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1.
Title: Incidence and diagnoses of HIV infection - Puerto Rico, 2006.
Author: Centers for Disease Control and Prevention (CDC)
Source: MMWR. Morbidity and Mortality Weekly Report. 2009 Jun 5;58(21):589-91.
Abstract: In 2006, 33 U.S. states and five territories had confidential, name-based, human immunodeficiency virus (HIV) infection reporting; among territories, Puerto Rico had the second highest rate of HIV infection. To characterize the HIV epidemic in Puerto Rico in 2006 (the year with the most recent available data), the Puerto Rico Department of Health and CDC analyzed data on diagnoses of HIV infection (including infections that occurred in 2006 and in previous years) and used a stratified extrapolation approach developed by CDC to generate HIV incidence estimates (the number of persons newly infected with HIV in 2006). The results indicated that, in 2006, an estimated 1,440 persons aged >or=13 years were newly infected with HIV in Puerto Rico, resulting in an estimated incidence rate of 45.0 cases per 100,000 population, twice the rate for the 50 U.S. states and District of Columbia (DC). Males accounted for 65% of new HIV infections in Puerto Rico, and 38% of new HIV infections occurred among persons aged 30-39 years; 39% of new infections were associated with injection-drug use, and 37% with high-risk heterosexual contact. The results provide insight into HIV transmission patterns in Puerto Rico that can help guide allocation of resources and the planning, implementation, and evaluation of HIV prevention programs and other services.
Language: English
Keywords:
PUERTO RICO | SUMMARY REPORT | INCIDENCE | MEN | HISPANICS | IV DRUG USERS | MEN HAVING SEX WITH MEN | HIV INFECTIONS | PROGRAM EVALUATION | Caribbean | Americas | Developed Countries | Measurement | Research Methodology | Demographic Factors | Population | Ethnic Groups | Cultural Background | Population Characteristics | Drug Use and Abuse | Behavior | Sex Behavior | Viral Diseases | Diseases | Programs | Organization and Administration
Document Number: 341589

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Title: The impact of race and ethnicity on receipt of family planning services in the United States.
Author: Borrero S; Schwarz EB; Creinin M; Ibrahim S
Source: Journal of Women's Health. 2009 Jan-Feb;18(1):91-6.
Abstract: OBJECTIVE: This study sought to examine the independent effect of patient race or ethnicity on the use of family planning services and on the likelihood of receiving counseling for sterilization and other birth control methods. METHODS: This study used national, cross-sectional data collected by the 2002 National Survey of Family Growth (NSFG). Our analysis included women aged 18-44 years who had heterosexual intercourse within the past 12 months, who were not actively seeking to get pregnant, and who had not undergone surgical sterilization. The primary outcome was receipt of family planning services within the past 12 months. Specific services we examined were (1) provision of or prescription for a method of birth control, (2) checkup related to using birth control, (3) counseling about sterilization, and (4) counseling about birth control. RESULTS: Although we found no racial/ethnic differences in the overall use of family planning services, there were racial/ethnic differences in the specific type of service received. Hispanic and black women were more likely than white women to receive counseling for birth control (adjusted OR 1.5, 95% confidence interval [CI] 1.2, 1.8, and adjusted OR 1.3, 95% CI 1.1, 1.7, respectively). Hispanic women were more likely than white women to report having been counseled about sterilization (adjusted OR 1.5, 95% CI 1.0, 2.3). CONCLUSIONS: Minority women were more likely to receive counseling about sterilization and other birth control methods. However, there were no differences in access to family planning services by race or ethnicity. Future studies are needed to examine the quality and content of contraceptive counseling received by minority compared with nonminority women.
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | CROSS SECTIONAL ANALYSIS | ETHNIC GROUPS | HISPANICS | BLACKS | SOCIOCULTURAL FACTORS | FAMILY PLANNING PROGRAMS | IMPACT | COUNSELING | QUALITY OF HEALTH CARE | Developed Countries | North America | Americas | Research Methodology | Cultural Background | Population Characteristics | Demographic Factors | Population | Family Planning | Communication | Clinic Activities | Program Activities | Programs | Organization and Administration | Health Services Evaluation | Program Evaluation
Document Number: 331216

Peer Reviewed

Title: Group a Streptococcus causing necrotizing fasciitis and toxic shock syndrome after medical termination of pregnancy.
Author: Daif JL; Levie M; Chudnoff S; Kaiser B; Shahabi S
Source: Obstetrics and Gynecology. 2009 Feb;113(2 Pt 2):504-6.
Abstract: BACKGROUND: Group A Streptococcus is an aerobic gram-positive bacteria known to cause cutaneous infections. Invasive infections can lead to toxic shock syndrome with multiorgan failure and mortality rates of 25-48%. CASE: A healthy, young woman developed necrotizing fasciitis, myonecrosis, and toxic shock syndrome after an elective medical termination of pregnancy. This patient had confirmed group A Streptococcus on blood cultures and underwent surgical debridement. After aggressive surgical treatment, below-the-knee amputation, and antibiotic therapy, the patient survived. CONCLUSION: This case demonstrates the need for prompt recognition and treatment of necrotizing fasciitis/toxic shock syndrome.
Language: English
Keywords:
NEW YORK | RESEARCH REPORT | CLINICAL RESEARCH | CASE STUDIES | HISPANICS | WOMEN | BACTERIAL AND FUNGAL DISEASES | DERMATITIS | TOXIC SHOCK SYNDROME | ABORTION | GYNECOLOGIC SURGERY | SURGERY | ANTIBIOTICS | Developed Countries | United States of America | North America | Americas | Research Methodology | Studies | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Infections | Diseases | Fertility Control, Postconception | Family Planning | Urogenital Surgery | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Drugs
Document Number: 330358 Notification

