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Fam Community Health ; 42(4): 271-282, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31403988


Using a community-based participatory research approach, we surveyed 134 undocumented Central American immigrant mothers to examine correlates of maternal mental health. Drawing upon an ecosystemic framework, predictors of depression included structural and familial stressors, parental concerns, and maternal health factors. Mothers' perceptions of child affect, traumatic stress, and general health ratings were among the most salient predictors. However, structural and familial stressors, such as food insecurity and single parenting, also accounted for significant variance in depression scores. Findings informed community actions such as advocating for mental health care and building awareness of families' lived experiences within the local school system.

J Cross Cult Gerontol ; 34(2): 131-148, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31134463


Native American grandparents by tradition are expected to play a role in rearing grandchildren. However, in many Native grandfamilies, grandparents are rearing grandchildren not by choice or tradition, but as the result of family crises that necessitated grandparent intervention. European American grandparents have likewise been called to rear their grandchildren when their adult children are unable or unwilling to perform parental duties. Less is known about these custodial grandparents' resilience pathways, particularly among rural grandfamilies. Guided by the Resiliency Model of Family Stress, Adjustment, and Adaptation, this study examined the relationships between stressors, resources, and resilience among rural Native and European American custodial grandparents. Correlates of resilience were economic stress and stress management. Significant interactions were found between economic stress and government assistance and economic stress and stress management, indicating complex resilience pathways. Implications of study findings for research and intervention are discussed.

Adaptação Psicológica , Custódia da Criança , Educação Infantil/etnologia , Família/psicologia , Avós/psicologia , Relação entre Gerações/etnologia , Resiliência Psicológica , Adulto , Cuidadores , Criança , Educação Infantil/psicologia , Família/etnologia , Feminino , Humanos , Índios Norte-Americanos , Masculino , Pessoa de Meia-Idade , Poder Familiar , População Rural , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia
J Immigr Minor Health ; 16(6): 1193-200, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24142396


This study documents the mental health of Mexican migrant men in a new non-traditional settlement in the Rocky Mountain West and examines the role of family separation and other structural and situational stressors in relation to depressive symptoms. Using a community-based participatory research approach, we conducted interviewer-assisted surveys with 134 Mexican migrant men. Findings revealed that, overall, 46 % of participants reported depressive symptoms in the range for clinical concern and that single and married men who were separated from their families were particularly vulnerable to poor mental health. Best predictors of depression included both structural stressors (family separation, sending remittances to Mexico) and situational stressors (fearfulness, worry about police confrontation, treatment by non-Latinos, and lack of support). These findings highlight the need for complex and contextually-sensitive mental health interventions designed to protect this vulnerable population on the migration frontier and to promote their mental health.

Depressão/etnologia , Família/etnologia , Adolescente , Adulto , Fatores Etários , Depressão/epidemiologia , Depressão/etiologia , Escolaridade , Família/psicologia , Humanos , Masculino , México/etnologia , Pessoa de Meia-Idade , Montana/epidemiologia , Fatores de Risco , Estresse Psicológico/etnologia , Estresse Psicológico/etiologia , Adulto Jovem
Cancer Control ; 15(2): 166-73, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18376384


BACKGROUND: Cervical cancer mortality rates are among the highest in the United States for Northern Plains Native American women compared with white and other Native American women. The aims of Messengers for Health, a community-based participatory research project based on the Apsáalooke (Crow Indian) Reservation, are to decrease cervical cancer screening barriers, improve knowledge regarding screening and prevention, and increase the proportion of women receiving Pap tests. This paper presents results from a survey assessing women's perceptions of the level of comfort and care received by health care providers in their most recent Pap test appointment. METHODS: A survey assessing patient communication and satisfaction with their health care providers was conducted with a random sample of 101 Apsáalooke women. Qualitative and quantitative methods were utilized to analyze the survey data. RESULTS: Women reported both positive and negative experiences with their provider regarding their Pap test appointments. They noted positive experiences when trust was established and when the provider offered information, reassured or encouraged them, was personable, was familiar or consistent, maintained confidentiality, and was a woman. The women reported negative experiences when the examination was too short, when they did not have a consistent or female provider, and when they did not feel comfortable with the provider's nonverbal communication. CONCLUSIONS: Continued work with both providers and patients is necessary to decrease communication barriers and increase satisfaction with Pap test appointments.

Índios Norte-Americanos , Programas de Rastreamento , Neoplasias do Colo do Útero/patologia , Esfregaço Vaginal , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Aceitação pelo Paciente de Cuidados de Saúde , Satisfação do Paciente , Estados Unidos
Eval Rev ; 28(4): 342-57, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15245624


There is limited guidance for conducting competent and responsive cross-cultural evaluation research with American Indian communities. The authors draw on Fisher and Ball's Tribal Participatory Research Model to highlight ways in which this project is attempting to be culturally appropriate and sensitive as they partner with an American Indian community to implement and evaluate a youth-based initiative. Challenges encountered during the evaluation are shared, as well as the authors' collective responses to such challenges. Implications for future cross-cultural evaluation researchers are also discussed in light of these experiences.

Serviços de Saúde do Adolescente/normas , Comparação Transcultural , Educação em Saúde/normas , Promoção da Saúde/normas , Índios Norte-Americanos , Modelos Organizacionais , Adolescente , Adulto , Diversidade Cultural , Feminino , Nível de Saúde , Humanos , Masculino , Montana , Determinação de Necessidades de Cuidados de Saúde , Avaliação de Programas e Projetos de Saúde , Projetos de Pesquisa