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Challenges Faced by Mexican Americans when Accessing Mental Health Care Service Utilization along the South Texas – Mexico border 墨西哥裔美国人在南德克萨斯-墨西哥边境获得精神卫生保健服务时面临的挑战
Pub Date : 1900-01-01 DOI: 10.33790/JMHSB1100128
Romeo Escobar, John M. Gonzalez, Denise A. Longoria, Nelda M. Rodriguez
The purpose of this study was to explore and describe the challenges Mexican Americans face when accessing mental health care service utilization along the South Texas-Mexico border. Disparities in access and use of health and mental health services have led Latinos to be disproportionately represented among those most at-risk for chronic health and mental health illnesses and less likely to receive guideline congruent care. Research on mental health service utilization has documented the presence of economic, cultural, and structural barriers that contribute to the underutilization of health services by Latinos. Researchers conducted three focus groups with 25 mental health providers in the South Texas-Mexico border region. Researchers followed a semi-structured question list and probed for detail from group participants. Kleinman’s Explanatory Model [1] guided the question list. The researchers used ethnographic content analysis to analyze the transcripts. Providers reported several challenges when it came to accessing mental health services. The challenges included limited access to insurance, minimal knowledge of mental health, lack of family involvement, few providers, medication management, stigma, and culture.
本研究的目的是探讨和描述沿南德克萨斯-墨西哥边境的墨西哥裔美国人在获得精神卫生保健服务时面临的挑战。在获得和使用卫生和精神卫生服务方面的差异导致拉丁美洲人在慢性健康和精神卫生疾病风险最高的人群中所占比例过高,并且不太可能获得指南一致的护理。对精神卫生服务利用的研究记录了经济、文化和结构性障碍的存在,这些障碍导致拉丁美洲人对卫生服务的利用不足。研究人员在南德克萨斯-墨西哥边境地区与25名心理健康提供者进行了三个焦点小组。研究人员遵循一份半结构化的问题清单,并从小组参与者那里探查细节。Kleinman的解释性模型[1]指导了问题列表。研究人员使用人种学内容分析来分析抄本。提供者报告了在获得心理健康服务方面的几个挑战。面临的挑战包括获得保险的机会有限、对精神卫生的了解很少、缺乏家庭参与、提供者很少、药物管理、污名化和文化。
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引用次数: 2
Determinants of Risky Sexual Behaviors in an HBCU Community HBCU社区危险性行为的决定因素
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100116
E. Perkins, Fabio Chacon, Cordelia Obizoba, Brade-Stennis, Rita Wutoh, Leroy, Madison, G. Wells, Denote'Turner
After four decades of HIV/AIDS pandemic, African Americans represent at least 43 percent of infections but only makeup 12.6 percent of the USA population (Census Bureau, 2010). It is apparent from these rates that additional information is needed to further understand the possible linkages between HIV/AIDS infection and members of this ethnic group. This exploratory study analyzed relationships between knowledge and attitudes toward safe sex, and risky behaviors on an HBCU. Using purposive sampling, a group of 364 students was surveyed. Factors assessed as determinants of risky sexual behaviors were: (1) general HIV knowledge, (2) attitude towards safe sex practices, and (3) unprotected or unsafe sex practices. Findings suggest that the average count of risk incidents among women was significantly higher than men; however, women are more inclined to have preventive contagion practices for sexually transmitted diseases than men. In addition, they are more aware of what constitutes risky sexual behavior. The findings should assist universities in developing educational programs and culturally sensitive intervention and prevention strategies aimed at students who are at risk for participating in risky behaviors.
