Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 92
Filtrar
1.
Dev Psychopathol ; : 1-16, 2024 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-38584283

RESUMO

The current study evaluated cultural values and family processes that may moderate associations between daily racial-ethnic discrimination and distress among Mexican-origin youth. Integrating micro-time (daily diary) and macro-time (longitudinal survey) research design features, we examined familism, family cohesion, and ethnic-racial socialization from youth-, mother-, and father- reports as potential buffers of daily associations between youth racial-ethnic discrimination and youth distress (negative affect and anger). The analytic sample, drawn from the Seguimos Avanzando study, included 317 Mexican-origin adolescents (Mage = 13.5 years) and their parents, recruited from the Midwestern United States. Results indicated that youth-reported familism and family cohesion significantly buffered daily associations between youth racial-ethnic discrimination and youth distress. In contrast, parent-reported familism and family cohesion and some aspects of ethnic-racial socialization exacerbated the discrimination to distress link. The implications of these results are discussed to inform efforts supporting the healthy development of Mexican-origin youth and their families.

2.
BMC Public Health ; 24(1): 1694, 2024 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-38918747

RESUMO

This study examines factors associated with symptoms of loneliness among a sample (n = 213) of mostly Mexican-origin adults at risk of chronic diseases in Southern Arizona's Pima, Yuma, and Santa Cruz counties. It uses baseline data from a community-based participatory research partnership and multinominal logistic regression models. Controlling for chronic diseases and sociodemographic characteristics, perceived social support and hope exhibit negative main effects on loneliness when comparing individuals who experienced loneliness for 5-7 days in the preceding week with those who did not encounter such feelings during the same period (adjusted odds ratio, AOR = 0.49 and 0.47; 95% confidence interval, CI = 0.34-0.73 and 0.29-0.75, respectively). However, when considered together, perceived social support and hope display a positive and statistically significant combined effect on loneliness (AOR = 1.03; 95% CI = 1.01-1.06). Holding all covariates constant, individuals reporting loneliness for 5-7 days exhibit a relative risk ratio of 1.24 (95% CI = 1.06-1.46) for a one-unit increase in physical problem severity compared to those who do not experience loneliness. Moreover, being 65 years old or older (AOR = 0.16, 95% CI = 0.03-0.84), and having been born in Mexico and lived in the US for less than 30 years (AOR = 0.12, 95% CI = 0.02-0.74) are associated with negative main effects on loneliness when comparing individuals who experienced loneliness 1-2, and 5-7 days in the preceding week with those who did not feel loneliness during the same timeframe, respectively. Recognizing the crucial role of loneliness in shaping health outcomes for Mexican-origin adults, our findings underscore the significance of fostering supportive environments that not only enhance well-being but also cultivate robust community bonds within the US-Mexico border region.


Assuntos
Solidão , Americanos Mexicanos , Humanos , Solidão/psicologia , Arizona , Feminino , Masculino , Adulto , Fatores de Risco , Pessoa de Meia-Idade , Americanos Mexicanos/psicologia , Americanos Mexicanos/estatística & dados numéricos , Apoio Social , Idoso , Adulto Jovem , Doença Crônica/psicologia , Pesquisa Participativa Baseada na Comunidade , Modelos Logísticos
3.
Behav Med ; : 1-12, 2024 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-38874131

RESUMO

Mexican-origin youth, as a large and growing population among U.S. youth, have been disproportionately affected by COVID-19. Understanding what, when, and how sociocultural factors may influence their COVID-19 vaccine uptake could inform current and future pandemic-response interventions promoting vaccination behaviors among Mexican-origin youth. The current study takes a developmental approach to reveal the long-term and short-term sociocultural antecedents of 198 Mexican-origin adolescents' COVID-19 vaccination uptake behaviors and explores the underlying mechanism of these associations based on the Knowledge-Attitude-Behavior model. The current study adopted Wave 1 (2012-2015) and Wave 4 (2021-2022) self-reported data from a larger study. Analyses were conducted to examine four mediation models for four sociocultural antecedents-daily discrimination, ethnic discrimination, foreigner stress, and family economic stress-separately. Consistent indirect effects of higher levels of concurrent sociocultural risk factors on a lower probability of COVID-19 vaccine uptake were observed to occur through less knowledge about the COVID-19 vaccines and less positive attitudes toward the COVID-19 vaccines at Wave 4. Significant direct effects, but in opposite directions, were found for the associations between Wave 1 ethnic discrimination/Wave 4 daily discrimination and the probability of COVID-19 vaccine uptake. The findings highlight the importance of considering prior and concurrent sociocultural antecedents and the Knowledge-Attitude-Behavior pathway leading to COVID-19 vaccination uptake among Mexican-origin youth and suggest that the impact of discrimination on COVID-19 vaccination uptake may depend on the type (e.g., daily or ethnic) and the context (e.g., during the COVID-19 pandemic or not) of discrimination experienced.

