Browsing by Subject "Hispanic"
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Item Open Access A feasibility study to develop and test a Spanish patient and provider intervention for managing osteoarthritis in Hispanic/Latino adults (PRIMO-Latino).(Pilot and feasibility studies, 2018-01) Corsino, Leonor; Coffman, Cynthia J; Stanwyck, Catherine; Oddone, Eugene Z; Bosworth, Hayden B; Chatterjee, Ranee; Jeffreys, Amy S; Dolor, Rowena J; Allen, Kelli DBackground
Arthritis affects approximately 50 million adults in the USA. Hispanics/Latinos have a higher prevalence of arthritis-attributed activity limitations primarily related to osteoarthritis (OA). Hispanic/Latinos are less likely to receive hip replacement independent of health care access, and they are less likely to receive knee replacement. There have been few interventions to improve OA treatment among the Hispanic/Latino population in the USA. In our study, we aimed to develop and test a telephone delivered culturally appropriate Spanish behavioral intervention for the management of OA in Hispanic/Latino adults.Methods
We conducted a feasibility study in an academic health center and local community in Durham, North Carolina. We enrolled self-identified Spanish speaking overweight/obese adults (≥ 18) with OA of the knee and/or hip under the care of a primary health care provider. The 12-month patient intervention focused on physical activity, weight management, and cognitive behavioral pain management skills. The patient intervention was delivered via telephone with calls scheduled twice per month for the first 6 months, then monthly for the last 6 months (18 sessions). The one-time provider intervention included delivery of patient-specific OA treatment recommendations, based on patients' baseline data and published guidelines. The primary measures were metrics of feasibility, including recruitment and intervention delivery. We also assessed pain, stiffness, and function using the Spanish-Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).Results
A total of 1879 participants were identified for potential enrollment. Of those, 1864 did not meet inclusion criteria, were not able to be reached or refused. Fifteen participants enrolled in the intervention. The mean number of phone calls completed was 14.7. Eighty percent completed more than 16 calls. The mean WOMAC baseline score (SD) was 39 (20); mean improvement in WOMAC scores between baseline and 12 months, among 11 participants who completed the study, was - 13.27 [95% CI, - 25.09 to - 1.46] points.Conclusion
Recruitment of Hispanics/Latinos, continues to be a major challenge. A Spanish-based telephone delivering lifestyle intervention for OA management in Hispanic/Latino adults is feasible to deliver and may lead to improved OA symptoms. Future research is needed to further test the feasibility and effectiveness of this type of intervention in this segment of the population.Trial registration
NCT01782417.Item Open Access Cultural Values, Coping Strategies, and HIV Risk Behaviors in African-American and Hispanic Adolescents(2015) Sanchez, Amy KUtilizing data from The National Longitudinal Study of Adolescent Health (Add Health), the current study examined the relationship between cultural values, coping behavior, and HIV risk behaviors among African-American/Black and Hispanic/Latino adolescents (N = 437). The goal of this research was to provide the first step towards testing the construct validity of a theoretical model in which values and cultural context contribute to coping behaviors and coping, in turn, mediates the association between values and HIV risk profile. African-American participants endorsed higher levels of Africentric and religious values than did Hispanic participants and endorsed higher utilization of religious coping. Cultural values including familismo and religiosity were associated with more adaptive coping behavior and lower sexual and substance use risk behaviors across racial/ethnic groups. Results for other cultural values were inconsistent. Coping behavior predicted substance use risk behaviors but was not associated with sexual risk behaviors. Mediation was not supported except in the case of religious coping and religiosity. Implications for HIV prevention and directions for future research are discussed.