经过40年的艾滋病毒/艾滋病流行,非洲裔美国人至少占感染人数的43%,但只占美国人口的12.6%(人口普查局,2010年)。从这些比率可以明显看出,需要进一步了解艾滋病毒/艾滋病感染与这一族裔群体成员之间可能存在的联系。本探索性研究分析了HBCU中安全性行为的知识和态度与危险行为之间的关系。采用有目的抽样的方法,对364名学生进行了调查。被评估为危险性行为决定因素的因素有:(1)对艾滋病毒的一般知识;(2)对安全性行为的态度;(3)无保护或不安全的性行为。研究结果表明,女性的平均风险事件数量明显高于男性;但是,妇女比男子更倾向于采取预防性传染措施来预防性传播疾病。此外,他们更清楚什么是危险的性行为。研究结果应该有助于大学制定教育计划和文化敏感的干预和预防策略,针对那些有参与危险行为风险的学生。
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引用次数: 0
Lifestyle, Physical and Cardiovascular Components Associated with Immune Profile in Hispanic-Latino People Living with HIV 生活方式、身体和心血管因素与感染艾滋病毒的西班牙裔拉丁美洲人的免疫状况相关
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100121
Martin G. Rosario, L. Jamison
Associated Profile Abstract H IV is associated with poor quality of life and high mortality rates on the people suffering from this illness. Presently, Cd4 levels are the main factor established to identify the distinct trauma on the host’s body and systems. The consequence and severity of HIV complications vary among individuals; however, many factors come into play when assessing and developing treatment plans for this population. Purpose: The current investigation endeavors to respond to the following, are there any indicators of a weak immune system other than a low Cd4 count in people living with HIV (PLHIV) that can aid and guide more target treatment to increase life expectancy and improve quality of life? This project's invention is to establish a comprehensive profile equated with the immune system levels among Hispanics-Latino PLHIV. Methods: Data was extracted and collected from 449 partakers' records from participants enrolled in La Perla de Gran Precio HIV Community Center in Puerto Rico. We examined and compared the relationship between five distinct components, motor (speed and inclination on a treadmill), cardiorespiratory (cardio time and HR), lipid panel (triglycerides, cholesterol among others), comorbidities (diabetes, neuropathy, among others) and lifestyle (smoker, sedentary, etc.), which are essential physical fitness components, regarding subjects’ immune profiles (Cd4 values). Results: The data analyzed in this study were from 449 participants' records further divided into 198 for the Low-HIV (Cd4=323.6+/-120.75) and 247 for the High-HIV (Cd4=836.84+/-283.41) groups according to Cd4 values. The L-HIV and H-HIV were, for the most part, males with an average age of 54 years old and approximately 20 years of diagnosis. An ANOVA analysis revealed that four out of the five components showed differences among both groups. Conclusion: In Hispanic Latino PLHIV, distinctive physical and cardiovascular profiles, related to lower immune health, were identified. We recommend adding the components mentioned in this study to comprehensively understand the mechanism affecting the quality of life and life expectancy in those with HIV.
hiv与患者的生活质量差和高死亡率有关。目前,Cd4水平是确定宿主机体和系统不同创伤的主要因素。艾滋病毒并发症的后果和严重程度因人而异;然而,在评估和制定针对这一人群的治疗计划时,许多因素都发挥了作用。目的:目前的研究努力回应以下问题,HIV感染者(PLHIV)中除了Cd4计数低外,是否存在其他免疫系统薄弱的指标,可以帮助和指导更多的靶向治疗,以延长预期寿命和改善生活质量?这个项目的发明是建立一个全面的概况等同于免疫系统水平的西班牙裔拉丁裔艾滋病病毒。方法:从波多黎各La Perla de Gran Precio HIV社区中心登记的449名参与者的记录中提取和收集数据。我们检查并比较了运动(跑步机上的速度和倾角)、心肺(有氧时间和心率)、脂质(甘油三酯、胆固醇等)、合并症(糖尿病、神经病变等)和生活方式(吸烟、久坐等)这五个不同组成部分之间的关系,这些都是必不可少的身体健康组成部分,涉及受试者的免疫状况(Cd4值)。结果:本研究分析的数据来自449名参与者的记录,根据Cd4值进一步分为Low-HIV组198人(Cd4=323.6+/-120.75)和High-HIV组247人(Cd4=836.84+/-283.41)。L-HIV和H-HIV感染者大部分为平均年龄54岁、确诊时间约为20年的男性。方差分析显示,5个组成部分中有4个在两组之间显示出差异。结论:在西班牙裔拉丁裔PLHIV中,发现了与较低免疫健康相关的独特的身体和心血管特征。我们建议增加本研究中提到的成分,以全面了解影响艾滋病毒感染者生活质量和预期寿命的机制。
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引用次数: 6
The Effects of Poverty on Childhood Development 贫困对儿童发展的影响
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100132
Jamie B. Royce
There is no denying that the effects of poverty are vast and farreaching. From life expectancy to academic success, the effects it has have inundated many aspects of life for those who identify with the socioeconomic status. Those who are largely effected by it are some of society’s most vulnerable individuals children. Children living in poverty often lack easy access to proper housing, education, nutrition, and medical care. In both developed and non-developed countries, poverty is continuously linked to deficits in biological, cognitive, emotional, and academic development.This paper aims to explore the many different effects poverty and its associated domains have on childhood development. From infancy through adolescence and the ripple effect it has on adulthood, the consequences of living in low-income environments will be discussed in relation to proper childhood development. Due to the malleable nature of the brain during these crucial formative years, many of the issues faced during childhood can persist into adolescence and further into adulthood. For these reasons, the long lasting effects of enduring poverty into adulthood will also be examined.
