination; as a protective factor (moderator) or risk reducer (mediator). Analyses supported the role of Mexican American values as a risk reducer. This study underscores the importance of examining multiple mechanisms of protective processes in understanding Mexican American adolescent resilience.
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Affiliation(s)
- Cady Berkel
- Prevention Research Center, Arizona State University, Tempe, AZ
| | - George P. Knight
- Prevention Research Center, Arizona State University, Tempe, AZ
- Department of Psychology, Arizona State University, Tempe, AZ
| | - Katharine H. Zeiders
- Prevention Research Center, Arizona State University, Tempe, AZ
- School of Social and Family Dynamics, Arizona State University, Tempe, AZ
| | - Jenn-Yun Tein
- Prevention Research Center, Arizona State University, Tempe, AZ
- Department of Psychology, Arizona State University, Tempe, AZ
| | - Mark W. Roosa
- Prevention Research Center, Arizona State University, Tempe, AZ
- School of Social and Family Dynamics, Arizona State University, Tempe, AZ
| | - Nancy A. Gonzales
- Prevention Research Center, Arizona State University, Tempe, AZ
- Department of Psychology, Arizona State University, Tempe, AZ
| | - Delia Saenz
- Prevention Research Center, Arizona State University, Tempe, AZ
- Department of Psychology, Arizona State University, Tempe, AZ
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Dumka LE, Gonzales NA, Wheeler LA, Millsap RE. Parenting self-efficacy and parenting practices over time in Mexican American families. J Fam Psychol 2010; 24:522-31. [PMID: 20954762 PMCID: PMC3138710 DOI: 10.1037/a0020833] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Drawing on social cognitive theory, this study used a longitudinal cross-lagged panel design and a structural equation modeling approach to evaluate parenting self-efficacy's reciprocal and causal associations with parents' positive control practices over time to predict adolescents' conduct problems. Data were obtained from teachers, mothers, and adolescents in 189 Mexican American families living in the southwest United States. After accounting for contemporaneous reciprocal relationships between parenting self-efficacy (PSE) and positive control, results indicated that parenting self-efficacy predicted future positive control practices rather than the reverse. PSE also showed direct effects on decreased adolescent conduct problems. PSE functioned in an antecedent causal role in relation to parents' positive control practices and adolescents' conduct problems in this sample. These results support the cross-cultural applicability of social cognitive theory to parenting in Mexican American families. An implication is that parenting interventions aimed at preventing adolescent conduct problems need to focus on elevating the PSE of Mexican American parents with low levels of PSE. In addition, future research should seek to specify the most effective strategies for enhancing PSE.
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Affiliation(s)
- Larry E Dumka
- School of Social and Family Dynamics, Arizona State University, Tempe, AZ 85287-3701, USA.
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Du Y, Yang M, Yeh HW, Wan YJY. The association of exon 3 VNTR polymorphism of the dopamine receptor D4 (DRD4) gene with alcoholism in Mexican Americans. Psychiatry Res 2010; 177:358-60. [PMID: 20359751 PMCID: PMC2868944 DOI: 10.1016/j.psychres.2010.02.021] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2008] [Revised: 01/15/2010] [Accepted: 02/26/2010] [Indexed: 10/19/2022]
Abstract
In this study, the variable number tandem repeats (VNTR) polymorphism of a 48-bp sequence located in exon 3 of the dopamine receptor D4 (DRD4) gene was genotyped in 365 alcoholic and 337 non-alcoholic Mexican Americans. Logistic regression showed that genotypes without the 7-repeat allele were risk factors for alcoholism. However, linear regression did not find an association between DRD4 VNTR and MAXDRINKS, which was defined as the maximum number of drinks consumed within 24h. Our results indicate the presence of an association between DRD4 VNTR and alcoholism in Mexican Americans.
