[The emergence of rights-desire in postmodern culture]. / El surgimiento de los derechos-deseo en la cultura posmoderna.

n recent decades there has been an undeniable inflationary process of human rights that has contributed to their trivialization and consequent discrediting. It is not surprising that after the third generation of rights there is no longer agreement on the content and scope of the following generations, which include rights whose subject is not the human being (but nature, the environment or animals) or, if it is, the individual claims from the State his right to satisfy a desire that he feels is necessary for his personal development. The emergence of ″desire-rights″ is the clearest proof of this inflationary and arbitrary process of human rights, radically transforming the entire human rights system. This article studies the emergence of these desire-rights, showing their historical origins and main philosophical presuppositions, as well as their most common characteristic features.

Cross-cultural adaptation of the Neonatal Medical Index (NMI) to Brazil.

OBJECTIVE: To perform a cross-cultural adaptation and assess the content validity of the Neonatal Medical Index (NMI) for the Brazilian context. METHODS: The cross-cultural adaptation was completed in six steps, including translation, synthesis of translations, back translation, submission to an expert committee, testing of the prefinal version, and appraisal by the original author. The expert committee assessed the equivalence between versions based on the percentage of agreement, and content validity was evaluated using the content validity index (CVI) for each item of the scale (I-CVI) and for the overall scale (S-CVI) in terms of representativeness and clarity. Participants of the prefinal version also evaluated the CVI for clarity. RESULTS: After two evaluation rounds of the expert committee it was attained 98% agreement, attesting to the equivalence between the instrument versions, maximum values for representativeness I-CVI and S-CVI/Ave (1.00), and high values for clarity I-CVI (all items ≥0.97) and S-CVI/Ave (0.98). The expert committee members defined that the Brazilian version of the instrument would be called Índice Clínico Neonatal (NMI-Br). The NMI-Br reached high values of CVI for clarity (all I-CVI ≥0.86 and S-CVI/Ave=0.99) among the participants of the prefinal version. CONCLUSIONS: The NMI-Br is the Brazilian version of the NMI, obtained in a rigorous cross-cultural validation process, counting with adequate values of content validity.

Cross-cultural adaptation and validation of the Quality of Life in School (QoLS) Questionnaire into Brazilian Portuguese.

The school is fundamental for the development of societies and caring for the student is part of the educational process. Reflections on collective health allowed the expansion of the vision of the concept of quality of life considering different social spaces and indicators. Thus, the aim of this study was to assess of some psychometric Properties of the Quality of Life in School instrument into Brazilian Portuguese (QoLS-BR) among elementary school students. The processes of translation, content evaluation, focus group and Confirmatory Factor Analysis (CFA) were carried out. Reproducibility analysis was performed by administering QoLS-BR to 30 students. The sample used for Internal Consistency and CFA comprised 434 students with a mean age of 12.31 years. High indices of language clarity, practical relevance, theoretical relevance, internal consistency, and reproducibility were obtained. In the AFC, adjustments were not necessary in the QoLS-BR model with four factors (RMSEA=0.065; TLI=0.959; CFI=0.962; SRMR=0.080) indicating that the indices were adequate when investigating all four domains. QoLS-BR has adequate psychometric indicators for investigating the quality of life in school.

Socioeconomic and cultural factors associated with pap smear screening among French women living in Réunion Island.

