Cultural Contributors to Smoking Susceptibility Outcomes Among Latino Youth: The Padres Informados/Jovenes Preparados Participatory Trial
Padres Informados/Jovenes Preparados is a community-based participatory, family-focused tobacco prevention intervention for immigrant Latino families of adolescents. We conducted a participatory randomized controlled trial including 352 Latino families. Parents and youth in the intervention condition engaged in eight family skill building sessions. Participants completed baseline and 6-month postintervention surveys assessing smoking susceptibility and contextual factors. While the intervention did not affect smoking susceptibility overall, it resulted in lower smoking susceptibility among youth in families with less adher...
Source: Family and Community Health - February 17, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Using Community-Based Participatory Research and Human-Centered Design to Address Violence-Related Health Disparities Among Latino/a Youth
We present a project exemplifying how community forums, with researchers, practitioners, and key stakeholders, including youths and parents, integrated HCD strategies with a CBPR approach. Given the potential for power inequities among these groups, CBPR + HCD acted as a catalyst for reciprocal dialogue and generated potential opportunity areas for health promotion and change. Future directions are described. (Source: Family and Community Health)
Source: Family and Community Health - February 17, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Mexican American College Men's (Mis)Understandings About HPV and Cervical Cancer
Latinas have disproportionally high rates of cervical cancer in part due to their reliance on Latino partners to make sexual health decisions, their limited knowledge about human papillomavirus (HPV), and inconsistent Pap smear screening behaviors. In this qualitative study, we examined the sexual health beliefs of Latino college men regarding HPV. Participants included 6 Mexican American college students from a large Midwestern university. We conducted 18 in-depth individual interviews about men's beliefs, attitudes, and knowledge about HPV. Through theme analysis, we identified 4 themes suggesting that participants' limi...
Source: Family and Community Health - February 17, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Predictors of Human Papillomavirus Vaccine Initiation and Completion Among Latino Mothers of 11- to 17-Year-Old Daughters Living Along the Texas-Mexico Border
Few Texas Latino girls initiate and complete the human papillomavirus (HPV) vaccine series, but few studies have examined predictors of initiation and completion in this group. Mothers are crucial to vaccine uptake. Using self-reported data from mothers of unvaccinated girls (n = 317), we examined the association between predictors (HPV and HPV vaccine knowledge, vaccine self-efficacy) and outcomes (initiation and completion). Despite an increase in HPV and HPV vaccine knowledge from baseline to follow-up (n = 195), we found no association between the predictors and the outcomes. Findings showed that health insurance statu...
Source: Family and Community Health - February 17, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Segmented Assimilation: An Approach to Studying Acculturation and Obesity Among Latino Adults in the United States
Segmented assimilation theory posits that immigrants experience distinct paths of assimilation. Using cluster analysis and data from the National Latino and Asian American Survey, this study sought to apply this theory in relation to obesity among Latinos. Four clusters emerged: a “second-generation classic,” a “third-generation classic,” an “underclass,” and a “segmented assimilation” pattern. In analyses controlling for sociodemographic confounders (eg, age), second-generation classic individuals had higher odds of obesity (odds ratio = 2.70, 95% confidence interval = 1.47-4.93) relative to the segmented ...
Source: Family and Community Health - February 17, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Acculturation and Self-Management Perceptions Among Mexican American Adults With Type 2 Diabetes
Because type 2 diabetes (T2DM) is disproportionately high among Mexican Americans in the United States, this study examined how acculturation influences T2DM self-management, a critical component for disease outcome. Qualitative interviews of 24 low-income Mexican American patients with T2DM were matched to their biomedical and dietary data and degree of acculturation. Greater acculturation to the United States was associated with less favorable diabetes control, fiber density, leisure-time physical activity, and more physical disability. Health care professionals can improve their cultural competence by learning culturall...
Source: Family and Community Health - February 17, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Latino Acculturation and Periodontitis Status Among Mexican-Origin Adults in the United States: NHANES 2009-2012
This study examined the association between Latino acculturation indicators (language and citizenship/nativity status) and periodontitis using data from the National Health and Nutrition Examination Survey (NHANES) 2009-2012. Descriptive statistics and logistic regression analyses were performed and all analyses were adjusted for the complex survey design. Results showed that 63.2% of participants had periodontitis: 9.4% mild, 37.9% moderate, and 16% severe. Language was significantly associated with periodontitis after adjusting for age, educational level, gender, usual source of care, flossing, smoking, and glycohemoglob...