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Affiliation(s)
- Yanlei Du
- Department of Pharmacology, Toxicology & Therapeutics, The University of Kansas Medical Center, Kansas City, KS 66160, U.S.A, Department of Gastroenterology and Hepatology, First Municipal People’s Hospital of Guangzhou, Guangzhou Medical College, Guangzhou, Guangdong 510180, China PR
| | - Min Yang
- Department of Pharmacology, Toxicology & Therapeutics, The University of Kansas Medical Center, Kansas City, KS 66160, U.S.A
| | - Hung-Wen Yeh
- Department of Biostatistics, The University of Kansas Medical Center, Kansas City, KS 66160, U.S.A
| | - Yu-Jui Yvonne Wan
- Department of Pharmacology, Toxicology & Therapeutics, The University of Kansas Medical Center, Kansas City, KS 66160, U.S.A, Department of Gastroenterology and Hepatology, First Municipal People’s Hospital of Guangzhou, Guangzhou Medical College, Guangzhou, Guangdong 510180, China PR,Corresponding Author: Yu-Jui Yvonne Wan, Ph.D., The University of Kansas Medical Center, 3901 Rainbow Boulevard, Department of Pharmacology, Toxicology and Therapeutics, Kansas City, Kansas 66160, Atten: KLSIC/Rm 4059, Tel.: 913-588-9111; Fax: 913-588-7501;
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Abstract
Little is known about the causes of maternal parenting stress in the Mexican American population. We examine determinants of parenting stress among Mexican American mothers in comparison to non-Hispanic white and non-Hispanic black mothers. We base our analysis on Belsky's conceptual model (1984), which specifies predictors of parenting stress in three domains: maternal characteristics, child characteristics, and social context. Using data from the Fragile Families and Child Wellbeing Study, a national survey of new mothers conducted in large cities beginning in 1998, we draw a sample of 2,898 mothers from diverse racial and ethnic backgrounds. Our findings suggest differences in the determinants of parenting stress by racial or ethnic group. Overall, the patterns of parenting stress for non-Hispanic white and non-Hispanic black mothers are fairly consistent with Belsky's parenting model. However, for Mexican American mothers social support, but not partner support, ameliorate parenting stress and depression is not associated with parenting stress. Importantly as well, despite significant social disadvantage, the levels of parenting stress in Mexican American mothers does not significantly differ from those of non-Hispanic whites. Specific recommendations are made to practitioners for culturally competent responses to parenting stress in the provision of social services to Mexican American families. Implications for future research are twofold: our study calls for the incorporation of diverse samples when examining the determinants of parenting stress and for the development of theoretical frameworks that reflect the unique aspects of psychosocial well-being among Mexican Americans.
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Affiliation(s)
- Jodi Berger Cardoso
- (corresponding author) Graduate Student Trainee, Population Research Center School of Social Work, University of Texas at Austin 1 University Station B3500 Austin, Texas 78712-0358
| | - Yolanda C. Padilla
- Professor of Social Work and Women’s Studies School of Social Work, University of Texas at Austin 1 University Station B3500, Austin, Texas 78712-0358
| | - McClain Sampson
- Post-doctoral Research Fellow Department of Psychiatry, Baylor College of Medicine 3710 Kirby Dr. Suite 600 Houston, TX 77098
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Balcazar H, Rosenthal L, De Heer H, Aguirre M, Flores L, Vasquez E, Duarte M, Schulz L. Use of community-based participatory research to disseminate baseline results from a cardiovascular disease randomized community trial for Mexican Americans living in a U.S.-Mexico border community. Educ Health (Abingdon) 2009; 22:279. [PMID: 20029761 PMCID: PMC2865886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
INTRODUCTION This article describes the development of a community-based participatory research (CBPR) process conducted in the context of a randomized community health education trial utilizing community health workers (CHWs). OBJECTIVES To present lessons learned from the utilization of CBPR methodology in a cardiovascular disease (CVD) prevention trial among Mexican American adults in a U.S.-Mexico border community and to disseminate the baseline results associated with risk factors for CVD and their associated demographic and psychosocial characteristics. METHODS Participants were 328 Hispanic adults ages 30-75 with at least one risk factor for CVD (overweight, smoking, high cholesterol, diabetic or hypertensive), who were recruited through approaching households in randomly selected census tracts within a specified zip code area. RESULTS CBPR methods were applied during the different stages of the research enterprise to support the development and implementation of the intervention trial aim at reducing cardiovascular risk factors for Mexican American adults. Data from baseline were used as an important component of dialogue with the community. DISCUSSION CBPR proved to be a good learning process for all partners involved. The risk profile of the participants demonstrated the "epidemic" nature of CVD morbidity conditions associated with Mexican origin populations living in a U.S.-Mexico border community. The CBPR dialogue was instrumental as a process to help disseminate to the community the need for projects like the one described in this article.