BACKGROUND: Réunion Island is a French overseas territory located in the southern Indian Ocean, with a challenging socioeconomic and multicultural context. Compared to mainland France, Réunion has an overincidence and overmortality of cervical cancer. In order to investigate these two issues, it is important to evaluate the barriers and potential levers to Pap smear screening among female inhabitants of the island. We aimed to identify the specific socio-demographic factors, cultural factors, and living conditions associated with Pap smear screening in Réunion, with a view to increasing uptake. METHODS: We conducted a Knowledge Attitude Behavior and Practices (KABP) survey on cervical cancer screening practices among women aged between 25 and 65 years old living in Réunion Island, selected using random digit dialing sampling. Data were collected using Computer Assistant Telephone Interviews. Weighted chi-squared tests and Student's t-tests were used to compare women who had up-to-date Pap smear screening with women who did not. Weighted logistic models were used to identify the factors associated with not having up-to-date screening. RESULTS: A total of 1000 women were included in the study. Of these, 88.1% had a Pap smear test during the previous three years. Factors independently associated with not being up to date were as follows: aged over 55 (AOR 2.3 [1.2-4.3]), no children (AOR 2.5 [1.4-4.3]), having free universal health coverage (AOR 1.7 [1.1-2.7]), an income per unit consumption lower than 1500€ per month (AOR 2.0 [1.1-3.7]), low health literacy (AOR 2.7 [1.7-4.1]), not consulting a general practitioner in the prior 12 months (AOR 3.6 [2.0-6.5]), and a BMI > 30 (AOR 2.6 [1.5-4.4]). CONCLUSIONS: This is the first large-scale survey focusing on recommended Pap smear screening uptake in Réunion Island. Although self-reported screening incidence was higher than in mainland France, national screening policies must take into account the island's diverse social and cultural characteristics (e.g., an ageing population, low health literacy), while implementing actions to fight against poverty and increase general access to healthcare.

Translation, adaptation, and psychometric properties of the Brazilian-Portuguese version of the Quality of Life in Children with Vernal Keratoconjunctivitis questionnaire.

PURPOSE: The prevalence of ocular allergy varies according to the population and location of the study. Severe forms of ocular allergy are associated with compromised quality of life. In this study, we aimed to evaluate the application of the Brazilian-Portuguese version of the Quality of Life in Children with Keratoconjunctivitis questionnaire to children and adolescents with different subtypes of allergic conjunctivitis. METHOD: A total of 48 patients (aged 5-12 years) with allergic conjunctivitis were included in this study. They were enrolled and monitored at a specialized center. After the clinical appointment, the children responded to the questionnaire on two occasions at an interval of 30 days. Individual scores (ranging from 0 to 3) of the 16 items were added. RESULTS: The Brazilian-Portuguese version of the Quality of Life in Children with Keratoconjunctivitis questionnaire demonstrated good translation, adaptation, and intellectual properties, with substantial internal consistency (Cronbach's α coefficient = 0.702). There was no significant difference between the responses of the two interviews, revealing good reproducibility. The moderate/severe forms of allergic conjunctivitis had significantly higher quality of life scores (indicating a poorer quality of life) than the mild forms. CONCLUSIONS: The Brazilian-Portuguese version of the Quality of Life in Children with Keratoconjunctivitis proved to be quick, reliable, and reproducible for assessing the quality of life in children with allergic conjunctivitis. However, its ability to detect changes resulting from symptom aggravation or treatment needs to be further evaluated.

Multilevel analysis of COVID-19 vaccination intention: the moderating role of economic and cultural country characteristics.

BACKGROUND: Predictors of COVID-19 (coronavirus) vaccination have been extensively researched; however, the contextual factors contributing to understanding vaccination intention remain largely unexplored. The present study aimed to investigate the moderating role of economic development (Gross domestic product - GDP per capita), economic inequality (Gini index), the perceived corruption index and Hofstede's measurements of cultural values-index of individualism/collectivism and power distance index-in the relationship between determinants of satisfaction with the healthcare system, trust in political institutions, conspiracy beliefs and COVID-19 vaccination intention. METHODS: A multilevel modelling approach was employed on a sample of approximately 51 000 individuals nested within 26 countries. Data were drawn from the European Social Survey Round 10. The model examined the effect of individual- and country-level predictors and their interaction on vaccination intention. RESULTS: Satisfaction with the healthcare system had a stronger positive effect on intention to get vaccinated in countries with lower perceived corruption and more individualistic countries. Trust in political institutions had a stronger positive effect on vaccination intention in countries with higher economic development and lower perceived corruption, while a negative effect of conspiracy beliefs on vaccination intention was stronger in countries with lower economic development, higher perceived corruption and a more collectivistic cultural orientation. CONCLUSION: Our findings highlight the importance of considering individual and contextual factors when addressing vaccination intention.