4.
Int J Biling Educ Biling ; 27(7): 978-992, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39109353

RESUMO

Few studies have considered bilingualism's impact on cognitive development within the sociolinguistic and cultural context of the immigrant communities where bilingualism is commonly practiced. In the United States, many Mexican-origin bilingual youth practice their bilingual skills by brokering (i.e., translating/interpreting between languages) for their immigrant parents who have low English proficiency. Meanwhile, these youth may also experience discrimination in their daily life. The present study focuses on Mexican-origin bilingual youth brokers (N=334) in order to examine how discriminatory experiences (i.e., daily and ethnic discrimination) and bilingual brokering experiences captured by profiles are related to cognitive control performance (i.e., attentional control and inhibition). We found no significant direct influence of either bilingual broker profiles or discriminatory experiences on cognitive control. However, the associations between discriminatory experiences and cognitive control performance depended upon brokering experiences. Specifically, greater discrimination was associated with lower cognitive control performance among moderate brokers (with moderate bilingual experiences), but the association was attenuated among efficacious brokers (with positive bilingual experiences). Findings highlight the need to consider the sociolinguistic heterogeneity of both discriminatory experiences and language use when investigating cognitive control performance in bilinguals.

5.
J Pediatr Nurs ; 69: 62-70, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36669293

RESUMO

PURPOSE: Parents' inability to speak English proficiently is associated with communication barriers in the care process of their children, social determinants of health, and poor child health outcomes. Research exploring perspectives of Spanish speaking parents with limited English proficiency (SSP-LEP) whose children are hospitalized in the context of culture is lacking in the literature. The purpose of this study was to explore the cultural experiences, values, and beliefs of SSP-LEP, of Mexican origin, whose children were hospitalized and to understand nurses' roles in providing culturally congruent care. DESIGN AND METHODS: Leininger's qualitative, ethnonursing method was used for this study. The Theory of Culture Care Diversity and Universality provided a guiding framework. Eleven SSP-LEP, of Mexican origin, participated in interviews conducted in-person and via Zoom. Data was analyzed using Leininger's four phases of qualitative analysis. RESULTS: Three themes emerged: 1. role of the mother as an ever-present manager of care for the hospitalized child and family, 2. parents' difficult, fearful, stressful, and unknowing experiences in the presence of a language barrier, and 3. expected nursing care that was kind, respectful, compassionate, and attentive. CONCLUSIONS: Lack of knowledge creates hardships for parents who desire to be involved, informed caregivers. Communication in Spanish language is integral to parents' understanding and expected nursing care. SSP-LEP may have negative feelings; yet describe a positive care experience. PRACTICE IMPLICATIONS: Culturally congruent care should incorporate language services for information sharing that facilitates parent participation and decision-making; be kind, respectful, compassionate, and attentive; and promote maternal role maintenance.


Assuntos
Assistência à Saúde Culturalmente Competente , Proficiência Limitada em Inglês , Feminino , Humanos , Criança , Idioma , Pais , Barreiras de Comunicação , Mães
6.
BMC Public Health ; 22(1): 1685, 2022 09 05.
Artigo em Inglês | MEDLINE | ID: mdl-36064334

RESUMO

BACKGROUND: There are concerns about the representation of vulnerable and underrepresented racial-ethnic minorities in biomedical and public health research, particularly when the research requires the collection of biospecimens. The current paper reports on the acceptability, feasibility, and ethics of saliva collection in a study examining the relationship between chronic stressors among mostly mixed-status, Latinx families (N = 30) during high immigration enforcement. METHODS: Data for this study included anthropometric measures and salivary biospecimens from each family member (N = 110) and a household survey. Data for this analysis are from ethnographic field notes, which were analyzed using a bricolage of critical ethnography and case study analysis techniques. RESULTS: We discuss the feasibility, aversions, acceptability, and ethical implications of integrating salivary biomarkers with Mexican-origin mixed-status families living in an area with restrictive immigration enforcement policies. We present the recruitment and data collection strategies used by the research team to gain participants' trust, retain families, and maintain confidentiality. CONCLUSION: We recommend that researchers who obtain biospecimens from Latinx, Mexican-origin, and/or immigrant populations answer the participants' questions honestly and without fear that they will not understand the science to obtain voluntary assent and consent. We recommend that researchers be knowledgeable of the sociopolitical context that the Latinx, immigrant, and in particular, mixed-status families inhabit so that they are prepared to provide informational resources. Finally, we think it is imperative that the study team in the field be bilingual, multicultural Latinx persons who identify with the community.