不可否认,贫穷的影响是巨大而深远的。从预期寿命到学业成绩,它的影响已经淹没了那些认同社会经济地位的人生活的许多方面。在很大程度上受其影响的是一些社会上最脆弱的个体——儿童。生活在贫困中的儿童往往难以获得适当的住房、教育、营养和医疗服务。在发达国家和非发达国家,贫困一直与生物、认知、情感和学术发展方面的缺陷联系在一起。本文旨在探讨贫困及其相关领域对儿童发展的许多不同影响。从婴儿期到青春期及其对成年期的连锁反应,将讨论生活在低收入环境中的后果与儿童的适当发展有关。由于大脑在这些关键的形成时期具有可塑性,童年时期面临的许多问题可能会持续到青春期和成年期。由于这些原因,还将研究成年后持续贫穷的长期影响。
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引用次数: 0
Hypengyophobia: The Missing Vulnerability In Addiction Recovery Hypengyophobia:成瘾康复中缺失的弱点
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100149
Mary J. Didelot, Lisa A. Hollingsworth
Within the clinical work of professionals in the field of addictions, co-existing vulnerability factors are rampant. One impactful vulnerability which is seldom recognized by professionals but significantly effects an individual with addictions and his/her perception of the self and others is hypengyophobia. This is a fear of responsibility. Yet, taking responsibility in addiction is a major theme for healing. A life of passivity will not lead to recovery, and this is exactly the effect of hypengyophobia. Grounded in Jung’s (1933) psychodynamic theory, with a case study example included, understanding, recognition and an innovative treatment for this rarely explored vulnerability is forwarded to clinical professionals in addictions. Hypengyophobia is forwarded as an integral part of addictions’ treatment.
在成瘾领域专业人员的临床工作中,共存的脆弱性因素非常猖獗。有一种严重的弱点很少被专业人士认识到,但却对成瘾者及其对自我和他人的看法产生了重大影响,那就是hypengyophobia。这是一种对责任的恐惧。然而,对成瘾负责是治疗的一个主要主题。被动的生活不会带来康复,这正是恐惧症的影响。在荣格(1933)心理动力学理论的基础上,包括一个案例研究的例子,对这种很少被探索的脆弱性的理解、认识和创新治疗被转发给成瘾的临床专业人员。Hypengyophobia被认为是成瘾治疗的一个组成部分。
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引用次数: 0
Suicide among South Asian Americans: A Systematic Review of Causal and Risk Factors 南亚裔美国人的自杀:原因和风险因素的系统回顾
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100158
Susheelabai R. Srinivasa, S. Pasupuleti, Rani Dornamraju
This paper will provide an overview of suicide prevalence among South Asian Americans who constitute nearly one-third of Asian Americans and 1.7 percent of the United States population. South Asians, late 20th century immigrants, are a numerally small percentage of the population in the United States. As a distinct ethnic population despite significant diversity within, South Asians encounter unique challenges with myriad sub-cultures and struggles that make them vulnerable and underrepresented in policy and service utilization in mental health and health care due to various barriers. These conditions create vulnerability among first and subsequent generations as they go through social pressures of acculturation and integration into American society. Suicide, as a rising social concern related to health disparities research, is described with the aid of common theoretical perspectives along with causal/risk factors. Suicide rate is the highest among South Asians even among Asian-origin Americans which has higher suicide among all minority populations – Asian, African and Hispanic Americans. Success of South Asians is associated with certain hidden or unrecognized costs. Making the American dream a reality which is a strenuous journey for South Asians predisposes them at higher risk for health, mental health, substance abuse, suicidal ideation, and behavior. Systematic review of articles from three databases with focus and content on South Asian Americans was conducted and the results are presented in this article. Identified concerns and issues are addressed in the light of theoretical perspectives and evidence gathered from the systematic review and critical analysis.