Research on bronze wine vessel classification using improved SSA-CBAM-GNNs.

This article proposes an advanced classification algorithm for bronze drinking utensils, taking into account the complexity of their cultural characteristics and the challenges of dynasty classification. The SSA-CBAM-GNNs algorithm integrates the Sparrow Search Algorithm (SSA), Spatial and Spectral Attention (CBAM) modules, and Graph Neural Networks (GNNs). The CBAM module is essential for optimizing feature extraction weights in graph neural networks, while SSA enhances the weighted network and expedites the convergence process. Experimental results, validated through various performance evaluation indicators, illustrate the outstanding performance of the improved SSA-CBAM-GNNs algorithm in accurately identifying and classifying cultural features of bronze drinking utensils. Comparative experiments confirm the algorithm's superiority over other methods. Overall, this study proposes a highly efficient identification and classification algorithm, and its effectiveness and excellence in extracting and identifying cultural features of bronze drinking utensils are experimentally demonstrated.

Translation, cultural adaptation and assessment of psychometrics properties of the Extended Version of the Nordic Musculoskeletal Questionnaire (NMQ-E) in Persian language speaking people.

BACKGROUND: To translate and cross-culturally adapt the Extended Version of the Nordic Musculoskeletal Questionnaire (NMQ-E) into Persian (NMQ-E-P) and evaluate the psychometric properties in a general population with different occupational tasks across nine body regions. METHODS: This cross-sectional study was designed according to the standard guidelines and the COSMIN checklist. The NMQ-E-P was achieved through forward and backward translation methods and consensus to produce the final draft. A Persian-speaking population (n = 571, age 38.24 ± 7.65 years, female = 46.2%) was recruited from industries and office workers with three occupational task inclusion criteria: assembly, office, and lifting. Psychometric properties included validity for face (from confirmed clarity, simplicity, and readability), content (via the content validity index); and construct (through known group validity); additionally, the properties of internal consistency (Cronbach's α); and test-retest reliability (Kappa coefficient of agreement) were considered. RESULTS: No significant issues during the translation process were found. The NMQ-E-P showed adequate internal consistency for all regions (α ≥ 0.87). The test-retest reliability was examined with Kappa agreement correlation coefficient and all items, except ankle regions, showed very good agreements (Kappa coefficient = 0.87-1.0). Excellent ICC values were obtained for quantitative variables (ICC > 0.88) and good construct validity was revealed (p < 0.001). CONCLUSION: The Persian version of the NMQ-E has very good validity and reliability and can be used by researchers and professionals to evaluate the prevalence of MSDs in nine body regions simultaneously.

Associations of Cultural Characteristics with Sedentary Behaviour and Screen Time Among Indigenous Adults in Saskatchewan.

BACKGROUND: Indigenous Peoples: First Nations, Métis and Inuit, have experienced significant disruptions of physical, mental, emotional and spiritual health and well-being through centuries of ongoing colonization and assimilation. Consequently, breakdown of cultural connections, increasingly sedentary lifestyles and high levels of screen time contribute to health inequity experiences. PURPOSE: The purpose of this study is to examine associations of cultural connectedness with sedentary behaviour and the influence of relocation from home communities for Indigenous Peoples in Saskatchewan. METHODS: Cultural connectedness, sedentary and screen time behaviour were evaluated through online questionnaires among 106 Indigenous adults. Within Indigenous identities, 2 × 2 factorial ANOVA compared cultural connectedness scores with sedentary behaviour and traditional activity participation by relocation from home communities. RESULTS: Among First Nations and specifically Cree/Nehiyawak who relocated from home communities, positive associations of cultural connectedness scores with sedentary behaviour and screen time were identified, with no associations identified among those not relocating. Among Métis who did not relocate, greater ethnic identity, identity, spirituality and cultural connectedness (57.8 ± 5.36 vs. 81.25 ± 16.8; p = 0.02) scores were reported among those reporting 5 or more hours of continuous sitting. CONCLUSIONS: Cultural connectedness associations with sedentary behaviour depend on relocation from home communities and differ between First Nations and Métis. Understanding associations of sedentary behaviour specific to First Nations and Métis populations may enable appropriate strategies to improve health outcomes.