Assuntos
Emigrantes e Imigrantes , Emigração e Imigração , Medo , Estudos de Viabilidade , Humanos , Saliva
7.
BMC Public Health ; 22(1): 2442, 2022 12 27.
Artigo em Inglês | MEDLINE | ID: mdl-36575410

RESUMO

BACKGROUND: Mexican-origin adults living near the U.S.-Mexico border experience unique and pervasive social and ecological stressors, including poverty, perceived discrimination, and environmental hazards, potentially contributing to the high burden of chronic disease. However, there is also evidence that residents in high-density Mexican-origin neighborhoods exhibit lower prevalence rates of disease and related mortality than those living in other areas. Understanding the factors that contribute to health resiliencies at the community scale is essential to informing the effective design of health promotion strategies. METHODS: La Vida en la Frontera is a mixed-methods participatory study linking a multi-disciplinary University of Arizona research team with Campesinos Sin Fronteras, a community-based organization founded by community health workers in San Luis, Arizona. This paper describes the current protocol for aims 2 and 3 of this multi-faceted investigation. In aim 2 a cohort of N≈300 will be recruited using door-to-door sampling of neighborhoods in San Luis and Somerton, AZ. Participants will be surveyed and undergo biomarker assessments for indicators of health and chronic stress at three time points across a year length. A subset of this cohort will be invited to participate in aim 3 where they will be interviewed to further understand mechanisms of resilience and wellbeing. DISCUSSION: This study examines objective and subjective mechanisms of the relationship between stress and health in an ecologically diverse rural community over an extended timeframe and illuminates health disparities affecting residents of this medically underserved community. Findings from this investigation directly impact the participants and community through deepening our understanding of the linkages between individual and community level stress and chronic disease risk. This innovative study utilizes a comprehensive methodology to investigate pathways of stress and chronic disease risk present at individual and community levels. We address multiple public health issues including chronic disease and mental illness risk, health related disparities among Mexican-origin people, and health protective mechanisms and behaviors.


Assuntos
Promoção da Saúde , Americanos Mexicanos , Adulto , Humanos , Estudos Prospectivos , México/epidemiologia , Arizona/epidemiologia , Doença Crônica
8.
Fam Process ; 61(2): 873-889, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-34189734

RESUMO

Current U.S. immigration policies disproportionately impact Mexican-origin mixed-status families, yet few studies examine the consequences of immigration enforcement (e.g., immigration-related arrest and detention) and deportation on sibling dynamics. Given this gap, this study focuses on the experiences and changes within sibling relationships in the aftermath of parental detention and deportation. We analyzed a subsample of 20 citizen children interviews (7 sibling dyads; 2 sibling triads) from a multi-site binational study that examined the psychosocial functioning of U.S. citizen children with undocumented Mexican parents. Using inductive thematic analysis, we explored the roles and functional importance of sibling relationships before and after experiences of parents' detention and deportation. Our findings suggest that prior to detention or deportation experiences, sibling relationships were described as "normal." After these experiences, however, sibling relationships changed and developed protective adaptations, including more open communication about their experiences and the assumption of caregiving roles. In cases where deportation did not occur, there still existed the threat of future immigration-related action, which contributed to fear and an inability to share feelings and experiences among siblings. Our findings suggest that sibling relationships might serve as an important locus of stability and protection. Yet, adaptive communication may not emerge as long as the threat of apprehension, detention, and deportation exists.