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Abstract
BACKGROUND The burden of hypertension and related health care needs among Mexican Americans will likely increase substantially in the near future. OBJECTIVES In a nationally representative sample of U.S. Mexican American adults we examined: 1) the full range of blood pressure categories, from normal to severe; 2) predictors of hypertension awareness, treatment and control and; 3) prevalence of comorbidities among those with hypertension. DESIGN Cross-sectional analysis of pooled data from the National Health and Nutrition Examination Surveys (NHANES), 1999-2004. PARTICIPANTS The group of participants encompassed 1,359 Mexican American women and 1,421 Mexican American men, aged 25-84 years, who underwent a standardized physical examination. MEASUREMENTS Physiologic measures of blood pressure, body mass index, and diabetes. Questionnaire assessment of blood pressure awareness and treatment. RESULTS Prevalence of Stage 1 hypertension was low and similar between women and men ( approximately 10%). Among hypertensives, awareness and treatment were suboptimal, particularly among younger adults (65% unaware, 71% untreated) and those without health insurance (51% unaware, 62% untreated). Among treated hypertensives, control was suboptimal for 56%; of these, 23% had stage >/=2 hypertension. Clustering of CVD risk factors was common; among hypertensive adults, 51% of women and 55% of men were also overweight or obese; 24% of women and 23% of men had all three chronic conditions-hypertension, overweight/obesity and diabetes. CONCLUSION Management of hypertension in Mexican American adults fails at multiple critical points along an optimal treatment pathway. Tailored strategies to improve hypertension awareness, treatment and control rates must be a public health priority.
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Affiliation(s)
- Andrea Bersamin
- Stanford Prevention Research Center, Stanford University, Stanford, CA, USA.
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Nair RL, White RMB, Knight GP, Roosa MW. Cross-language measurement equivalence of parenting measures for use with Mexican American populations. J Fam Psychol 2009; 23:680-9. [PMID: 19803604 PMCID: PMC2760044 DOI: 10.1037/a0016142] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
Increasing diversity among families in the United States often necessitates the translation of common measures into various languages. However, even when great care is taken during translations, empirical evaluations of measurement equivalence are necessary. The current study demonstrates the analytic techniques researchers should use to evaluate the measurement equivalence of translated measures. To this end we investigated the cross-language measurement equivalence of several common parenting measures in a sample of 749 Mexican American families. The item invariance results indicated similarity of factor structures across language groups for each of the parenting measures for both mothers and children. Construct validity tests indicated similar slope relations between each of the 4 parenting measures and the outcomes across the 2 language groups for both mothers and children. Equivalence in intercepts, however, was only achieved for some outcomes. These findings indicate that the use of these measures in both within-group and between-group analyses based on correlation/covariance structure is defensible, but researchers are cautioned against interpretations of mean level differences across these language groups.
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Affiliation(s)
- Rajni L Nair
- Program for Prevention Research, Arizona State University, Tempe, AZ 85287-6005, USA.