Source: Family and Community Health - February 17, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Demographic Characteristics Associated With Barriers to Health Care Among Mexican and Guatemalan Immigrants in a Nontraditional Destination Area
The purpose of this study was to examine demographic factors associated with health care barriers among Mexican (n = 258) and Guatemalan (n = 143) immigrants in Cincinnati, a nontraditional destination (new migration area). Three primary results emerged: length of US residence was not associated with fewer health care barriers, Mexican women and younger Guatemalans endorsed fewer skills-related barriers, and childless Guatemalans reported more barriers to care the longer they reside in the United States, when compared with Guatemalans with children. Our study highlights the importance of disaggregating data to create more ...
Source: Family and Community Health - February 17, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - February 17, 2017 Category: Primary Care Tags: Foreword Source Type: research
Systematic Braiding of 2 Evidence-Based Parent Training Programs: Qualitative Results From the Pilot Phase
This article describes the development and pilot phases of a trial evaluating the systematic braiding of 2 evidence-based home-based models, SafeCare and Parents as Teachers. We describe the methodology for braiding model implementation and curriculum, specifically focusing on how structured qualitative feedback from pilot families and providers was used to create the braided curriculum and implementation. Systematic braiding of 2 models at the implementation and curriculum levels is a mechanism that has the potential to meet the more comprehensive needs of families at risk for maltreatment. (Source: Family and Community Health)
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Special Feature Source Type: research
“Please Don't Just Hang a Feather on a Program or Put a Medicine Wheel on Your Logo and Think ‘Oh Well, This Will Work’”: Theoretical Perspectives of American Indian and Alaska Native Substance Abuse Prevention Programs
Many current theories guiding substance abuse prevention (SAP) programs stem from Western ideologies, leading to a scarcity of research on theories from, and a disconnect with, Indigenous perspectives. This qualitative research study explored perceptions of theory by SAP researchers (N = 22) working with American Indian and Alaska Native communities. In-depth interviews identified components of Indigenous theoretical perspectives, including cultural elements such as balance, social cohesion, and belonging as being particularly significant and currently absent from many SAP programs. Recommendations for conducting metatheor...
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
The Relationship Between Advertising-Induced Anger and Self-efficacy on Persuasive Outcomes: A Test of the Anger Activism Model Using the Truth Campaign
This study tested the AAM using responses to 2 truth antismoking advertisements collected in August-October 2014 via an online, cross-sectional survey of 15- to 21-year-olds. Those aware of each of the truth advertisements (n = 319 for each) were organized into 4 anger/efficacy groups. Analysis of variance and regressions were conducted to understand group differences in message-related cognitions (persuasiveness, receptivity, conversation). Message cognitions were highest among the high anger/high efficacy group and lowest among the low anger/low efficacy group. (Source: Family and Community Health)
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Examining a Partial Biopsychosocial Model for Monthly Alcohol, Tobacco, and Marijuana Use Among Adolescents
Alcohol, tobacco, and marijuana are commonly used substances among adolescents. In the context of the Biopsychosocial Model (BPSM), this study investigated the relationships between psychological and normative factors associated with adolescent alcohol, tobacco, and marijuana use. Data were analyzed from 1053 middle and high school students. Structural equation modeling was used to examine the relationships between BPSM constructs. Results indicate that latent constructs of the BPSM are significant antecedent factors to alcohol, tobacco, and marijuana use; however, the relationships between study constructs were inconsiste...
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Using Multitheory Model of Health Behavior Change to Predict Adequate Sleep Behavior
The purpose of this article was to use the multitheory model of health behavior change in predicting adequate sleep behavior in college students. A valid and reliable survey was administered in a cross-sectional design (n = 151). For initiation of adequate sleep behavior, the construct of behavioral confidence (P (Source: Family and Community Health)
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Applying a New Theory to Alter Binge Drinking Behavior in College Students
Binge drinking is a serious public health problem in the United States, where it is estimated that 17.6% adults binge drink. Binge drinking is highest among college students. There is need for effective binge drinking interventions. Recently a new health behavior theory has been proposed called the multitheory model of health behavior change. The purpose of this article is to describe the application of the multitheory model for changing binge drinking behavior to a behavior of responsible drinking or abstaining from alcohol. A framework for an intervention and its testing is presented. (Source: Family and Community Health)
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