"Música Paraense" e Terruá Pará: identidade regional, indústria cultural e psicologia das massas / "Pará Music" and Terruá Pará: regional identity, cultural industry and mass psychology / La «Musique Paraense¼ et le Terruá Pará: identité régionale, l'industrie culturelle et la psychologie des foules / "Música Paraense" y Terruá Pará: identidad regional, industria cultural y psicología de las masas

Desde a consolidação de emissoras de rádio e TV no Pará, a mídia local propaga a ideia de uma "música paraense", título utilizado com frequência em uma série de eventos recentemente produzidos dentro e fora do estado. Ao contestar essa singularização, a presente pesquisa apresenta uma análise psicossociológica dos mecanismos que operam na inter-relação entre indústria cultural e formação de massas, utilizando como objeto privilegiado de estudo o espetáculo Terruá Pará. Visando tal intento, além do recurso à revisão bibliográfica, realizou-se uma pesquisa documental sobre parte do material impresso produzido para a terceira edição do festival. Em termos conclusivos, defende-se que o Terruá Pará, embora pautado por um discurso pretensamente racional em prol da valorização da música regional, torna-se dialeticamente promotor de irracionalidades expressas na sugestão de modos de subjetivação específicos que, desconsiderando diversidades, acabam por reduzir o seu público consumidor à qualidade de multidão abstrata

Since the consolidation of radio and TV broadcasters in Pará, local media has propagated the idea of a "Pará music," moniker often used in a series of events produced in and outside the State. By contesting such singularization, this psychosociological analysis unveils the mechanisms that mediate cultural industry and mass formation by analyzing the spectacle Terruá Pará. For this purpose, a bibliographic review was conducted, as well as a documentary research concerning part of the printed material produced for the festival's third edition. In conclusion, although Terruá Pará appears based on an allegedly rational discourse to value regional music, it dialectically promotes irrationalities expressed in specific modes of subjectivation that, disregarding diversity, reduce its consuming public to the quality of abstract crowd

Depuis la consolidation des stations de radio et télévision à l'état du Pará, les médias locaux ont diffusé l'idée d'une «musique paraense¼, expression souvent utilisée dans une série d'événements récemment produits dans cet état autant que dehors. En contestant cette singularisation, cette recherche présente une analyse psychosociologique des mécanismes agissant dans l'interrelation entre l'industrie culturelle et la formation des foules, en prenant comme objet principal d'étude le spectacle Terruá Pará. Dans ce but, outre le recours à l'étude bibliographique, on a mené une recherche documentaire sur une partie du matériel imprimé produit pour la troisième édition du festival. En conclusion, on soutient que Terruá Pará, bien que guidé par un discours prétendument rationnel en faveur de la valorisation de la musique régionale, devient dialectiquement promoteur d'irrationalités exprimées par la suggestion de modes de subjectivation spécifiques qui, en ignorant les diversités, finissent par réduire son public consommateur à une foule abstraite

Desde la consolidación de las estaciones de radio y televisión en Pará, los medios locales han difundido la "musica paraense", título de uso frecuente en eventos producidos dentro y fuera del Estado. Al impugnar esta singularización, esta investigación presenta un análisis psicosociológico de los mecanismos que operan en la interrelación entre la industria cultural y la formación de masas, utilizando como objeto privilegiado de estudio el espectáculo Terruá Pará. Además del uso de la revisión bibliográfica, fue llevada a cabo una investigación documental sobre parte del material producido para la tercera edición del festival. En conclusión, se argumenta que Terruá Pará, aunque guiado por un discurso supuestamente racional a favor de la valorización de la música regional, se convierte dialécticamente en promotor de irracionalidades expresadas en la sugerencia de modos específicos de subjetivación que, sin tener en cuenta las diversidades, reducen su público consumidor a la calidad de multitud abstracta

Exploring cross-cultural variations in visual attention patterns inside and outside national borders using immersive virtual reality.