Title: Knowledge, attitudes, and use of emergency contraception among Hispanic women of North Carolina.
Author: Galvin SL; Fagan EB
Source: Southern Medical Journal. 2009 Jan;102(1):17-20.
Abstract: INTRODUCTION: This project was designed to determine the knowledge, attitudes and self-reported use of emergency contraception (EC) of Spanish-speaking women of western North Carolina. MATERIALS AND METHODS: Using a cross-sectional survey, a convenience sample of patients completed the survey in exam or interview rooms of an obstetric and gynecology residency program in western North Carolina. Participants included 213 Spanish-speaking women of childbearing age (18 to 44-years-old) presenting for routine care between August 2004 and October 2006. RESULTS: Seventy percent of the sexually active respondents (N = 196) reported inconsistent use of birth control. Only 22% reporting knowing about EC; an additional 26% knew about the morning after pill. Overall, 12% reported previous use of EC. Very few (15%) reported a moral or religious objection to EC. Only 21% reported having discussed EC with a care provider. DISCUSSION: Considerable opportunity exists to expand patient education about all contraceptive options, including EC with Hispanic women of western North Carolina.
Language: English
Keywords:
UNITED STATES OF AMERICA | NORTH CAROLINA | RESEARCH REPORT | CROSS SECTIONAL ANALYSIS | WOMEN | HISPANICS | EMERGENCY CONTRACEPTION | ATTITUDES | USER COMPLIANCE | Developed Countries | North America | Americas | Research Methodology | Demographic Factors | Population | Ethnic Groups | Cultural Background | Population Characteristics | Contraception | Family Planning | Psychological Factors | Behavior
Document Number: 330064

Title: Science, ideology, and the public good: the precarious state of emergency contraception in America [editorial]
Author: Kauffman RP
Source: Southern Medical Journal. 2009 Jan;102(1):3-4.
Abstract: Prevention of unintended pregnancy is a universally desirable public health initiative. Current evidence overwhelmingly affirms the acceptability, safety, and efficacy of EC. Ultimately, political and healthcare systems charged to protect the public good must direct policy based on best scientific evidence rather than ideology. (excerpt)
Language: English
Keywords:
UNITED STATES OF AMERICA | NORTH CAROLINA | RESEARCH REPORT | HISPANICS | WOMEN | PREGNANCY, UNPLANNED | EMERGENCY CONTRACEPTION | PREVENTION AND CONTROL | Developed Countries | North America | Americas | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Reproductive Behavior | Fertility | Population Dynamics | Contraception | Family Planning | Diseases
Document Number: 330065

Title: Antiepileptic drugs: are women aware of interactions with oral contraceptives and potential teratogenicity?
Author: Pack AM; Davis AR; Kritzer J; Yoon A; Camus A
Source: Epilepsy and Behavior. 2009 Apr;14(4):640-4.
Abstract: Women with epilepsy (WWE)'s knowledge of the interaction between antiepileptic drugs (AEDs) and oral contraceptives (OCs) and the potential teratogenicity of AEDs has received limited study. We conducted a cross-sectional questionnaire study (English or Spanish) among young WWE (18-44 years) to assess demographic characteristics, current AED use, and knowledge of AED interactions with OCs and teratogenicity. We used the Food and Drug Administration's classification system to categorize each AED's teratogenic potential. Participants (n=148) had a mean age of 32 years (SD 8); 32% spoke Spanish and described themselves as Hispanic. Among women prescribed a cytochrome p450-inducing AED, 65% were unaware of decreased OC efficacy. Forty percent of those prescribed Category D AEDs were unaware of potential teratogenic effects. WWE have limited knowledge of the potential interaction between AEDs and OCs and the teratogenic effects of AEDs. Educational efforts should highlight the reproductive health effects of AEDs in WWE.
Language: English
Keywords:
NEW YORK | RESEARCH REPORT | KAP SURVEYS | CROSS SECTIONAL ANALYSIS | WOMEN | HISPANICS | ORAL CONTRACEPTIVES, SIDE EFFECTS | DRUG INTERACTIONS | CENTRAL NERVOUS SYSTEM EFFECTS | KNOWLEDGE | Developed Countries | United States of America | North America | Americas | Surveys | Sampling Studies | Studies | Research Methodology | Demographic Factors | Population | Ethnic Groups | Cultural Background | Population Characteristics | Contraceptive Safety | Safety | Public Health | Health | Drugs | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Central Nervous System | Physiology | Biology | Sociocultural Factors
Document Number: 341110

Peer Reviewed

Title: Barriers to adolescents' getting emergency contraception through pharmacy access in California: differences by language and region.
Author: Sampson O; Navarro SK; Khan A; Hearst N; Raine TR; Gold M; Miller S; de Bocanegra HT
Source: Perspectives On Sexual and Reproductive Health. 2009 Jun;41(2):110-8.
Abstract: CONTEXT: In California, emergency contraception is available without a prescription to females younger than 18 through pharmacy access. Timely access to the method is critical to reduce the rate of unintended pregnancy among adolescents, particularly Latinas. METHODS: In 2005-2006, researchers posing as English- and Spanish-speaking females-who said they either were 15 and had had unprotected intercourse last night or were 18 and had had unprotected sex four days ago-called 115 pharmacy-access pharmacies in California. Each pharmacy received one call using each scenario; a call was considered successful if the caller was told she could come in to obtain the method. Chi-square tests were used to assess differences between subgroups. In-depth interviews with 22 providers and pharmacists were also conducted, and emergent themes were identified. RESULTS: Thirty-six percent of all calls were successful. Spanish speakers were less successful than English speakers (24% vs. 48%), and callers to rural pharmacies were less successful than callers to urban ones (27% vs. 44%). Although rural pharmacies were more likely to offer Spanish-language services, Spanish-speaking callers to these pharmacies were the least successful of all callers (17%). Spanish speakers were also less successful than English speakers when calling urban pharmacies (30% vs. 57%). Interviews suggested that little cooperation existed between pharmacists and clinicians and that dispensing the method at clinics was a favorable option for adolescents. CONCLUSIONS: Adolescents face significant barriers to obtaining emergency contraception, but the expansion of Spanish-language services at pharmacies and greater collaboration between providers and pharmacists could improve access.
Language: English
Keywords:
UNITED STATES OF AMERICA | CALIFORNIA | RESEARCH REPORT | ADOLESCENTS | HISPANICS | LANGUAGE | EMERGENCY CONTRACEPTION | OBSTACLES | PHARMACY DISTRIBUTION | PROGRAM ACCESSIBILITY | Developed Countries | North America | Americas | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Ethnic Groups | Cultural Background | Communication | Contraception | Family Planning | Organization and Administration | Nonclinical Distribution | Distributional Activities | Program Activities | Programs | Program Evaluation
Document Number: 341529