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Roosa MW, Weaver SR, White RMB, Tein JY, Knight GP, Gonzales N, Saenz D. Family and neighborhood fit or misfit and the adaptation of Mexican Americans. Am J Community Psychol 2009; 44:15-27. [PMID: 19562479 PMCID: PMC2715446 DOI: 10.1007/s10464-009-9246-8] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
In this study, a person-environment fit model was used to understand the independent and combined roles of family and neighborhood characteristics on the adjustment of adults and children in a sample of 750 Mexican American families. Latent class analysis was used to identify six qualitatively distinct family types and three quantitatively distinct neighborhood types using socioeconomic and cultural indicators at each level. The results showed that members of single-parent Mexican American families may be particularly at-risk, members of the lowest-income immigrant families reported fewer adaptation problems if they lived in low-income neighborhoods dominated by immigrants, members of economically successful immigrant families may be more at-risk in integrated middle class neighborhoods than in low-income neighborhoods dominated by immigrants, and members of two-parent immigrant families appear to be rather resilient in most settings despite their low socioeconomic status.
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Affiliation(s)
- Mark W Roosa
- Prevention Research Center, Arizona State University, Tempe, AZ 85287-6005, USA.
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Angel RJ, Angel JL, Hill TD. Subjective control and health among Mexican-origin elders in Mexico and the United States: structural considerations in comparative research. J Gerontol B Psychol Sci Soc Sci 2009; 64:390-401. [PMID: 19332436 PMCID: PMC2670249 DOI: 10.1093/geronb/gbn029] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2008] [Accepted: 11/07/2008] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVES This study examines the joint impact of psychological and structural factors on Mexican and Mexican American elders' sense of personal control over important aspects of their lives and health in Mexico and the United States. METHODS We employ the Mexican Health and Aging Study (MHAS) and the Hispanic Established Populations for Epidemiologic Studies of the Elderly (H-EPESE) to explore patterns of association among structural factors, personal characteristics, indicators of material and physical vulnerability, and expressed locus of control. RESULTS The results suggest that an older individual's sense of personal control over important aspects of his or her life, including health, reflects real material and social resources in addition to individual predispositions. In Mexico, only the most privileged segment of the population has health insurance, and coverage increases one's sense of personal control. In the United States, on the other hand, Medicare guarantees basic coverage to the vast majority of Mexican Americans over 65, reducing its impact on one's sense of control. DISCUSSION Psychological characteristics affect older individuals' sense of personal control over aspects of their health, but the effects are mediated by the economic and health services context in which they are expressed.
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Affiliation(s)
- Ronald J Angel
- Department of Sociology, The University of Texas at Austin, Austin, TX 78712, USA.
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Abstract
Family stress theory can explain associations between contextual stressors and parenting. However, the theory has not been tested among Mexican Americans or expanded to include cultural-contextual risks. This study examined associations between neighborhood, economic, and acculturative stressors and parenting behaviors in a sample of 570 two-parent Mexican American families. Results support the negative impact of economic stress on parenting through parental depressive symptoms. Neighborhood stress influenced fathers' depressive symptoms and parenting, but not mothers'. The effects of acculturative stress were inconsistent. Results suggest that contextual stressors common to Mexican American families impact parenting behaviors through parental depression.
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Holley LC, Salas LM, Marsiglia FF, Yabiku ST, Fitzharris B, Jackson KF. Youths of Mexican Descent of the Southwest: Exploring Differences in Ethnic Labels. Child Sch 2009; 31:15-26. [PMID: 19816593 PMCID: PMC2758796 DOI: 10.1093/cs/31.1.15] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Knowledge of the factors that influence youths' choice of racial or ethnic labels will help us understand intragroup diversity, suggest ways in which school social workers can support youth's ethnic identity development, and learn if youth who choose different combinations of labels may be grouped together for research purposes. This study of 2,857 Mexican-origin youth in the U.S. Southwest found that linguistic acculturation, socioeconomic status, and educational aspirations are related to choice of ethnic labels. Implications for social work interventions in schools and for future research are offered.
