A Path Analysis of Latino Parental, Teenager and Cultural Variables in Teenagers' Sexual Attitudes, Norms, Self-Efficacy, and Sexual Intentions

;;OBJETIVO:;; testar um modelo teórico com base na Expansão Parental da Teoria do Comportamento Planejado, examinando a relação entre pais selecionados, adolescentes e variáveis culturais e as intenções dos jovens latinos ao se envolverem com comportamento sexual.;;;;MÉTODO:;; um design correlacional de corte transversal baseado em uma análise de dados secundários de 130 pares de pais e adolescentes latinos.;;;;RESULTADOS:;; procedimentos de regressão e de análise de trajetória foram usados para testar sete hipóteses e os resultados demonstraram um apoio parcial para o modelo. O familismo parental e o conhecimento sobre sexo foram significativamente associados com as atitudes dos pais em relação a comunicação sexual com seus filhos. A aculturação dos pais latinos foi negativamente relacionada com sua auto-eficácia na comunicação sexual com os adolescentes e positivamente relacionada com suas normas subjetivas na comunicação sexual com os jovens. O conhecimento do adolescente sobre sexo foi consideravelmente associado com os mais altos níveis de suas atitudes e normas subjetivas sobre a comunicação sexual com seus pais. Apenas o preditor das atitudes dos adolescentes sobre ter relações sexuais nos próximos três meses foi significativamente associado com as intenções dos adolescentes em ter relações sexuais nos próximos 3 meses..;;;;CONCLUSÃO:;; os resultados deste estudo fornecem informações importantes para guiar pesquisas futuras que possam informar o desenvolvimento de intervenções para prevenir o comportamento sexual arriscado de adolescentes entre os latinos.;;;;OBJETIVO:;; poner a prueba un modelo teórico basado en " Parent-Based Expansion " y con base en la teoría del comportamiento planificado para examinar la relación entre los padres seleccionados, adolescente y variables culturales, como también en las intenciones de los adolescentes latinos a participar en el comportamiento sexual.;;;;MÉTODO:;; un diseño correlacional transversal basado en un análisis de datos secundarios de 130 padres latinos y sus diadas adolescentes.;;;;RESULTADOS:;; regresión y procedimientos de análisis camino se utilizaron para probar siete hipótesis y los resultados demostraron un apoyo parcial para el modelo. El familismo y el conocimiento sobre el sexo de padres se asociaron significativamente con las actitudes de los padres hacia la comunicación sexual con sus hijos adolescentes. La aculturación de los padres latinos fue negativamente asociada con la autoeficacia los padres hacia la comunicación sexual con los adolescentes y alteran asociados a normas subjetivas de los padres hacia la comunicación sexual con los adolescentes. Conocimiento del adolescente sobre el sexo fue significativamente asociado con niveles más altos de las actitudes y normas subjetivas acerca de la comunicación sexual con padres adolescentes. Sólo el predictor de actitudes de los adolescentes teniendo sexo en los próximos 3 meses se asoció significativamente con la intención de adolescentes tiene relaciones sexuales durante los próximos 3 meses.;;;;CONCLUSIÓN:;; los resultados de este estudio proporcionan información importante para orientar la investigación futura que puede informar al desarrollo de intervenciones para prevenir comportamiento sexual de riesgo entre los adolescentes latinos.;;;;OBJECTIVE:;; to test a theoretical model based on the Parent-Based Expansion of the Theory of Planned Behavior examining relation between selected parental, teenager and cultural variables and Latino teenagers' intentions to engage in sexual behavior.;;;;METHOD:;; a cross-sectional correlational design based on a secondary data analysis of 130 Latino parent and teenager dyads.;;;;RESULTS:;; regression and path analysis procedures were used to test seven hypotheses and the results demonstrated partial support for the model. Parent familism and knowledge about sex were significantly associated with parents' attitudes toward sexual communication with their teenagers. Parent Latino acculturation was negatively associated with parents' self-efficacy toward sexual communication with their teenagers and positevely associated with parents' subjective norms toward sexual communication with their teenagers. Teenager knowledge about sex was significantly associated with higher levels of teenagers' attitudes and subjective norms about sexual communication with parents. Only the predictor of teenagers' attitudes toward having sex in the next 3 months was significantly associated with teenagers' intentions to have sex in the next 3 months.;;;;CONCLUSION:;; the results of this study provide important information to guide future research that can inform development of interventions to prevent risky teenager sexual behavior among Latinos.;

Hispanic women's experiences with substance abuse, intimate partner violence, and risk for HIV

Hispanic females are disproportionately affected by substance abuse, intimate partner violence, and HIV. Despite these disparities, research describing the cultural and gender-specific experiences of Hispanic women with regard to these conditions is lacking. Transplantadas en otro mundo (Uprooted in another world), El criador de abuso (The breeding ground of abuse), and Rompiendo el silencio (Breaking the silence). This study supports the importance of addressing substance abuse, violence, and risk for HIV in an integrated manner and stresses the importance of addressing associated cultural factors (e.g., acculturation, machismo ) in interventions targeting Hispanics

The Impact of Language and Culture on Healthcare Delivery

These eight videos depict clinical interactions between health care providers and Spanish-speaking patients. They are designed as both a Spanish language practice tool and as case studies for discussion of critical issues and cultural nuances that can arise in a clinical setting. Dialogue is all in Spanish; patients are all portrayed by native speakers, and health care providers by native speakers and actors with a broad range of Spanish proficiency. The videos range from about 1 minute to 3.5 minutes in length, and for each scenario there is also a version with English subtitles. ¶ Suggested Uses of the Videos: ¶ Watch the videos and post the responses to questions on Voice Threads™ in Spanish ¶ Watch the videos and engage in discussions on blogs or small groups related to content ¶ Watch the videos and have the learners develop care plans or education plans ¶ Use the videos as part of simulation experiences or replacement for clinical hourshttp://deepblue.lib.umich.edu/bitstream/2027.42/117622/1/nursing-the_impact_of_language_and_culture_on_healthcare_delivery-January15.zi

Hispanic Women’s Experiences With Substance Abuse, Intimate Partner Violence, and Risk for HIV

Hispanic females are disproportionately affected by substance abuse, intimate partner violence, and HIV. Despite these disparities, research describing the cultural and gender-specific experiences of Hispanic women with regard to these conditions is lacking. The purpose of this study is to describe the experiences that Hispanic community-dwelling women have with regard to substance abuse, violence, and risky sexual behaviors. Eight focus groups with 81 women were conducted. A bilingual, bicultural moderator asked women open-ended questions regarding the experiences that Hispanic women have with these conditions. Focus groups were audiotaped, transcribed, translated, verified, and then analyzed using qualitative content analysis. Participants discussed substance abuse, violence, and risky sexual behaviors interchangeably, often identifying common risk factors associated with these. Nevertheless, intimate partner violence was the most salient of conditions discussed. Three major themes emerged from the analysis: Transplantadas en otro mundo (Uprooted in another world), El criador de abuso (The breeding ground of abuse), and Rompiendo el silencio (Breaking the silence). This study supports the importance of addressing substance abuse, violence, and risk for HIV in an integrated manner and stresses the importance of addressing associated cultural factors (e.g., acculturation, machismo) in interventions targeting Hispanics