Peer Reviewed

Title: An event-level analysis of condom use as a function of mood, alcohol use, and safer sex negotiations.
Author: Schroder KE; Johnson CJ; Wiebe JS
Source: Archives of Sexual Behavior. 2009 Apr;38(2):283-9.
Abstract: Daily self-reports of condom-protected intercourse were analyzed as a function of emotional states, alcohol consumption, and safer sex negotiations in a sample of single, low-income Hispanic students. The sample included 15 women and 17 men who reported a minimum of four sexual episodes as well as inconsistent condom use over a 3-month self-reporting period. The analyses focused on 829 days out of 2,586 daily self-reports on which sexual intercourse was reported. Hierarchical linear modeling was used to predict condom-protected intercourse as a function of mood states, substance use, and safer sex negotiations. Safer sex negotiation was the strongest positive predictor of condom use. Contrary to expectation, unprotected intercourse was less likely to occur in episodes characterized by greater negative affect and more likely in episodes in which greater positive mood was reported. No main effect of alcohol consumption on safer sex was observed; however, an interaction between alcohol consumption and positive mood emerged, indicating that unprotected intercourse was most likely to occur when positive mood was combined with alcohol consumption. The results contradict the assumption that emotional distress predicts engagement in more risky sexual behavior and indicate that safer sex negotiations are likely to outweigh any effects of mood or alcohol consumption on subsequent condom use.
Language: English
Keywords:
TEXAS | RESEARCH REPORT | KAP SURVEYS | EVENT HISTORY ANALYSIS | LINEAR REGRESSION | HISPANICS | STUDENTS | CONDOM USE | PARTNER COMMUNICATION | ALCOHOL USE AND ABUSE | SAFER SEX | EMOTIONS | STRESS | RISK BEHAVIOR | SEX BEHAVIOR | Developed Countries | United States of America | North America | Americas | Surveys | Sampling Studies | Studies | Research Methodology | Demographic Analysis | Statistical Regression | Data Analysis | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Education | Risk Reduction Behavior | Behavior | Interpersonal Relations | Psychological Factors
Document Number: 330970

10.

Title: Contraceptive use among adolescent Latinas living in the United States: the impact of culture and acculturation.
Author: Sterling SP; Sadler LS
Source: Journal of Pediatric Health Care. 2009 Jan-Feb;23(1):19-28.
Abstract: Although adolescent pregnancies have declined steadily during the past decade, Latina adolescents continue to have disproportionately high pregnancy rates. For nurse practitioners to effectively counsel this group of women concerning contraceptive use and sexual health, a basic understanding of the unique sociocultural factors influencing Latina adolescents' sexual activity is important. This article reviews recent literature concerning the effects of culture, acculturation, language, and significant relationships on Latina sexual behavior to provide recommendations for clinicians working with Latina adolescents in the primary care setting. Areas in need of further research are identified.
Language: English
Keywords:
UNITED STATES OF AMERICA | LITERATURE REVIEW | HISPANICS | ADOLESCENTS, FEMALE | CONTRACEPTIVE USAGE | ADOLESCENT PREGNANCY | PREGNANCY RATE | ACCULTURATION | CULTURE | ABORTION | SEX BEHAVIOR | RELIGIOUS ASPECTS | Developed Countries | North America | Americas | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Adolescents | Youth | Age Factors | Contraception | Family Planning | Reproductive Behavior | Fertility | Population Dynamics | Fertility Measurements | Social Change | Sociocultural Factors | Fertility Control, Postconception | Behavior | Religion
Document Number: 342626 Notification

11.

Title: HIV risk behaviors of Latin American and Caribbean men who have sex with men in Miami, Florida, USA.
Author: Akin M; Fernandez MI; Bowen GS; Warren JC
Source: Revista Panamericana de Salud P�blica / Pan American Journal of Public Health. 2008 May 20;23(5):341-348.
Abstract: The goal of this study is to describe the sexual practices, drug use behaviors, psychosocial factors, and predictors of unprotected anal intercourse (UAI) in a sample of Hispanic men who have sex with men (MSM) born in Latin American and Caribbean (LAC) countries who currently reside in Miami-Dade County, Florida. Hispanic MSM (N = 566) recruited from community and Internet venues completed a computer-assisted self-interview assessing sociodemographic factors, drug use, sexual behaviors, and psychosocial factors. We focused on the 470 men who were born in LAC countries, including Puerto Rico. We first examined separately, by country of origin, the sexual practices, drug use behaviors, and psychosocial factors of the sample. We then collapsed the groups and examined the factors associated with UAI in the previous 6 months for the entire sample of Hispanic MSM from LAC countries. In the previous 6 months, 44% of the sample engaged in UAI, and 41% used club drugs. At the multivariate level, psychological distress, higher number of sexual partners, club drug use, HIV-positive status at the time of immigration, and greater orientation to American culture were significantly associated with UAI in the previous 6 months. Many MSM born in LAC countries engage in HIV-related risk behaviors in the AIDS epicenter of Miami-Dade County, Florida. Culturally appropriate interventions should address these risk behaviors in this underserved population. (author's)
Language: English
Keywords:
FLORIDA | CARIBBEAN | RESEARCH REPORT | KAP SURVEYS | MEN HAVING SEX WITH MEN | HISPANICS | IMMIGRANTS | MULTIPLE PARTNERS | URBAN POPULATION | PSYCHOSOCIAL FACTORS | SEX BEHAVIOR | RISK BEHAVIOR | DRUG USE AND ABUSE | STRESS | CULTURAL BACKGROUND | Developed Countries | United States of America | North America | Americas | Developing Countries | Surveys | Sampling Studies | Studies | Research Methodology | Behavior | Ethnic Groups | Population Characteristics | Demographic Factors | Population | Migrants | Migration | Population Dynamics | Sexual Partners | Psychological Factors
Document Number: 326968

12.

Peer Reviewed

Title: Effects of HIV-prevention interventions for samples with higher and lower percents of Latinos and Latin Americans: a meta-analysis of change in condom use and knowledge.
Author: Albarracin J; Albarracin D; Durantini M
Source: AIDS and Behavior. 2008 Jul;12(4):521-43.
Abstract: This meta-analysis (N=110,092) assessed the efficacy of HIV-prevention interventions across samples with higher and lower concentrations of Latinos/Latin Americans. Findings indicated that groups with higher percents of Latinos increased condom and HIV-related knowledge to a lesser extent than groups with lower percents of Latinos/ Latin Americans. Moreover, groups with greater percents of Latinos/Latin Americans only benefited from intervention strategies that included threat-inducing arguments, whereas groups with lower percents of Latinos/Latin Americans benefited from numerous strategies. In addition, groups with greater percents of Latinos/Latin Americans increased condom use when interventions were conducted by a lay community member, whereas groups with lower percents of these groups increased condom use the most in response to experts. Not surprisingly, there were important differences among Latinos/Latin Americans with different education levels, different genders, and US/Latin American nationality. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | LATIN AMERICA | RESEARCH REPORT | LITERATURE REVIEW | HISPANICS | HIV PREVENTION | INTERVENTIONS | PROGRAM EFFECTIVENESS | CONDOM USE | KNOWLEDGE | PROGRAM EVALUATION | HEALTH EDUCATION | Developed Countries | North America | Americas | Developing Countries | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | HIV Infections | Viral Diseases | Diseases | Programs | Organization and Administration | Risk Reduction Behavior | Behavior | Sociocultural Factors | Education
Document Number: 328395

13.