Las políticas migratorias actuales de los Estados Unidos afectan de manera desproporcionada a las familias de condición migratoria mixta de origen mexicano, sin embargo, pocos estudios analizan las consecuencias de la aplicación de las leyes de inmigración (por ej.: el arresto y la detención relacionados con la inmigración) y la deportación en la dinámica fraternal. Teniendo en cuenta esta falta de datos, el presente estudio se centra en las experiencias y los cambios dentro de las relaciones fraternales después de la detención y la deportación de los padres. Analizamos una submuestra de 20 entrevistas a niños ciudadanos (7 díadas de hermanos; 2 tríadas de hermanos) de un estudio binacional realizado en varios sitios que analizó el funcionamiento psicosocial de niños ciudadanos de los Estados Unidos con padres mexicanos indocumentados. Utilizando el análisis temático inductivo, analizamos los roles y la importancia funcional de las relaciones fraternales antes y después de las experiencias de detención y deportación de los padres. Nuestros resultados indican que, antes de las experiencias de detención o deportación, las relaciones fraternales se describieron como "normales". Sin embargo, después de estas experiencias, las relaciones fraternales cambiaron y surgieron adaptaciones protectoras, por ejemplo, una comunicación más abierta acerca de sus experiencias y la asunción de roles de cuidado. En los casos donde no hubo deportación, igualmente existió la amenaza de una futura acción relacionada con la inmigración, la cual generó miedo e incapacidad de compartir sentimientos y experiencias entre hermanos. Nuestros resultados sugieren que las relaciones fraternales podrían servir como lugar importante de estabilidad y protección. Sin embargo, es posible que la comunicación adaptativa no surja mientras exista la amenaza de arresto, detención y deportación.


Assuntos
Pais , Irmãos , Criança , Emigração e Imigração , Humanos , México , Pais/psicologia , Relações entre Irmãos
9.
J Youth Adolesc ; 51(6): 1196-1209, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35258747

RESUMO

Although Mexican-origin youth with first-generation immigrant parents are relatively good at retaining their heritage language of Spanish, limited research has been conducted on their Spanish language development during adolescence. From three-wave longitudinal data across six years (Nwave1 = 604, Mage.wave1 = 12.91, 54% female), distinct groups of adolescents with consistently high, improved, declined, and consistently low Spanish proficiencies were identified. Family relationship quality was more predictive of adolescents' Spanish proficiency than family language environment. The benefits of Spanish proficiency were consistent across adolescents' ethnic identity, resilience, and life meaning. More research and practical attention to parent-adolescent relationships is needed to capitalize on the continued plasticity of adolescents' Spanish language development and to promote consequent positive outcomes.


Assuntos
Emigrantes e Imigrantes , Americanos Mexicanos , Adolescente , Feminino , Humanos , Idioma , Masculino , Americanos Mexicanos/psicologia , México , Pais/psicologia
10.
J Youth Adolesc ; 51(5): 888-903, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35247159

RESUMO

Language brokering is a shared parent-child experience with implications for parent-child relationships and, in turn, individuals' psychological well-being; however, few studies recognize the role of parents. This study took a dyadic approach to investigate the association between brokering experiences and internalizing symptoms, and the mediating role of parent-child alienation. Participants were 604 Mexican-origin adolescents (54% female, Mage = 12.41) and their mothers (N = 595). Both adolescents' and their mothers' brokering experiences were related to their own internalizing symptoms via their self-reported parent-child alienation. Mothers' brokering experiences also affected adolescents so that when mothers experienced more negative brokering experiences, adolescents perceived greater parent-child alienation, and in turn more internalizing symptoms, suggesting the necessity of considering language brokering's influence on members involved as a dyadic process.


Assuntos
Emigrantes e Imigrantes , Idioma , Adolescente , Criança , Feminino , Humanos , Masculino , Mães , Relações Pais-Filho , Pais/psicologia , Tradução
11.
Soc Sci Res ; 105: 102694, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35659045

RESUMO

Despite schooling gains over the last two decades, Mexican-origin adults complete fewer years of schooling than adults from other ethnic backgrounds. Explanations emphasizing network resources suggest Mexican-origin adolescents have social ties that are more likely to be "closed" from adults with experience in higher education-and this, in turn, inhibits the transition to college. In this study, we draw on unusual network data measuring characteristics of students' peers and friends, as well as the socioeconomic background of peers' and friends' parents. We demonstrate that Mexican-origin adolescents are much less likely to have friends whose parents have college educations. 83% of non-Hispanic Asian students and 72% of non-Hispanic white students have nominated friends with college-educated mothers; about half of Mexican-origin students do. These patterns are the result of socioeconomic segregation in social networks both across and within schools. Within schools, we observe that the educational background of friends is predictive of schooling outcomes for non-Mexican students. We find evidence that this network resource shapes non-Mexican students' educational expectations in high school and longer-run completed schooling as adults more so than it shapes the outcomes among Mexican-origin students.