We examined theories of cross-cultural differences in cognitive style on a sample of 242 participants representing five cultural groups (Czechia, Ghana, eastern and western Turkey, and Taiwan). The experiment involved immersive virtual environments consisting of two salient focal objects and a complex background as stimuli, which were presented using virtual reality headsets with integrated eye-tracking devices. The oculomotor patterns confirmed previous general conclusions that Eastern cultures have a more holistic cognitive style, while Western cultures predominantly have an analytic cognitive style. The differences were particularly noticeable between Taiwan and the other samples. However, we found that the broader cultural background of each group was perhaps just as important as geographical location or national boundaries. For example, observed differences between Eastern (more holistic style) and Western Turkey (more analytic style), suggest the possible influence of varying historical and cultural characteristics on the cognitive processing of complex visual stimuli.

Thai and American mothers socialize preschoolers' emotional development differently.

Cultures vary in beliefs about appropriate display of emotion. Children rely on adults to help them understand emotional experiences and display emotions in a culturally appropriate manner. The present study compared how emotion display differs between Thai and American mother-child interactions during preschool. Language samples from 21 Thai and 21 American mother-child dyads were elicited using prompted reminiscing, book reading, toy play, and child personal narrative tasks. Results revealed group differences in emotion talk and behavior. American dyads expressed more intense emotions during interactions compared to Thai dyads. American dyads also displayed more emotion behaviors than Thai dyads, whereas Thai dyads used more emotion words compared to American dyads. Additionally, there were gender differences in the expression of emotion, with boy dyads more emotionally intense than girl dyads in both groups. Boys displayed more negative emotion behaviors compared to girls during prompted reminiscing, whereas girls used more negative emotion words than boys during the personal narrative task. These findings demonstrate cultural and gender differences in socialization goals and practices regarding emotion display and underscore the influence of mothers' scaffolding on children's emotional development. This research reveals the variability in beliefs and values that underlie emotional development across sociocultural contexts.

A obra from sea-bathing to beach-going: a social history of the beach in Rio de Janeiro, Brazil e a contribuição de seu autor, Bert J. Barickman, para a história do lazer / The book from sea-bathing to beach-going: a social history of the beach in Rio de Janeiro, Brazil and the contribution of its author, Bert J. Barickman, to the history of leisure

Este texto resenha a obra póstuma From Sea-Bathing to Beach-Going: A Social History of The Beach in Rio de Janeiro, de autoria de Bert J. Barickman e edição de Hendrik Kraay e Bryan McCann. Discute o teor dos capítulos da obra, assim como as contribuições desta para a história do Rio de Janeiro, da praia, da cidade e do desenvolvimento urbano, do turismo e, evidentemente, do lazer. Para tanto, associa o livro e suas discussões a obras históricas sobre alguns desses assuntos. Da mesma forma, explora o quanto o fazer história do autor é uma relevante contribuição para a história do lazer.

This text reviews the posthumous work From Sea-Bathing to BeachGoing: A Social History of The Beach in Rio de Janeiro, authored by Bert J. Barickman and edited by Hendrik Kraay and Bryan McCann. It gives an overview the book's chapters content, as well as its contributions to the history of Rio de Janeiro, the beach, the city and urban development, tourism and, of course, leisure. To this end, it associates the book and its discussions with historical works on some of these subjects. Likewise, it explores how much the author's historical approach is a relevant contribution to the history of leisure.

Influence of Isolation Temperature on Isolating Diverse Lactic Acid Bacteria from Kimchi and Cultural Characteristics of Psychrotrophs.