Title: A comparison of the health of older hispanics in the United States and Mexico: Methodological challenges.
Author: Angel RJ; Angel JL; Hill TD
Source: Journal of Aging and Health. 2008 Feb;20(1):3-31.
Abstract: This study compares various dimensions of physical and emotional health between older Mexican-origin individuals in the United States and in Mexico. The samples are drawn from the Mexican Health and Aging Study (MHAS) and the Hispanic Established Epidemiologic Study of the Elderly (H-EPESE) and include 3,875 Mexican residents with no history of residence in the United States and 2,734 Mexican-origin individuals 65 and older who live in the southwestern United States. Both immigrant and native-born Mexican-origin elders in the United States report more chronic conditions than elderly Mexicans, but they report fewer symptoms of psychological distress. Longer residence in the United States is associated with higher body mass index scores. The discussion addresses the possibility that access to care influences reports of diagnosed conditions and touches on issues of comparability in cross-cultural research and the difficulty in clearly distinguishing cultural and system-level factors in the productionand measurement of health. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | MEXICO | RESEARCH REPORT | COMPARATIVE STUDIES | HISPANICS | ADULTS | OLDER ADULTS | IMMIGRANTS | NATIVE-BORN | HEALTH | PSYCHOLOGICAL FACTORS | CHRONIC DISEASES | STRESS | CULTURE | LANGUAGE | HEALTH INSURANCE | Developed Countries | North America | Americas | Developing Countries | Studies | Research Methodology | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Age Factors | Migrants | Migration | Population Dynamics | Nationality | Behavior | Diseases | Sociocultural Factors | Communication | Financial Activities | Economic Factors
Document Number: 324411

14.

Title: Estimation of the prevalence of AIDS, opportunistic infections, and standard of care among patients with HIV/AIDS receiving care along the U.S.-Mexico border through the Special Projects of National Significance: a cross-sectional study.
Author: Carabin H; Keesee MS; Machado LJ; Brittingham T; Williams L; Sonleitner NK; Anderson KG; Cajina A; Foster MW
Source: AIDS Patient Care and STDs. 2008 Nov;22(11):887-95.
Abstract: There is high demand for care among the Hispanic population in states along the U.S.-Mexico border. The objective is to describe the standard of care received by people living with HIV/AIDS (PLWH/A) at enrollment into one of five Special Projects of National Significance (SPNS) Sites located along the U.S.-Mexico border. This cross-sectional study describes the presence of opportunistic infections (OIs), AIDS status and two types of standard of care received by 707 PLWH/A participating in SPNS. Patients receiving care through SPNS in one of the five sites between June 1, 2002 and December 31, 2003 were invited to participate to the medical chart review component of the study. The association between sociodemographic variables and the prevalence of OIs and AIDS at enrollment was estimated using multivariate hierarchical logistic models. More than one quarter of the 707 participants had at least one OI recorded and 58% of new and 60% of existing patients had AIDS at enrollment in SPNS. The association between being Hispanic and having higher prevalence of OI and AIDS at entry varied by SPNS site. Standard of care was well followed overall. This is the first study describing HIV stage and OI prevalences and standard of care in PLWH/A in all U.S.-Mexico bordering states. Being of Hispanic ethnicity may not fully explain discrepancy in access to care along the border.
Language: English
Keywords:
MEXICO | UNITED STATES OF AMERICA | RESEARCH REPORT | PREVALENCE | PERSONS LIVING WITH HIV/AIDS | HISPANICS | QUALITY OF HEALTH CARE | HIV INFECTIONS | AIDS | DISEASES | PROGRAM ACCESSIBILITY | STANDARDS | HEALTH SERVICES | North America | Americas | Developing Countries | Developed Countries | Measurement | Research Methodology | Viral Diseases | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Health Services Evaluation | Program Evaluation | Programs | Organization and Administration | Delivery of Health Care | Health
Document Number: 329725

15.

Title: Pilot testing HIV and intimate partner violence prevention modules among Spanish-speaking Latinas.
Author: Davila YR; Bonilla E; Gonzalez-Ramirez D; Grinslade S; Villarruel AM
Source: Journal of the Association of Nurses in AIDS Care. 2008 May-Jun;19(3):219-224.
Abstract: The purpose of this study was to test two modules of a theoretically based, gender- and culturally specific HIV intimate partner violence risk reduction intervention for Spanish-speaking Latinas. The themes of the modules were "Estas en una relacion sana y segura?" (Are you in a healthy and safe relationship?) and "Mantenerse sana y segura" (Keeping yourself healthy and safe). An evaluative one-group, repeated measure design with measures collected at preintervention (N = 31), immediate postintervention (n = 26), and 1-month postintervention follow-up (n = 20) design was used to evaluate the intervention. Study results represent a small but significant first step toward an integrative approach to the prevention of two major and interrelated public health issues among an at-risk and underserved population. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | PILOT PROJECTS | HIV TESTING | COUPLES | HISPANICS | DOMESTIC VIOLENCE | PREVENTION AND CONTROL | HIV INFECTIONS | NEEDS | COUNSELING | SCREENING | SEX EDUCATION | Developed Countries | North America | Americas | Studies | Research Methodology | Laboratory Examinations and Diagnoses | Examinations and Diagnoses | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Family Characteristics | Family and Household | Sociocultural Factors | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Crime | Social Problems | Diseases | Viral Diseases | Economic Factors | Clinic Activities | Program Activities | Programs | Organization and Administration | Education
Document Number: 326649

16.