本文将概述南亚裔美国人的自杀率,他们占亚裔美国人的近三分之一,占美国人口的1.7%。南亚人是20世纪末的移民,在美国人口中所占的比例很小。作为一个独特的民族人口,尽管内部存在显著的多样性,但南亚人面临着无数亚文化和斗争的独特挑战,这些挑战使他们在心理健康和卫生保健的政策和服务利用中处于弱势地位,并且由于各种障碍而代表性不足。这些条件使第一代和后代在经历文化适应和融入美国社会的社会压力时变得脆弱。自杀作为与健康差异研究相关的一个日益引起社会关注的问题,通过共同的理论观点以及因果/风险因素进行了描述。自杀率最高的是南亚人,甚至是亚裔美国人,而亚裔美国人的自杀率高于所有少数族裔——亚裔、非洲裔和西班牙裔美国人。南亚人的成功与某些隐藏的或未被承认的成本有关。对南亚人来说,实现美国梦是一段艰苦的旅程,这使他们在健康、精神健康、药物滥用、自杀意念和行为方面面临更高的风险。系统回顾了来自三个数据库的文章,重点和内容是南亚裔美国人,并在本文中介绍了结果。从系统回顾和批判性分析中收集的理论观点和证据来解决已确定的问题和问题。
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引用次数: 0
Interventions for Reducing the Effects of Adverse Childhood Experiences Among Black/African American Children and Adolescents: A Systematic Review 减少黑人/非裔美国儿童和青少年不良童年经历影响的干预措施:系统回顾
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100164
Tywan Ajani
Purpose: Research demonstrates tremendous harmful effects for children and adolescents that have experienced trauma of various forms before the age of eighteen. These effects are profound as not only are they linked to current detrimental effects such as increased rates of substance abuse, early sexual activity, higher rates of depression, and suicidal ideation, but they also have shown to be damaging in adulthood. This systematic review provides an examination of interventions that reduce the effects of Adverse Childhood Experiences (ACEs) for Black/African American children and adolescents.Methods: This study used an intervention assessment tool to determine the methodological rigor derived from the American Psychological Association on assessing interventions as the risk of bias tool. The methodological rigor was used to assess the interventions that reduce the effects of ACEs. Effect sizes for controlled trials, pre-post effect sizes, and pilot studies were calculated.Results: This search identified a total of 1,594 studies in which 617 were screened and five were selected. The five utilized harm reduction interventions to address the effects of ACEs. All of the study participants were Black/African American children and adolescents. The effect sizes that were available ranged from medium to large. The Strong African American Families Program (SAAF) intervention had the strongest methodological rigor with a medium effect size.Conclusion: The review suggests that the combination of individual therapy, group therapy, and psychoeducational training techniques provided positive effects on the reduction of ACE related symptoms for Black/African American children and adolescents. The randomized control trials yielded the greatest improvements from the interventions. However, the findings were few and the need for interventions for this population continue to grow.
目的:研究表明,在18岁之前经历过各种形式创伤的儿童和青少年会受到巨大的有害影响。这些影响是深远的,因为它们不仅与当前的有害影响有关,如增加的药物滥用率、过早的性行为、更高的抑郁率和自杀意念,而且它们也显示出对成年期的破坏性。本系统综述提供了一项减少黑人/非裔美国儿童和青少年不良童年经历(ace)影响的干预措施。方法:本研究使用干预评估工具来确定方法的严谨性,该方法来源于美国心理协会评估干预措施作为偏倚风险的工具。方法的严谨性被用于评估减少ace影响的干预措施。计算了对照试验、前后效应量和前期研究的效应量。结果:本次检索共确定了1594项研究,其中筛选了617项,选择了5项。这五个国家利用减少伤害干预措施来处理不良经历的影响。所有的研究参与者都是黑人/非裔美国儿童和青少年。可用的效应量从中到大不等。强大的非洲裔美国人家庭计划(SAAF)干预具有最强的方法严谨性和中等效应量。结论:本综述提示个体治疗、团体治疗和心理教育训练技术的结合对减少黑人/非裔美国儿童和青少年的ACE相关症状有积极的效果。随机对照试验从干预中获得了最大的改善。然而,研究结果很少,对这一人群的干预需求仍在增长。
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引用次数: 0
The Hidden Repercussions of Microaggressions on Individuals in Higher Education 高等教育中微侵犯对个人的潜在影响
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100124
Emarely Rosa-Dávila, Marta Mercado-Sierra, Daniela Castillo Vazquez, Jorge F. Figueroa
Education Emarely Rosa-Dávila1*, PhD, Marta Mercado-Sierra2, PhD, Daniela Castillo Vazquez3, Jorge F. Figueroa4, PhD 1,3,4Department of Social Work, Texas Woman’s University, United States. 2Department of Social Work, Texas A&M Commerce, United States. Journal of Mental Health and Social Behaviour Rosa-Davila, E., et al. (2020). J Ment Health Soc Behav, 2(2):124 https://doi.org/10.33790/jmhsb1100124