Kimchi is a traditional Korean fermented vegetable that is stored and fermented at low temperatures. However, kimchi lactic acid bacteria (LAB) are typically isolated under mesophilic conditions, which may be inappropriate for isolating the diverse LAB. Therefore, this study investigated the suitable conditions for isolating various LAB from kimchi. Here, LAB were isolated from four kimchi samples using MRS, PES, and LBS media and varying isolation temperatures (30, 20, 10, and 5°C). Then, MRS was selected as the suitable medium for LAB isolation. A comparison of culture-dependent and culture-independent approaches indicated that 5°C was not a suitable isolation temperature. Thus, the number and diversity of LAB were determined at 30, 20, and 10°C using 12 additional kimchi samples to elucidate the effect of isolation temperature. With the exception of two samples, most samples did not substantially differ in LAB number. However, Leuconostoc gelidum, Leuconostoc gasicomitatum, Leuconostoc inhae, Dellaglioa algida, Companilactobacillus kimchiensis, Leuconostoc miyukkimchii, Leuconostoc holzapfelii, and Leuconostoc carnosum were isolated only at 10 and 20°C. The growth curves of these isolates, except Leu. holzapfelii and Leu. carnosum, showed poor growth at 30°C. This confirmed their psychrotrophic characteristics. In Weissella koreensis, which was isolated at all isolation temperatures, there was a difference in the fatty acid composition of membranes between strains that could grow well at 30°C and those that could not. These findings can contribute to the isolation of more diverse psychrotrophic strains that were not well isolated under mesophilic temperatures.

Women's perspectives on disrespect and abuse during facility-based childbirth in Ethiopia: a qualitative study.

BACKGROUND: Disrespect and abuse violates women's basic human rights and autonomy and can traumatize women who are already in a vulnerable position during childbirth and deter them from utilizing skilled care for future childbirth. This study explored women's perspectives on the acceptability of disrespect and abuse during facility-based childbirth in Ethiopia. METHODS: A qualitative descriptive design using five focus group discussions and fifteen in-depth, semi-structured, interviews was conducted with women between October 2019 to January 2020 in north Showa zone of Oromia region, central Ethiopia. Using purposive sampling, women who had given birth at public health facilities of North Showa zone during the twelve months preceding data collection were recruited, regardless of birth outcome. Inductive thematic analysis using Open Code software was used to explore the perspectives of participants. RESULTS: While women reject disrespectful and abusive acts during childbirth generally, they may consider some disrespectful acts as acceptable and or necessary under certain circumstances. Four emerging themes were identified. (1) Disrespect and abuse is not acceptable, (2) Disrespectful and abusive actions are acceptable only if intended to save lives, (3) Disrespectful and abusive actions are an accepted part of everyday practice to prevent complications and adverse outcomes, (4) Disrespectful and abusive actions are necessary to discipline disobedient women. CONCLUSION: Women's perceptions of disrespectful and abusive acts of care providers is deeply rooted within the context of violence in Ethiopia and the societal hierarchies that have systematically disempowered women. Given the pervasiveness of disrespect and abusive actions during childbirth, policymakers, clinical managers and care providers must take these essential contextual and societal norms into account and devise comprehensive clinical interventions that addresses the root causes.

Practice, governance, and culture characteristics of lived experience organisations, and evidence of efficacy: A scoping review protocol.