Peer Reviewed

Title: High-risk sexual and drug using behaviors among male injection drug users who have sex with men in 2 Mexico-US border cities.
Author: Deiss RG; Brouwer KC; Loza O; Lozada RM; Ramos R
Source: Sexually Transmitted Diseases. 2008 Mar;35(3):243-249.
Abstract: The population of Latino men who have sex with men (MSM) and who are also injection drug users (IDUs) is understudied. We explored risk behaviors of MSM/IDUs compared with other male IDUs in 2 Mexican border cities. In 2005, IDUs who had injected within the previous 30 days were recruited using respondent-driven sampling (RDS) in Tijuana and Ciudad Juarez. They underwent antibody testing for HIV, HCV, and syphilis and interviewer-administered surveys. Men were categorized as MSM if they reported greater than 1 lifetime male partners. Logistic regression was used to compare MSM/IDUs with non-MSM/IDUs. A third (31%) of 377 male IDUs were categorized as MSM (47% in Tijuana and 13% in Ciudad Juarez, P less than 0.01). Combined RDS-adjusted prevalence of HIV and Hepatitis C was 3% (95% CI: 1, 5) and 96%, (95% CI: 94, 99) respectively, while 17% (95% CI: 2, 36) of MSM and 8% (95% CI: 3, 12) of non-MSM tested positive for syphilis antibody. In multivariate logistic regression adjusted for site, MSM/IDUs were more likely than non-MSM/ IDUs to have ever used inhalants (OR: 3.4; 95% CI: 1.8, 6.2) or oral tranquilizers (OR: 2.4; 95% CI: 1.3, 4.6), received treatment for a drug problem (OR:1.9; 95% CI: 1.1, 3.2) shared needles in the last six months (OR: 2.1; 95% CI: 1.0, 4.2) and also had higher numbers of lifetime female partners (log-transformed continuous variable, OR: 1.6; 95% CI: 1.2, 2.1). In these Mexican cities, the proportion of MSM among male IDUs was high. Compared with other male IDUs, MSM/ IDUs were more likely to engage in behaviors placing them at risk of acquiring HIV/STIs. Culturally appropriate interventions targeting Latino MSM/IDUs are warranted. (author's)
Language: English
Keywords:
MEXICO | UNITED STATES OF AMERICA | RESEARCH REPORT | PROSPECTIVE STUDIES | HISPANICS | IV DRUG USERS | MEN HAVING SEX WITH MEN | PERSONS LIVING WITH HIV/AIDS | RISK BEHAVIOR | SEX BEHAVIOR | DRUG USE AND ABUSE | BORDER CROSSING | North America | Americas | Developing Countries | Developed Countries | Studies | Research Methodology | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Behavior | HIV Infections | Viral Diseases | Diseases | International Migration | Migration | Population Dynamics
Document Number: 324891

17.

Title: Continuum of care for HIV patients returning to Mexico [letter]
Author: Donohoe T; Reyes M; Armas L; Mandel N
Source: Journal of the Association of Nurses in AIDS Care. 2008 Sep-Oct;19(5):335-7.
Abstract: The U.S.-Mexico Border region, which includes some of the poorest counties in the country, has large rural populations with health care service shortages leading to poorer health outcomes than in the rest of the country (United States-Mexico Border Health Commission, 2008). In combination with these factors, an increase in the number of HIV cases along the border led to a request from the Health Resources and Services Administration for a collaborative effort to systematically assess the education and capacity building needs of health care providers in this region. The three AETCs geographically located along the border (Pacific AETC [California, Arizona], Mountain- Plains AETC [New Mexico], and Texas/Oklahoma AETC [Texas]) interviewed more than 75 border clinicians to determine their unique HIV-related education needs. Four broad training-related needs emerged: (a) to increase integration and coordination of HIV training activities, (b) to expand HIV training beyond AETC-targeted providers, (c) to offer site-based trainings that include cultural sensitivity themes and incentives for participation, and (d) to maintain a binational perspective by including Mexican clinicians in training activities. (excerpt)
Language: English
Keywords:
MEXICO | UNITED STATES OF AMERICA | PROGRESS REPORT | EVALUATION | MIGRANTS | PERSONS LIVING WITH HIV/AIDS | HISPANICS | INTERNATIONAL AGENCIES | HEALTH PERSONNEL | RETURN MIGRATION | TREATMENT | INTERNATIONAL COOPERATION | BORDER CROSSING | MASS MEDIA | TRAINING PROGRAMS | North America | Americas | Developing Countries | Developed Countries | Migration | Population Dynamics | Demographic Factors | Population | HIV Infections | Viral Diseases | Diseases | Ethnic Groups | Cultural Background | Population Characteristics | Organizations | Political Factors | Sociocultural Factors | Delivery of Health Care | Health | Medical Procedures | Medicine | Health Services | International Migration | Communication | Education
Document Number: 329205

18.

19.

Peer Reviewed

Title: Characteristics of HIV infection among Hispanics, United States 2003-2006.
Author: Espinoza L; Hall HI; Selik RM; Hu X
Source: JAIDS. Journal of Acquired Immune Deficiency Syndromes. 2008 Sep 1;49(1):94-101.
Abstract: BACKGROUND: Hispanic subgroups of varied national origin differ culturally; overall, Hispanics in the United States are disproportionately affected by HIV infection. METHODS: We analyzed cases of HIV infection that were diagnosed among Hispanics in 33 states and US-dependent areas during 2003-2006 and reported to the Centers for Disease Control and Prevention through June 2007. We used Poisson regression to calculate the estimated annual percent change in the number and rate of HIV diagnoses and used logistic regression to analyze the association between birthplace and a short (<12 months) HIV-to-AIDS interval. RESULTS: HIV infection was diagnosed among 30,415 Hispanics. Of 24,313 with reported birthplace, 61% were born outside the continental United States. The annual number of diagnoses increased among Mexican-born males [estimated annual percent change = 8.8%; 95% confidence interval (CI) = 3.5 to 14.5] and Central American-born males (18.6%; 95% CI = 9.4 to 28.6) and females (24.6%; 95% CI =8.8 to 42.7) but decreased among US-born Hispanic females (-8.2%; 95% CI = -13.3 to -2.8). A short HIV-to-AIDS interval was more common among Mexican-born Hispanics than among US-born Hispanics. DISCUSSION: Diagnosis trends and HIV-to-AIDS intervals varied by place of birth. To decrease the incidence of HIV infection among Hispanics, prevention programs need to address cultural differences.
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | ADOLESCENTS | ADULTS | MIDDLE AGED ADULTS | TIME FACTORS | HISPANICS | HIV INFECTIONS | PLACE OF BIRTH | ESTIMATION TECHNIQUES | Developed Countries | North America | Americas | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Population Dynamics | Ethnic Groups | Cultural Background | Viral Diseases | Diseases | Research Methodology
Document Number: 328257

20.