Assuntos
Amigos , Instituições Acadêmicas , Adolescente , Adulto , Escolaridade , Humanos , Grupo Associado , Estudantes
12.
J Youth Adolesc ; 50(12): 2412-2426, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34480295

RESUMO

Parents and adolescents often have different views regarding parental racial socialization practices; however, studies documenting such discrepancies remain scarce. Using a person-centered approach, this study investigated patterns of parent-adolescent discrepant views on racial socialization (i.e., cultural socialization, bias coping, bias awareness) as well as antecedents and consequences of the discrepancy profiles. Participants were 604 adolescents (54% female, Mage = 12.41, Rangeage = 11-15) and their mothers and fathers. The results showed distinct discrepancy patterns and suggested that more maternal/paternal warmth was associated with profiles that have smaller discrepancies or profiles in which adolescents reported higher socialization than parents. Adolescents who reported higher or similar socialization as parents demonstrated better adjustment. Implications for interventions aimed at strengthening parent-child relationships and communication about race and culture are discussed.


Assuntos
Pais , Socialização , Adolescente , Criança , Pai , Feminino , Humanos , Masculino , Relações Pais-Filho , Percepção
13.
J Youth Adolesc ; 49(12): 2441-2458, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32588286

RESUMO

Cultural-ecological frameworks posit that there are harmful effects of social stratification on developmental outcomes. In particular, awareness of aspects of social stratification in society and interpersonal experiences of discrimination, more generally and within specific contexts, may differentially influence outcomes across life stages; yet, few studies have examined the distal effects during adolescence on early adult developmental outcomes. The current study fills this gap by examining distal mechanisms linking adolescents' (Time 1: ages 13-15) awareness of and perceived general and school discrimination to young adults' (Time 3: ages 23-25) socioeconomic attainment (i.e., educational attainment, occupational prestige, earned income) through adolescents' (Time 2: ages 16-18) academic adjustment (i.e., grades and educational expectations). The study also examined variation by adaptive culture (i.e., English and Spanish language use behavior, familism values) and youth gender. Data are from the Children of Immigrants Longitudinal Study (N = 755 Mexican-origin adolescents and their foreign-born parents; 51.5% male adolescents; Time 1 M age = 14.20 years). The results revealed that adolescent's awareness of societal discrimination (Time 1) related to adolescents' higher grades (Time 2), which, in turn, related to higher educational attainment and occupational prestige in early adulthood (Time 3). For young women, but not men, sources of perceived discrimination within the school context during adolescence related to lower educational attainment. Additional variation by adaptive culture and gender was also found. Implications discussed are related to positive development among Mexican-origin youth in immigrant families.


Assuntos
Sucesso Acadêmico , Emigrantes e Imigrantes , Adolescente , Adulto , Criança , Feminino , Humanos , Renda , Estudos Longitudinais , Masculino , México , Adulto Jovem
14.
J Youth Adolesc ; 49(1): 32-48, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31686329

RESUMO

The contribution that parental educational expectations for youth and youth's perceptions of academic competence can have on youth's own educational expectations across early to late adolescence is not well-understood. In a sample of Mexican-origin families, the current study examined longitudinal (from early to late adolescence) associations among mothers, fathers, and youth's educational expectations, how youth's educational expectations were associated with perceived academic competence, and the potential mediating role of youth's perceived academic competence. Data from two-parent families which included one focal child (7th grade: N= 469; youth: Mage = 12.31, 50% female) at three waves (7th, 9th, and 11th grade) were utilized. Structural equation modeling and multi-group analysis were implemented to assess the study's goals. Results revealed significant associations among parents' 7th grade educational expectations and youth's 9th and 11th grade educational expectations. The findings also revealed three significant associations among youth's perceived academic competence and educational expectations between 7th and 11th grade. Specifically, youth's 7th grade perceived academic competence predicted youth's 9th grade educational expectations, youth's 7th grade educational expectations predicted youth's 9th grade perceived academic competence, and youth's 9th grade perceived academic competence predicted youth's 11th grade educational expectations. Multigroup analysis did not reveal gender differences for the associations tested. The findings highlight the long-term significance of parents' educational expectations on youth's educational expectations and underscore youth's academic competence, an individual level factor, as critical to consider for understanding educational expectations across adolescence for Mexican-origin youth.