Item Open Access Diferencias y disparidades de salud para la comunidad hispana en Durham(2020-04-01) Lovvorn, CarterDue to multiple factors including language and culture, predominantly Hispanic neighborhoods in Durham County may experience health differently than other areas in the county. In conjunction with the Durham County Department of Public Health, culturally and linguistically sensitive health surveys were given to Durham neighborhoods with 50% or more Hispanics to assess if and how they may experience health differently from the rest of the county. Results indicate that people from these neighborhoods are less likely to have a primary care physician and less likely to have health insurance than those from the county at large. Additionally, these communities face large amounts of discrimination and often do not get the emotional support that they need. Lastly, as a result of unsafe neighborhoods and other important factors, obesity and diabetes are a large problem within these communities. In addition to the language barrier and culture, other more structural issues like economic and environmental factors are some of the causes that can lead to adverse health outcomes in these communities. While health education resources do exist within the county, they are not commonly known and could be made more readily available.Item Open Access El acceso a la atención dental: Las experiencias de la comunidad hispana en el Triángulo de Carolina del Norte(2019-04-05) Wang, ElayneLa salud dental es muy importante a la salud sistémica en general. Sin embargo, muchos factores, que incluyen el acceso a la atención dental, las barreras del idioma, el conocimiento de la salud dental y el sistema dental de los Estados Unidos, los factores socioeconómicos y la falta de recursos bilingües en los consultorios dentales impiden que muchas personas reciban la atención que necesitan. Además, se ha demostrado que ciertos grupos están en mayor riesgo de ser afectados por problemas de salud dental y acceso restringido a la atención que otros. La creciente población hispana en los Estados Unidos está particularmente en riesgo en comparación con la población blanca no hispana. Con el fin de obtener más información sobre las experiencias locales y las implicaciones de estas disparidades en la salud dental, se encuestó a profesionales dentales y personas que identifican como hispanas del Triángulo (Durham, Chapel Hill y Raleigh, NC). Al analizar los datos de las encuestas, se determinó que a pesar de la presencia de algunos recursos disponibles para los pacientes hispanohablantes, las disparidades en el acceso a la atención dental persisten en el Triángulo, no debido a ideas incorrectas sobre los hábitos de salud oral (es decir, la frecuencia y la duración del cepillado), pero principalmente debido a razones financieras y la falta de una necesidad percibida de visitas dentales por parte del paciente. También se descubrió que los diferentes niveles de aculturación, que es la familiaridad, comodidad y confianza de alguien en cuanto a vivir en una cultura específica, tienen un impacto en cómo los hispanos interactúan con el sistema de salud dental. Esto confirma que los hispanos en los Estados Unidos no pueden ser tratados como un grupo homogéneo y que deben emplearse diferentes estrategias dirigidas a diferentes grupos de hispanos para resolver las disparidades en la atención dental.Item Open Access Examining the Role of Intergroup Relations in Black and Hispanic Parents' Preschool Enrollment Decisions(2017) Hill, Zoelene VState and local governments are seeking to expand preschool programs for low-income children and to enroll an increasingly ethnically and culturally diverse population. To ensure that expanded preschools equitably serve populations who are currently under-represented in current preschool programs, policymakers must understand the contexts that influence parents’ enrollment decisions. This set of three mixed-methods studies examines the influence of inter-racial and inter-ethnic group relations on the preschool enrollment decisions of black and Hispanic parents in a region experiencing a burgeoning Hispanic population.
Paper 1: Historic and contemporary studies provide evidence that racial and ethnic relations affect parents’ selection in to and out of schools in the K-12 education context. However, no study examines whether racial and ethnic group relations that influence school enrollment in the K-12 setting may also influence parents’ selection in to or out of a public preschool program. This study addresses this gap by examining how intergroup relations are related to the public preschool enrollment status of low-income black and Hispanic parents in a region experiencing Hispanic population growth. Intergroup relations are measured through group identity, linked fate, competition and conflict. Through surveys of black and Hispanic parents in poverty (n=369), this study finds that linked fate has a negative relationship with enrollment for Hispanic parents. In addition, there is a positive relationship between parents’ report of conflict and Head Start enrollment.
With states and local government seeking to expand their preschool systems, findings that intergroup relations influence parents’ preschool enrollment decisions
will be an important policy, program, and outreach consideration for preschool expansion. Moreover, with the growth and dispersal of Hispanic populations into new regions and communities, intergroup relations will be a particularly important consideration for preschool expansion in a growing demographic context.