Title: Differences in pregnancy desire among pregnant female adolescents at a state-funded family planning clinic.
Author: Heavey EJ; Moysich KB; Hyland A; Druschel CM; Sill MW
Source: Journal of Midwifery and Women's Health. 2008 Mar-Apr;53(2):130-137.
Abstract: We wished to examine variables associated with pregnancy desire among pregnant adolescents from low socioeconomic backgrounds. This study analyzed 335 charts at a state-funded family planning clinic. Participants were adolescents who had a positive pregnancy test at the clinic on the day of the survey. Logistic regression was utilized to determine differences in pregnancy desire. We found that Hispanic teens were more than twice as likely to desire pregnancy as African American teens (adjusted odds ratio [AOR], 2.22; 95% confidence interval [CI], 1.22-3.65), and adolescents who were not in school were almost twice as likely as those who were in school full-time to desire pregnancy (AOR, 1.83; 95% CI, 1.08 -3.09). Hispanic teens who were not in school were 12 times more likely to desire pregnancy than African American teens who were in school full-time (odds ratio [OR], 11.47; 95% CI, 3.68 -35.75). Adolescent pregnancy desire is significantly associated with educational status and racial background. Developing culturally appropriate interventions to encourage continued education and asking about community and familial norms are essential steps in addressing this issue. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | COMPARATIVE STUDIES | ADOLESCENTS | HISPANICS | ADOLESCENT PREGNANCY | FAMILY PLANNING CENTERS | LOW INCOME POPULATION | FERTILITY PREFERENCES | PUBLIC SECTOR | Developed Countries | North America | Americas | Studies | Research Methodology | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Ethnic Groups | Cultural Background | Reproductive Behavior | Fertility | Population Dynamics | Health Facilities | Delivery of Health Care | Health | Social Class | Socioeconomic Status | Socioeconomic Factors | Economic Factors | Macroeconomic Factors
Document Number: 325551

21.

Peer Reviewed

Title: Provider advice to women may vary by women's social class and ethnicity.
Author: Hollander D
Source: Perspectives on Sexual and Reproductive Health. 2008 Mar;40(1):54.
Abstract: Low-income black and Latina women surveyed in the Los Angeles area were more likely than middle-class whites to say that during a current or recent pregnancy, a health care professional had advised them to limit their childbearing. In a multivariate analysis of the survey results, ethnicity and social class were the only characteristics associated with the odds that women had received this kind of advice. Low-income Latinas (along with women who had large families and unmarried women) also had elevated odds of saying that their doctor or someone else had discouraged them from having children. The survey sample consisted of 193 low income and 146 middle-class women who were pregnant or had given birth in the previous five years. Women were considered low income if they were on welfare, had health coverage through Medi-Cal (California's Medicaid program) or were uninsured; low income participants were recruited at offices of the Special Supplementary Food Program for Women, Infants and Children. Women were classified as middle-class if they had a college or graduate degree and had health insurance other than Medi-Cal; these women were recruited at a variety of locations in middle-class neighborhoods and through electronic mailing lists. (excerpt)
Language: English
Keywords:
CALIFORNIA | RESEARCH REPORT | KAP SURVEYS | COMPARATIVE STUDIES | HISPANICS | WOMEN | SOCIOECONOMIC STATUS | INCOME | SOCIAL CLASS | CONTRACEPTION | FEMALE STERILIZATION | REFERRAL AND CONSULTATION | SOCIAL DISCRIMINATION | RACE RELATIONS | PHYSICIAN-PATIENT RELATIONS | Developed Countries | United States of America | North America | Americas | Surveys | Sampling Studies | Studies | Research Methodology | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Socioeconomic Factors | Economic Factors | Family Planning | Sterilization, Sexual | Program Activities | Programs | Organization and Administration | Social Problems | Sociocultural Factors | Political Factors | Interpersonal Relations | Behavior
Document Number: 325190

22.

Peer Reviewed

Title: Natural increase: a new source of population growth in emerging Hispanic destinations in the United States.
Author: Johnson KM; Lichter DT
Source: Population and Development Review. 2008 Jun;34(2):327-346.
Abstract: Updated US Census Bureau estimates and race/ethnic-specific birth and death data for the post-2000 period are used to highlight the increasing role of natural increase as an engine of population growth in emerging Hispanic destinations. Newly emerging Hispanic growth areas are distinguished from established and high-growth areas from the 1990s. The findings document that recent Hispanic population gains have been generated increasingly by natural increase -- the excess of Hispanic births over deaths. Hispanics accounted for 46 percent of the population gain and 53 percent of the natural increase in nonmetro America in 2000-2005. Yet, Hispanics represented only 5.4 percent of the nonmetro population in 2000. In metro areas, they accounted for 50 percent of the population gain and 47 percent of the natural increase, although they comprised only 14 percent of the metro population. Current trends suggest that the ascendancy of the US Hispanic population is likely to continue unabated, whether restrictive immigration legislation is enacted or not. The growth of the Hispanic population, caused increasingly by natural increase, has taken on a demographic momentum of its own. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | DEMOGRAPHIC ANALYSIS | HISPANICS | IMMIGRANTS | RURAL POPULATION | NATURAL INCREASE | POPULATION GROWTH | DEMOGRAPHIC IMPACT | DEMOGRAPHIC FACTORS | INTERNATIONAL MIGRATION | Developed Countries | North America | Americas | Research Methodology | Ethnic Groups | Cultural Background | Population Characteristics | Population | Migrants | Migration | Population Dynamics
Document Number: 327376

23.

Peer Reviewed

Title: Connecting the dots: When the risks of HIV / STD infection appear high but the burden of infection is not known - the case of male Latino migrants in the southern United States.
Author: Painter TM
Source: AIDS and Behavior. 2008 Mar;12(2):213-226.
Abstract: Between 1990 and 2000, the number of Latinos in Alabama, Arkansas, Georgia, North Carolina, South Carolina, and Tennessee, states that had no or small Latino populations in 1990, increased by more than 300% on average. Several of these states (referred to as rapid growth states) have high AIDS/STD case rates. Compared to Latinos in states with well-established Latino populations and Latinos nationwide, those in rapid growth states are more often males, young, foreign-born, and recent arrivals who travel without females. The typical Latino in rapid growth states is a young male migrant. Although these migrants may be at risk of HIV/STD infection, little is known about the risk factors that affect them. To clarify this picture, a database search was conducted to identify studies of HIV/STD infection and/or risk factors among rural and urban-based Latino migrants in the six rapid growth states. This qualitative review examines ten studies that were conducted in Alabama, Georgia, North Carolina, and South Carolina. Five of the studies screened for HIV and/or syphilis infection and provide some information on risk factors; five studies describe risk factors only. Most of those studies that describe risk factors provide evidence that male Latino migrants in rural and urban settings of rapid growth states are vulnerable to HIV/STD infection through heterosexual contacts. However, many of the studies fail to provide sufficient information on other risk factors, and all but one of the studies that screened migrants for HIV or STD infection were conducted between 1988 and 1991. There is an urgent need for updated information on HIV/STD infection and the social-behavioral and situational risk factors that affect male Latino migrants in rapid growth states of the South. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | LITERATURE REVIEW | MEN | HISPANICS | MIGRANTS | HIV INFECTIONS | SEXUALLY TRANSMITTED DISEASES | RISK FACTORS | PREVALENCE | RESEARCH ACTIVITIES | RISK BEHAVIOR | Developed Countries | North America | Americas | Demographic Factors | Population | Ethnic Groups | Cultural Background | Population Characteristics | Migration | Population Dynamics | Viral Diseases | Diseases | Reproductive Tract Infections | Infections | Biology | Measurement | Research Methodology | Behavior
Document Number: 325276