Assuntos
Escolaridade , Americanos Mexicanos/educação , Americanos Mexicanos/psicologia , Relações Pais-Filho , Pais/psicologia , Estudantes/psicologia , Adolescente , Família , Feminino , Objetivos , Humanos , Relação entre Gerações , Estudos Longitudinais , Masculino , Motivação
15.
Soc Sci Res ; 85: 102364, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31789196

RESUMO

Mexican-origin families face complex ethnic and immigration-based barriers to enrollment in early childhood education programs. As such, reducing barriers to enrollment for this population requires a better understanding of how Mexican-origin families work with, against, or around both general and group-specific constraints on educational opportunities. Using the Early Childhood Longitudinal Study-Birth Cohort, this study tailored broad social theory to the experience of Mexican-origin families to examine associations between human capital considerations and early childhood education enrollment within this population. Results supported the hypothesis that human capital considerations would be associated with early childhood care and education and provide limited evidence for the expectation that this link would be stronger for Mexican-origin families.


Assuntos
Intervenção Educacional Precoce/estatística & dados numéricos , Americanos Mexicanos , Escolas Maternais/estatística & dados numéricos , Pré-Escolar , Feminino , Humanos , Modelos Logísticos , Estudos Longitudinais , Masculino , Grupos Raciais , Fatores Socioeconômicos , Estados Unidos
16.
Demography ; 56(5): 1607-1634, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31482529

RESUMO

This study examined differences in exposure to early childhood education among Mexican-origin children across Latino/a destinations. Early childhood educational enrollment patterns, which are highly sensitive to community resources and foundational components of long-term educational inequalities, can offer a valuable window into how destinations may be shaping incorporation among Mexican-origin families. Integrating data from the Early Childhood Longitudinal Study-Birth Cohort with county-level data from the decennial census, multilevel logistic regression models revealed that Mexican-origin, black, and white children had lower odds of enrollment in early childhood education programs if they lived in new Latino/a destinations versus established destinations. The negative association between new destinations and early childhood education enrollment persisted despite controls for household selectivity, state and local early childhood education contexts, Latino/a educational attainment, Latino-white residential segregation, and immigration enforcement agreements. Within the Mexican-origin subgroup, the enrollment gap between new and established destinations was widest among the least-acculturated families, as measured by parental nativity, duration of residence, citizenship status, and English proficiency. These findings highlight how both place and acculturation stratify outcomes within the large and growing Mexican-origin subset of the Latino/a population.


Assuntos
Emigração e Imigração/estatística & dados numéricos , Americanos Mexicanos/educação , Características de Residência/estatística & dados numéricos , Aculturação , Pré-Escolar , Etnicidade/estatística & dados numéricos , Feminino , Humanos , Lactente , Modelos Logísticos , Estudos Longitudinais , Masculino , Grupos Raciais/estatística & dados numéricos , Fatores Socioeconômicos , Fatores de Tempo
17.
BMC Public Health ; 19(1): 582, 2019 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-31096944

RESUMO

BACKGROUND: Obesity and overweight have increased dramatically in the United States over the last decades. The complexity of interrelated causal factors that result in obesity needs to be addressed within the cultural dynamic of sub-populations. In this study, we sought to estimate the effects of a multifaceted, community-based intervention on body mass index (BMI) among Mexican-heritage children. METHODS: Niños Sanos, Familia Sana (Healthy Children, Healthy Family) was a quasi-experimental intervention study designed to reduce the rate of BMI growth among Mexican-heritage children in California's Central Valley. Two rural communities were matched based on demographic and environmental characteristics and were assigned as the intervention or comparison community. The three-year intervention included parent workshops on nutrition and physical activity; school-based nutrition lessons and enhanced physical education program for children; and a monthly voucher for fruits and vegetables. Eligible children were between 3 and 8 years old at baseline. Intent-to-treat analyses were estimated using linear mixed-effect models with random intercepts. We ran a series of models for each gender where predictors were fixed except interactions between age groups and obesity status at baseline with intervention to determine the magnitude of impact on BMI. RESULTS: At baseline, mean (SD) BMI z-score (zBMI) was 0.97 (0.98) in the intervention group (n = 387) and 0.98 (1.02) in the comparison group (n = 313) (NS). The intervention was significantly associated with log-transformed BMI (ß = 0.04 (0.02), P = 0.03) and zBMI (ß = 0.25 (0.12), P = 0.04) among boys and log-transformed BMI among obese girls (ß = - 0.04 (0.02), P = 0.04). The intervention was significantly and inversely associated with BMI in obese boys and girls across all age groups and normal weight boys in the oldest group (over 6 years) relative to their counterparts in the comparison community. CONCLUSIONS: A community-based, multifaceted intervention was effective at slowing the rate of BMI growth among Mexican-heritage children. Our findings suggest that practitioners should consider strategies that address gender disparities and work with a variety of stakeholders to target childhood obesity. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01900613 . Registered 16th July 2013.