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Affiliation(s)
- Lynn C Holley
- Southwest Interdisciplinary Research Center, School of Social Work, Arizona State University, University Center 853, 411 N. Central Ave., Phoenix, AZ 85004-0689
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Abstract
Depression among Mexican immigrant women and children exceeds national prevalence rates. Given the influence of maternal depression on children, a clinical trial testing the effects of the Mexican American Problem Solving (MAPS) program was designed to address depression symptoms of Mexican immigrant women and their fourth and fifth grade children (302 dyads) through a linked home visiting and after school program compared to peers in a control group. Schools were randomized to intervention and control groups. There were statistically significant improvements in the children's health conceptions and family problem solving communication, factors predictive of mental health. Improvements in children's depression symptoms in the intervention group approached statistical significance. These promising results suggest that refined school based nursing interventions be included in community strategies to address the serious mental health problems that Mexican immigrants face.
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Affiliation(s)
- Julia Muennich Cowell
- Rush University College of Nursing, 600 South Paulina (1080 AAC), Chicago, IL 60612,
| | - Diane McNaughton
- Rush University College of Nursing, 600 South Paulina (1080 AAC), Chicago, IL 60612,
| | - Sarah Ailey
- Rush University College of Nursing, 600 South Paulina (1080 AAC), Chicago, IL 60612,
| | - Deborah Gross
- Leonard and Helen R. Stulman Professor in Mental Health and Psychiatric Nursing, School of Nursing and School of Medicine, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, 525 N. Wolfe Street, Baltimore, MD 21218,
| | - Louis Fogg
- Rush University College of Nursing, 600 South Paulina (1080 AAC), Chicago, IL 60612,
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Wong ML, Whelan F, Deloukas P, Whittaker P, Delgado M, Cantor RM, McCann SM, Licinio J. Phosphodiesterase genes are associated with susceptibility to major depression and antidepressant treatment response. Proc Natl Acad Sci U S A 2006; 103:15124-9. [PMID: 17008408 PMCID: PMC1581426 DOI: 10.1073/pnas.0602795103] [Citation(s) in RCA: 118] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Cyclic nucleotide phosphodiesterases (PDEs) constitute a family of enzymes that degrade cAMP and cGMP. Intracellular cyclic nucleotide levels increase in response to extracellular stimulation by hormones, neurotransmitters, or growth factors and are down-regulated through hydrolysis catalyzed by PDEs, which are therefore candidate therapeutic targets. cAMP is a second messenger implicated in learning, memory, and mood, and cGMP modulates nervous system processes that are controlled by the nitric oxide (NO)/cGMP pathway. To investigate an association between genes encoding PDEs and susceptibility to major depressive disorder (MDD), we genotyped SNPs in 21 genes of this superfamily in 284 depressed Mexican Americans who participated in a prospective, double-blind, pharmacogenetic study of antidepressant response, and 331 matched controls. Polymorphisms in PDE9A and PDE11A were found to be associated with the diagnosis of MDD. Our data are also suggestive of the association between SNPs in other PDE genes and MDD. Remission on antidepressants was significantly associated with polymorphisms in PDE1A and PDE11A. Thus, we found significant associations with both the diagnosis of MDD and remission in response to antidepressants with SNPs in the PDE11A gene. We show here that PDE11A haplotype GAACC is significantly associated with MDD. We conclude that PDE11A has a role in the pathophysiology of MDD. This study identifies a potential CNS role for the PDE11 family. The hypothesis that drugs affecting PDE function, particularly cGMP-related PDEs, represent a treatment strategy for major depression should therefore be tested.
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Affiliation(s)
- Ma-Li Wong
- *Center on Pharmacogenomics, Department of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami, FL 33136
| | - Fiona Whelan
- Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences and
| | - Panagiotis Deloukas
- The Wellcome Trust, Sanger Institute, Hinxton, Cambridge, CB10 1SA, United Kingdom; and
| | - Pamela Whittaker
- The Wellcome Trust, Sanger Institute, Hinxton, Cambridge, CB10 1SA, United Kingdom; and
| | - Marcos Delgado
- The Wellcome Trust, Sanger Institute, Hinxton, Cambridge, CB10 1SA, United Kingdom; and
| | - Rita M. Cantor
- Department of Human Genetics, David Geffen School of Medicine, University of California, Los Angeles, CA 90095-1761
| | | | - Julio Licinio
- *Center on Pharmacogenomics, Department of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami, FL 33136
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