24.

Peer Reviewed

Title: Intergenerational fertility among Hispanic women: New evidence of immigrant assimilation.
Author: Parrado EA; Morgan SP
Source: Demography. 2008 Aug;45(3):651-671.
Abstract: In recent decades, rapid growth of the U.S. Hispanic population has raised concerns about immigrant adaptation, including fertility. Empirical research suggests that Hispanics, especially Mexicans, might not be following the historical European pattern of rapid intergenerational fertility decline (and convergence toward native levels). If confirmed, continued high Hispanic fertility could indicate a broader lack of assimilation into mainstream American society. In this paper, we reexamine the issue of Hispanic and Mexican fertility using an approach that combines biological and immigrant generations to more closely approximate a comparison of immigrant women with those of their daughters' and granddaughters' generation. Contrary to cross-sectional results, our new analyses show that Hispanic and Mexican fertility is converging with that of whites, and that it is similarly responsive to period conditions and to women's level of education. In addition, we employ a mathematical simulation to illustrate the conditions under which cross-sectional analyses can produce misleading results. Finally, we discuss the import of the fertility convergence we document for debates about immigrant assimilation. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | COHORT ANALYSIS | PERIOD ANALYSIS | HISPANICS | IMMIGRANTS | FERTILITY RATE | GENERATIONS | SOCIAL MOBILITY | FERTILITY CHANGES | SOCIAL ADJUSTMENT | ACCULTURATION | WOMEN | EDUCATIONAL STATUS | Developed Countries | North America | Americas | Research Methodology | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Migrants | Migration | Population Dynamics | Birth Rate | Fertility Measurements | Fertility | Family Characteristics | Family and Household | Sociocultural Factors | Social Class | Socioeconomic Status | Socioeconomic Factors | Economic Factors | Social Behavior | Behavior | Social Change
Document Number: 327988

25.

Title: Health behavior in Mexican pregnant women with a history of violence.
Author: Quelopana AM; Champion JD; Salazar BC
Source: Western Journal of Nursing Research. 2008 Dec;30(8):1005-18.
Abstract: This study examines the association between history of violence, attitudes toward pregnancy, and initiation of prenatal care (PNC). Pregnant women receiving their first PNC visit at a public prenatal clinic in Monterrey, Mexico, were enrolled in the study. Structured interviews collected information concerning demographics, reproductive history, current pregnancy, attitudes toward pregnancy, history of violence, and perceived barriers and benefits of PNC. Results showed that 35% of participants reported violence. A current or previous partner was the most common perpetrator. Of women experiencing abuse, 47% reported that abuse was ongoing during the current pregnancy. More women reporting violence were unmarried, did not live with a partner, and reported a lower monthly income. An experience of violence was associated with initiation of PNC, number of pregnancies, perception of barriers, and negative attitudes toward pregnancy. This issue should be emphasized in recognition of the important role that nurses and midwives have regarding violence.
Language: English
Keywords:
MEXICO | RESEARCH REPORT | INTERVIEWS | HISPANICS | PREGNANT WOMEN | VIOLENCE | BEHAVIOR | MATERNAL HEALTH | ANTENATAL CARE | ATTITUDES | PHYSICAL ABUSE | North America | Americas | Developing Countries | Data Collection | Research Methodology | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Health | Maternal Health Services | Maternal-Child Health Services | Primary Health Care | Health Services | Delivery of Health Care | Psychological Factors
Document Number: 330219

26.

Title: Sexual relationship power, intimate partner violence, and condom use among minority urban girls.
Author: Teitelman AM; Ratcliffe SJ; Morales-Aleman MM; Sullivan CM
Source: Journal of Interpersonal Violence. 2008 Dec;23(12):1694-1712.
Abstract: This study examined the association between sexual relationship power, intimate partner violence, and condom use among African American and Hispanic urban girls. In this sample of 56 sexually active girls, 50% did not use condoms consistently and therefore were at higher risk for acquiring HIV or sexually transmitted diseases (STDs). Teens who experienced more intimate partner violence had a significantly higher likelihood of inconsistent condom use and therefore a greater risk for HIV/STDs. Girls' sense of sexual control in their relationships was not directly associated with inconsistent condom use but was inversely related to verbal and emotional abuse. Interventions aimed at reducing HIV/STD risk for adolescent girls need to address patterns of dominance and control in adolescent relationships as well as multiple forms of partner violence. This suggests the need for multilevel intervention approaches that promote girls' agency and multiple ways to keep girls safe from perpetrators of partner abuse.
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | KAP SURVEYS | ADOLESCENTS, FEMALE | BLACKS | HISPANICS | SEXUAL PARTNERS | VIOLENCE AGAINST WOMEN | CONDOM USE | SEXUALLY TRANSMITTED DISEASES | RISK BEHAVIOR | SEX BEHAVIOR | SELF-PERCEPTION | PSYCHOLOGICAL ABUSE | Developed Countries | North America | Americas | Surveys | Sampling Studies | Studies | Research Methodology | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Ethnic Groups | Cultural Background | Behavior | Domestic Violence | Crime | Social Problems | Sociocultural Factors | Risk Reduction Behavior | Reproductive Tract Infections | Infections | Diseases | Perception | Psychological Factors | Aggression
Document Number: 328411

27.