教育Emarely Rosa-Dávila1*, PhD, Marta Mercado-Sierra2, PhD, Daniela Castillo Vazquez3, Jorge F. figuero4, PhD 1,3,4美国德克萨斯女子大学社会工作系。2美国德克萨斯农工大学商学院社会工作系。心理健康与社会行为杂志Rosa-Davila, E.等人(2020)。城市卫生社会行为杂志,2(2):124 https://doi.org/10.33790/jmhsb1100124
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引用次数: 0
How We Rise: Overcoming Trauma with Healthy Life Outcomes and Spiritual Counsel Approach 我们如何崛起:用健康的生活结果和精神咨询方法克服创伤
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100118
Sherri Harper Woods, K. Larwin, Katie M Allen, Trauma-Informed Therapist
Spiritual Counsel Sherri Harper Woods1*, DMin, LISW-S, EMDR Trained Therapist, Karen H. Larwin2, PhD, Katie M Allen3, MSW, LSW, Trauma-Informed Therapist 1*Assistant Professor, Master of Social Work Program Coordinator, Youngstown State University, One University Plaza, Youngstown, Ohio, United States. 2Associate Professor, Counseling, School Psychology, and Educational Leadership, Youngstown State University, One University Plaza, Youngstown, Ohio, United States. 3Graduate Assistant, Social Work Department, Youngstown State University, One University Plaza, Youngstown, Ohio, United States. Journal of Mental Health and Social Behaviour Woods, S.H., et al. J Ment Health Soc Behav 2020, 2: 118 https://doi.org/10.33790/jmhsb1100118
精神咨询师Sherri Harper Woods1*, DMin, LISW-S, EMDR培训治疗师,Karen H. Larwin2, PhD, Katie M . Allen3, MSW, LSW,创伤信息治疗师1*助理教授,社会工作项目协调员硕士,扬斯敦州立大学,扬斯敦,俄亥俄州,扬斯敦。2副教授,咨询,学校心理学,教育领导,扬斯敦州立大学,扬斯敦,俄亥俄州,扬斯敦。扬斯敦州立大学社会工作系,美国俄亥俄州扬斯敦大学广场一号。《心理健康与社会行为杂志》。中国卫生社会行为杂志,2020,(2):118 https://doi.org/10.33790/jmhsb1100118
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引用次数: 0
Social Connections and Community Engagement Trends Among Unaccompanied Refugee Minors Exiting Foster Care 离开寄养家庭的无人陪伴未成年难民的社会联系和社区参与趋势
Pub Date : 1900-01-01 DOI: 10.33790/jmhsb1100168
Kerri Evans, Morgan Pardue-Kim, Rex D. Foster, H. Ferguson
The United States has more immigrants than any other country in the world. The Unaccompanied refugee minor program has been serving thousands of youth annually since the 1970s and yet there is still a dearth of research and some apprehension of how to assist these vulnerable children in making friends and supportive relationships in the US. Social ties, social support networks, and engagement in the local/ immigrant community have all been shown to help ease the transition to the United States and improve mental health well being for immigrants. A national refugee resettlement agency sent surveys to all the Unaccompanied Refugee Minors who had existed foster care program three to 15 months prior to assess their social connections and community engagement after the program ended. Thirty youth replied and results show that living arrangements varied among participants, social engagement in the community was present for most of the young adults, relationships were an aspect of social support, and reliance on public benefits was relatively low among respondents. There are implications for caseworkers in terms of case planning to help ensure youth are connected before they leave the program, and future recommendations for more in-depth research are included.
美国的移民比世界上任何其他国家都多。自20世纪70年代以来,无人陪伴的未成年难民项目每年为数千名青少年提供服务,但对于如何帮助这些弱势儿童在美国结交朋友和建立支持关系,仍然缺乏研究和一些担忧。社会关系、社会支持网络和参与当地/移民社区都被证明有助于缓解移民到美国的过渡,并改善移民的心理健康状况。一家国家难民重新安置机构在寄养项目结束前3至15个月向所有已存在的无人陪伴未成年难民发送了调查问卷,评估他们在项目结束后的社会关系和社区参与度。30名青年回答,结果显示,参与者之间的生活安排各不相同,大多数年轻人参与社区活动,关系是社会支持的一个方面,受访者对公共利益的依赖程度相对较低。在案例规划方面,这对个案工作者有启示,有助于确保青年在离开项目之前与社会联系起来,并包括对未来更深入研究的建议。
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引用次数: 0
期刊
Journal of Mental Health and Social Behaviour
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