BACKGROUND: Mental health policy and service design is increasingly recognizing the importance of the lived experience voice and its inclusion in all aspects of work. Effective inclusion requires a deeper understanding of how best to support lived experience workforce and community members to meaningfully participate in the system. OBJECTIVES: This scoping review aims to identify key features of organizational practice and governance that facilitate the safe inclusion of lived experience in decision-making and practice within mental health sector contexts. Specifically, the review focuses on mental health organizations devoted to lived experience advocacy or peer support or those in which lived experience membership (paid or voluntary) is central to advocacy and peer support operations. METHODS: This review protocol was prepared with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols and registered with the Open Science Framework. The review will be guided by the Joanna Briggs Institute methodology framework and is being conducted by a multidisciplinary team including lived experience research fellows. It will include published and grey literature, including government reports, organizational online documents, and theses. Included studies will be identified through comprehensive searches of five databases: PsycINFO (Ovid), CINAHL (EBSCO), EMBASE (Ovid), MEDLINE (Ovid), and ProQuest Central. Studies published in English from 2000 onwards will be included. Data extraction will be guided by pre-determined extraction instruments. Results will be presented in a Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews flow chart. Results will be presented in tabular form and narratively synthesized. The planned commencement and completion dates for this review were July 1, 2022 and April 1, 2023. DISCUSSION: It is anticipated that this scoping review will map the current evidence base underpinning organizational practices in which lived experience workers are involved, specifically in the mental health system. It will also inform future mental health policy and research. TRIAL REGISTRATION: Registration: Open Science Framework (registered: July 26, 2022; registration DOI: 10.17605/OSF.IO/NB3S5).

"We Eat Without Thinking: We Just Eat, Eat, Eat" - A Thematic Exploration of Cultural Practices of Ethnically Diverse Youth and Their Parents Who Are at Risk for Prediabetes and Type 2 Diabetes.

PURPOSE: Cultural beliefs and practices influence management of type 2 diabetes (T2D) in youth and their parents, and have been minimally explored, limiting our understanding and implementation of preventative healthcare. An enhanced evidence base may inform comprehensive, effective community health nursing (CHN). Thus, the purpose of this research was to explore the influence of youths' and their parents' understandings of cultural practices on risk for prediabetes and T2D. DESIGN: A secondary thematic analysis was conducted. Qualitative data were obtained from semi-structured interviews with 24 participants who were purposefully recruited from two mid-western Canadian high schools. FINDINGS: Three themes and one subtheme were developed including: 1) Food Culture and related subtheme, Acculturation to New Food Choices; 2) Exercise Culture: Adapting Physical Activity in a New Country; and, 3) Risk Perception of the Effects of T2D on Loved Ones: Behavior Modifications and Motivation. Cultural practices and acculturation to food such as dietary choices, preparation, large portions, different dietary staples, food availability, and food gathering patterns influenced health behaviors. Similarly, changes in exercise patterns including adapting to Western video game culture, weather in Canada, and the new way of life emerged as important factors that impacted health. Participants who perceived a familial risk of diabetes identified behavior modifications such as regular diabetes screening, nutrition counseling, healthier food choices, smaller food portions, and an increase in physical activity as strategies to reduce risk of prediabetes and diabetes. CONCLUSIONS: There is a critical need for research aimed at prediabetes and T2D prevention, and intervention programs targeting ethnically diverse groups where prediabetes and T2D is most prevalent. CLINICAL EVIDENCE: Community health nurses are at the core of implementing and supporting disease prevention and, therefore, may consider the findings from this research to develop family-focused, intergenerational, and culturally-based interventions.

Acceptability, Suitability, and Feasibility of an Evidence-Based Intervention to Reduce HIV Risk Behaviors: Engaging Comadronas in HIV Prevention in Rural Guatemala.

This study addresses rural Guatemala's poor maternal health and HIV status by culturally adapting an evidence-based HIV intervention, SEPA (Self-Care, Education, Prevention, Self-Care), to extend the capacity of comadronas (Mayan birth attendants) as HIV prevention providers. This mixed-method study examined the acceptability, suitability, and feasibility of SEPA presented to traditional elder and a younger cohort of comadronas over three sessions. Outcome variables were reported as mean scores. Open-ended qualitative responses were categorized under central themes. Session 1, 2, and 3 acceptability (4.6/5, 4.6/5, 4.8/5), suitability (4.7/5, 4.6/5, 4.9/5), and feasibility (4.4/5, 4.7/5, 4.8/5) remained high across sessions. While comadronas reported that information was difficult, they reported high levels of understanding and comfort with SEPA content and they also found it to be culturally appropriate, increasing their confidence to discuss HIV with their community. The broader utilization of comadronas could create a pathway to enhance reproductive health among indigenous women.