Title: Cultural considerations for intimate partner violence and HIV risk in Hispanics.
Author: Weidel JJ; Provencio-Vasquez E; Watson SD; Gonzalez-Guarda R
Source: Journal of the Association of Nurses in AIDS Care. 2008 Jul-Aug;19(4):247-251.
Abstract: Immigration from Latin America is changing the demographics of the United States. By the year 2050, one of every four persons in the United States will be of Hispanic ethnicity. As this segment of American society grows, interventions that improve health status for these individuals must be expanded and enhanced. HIV infection disproportionately affects people in the Hispanic community. Hispanics have unique cultural and social characteristics and norms that place them at risk for HIV exposure. The purpose of this report is to highlight culturally related issues that have been associated with HIV risk in Hispanics. Clinicians can broaden their knowledge of and appreciation for the complex cultural issues related to HIV research. Additionally, clinicians can steer interventions toward more culturally competent care for this rapidly growing segment of American society. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | LATIN AMERICA | RESEARCH REPORT | HISPANICS | HIV INFECTIONS | DOMESTIC VIOLENCE | RISK FACTORS | SEXUAL PARTNERS | ACCULTURATION | GENDER ISSUES | INEQUALITIES | SEX ROLE | Developed Countries | North America | Americas | Developing Countries | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Viral Diseases | Diseases | Crime | Social Problems | Sociocultural Factors | Biology | Sex Behavior | Behavior | Social Change | Socioeconomic Factors | Economic Factors
Document Number: 328322

28.

Title: Ha sentido sola? Culturally competent screening for intimate partner violence in Latina women.
Author: Wrangle J; Fisher JW; Paranjape A
Source: Journal of Women's Health. 2008 Mar;17(2):261-268.
Abstract: Intimate partner violence (IPV), a common public health problem, affects women irrespective of ethnicity. Primary care visits provide an excellent opportunity to identify IPV survivors; however, among immigrant Latina women, language can be a barrier. Several IPV screening instruments are available in English, but few are available in Spanish. Therefore, we sought to estimate the screening characteristics of seven validated screening questions translated into Spanish. Participants included 105 Spanish-speaking Latina women, aged 18-64 years, seen for primary care in an urban teaching hospital. Measures used were (1) screening questions: seven dichotomous response-option IPV screening questions, and (2) comparison standard: Index of Spouse Abuse (ISA), adapted for lifetime IPV. All measures were professionally translated into Spanish. Sensitivity and specificity, with 95% confidence intervals (CI), of all questions were estimated using 2 _ 2 tables. Sensitivity and specificity with 95% CIs were estimated for the two questions with highest sensitivity. Mean age was 38.5 years (SD 11.4); 89.5% were uninsured, and 33% reported lifetime IPV. Spanish translations of the following questions: "Have you ever been in a relationship where you have felt controlled by your partner?" and "Have you ever been in a relationship where you have felt lonely?" had the highest individual sensitivity. The sensitivity of an affirmative response to either question was 94% (95% CI 86%, 100%), and the specificity of an affirmative response to both questions was 86% (95% CI 78%, 94%). Simple screening questions used in combination are highly sensitive for IPV detection in immigrant Latina women and may assist clinicians caring for them to identify a history of IPV. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | METHODOLOGICAL STUDIES | RESEARCH REPORT | EVALUATION INDEXES | QUESTIONNAIRE DESIGN | HISPANICS | WOMEN | DOMESTIC VIOLENCE | CULTURE | EXAMINATIONS AND DIAGNOSES | SCREENING | RELIABILITY | VALIDITY | QUESTIONNAIRES | Developed Countries | North America | Americas | Quantitative Evaluation | Evaluation | Survey Methodology | Surveys | Sampling Studies | Studies | Research Methodology | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Crime | Social Problems | Sociocultural Factors | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Measurement
Document Number: 325183

29.

Title: Helping the "neediest of the needy": An intersectional analysis of moral-identity construction at a community health clinic.
Author: Deeb-Sossa N
Source: Gender and Society. 2007 Oct;21(5):749-772.
Abstract: Drawing on data from 18 months of participant observation and interviews at a community health clinic in North Carolina, the author illustrates how an intersectional perspective deepens our understanding of the construction of a moral identity. In this case, the author examines the moral identity of health care providers-all women-who provide family planning and contraceptive counseling for women clients. The author analyzes how maternity care coordinators-two whites and two Latinas-craft a moral identity by drawing on the cultural toolkit available to them, using gendered frames but also racial, class, and nationalist frames. An intersectional lens helps us better understand how maternity care coordinators' moral identities are shaped by their different locations within racism, classism, and nationalism. (author's)
Language: English
Keywords:
UNITED STATES OF AMERICA | CALIFORNIA | RESEARCH REPORT | INTERVIEWS | HEALTH PERSONNEL | WOMEN | WHITES | HISPANICS | HEALTH FACILITIES | FAMILY PLANNING CENTERS | CULTURE | SOCIAL CLASS | SOCIAL DISCRIMINATION | VALUE ORIENTATION | Developed Countries | North America | Americas | Data Collection | Research Methodology | Delivery of Health Care | Health | Demographic Factors | Population | Ethnic Groups | Cultural Background | Population Characteristics | Sociocultural Factors | Socioeconomic Status | Socioeconomic Factors | Economic Factors | Social Problems | Psychological Factors | Behavior
Document Number: 322423

30.

Peer Reviewed

Title: Developing Spanish-language family planning materials: Lessons learned from extensive field tests.
Author: Denny-Garamendi C; Lopez-Rabin J; Guendelman S; Schafer S
Source: Perspectives on Sexual and Reproductive Health. 2007 Sep;39(3):176-180.
Abstract: Despite the importance of providing family planning clients with educational materials that are easy to read and understand, scant information is available on the development of materials for clients who feel most comfortable speaking and reading Spanish. Language difficulties and low health literacy, including lack of knowledge about contraception or where to get it, are important barriers to Latinas' utilization of reproductive health services and understanding of health information among Latinas. Other barriers, such as cost and lack of health insurance coverage, compound difficulties in accessing services, placing low-income Latina women at high risk of unintended pregnancy. Noncitizens and most recent immigrants are not eligible for Medicaid-covered family planning services, and the proportions of 15-44-year-old women who have no insurance are nearly twice as high among these groups (63% and 66%, respectively) as among those born in the United States (35%). (excerpt)
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | PILOT PROJECTS | HISPANICS | WOMEN | FAMILY PLANNING ACCEPTORS | FAMILY PLANNING EDUCATION | MATERIALS DEVELOPMENT | LANGUAGE | PAMPHLETS | Developed Countries | North America | Americas | Studies | Research Methodology | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Family Planning Programs | Family Planning | Education | Communication | Printed Media | Mass Media
Document Number: 320216


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