Assuntos
Índice de Massa Corporal , Promoção da Saúde/métodos , Americanos Mexicanos , Obesidade Infantil/etnologia , Obesidade Infantil/prevenção & controle , California , Criança , Pré-Escolar , Exercício Físico , Feminino , Humanos , Masculino , México/etnologia , Pais/educação , Avaliação de Programas e Projetos de Saúde , População Rural
18.
Fam Process ; 58(2): 334-352, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30076593

RESUMO

Latino/a populations in the United States are negatively impacted by widespread mental health disparities. Although the dissemination of culturally relevant parent training (PT) programs constitutes an alternative to address this problem, there is a limited number of efficacious culturally adapted PT prevention interventions for low-income Latino/a immigrant families with adolescents. The current manuscript describes the level of acceptability of a version of the GenerationPMTO® intervention adapted for Latino/a immigrant families, with an explicit focus on immigration-related challenges, discrimination, and promotion of biculturalism. Qualitative reports were provided by 39 immigrant parents who successfully completed the prevention parenting program. The majority of these parents self-identified as Mexican-origin. According to qualitative findings, participants reported overall high satisfaction with immigration and culture-specific components. Parents also expressed high satisfaction with the core GenerationPMTO parenting components and provided specific recommendations for improving the intervention. Current findings indicate the need to adhere to the core components that account for the effectiveness of PT interventions. Equally important is to thoroughly adapt PT interventions according to the cultural values and experiences that are relevant to target populations, as well as to overtly address experiences of discrimination that negatively impact underserved Mexican-origin immigrant families. Due to the exploratory nature of this study, the efficacy and effectiveness of the adapted prevention intervention remains to be established in empirical research.


Las poblaciones latinas de los Estados Unidos están afectadas negativamente por desigualdades generalizadas en el área de salud mental. Aunque la difusión de programas de capacitación para padres culturalmente pertinentes constituye una alternativa para abordar este problema, existe un número limitado de capacitaciones para padres con intervenciones preventivas adaptadas culturalmente que son eficaces para familias inmigrantes latinas con adolescentes de bajos recursos. El presente manuscrito describe el nivel de aceptabilidad de una versión de la intervención GenerationPMTO® adaptada para familias inmigrantes latinas, que hace hincapié específicamente en dificultades relacionadas con la inmigración, la discriminación y la promoción del biculturalismo. Treinta y nueve padres inmigrantes que completaron satisfactoriamente el programa preventivo sobre crianza proporcionaron informes cualitativos. La mayoría de estos padres se autoidentificaron como de origen mexicano. De acuerdo con los resultados cualitativos, los participantes informaron una alta satisfacción en general con la inmigración y los componentes específicos de la cultura. Los padres también expresaron una alta satisfacción con los componentes principales relativos a la crianza de GenerationPMTO y ofrecieron recomendaciones específicas para mejorar la intervención. Los resultados actuales indican la necesidad de cumplir con los componentes principales que justifican la eficacia real de las intervenciones de capacitación para padres. Es igualmente importante adaptar totalmente las intervenciones de capacitación para padres de acuerdo con los valores culturales y las experiencias que son relevantes para las poblaciones objetivo, así como abordar expresamente las experiencias de discriminación que afectan negativamente a las familias inmigrantes de bajos recursos de origen mexicano. Debido a la índole exploratoria de este estudio, la eficacia real y la eficacia teórica de la intervención de prevención adaptada quedan por demostrarse en la investigación empírica.