Paper 2: As state and local governments expand their public preschool systems targeting the enrollment of children from low-income families, understanding why some low-income families do not apply for public preschool may provide insights about barriers to enrollment. This study provides cluster analyses of data on 369 low-income parents with preschool-age children; 202 parents had children enrolled in preschool, while 167 parents did not apply for public preschool. Cluster analyses and a series of robustness checks reveal two distinct typologies of parents who do not apply for public preschool. The first group of parents exhibit several characteristics associated with non-enrollment. The second group of parents are distinguishable only by their lack of transportation. This exploratory analysis of types of non-enrollers is informative for the local community from which these data were derived and provides a blueprint for further examination of typologies of parents who do not enroll.
Paper 3: Through in-depth interviews with 34 low-income, black and Hispanic mothers in a southern city experiencing a burgeoning Hispanic population, this study examines racial/ethnic relations as mothers engage in constrained labor and public preschool markets. This study reveals that while there is indeed a sense of competition for scarce labor market resources, these sentiments are more strongly expressed by black mothers than by Hispanic mothers. However, Hispanic and black mothers express similar levels of competition for public preschool. Interviews reveal family structure and policy determinants of intergroup tensions.
Item Open Access Item Open Access Predicadores: An Ethnographic Study of Hispanic Protestant Immigrant Preachers(2018) Madrazo, TitoThe Hispanic Protestant population of the United States has grown dramatically in recent decades, yet scholars have paid little if any attention to the preachers or the preaching within Hispanic Protestant congregations. The thesis of this project is that the unique transnational experiences, immigration stories, bicultural identities, and contextual hardships of Hispanic preachers actually shape their calling, praxis, and proclamation in significant ways. The primary methodology employed within this dissertation is collaborative ethnography as described by Luke Eric Lassiter in The Chicago Guide to Collaborative Ethnography. This study involved a multiyear period of participant-observation as well as several rounds of interviews and focus group sessions with twenty-four individual subjects engaged in preaching ministries within Hispanic Protestant congregations.
This dissertation highlights the ways in which the sermons of Hispanic Protestant preachers who are recent immigrants echo the particular concerns of immigrant communities while also focusing strongly on the importance of spiritual conversion. It also demonstrates the role of testimony and the power of the preaching platform for female preachers within this demographic. My collaborators revealed, through their stories and proclamation, the incredible homiletical importance of the preacher’s ability to understand and to speak from within the culture of his or her congregation. This bears significant implications for the way in which future ministers engage in both vocational discernment and theological education. It also highlights the encouraging possibilities of ethnography for pastoral practice. Furthermore, the practice of the collaborators featured in this dissertation reveals the sustaining power of preaching within marginalized communities. Finally, the aims of the predicadores involved in this work reveal their hopes for the future of their congregations, which do not easily fit within the typical categories assigned to them in sociological analyses.
Item Open Access Providing Mental Health Access to Unauthorized Children and Citizen-Children of Unauthorized Parents in Durham Area Schools(2021-05-14) Luther, NatashaWorld Relief Durham (WRD) is in the process of creating an intervention program that would support the effort to provide mental health access to unauthorized Hispanic children/youth, and citizen-children of unauthorized parents in Durham area schools. This research project contains interviews with World Relief National Offices, local experts, and Durham area schools. Language, finances, needs assessments, and fear of deportation were all barriers to mental health access that interviewees identified for unauthorized students in Durham. WRD must take the following steps to improve mental health access for unauthorized children and citizen-children of unauthorized parents in Durham: 1. Close the access gaps to mental health services by becoming a mental health provider, funding mental health service sessions, and identifying mental health service needs. 2. Build community partnerships by providing trainings for Durham school social workers and getting licensed for anti-human trafficking support. 3. Assist unauthorized parents by interviewing them, providing language assistance, removing stigma surrounding mental health, and introducing community resources. 4. Gather resources for high schoolers that can be used during and after graduation. These strategies will help build upon services that are already in place by community organizations and enhance the overall process for unauthorized children, and citizen-children of unauthorized parents to receive mental health services.