The Association between Language Use and Food Insecurity among Hispanic Adults Residing in the United States Depends on Nativity

Abstract Objective: To examine the association between language use – predominantly English, English and Spanish equally, and predominantly Spanish – and food insecurity among Hispanic adults residing in the United States, 1999-2018. Design: Pooled cross-sectional study design. Setting: United States. Participants: 15,073 Hispanic adults. Results: Compared to Hispanic adults who predominantly spoke English and after adjusting for age, sex, family income-to-poverty ratio, education level, and employment status, Hispanic adults who spoke English and Spanish equally (OR=1.28, 95%CI=1.05-1.56) or predominantly Spanish (OR=1.25, 95%CI=1.04-1.49) had higher odds of food insecurity. After stratifying by country of birth, language use was associated with higher odds of food insecurity only for Hispanic adults born outside of the United States, but not for Hispanic adults born in the United States. Hispanic adults born outside of the United States who spoke English and Spanish equally (OR=1.27, 95%CI=1.04-1.55) or spoke predominantly Spanish (OR=1.24, 95%CI=1.04-1.48) had higher odds of food insecurity when compared to those who predominantly spoke English. Conclusion: Foreign-born Hispanic adults who speak predominantly Spanish, or English and Spanish equally, have higher odds of food insecurity. Food and nutrition assistance programs that serve Hispanic immigrants should make sure to provide linguistically- and culturally appropriate services to this population

Lessons learned for social and behavior change programming from the USAID Zika response

Breakthrough RESEARCH documented the strengths, weaknesses, gaps, and challenges in social and behavior change (SBC) efforts to combat the Zika outbreak to inform future public health emergency programming. What were the successes, challenges, and gaps in designing, implementing, and adapting SBC programming in the USAID Zika response? What were the successes, challenges, and gaps in generating and using data and evidence in SBC programming in the USAID Zika response? What do the successes, challenges, and gaps of the USAID Zika response’s SBC programming imply for future health emergency responses? Eight recommendations are offered as a reslt of these research queries

A case study in leveraging strategic partnerships through trust-based philanthropy

This practice note highlights a case study of leveraging strategic partnerships through trust-based philanthropy, a set of practices rooted in values, relationship building, mutual learning, and equity. It describes the motivations, planning, and execution of a symposium organized by, and held for, a Foundation and four of its grantees. The symposium led to the development of sustained pathways between and among the partners, resulting in productive collaborations and shared projects. This case study is shared to illustrate the argument that it is the responsibility of funders, and certainly in their self-interest, to eliminate competition between organizations to whom they provide financial resources and support. By facilitating trust and collaboration, funders are uniquely positioned to foster collective, higher-impact work. © 2024 The Authors. Journal of Philanthropy and Marketing published by John Wiley & Sons Ltd

It\u27s your game, keep it real. Sexual education study

Purpose: This study translated and adapted the It\u27s Your Game, Keep It Real study currently being implemented with middle school youth in Southeast Texas for a middle school population in rural western Honduras. The study tested the effects of a sexual health education program focused on human immunodeficiency virus, sexually transmitted infections, and pregnancy prevention. We hypothesized that the number of adolescents in the intervention group who initiate sexual activity will reduce in comparison to the control group and there will be an increase consistent condom use in sexually active adolescents in the intervention group. Methods: The target population included Spanish-speaking Hispanic middle school students from a small, semi-urban city in western Honduras. One school was randomly selected to receive the intervention and one to the comparison condition. The intervention curriculum consisted of 10 seventh-grade lessons that included individual and group classroom-based activities and personal journaling. Follow-up surveys were completed three months after the last lesson with 146 students (79.3% of the defined cohort). Results: In the comparison condition, 21.4% of students initiated sex by the post-test follow-up three months after the intervention compared to 7.8% in the intervention condition. Conclusions: A multi-component, curriculum-based program that is theory driven and culturally relevant can increase knowledge about STIs and HIV, increase self-confidence amongst middle school students, and develop communication skills amongst friends and partners. Further research must be conducted to assess delay in sexual initiation and the generalizability of these results

Attitudes, beliefs, and perceived norms about corporal punishment and related training needs among members of the “American Professional Society on the Abuse of Children”

Hitting children for disciplinary purposes (i.e., spanking or corporal punishment [CP]) is a strong risk factor for child physical abuse and is highly prevalent in the U.S. Yet, little is currently known about the relevant attitudes, beliefs, or training needs of key professionals who often advise parents regarding child discipline strategies. A survey of the American Professional Society on the Abuse of Children (APSAC) membership, comprised of mental health professionals, physicians, child welfare professionals, and other professionals in the child maltreatment field, was conducted to assess attitudes, beliefs, perceived norms, training needs, and motivations to change norms regarding CP (N= 571, response rate=51%). Most respondents agreed that spanking is a bad disciplinary technique (82%), is harmful for children (74%), and leads to negative outcomes (M =3.0, SD =0.6) more frequently than positive outcomes (M =2.1, SD=0.6; t =20.8; p < 0.0001) for children. Professionals reported perceiving that their colleagues’ level of endorsement of CP (M =2.4, SD =1.0) was higher than their own (M =1.9, SD=1.0; t(568) =−10.7,p <0.0001) though still below the midpoint. Professionals reported high levels of preparedness to effectively advise parents on non-physical child discipline strategies, but reported perceiving lower levels of preparedness amongst their colleagues. They reported highly valuing giving such advice to parents and being very motivated to participate in activities designed to change social norms regarding CP. Most APSAC members are poised to change these norms and, in doing so, to help reduce rates of child physical abuse in the U.S.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138803/1/2017 Taylor Fleckman Lee Child abuse and neglect.pdfDescription of 2017 Taylor Fleckman Lee Child abuse and neglect.pdf : main articl

ZIKV-related ideations and modern contraceptive use: Cross-sectional evidence from the Dominican Republic, El Salvador, Honduras, and Guatemala

Zika virus (ZIKV) can be sexually transmitted and can lead to severe neonatal and child health issues. The current study examines whether ZIKV-related ideational factors, including awareness of ZIKV and associated birth defects, are related to modern contraceptive use among women and men with sexual partners in four Latin American and Caribbean (LAC) countries. Data used are from cross-sectional household surveys conducted in 2018 in the Dominican Republic, El Salvador, Guatemala, and Honduras with representative samples of men and women aged 18–49 (N = 1,100). The association between self-reported use of modern contraception and measures of Zika knowledge, risk perceptions and social norms, and contraceptive self-efficacy was examined via sex disaggregated multivariate logistic regression models. Both men (OR 3.70, 95% CI 1.36–10.06, P \u3c 0.05) and women (OR 3.71, 95% CI 2.30–5.99, P \u3c 0.0001), who reported discussing family planning with their partner in the last year were more likely to use modern contraception compared with those who did not. Contrary to our hypothesis, knowledge that ZIKV can affect a fetus was negatively associated with modern contraceptive use for women (OR 0.49, 95% CI 0.29–0.85, P \u3c 0.05). Given the cross-sectional nature of the survey, women not using contraception may be more likely to remember that ZIKV can affect a fetus. In the event of a related outbreak, future health promotion and communication efforts in LAC should focus on known determinants of modern contraceptive use, such as knowledge and partner communication, and knowledge of the health effects of ZIKV if pregnant, to influence family planning decision-making behavior