Assuntos
Assistência à Saúde Culturalmente Competente , Emigrantes e Imigrantes/educação , Americanos Mexicanos/educação , Poder Familiar , Pais/educação , Aculturação , Adolescente , Cultura , Currículo , Emigrantes e Imigrantes/psicologia , Prática Clínica Baseada em Evidências , Disparidades nos Níveis de Saúde , Humanos , Saúde Mental , Americanos Mexicanos/psicologia , México/etnologia , Pesquisa Qualitativa , Racismo , Estados Unidos
19.
Fam Process ; 58(1): 146-164, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-29363754

RESUMO

Guided by a process model of parenting and the integrative model, this study examined sources of emotional support (i.e., partner, maternal, paternal) as related to stress and satisfaction resulting from the parenting role in a sample of Mexican-origin young adult parents who participated in the National Longitudinal Study of Adolescent to Adult Health (Add Health) during Wave IV. Participants were male and female parents (26-35 years of age; 59% female; N = 737) who had children and a partner. Results from structural equation modeling revealed support from mothers as salient; high levels of maternal support were associated with high levels of parenting satisfaction. Tests of indirect effects suggested that parenting satisfaction played an intervening role in the link between maternal support and parenting stress. The pattern of results held across levels of linguistic acculturation but varied by gender. Understanding the mechanisms that predict parenting stress and satisfaction within the Mexican-origin population may help in the identification of culturally sensitive intervention strategies.


Guiado por un modelo de proceso de la crianza y por el modelo integrador, el presente estudio examinó las fuentes de apoyo emocional (p. ej.: de la pareja, materno, paterno) en relación con el estrés y la satisfacción resultantes del rol de crianza en una muestra de padres adultos jóvenes de origen mexicano que participaron en el estudio nacional longitudinal de la salud adolescente a adulta durante la fase IV. Los participantes fueron padres de sexo masculino y femenino (de entre 26 y 35 años; el 59 % de sexo femenino; N = 737) que tenían hijos y una pareja. Los resultados de los modelos de ecuaciones estructurales revelaron que el apoyo de las madres fue destacado; los niveles altos de apoyo materno estuvieron asociados con niveles altos de satisfacción en la crianza. Las pruebas de los efectos indirectos sugirieron que la satisfacción en la crianza desempeñó un papel interviniente en el vínculo entre el apoyo materno y el estrés por la crianza. El patrón de resultados se mantuvo entre los niveles de aculturación lingüística pero varió por género. La comprensión de los mecanismos que predicen el estrés y la satisfacción por la crianza dentro de la población de origen mexicano puede contribuir a la identificación de estrategias de intervención respetuosas de las diferencias culturales.


Assuntos
Americanos Mexicanos/psicologia , Poder Familiar/psicologia , Pais/psicologia , Satisfação Pessoal , Estresse Psicológico/psicologia , Aculturação , Adolescente , Adulto , Feminino , Humanos , Análise de Classes Latentes , Estudos Longitudinais , Masculino , México/etnologia , Mães/psicologia , Relações Pais-Filho/etnologia , Adulto Jovem
20.
J Youth Adolesc ; 48(11): 2125-2140, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31378840

RESUMO

In adolescence, Mexican-origin females are at higher risk for depressive symptoms, peer and school stressors are associated with depressive symptoms, and parental support continues to show a protective nature. However, it is unclear how peer and school stressors are associated with depressive symptoms across time, whether parental support moderates the link between stressors and depressive symptoms, and whether differences in patterns of associations differ for early-middle and middle-late Mexican-origin adolescents. This study contributes to existing knowledge by examining the longitudinal and reciprocal associations among peer and school stressors, depressive symptoms, and parental support as a moderator across four years (three time points) with a cohort of Mexican-origin early adolescent (n = 170, Mage = 12.27 at baseline) and middle adolescent (n = 168, Mage = 15.21 at baseline) females. The cross-lagged model showed that for the early adolescent cohort prior peer stressors were associated with later depressive symptoms in mid-adolescence whereas for the middle-adolescent cohort earlier depressive symptoms were associated with subsequent peer stressors in late adolescence. Parental support moderated the link between peer stressors and depressive symptoms for mid-adolescents and the link between depressive symptoms and school stressors for late adolescents. Findings suggest that associations among peer and school stressors, depressive symptoms, and parental support may be more prevalent during middle-late adolescence.


Assuntos
Comportamento do Adolescente/psicologia , Vítimas de Crime/psicologia , Depressão/psicologia , Hispânico ou Latino/psicologia , Grupo Associado , Estresse Psicológico/psicologia , Adolescente , Estudos de Coortes , Depressão/diagnóstico , Feminino , Humanos , Relações Interpessoais , Estudos Longitudinais , Masculino , Relações Pais-Filho , Instituições Acadêmicas
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA