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Psychosocial Correlates and Early Substance Abuse Associated With Lifetime Hallucinogen Use Among Hispanic Young Adults 西班牙裔年轻人终生使用幻觉原的心理社会相关性和早期药物滥用
Q3 Nursing Pub Date : 2020-03-01 DOI: 10.1177/1540415319868150
A. Yockey, K. King, Rebecca A. Vidourek
Introduction: The Hispanic population is among the most rapid growing populations in the United States. Continued research is needed regarding factors associated with substance abuse and Hispanic individuals. The present study examined psychosocial correlates to lifetime hallucinogen use among a national sample of Hispanic adults. Method: A secondary analysis of the 2017 National Survey on Drug Use and Health was conducted. Questions assessing previous lifetime substance use, psychosocial factors, and demographics were completed by 2,866 Hispanic adults. Weighted logistic regression analyses were used to identify significant predictors of lifetime hallucinogen use. Results: Results indicated that greater than one in seven (15.1%) of Hispanic adults reported having ever used hallucinogens (lifetime use). Findings from the final multivariate regression revealed that those most likely to report lifetime hallucinogen use were male, used alcohol, marijuana, cigars, cigarettes, inhalants, and cocaine before the age of 21, and binge drank in the past 30 days. Discussion: Culturally competent prevention strategies aimed at addressing hallucinogen use among Hispanics are needed. Further research studies examining psychosocial reasons explaining the high prevalence of hallucinogen use among this population are warranted.
简介:西班牙裔人口是美国增长最快的人口之一。需要继续研究与药物滥用和西班牙裔个体相关的因素。本研究调查了全国西班牙裔成年人样本中与终生使用致幻剂相关的心理社会因素。方法:对2017年全国药品使用与健康调查进行二次分析。2866名西班牙裔成年人完成了评估既往药物使用、心理社会因素和人口统计的问题。加权逻辑回归分析用于确定终生致幻剂使用的重要预测因素。结果:结果表明,超过七分之一(15.1%)的西班牙裔成年人报告曾使用过致幻剂(终身使用)。最终多元回归的结果显示,最有可能报告终生使用致幻剂的是男性,他们在21岁之前使用酒精、大麻、雪茄、香烟、吸入剂和可卡因,并在过去30天内酗酒。讨论:需要有针对西班牙裔使用致幻剂的文化上有效的预防策略。有必要对解释这一人群中致幻剂使用率高的心理社会原因进行进一步的研究。
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引用次数: 3
Prescription Opioid Use Among Hispanics/Latinos With Arthritis Symptoms: Results From the Hispanic Community Health Study/Study of Latinos. 有关节炎症状的西班牙裔/拉丁裔患者处方阿片类药物的使用:来自西班牙裔社区健康研究/拉丁裔研究的结果
IF 1.5 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2020-03-01 Epub Date: 2019-11-01 DOI: 10.1177/1540415319881755
Hector R Perez, Joanna L Starrels, Sara Gonzalez, Denise C Vidot, Simin Hua, Garrett M Strizich, Donglin Zeng, Martha Daviglus, Marc D Gellman, Robert C Kaplan

Introduction: To determine the prevalence of prescription opioid (PO) use among Hispanics/Latinos with arthritis symptoms and to characterize how demographic and cultural factors are associated with PO use.

Method: Cross-sectional analysis of baseline visit data during 2008 to 2011 from the Hispanic Community Health Study/Study of Latinos, a population-based cohort study of 16,415 Hispanics/Latinos living in Chicago, Illinois, Miami, Florida, Bronx, New York, and San Diego, California. Included participants self-reported painful inflammation or swelling in one or more joints. Multivariate models controlling for physical and mental health scores were constructed to assess how demographic and cultural factors were associated with PO use.

Results: A total of 9.3% were using POs at the time of the baseline visit. In multivariate models, persons of Cuban background (adjusted odds ratio [AOR] = 0.42, 95% confidence interval [CI; 0.21, 0.81]) and of Dominican background (AOR = 0.38, 95% CI [0.18, 0.80]) were significantly less likely to use POs compared with a reference group of persons of Mexican background. Greater language acculturation was also negatively associated with PO use (AOR = 0.68, 95% CI [0.53, 0.87]).

Conclusion: POs were used relatively uncommonly, and use showed marked variation between Hispanic/Latino groups. Future study should determine mechanisms for why greater use of English among Hispanics/Latinos might influence PO use.

引言:确定有关节炎症状的西班牙裔/拉丁裔中处方阿片类药物(PO)使用的流行率,并描述人口统计学和文化因素与PO使用的关系。方法:对2008年至2011年西班牙裔社区健康研究/拉丁裔研究的基线访视数据进行横断面分析,该研究是一项基于人群的队列研究,对居住在芝加哥、伊利诺伊州、迈阿密、佛罗里达州、纽约布朗克斯和加利福尼亚州圣地亚哥的16415名西班牙牙裔/拉丁美洲人进行研究。参与者自我报告一个或多个关节出现疼痛性炎症或肿胀。构建了控制身心健康评分的多变量模型,以评估人口统计学和文化因素如何与PO使用相关。结果:在基线访视时,共有9.3%的患者使用了POs。在多变量模型中,与墨西哥背景的参考组相比,古巴背景的人(调整后的比值比[AOR]=0.42,95%置信区间[CI;0.21,0.81])和多米尼加背景的人使用POs的可能性显著降低。更大的语言文化适应度也与PO的使用呈负相关(AOR=0.68,95%CI[0.53,0.87])。结论:PO的使用相对罕见,西班牙裔/拉丁裔群体之间的使用差异显著。未来的研究应该确定为什么西班牙裔/拉丁裔更多地使用英语可能会影响PO使用的机制。
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引用次数: 0
“You’re Ganja Have a Good Time”: Investigating the Roots of Blunt Use Among a National Sample of Hispanic Adults “你是Ganja玩得很开心”:在全国西班牙裔成年人样本中调查Blunt使用的根源
Q3 Nursing Pub Date : 2020-03-01 DOI: 10.1177/1540415319882665
R. Yockey, K. King, Rebecca A. Vidourek
Blunt use is a pressing public health problem in the United States. While most studies have focused on African American youth, there remains a paucity of research examining blunt use among Hispanic individuals. Previous findings, which are quite limited, suggest mixed results, thus warranting further investigation regarding the prevalence of blunt use among Hispanic individuals and factors associated with such use. In accord with Jessor’s problem behavior theory, we hypothesized that prior use of illicit substances and certain psychosocial risk factors pose an increased risk for blunt use among Hispanic adults. A secondary analysis examined prior substance use and psychosocial factors of 10,216 Hispanic lifetime blunt users participating in the 2017 National Survey on Drug Use and Health. Findings revealed that one in five (20.5%) Hispanic individuals reported lifetime blunt use. Significant risk factors associated with blunt use were age (18+ years or older), participation in a government assistance program, prior illicit substance use, and changes in appetite or weight. Additional research on other risk factors, prevention mechanisms, and treatment interventions for Hispanic individuals who use blunts is warranted.
在美国,使用钝剂是一个紧迫的公共卫生问题。虽然大多数研究都集中在非裔美国青年身上,但对西班牙裔人使用钝性药物的研究仍然很少。先前的研究结果非常有限,表明结果喜忧参半,因此有必要对西班牙裔个体中钝性使用的流行率和与这种使用相关的因素进行进一步调查。根据Jessor的问题行为理论,我们假设先前使用非法药物和某些心理社会风险因素会增加西班牙裔成年人直接使用的风险。一项二次分析调查了参与2017年全国药物使用与健康调查的10216名西班牙裔终身钝性使用者的既往药物使用和心理社会因素。调查结果显示,五分之一(20.5%)的西班牙裔患者报告终生使用钝剂。与钝性使用相关的重要风险因素是年龄(18岁以上)、参与政府援助计划、既往使用非法药物以及食欲或体重变化。有必要对使用钝化剂的西班牙裔个体的其他风险因素、预防机制和治疗干预措施进行额外研究。
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引用次数: 1
The Space Between: Transformative Learning and Type 2 Diabetes Self-Management 之间的空间:变革学习和2型糖尿病自我管理
Q3 Nursing Pub Date : 2019-11-26 DOI: 10.1177/1540415319888435
Cheryl A. Smith-Miller, D. Berry, Cass T. Miller
Introduction: Immigrant populations experience higher type 2 diabetes mellitus (T2DM) prevalence rates and worse health outcomes secondary to T2DM than native-born populations. But as the largest immigrant population in the United States, the experience of T2DM diagnosis and self-management among Spanish-speaking, limited English-language proficient Latinx immigrants remains largely unexamined. This study used semistructured interviews to explore these phenomena among a cohort of 30 recent Latinx immigrants. Method: All aspects of data collection were conducted in Spanish. Quantitative and qualitative data were collected. Data analysis included descriptive statistical procedures. Qualitative data analysis was conducted using a grounded theory approach. Results: Patterns in the data analysis of 30 interviews identified accepting T2DM as a common transitional process that required significant changes in individuals’ self-perspective and ways of being. Accepting T2DM was identified by the participants as a precursor to treatment initiation. And while for most participants this transition period was brief, for some it took months to years. Distinct transitional stages were identified, categorized, and considered within the context of several theoretical orientations and were observed to align with those in transformative learning. Conclusion: Understanding differing responses and processing of a T2DM diagnosis could be leveraged to better support patients’ acceptance and transition into treatment.
引言:移民人群的2型糖尿病(T2DM)患病率高于本地出生人群,且T2DM继发的健康状况较差。但作为美国最大的移民群体,讲西班牙语、英语能力有限的拉丁裔移民的T2DM诊断和自我管理经验在很大程度上仍未得到检验。这项研究使用了半结构化访谈,在30名最近的拉丁裔移民中探讨了这些现象。方法:数据收集的所有方面都用西班牙语进行。收集了定量和定性数据。数据分析包括描述性统计程序。定性数据分析采用扎根理论方法。结果:30次访谈的数据分析模式表明,接受T2DM是一个常见的过渡过程,需要个人的自我视角和存在方式发生重大变化。参与者将接受T2DM确定为开始治疗的前兆。虽然对大多数参与者来说,这一过渡期很短,但对一些人来说,这需要几个月到几年的时间。不同的过渡阶段在几个理论方向的背景下被识别、分类和考虑,并被观察到与变革性学习中的过渡阶段一致。结论:了解T2DM诊断的不同反应和处理可以更好地支持患者接受和过渡到治疗。
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引用次数: 2
Hispanics, Addictions, and the Opioid Epidemic: Brief Report 西班牙裔、成瘾和阿片类药物流行:简要报告
Q3 Nursing Pub Date : 2019-11-20 DOI: 10.1177/1540415319888437
F. Brenes, Federico A. Henriquez
Opioid addiction is a public health concern. Opioid overdose death rates account for one third to a half of all global substance-related deaths. Opioid mortality rates increased nearly fivefold in the United States between 1999 and 2016. Recent research has found health care disparities in the United States among minority populations with opioid use disorder, particularly Hispanics. Current literature also suggests that a number of social and cultural factors, including the stigma linked to mental illness and treatment in the Hispanic culture, may further negatively contribute to the problem. This brief report pays close attention to the opioid epidemic in the United States and addresses issues related to the crisis among Hispanics. Recommendations for clinical practice, research, and health care policy are also discussed.
阿片类药物成瘾是一个公共卫生问题。阿片类药物过量致死率占全球所有物质相关死亡的三分之一到一半。1999年至2016年间,美国阿片类药物死亡率增加了近五倍。最近的研究发现,在美国,患有阿片类药物使用障碍的少数群体,尤其是西班牙裔,在医疗保健方面存在差异。目前的文献还表明,许多社会和文化因素,包括西班牙裔文化中与精神疾病和治疗有关的污名,可能会进一步对这个问题产生负面影响。这份简短的报告密切关注美国阿片类药物的流行,并解决了与西班牙裔危机有关的问题。还讨论了临床实践、研究和医疗保健政策的建议。
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引用次数: 6
Associations of Partner Support and Acculturation With Physical Activity in Mexican American Women 墨西哥裔美国妇女的伴侣支持和文化适应与体育活动的关系
Q3 Nursing Pub Date : 2019-11-13 DOI: 10.1177/1540415319886797
Neomie C Congello, D. Koniak-Griffin, M. Brecht, R. Hays, MarySue V. Heilemann, A. Nyamathi
Introduction: Insufficient physical activity (PA) and obesity-related health conditions have reached epidemic proportions worldwide. Mexican American women (MAW) report low leisure time physical activity. Few studies examine activities beyond leisure time. Qualitative research suggests that partner support influence provides a cultural approach relevant to PA among MAW. Method: This cross-sectional study used an ecological model to investigate community (the physical environment), interpersonal (partner support, attitudinal familism), and intrapersonal (age, health conditions, acculturation, employment, and body mass index) factors associated with PA among 112 MAW. Community-based participatory research recommendations guided the preparatory phase of the study and the face-to-face interviews. Frequencies and descriptive statistics were computed. Multivariable linear regression analyses were used to examine associations between study variables. Results: Moderate to high PA levels were found based on combined activities performed during leisure time, transportation, household tasks, and occupational duties. Women with greater partner support reported higher PA levels. Although acculturation levels were low among women, those with higher acculturation were found to be more physically active. Conclusions: Future studies should examine strategies to increase partner support and address acculturation within intervention programs to enhance overall PA among MAW.
引言:身体活动不足和肥胖相关的健康状况已在全球范围内达到流行病的程度。墨西哥裔美国妇女(MAW)报告说,她们在闲暇时间的体育活动很少。很少有研究考察休闲时间以外的活动。定性研究表明,伙伴支持的影响为MAW中的PA提供了一种相关的文化方法。方法:这项横断面研究使用生态学模型调查了112名MAW中与PA相关的社区(物理环境)、人际(伴侣支持、态度家庭主义)和个人内部(年龄、健康状况、文化适应、就业和体重指数)因素。基于社区的参与性研究建议指导了研究的准备阶段和面对面的访谈。计算频率和描述性统计。多变量线性回归分析用于检验研究变量之间的相关性。结果:根据在休闲时间、交通、家务和职业职责期间进行的综合活动,发现PA水平为中度至高度。伴侣支持较多的女性报告PA水平较高。尽管女性的文化适应水平较低,但文化适应程度较高的女性身体活动较多。结论:未来的研究应该研究在干预计划中增加伴侣支持和解决文化适应问题的策略,以提高MAW的整体PA。
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引用次数: 3
Exploring the Social Determinants of Drinking Sugary Beverages Leading to Chronic Illness Among Latina/o Populations 探索饮用含糖饮料导致拉丁裔/非拉丁裔人群慢性疾病的社会决定因素
Q3 Nursing Pub Date : 2019-11-13 DOI: 10.1177/1540415319882776
P. Khandelwal, L. Salazar
Introduction: The aim of this qualitative study was to assess Latina/o students’ sugary drink consumption patterns and understand the social determinants leading to this consumption behavior in order to design more effective health communication–based campaigns. This study examined the perceived reasons behind high levels of sugar-sweetened beverages (SSBs) consumption among college students of Hispanic origin in the Texas Panhandle region. Method: Fifteen Latina/o students were interviewed via an innovative social media–based online interviewing protocol. Results: Subsequent analyses revealed that peer pressure, socializing, unavailability of packaged drinking water during social events, targeted advertisements, and poor lifestyle choices were perceived reasons for high intake of SSB in the focal population. Conclusion: This study recommends designing public service announcements geared to Latino/a youth that increase awareness about the long-term health risks that can result from high consumption of SSBs. Moreover, the positive health benefits of drinking water should be highlighted and Latina/o parents should avoid glorifying SSBs and restrict their SSB consumption in front of their children. Further research should aim at designing educational messages, using theoretical backing, to test how Latina/o youth respond to them.
本定性研究的目的是评估拉丁裔/非拉丁裔学生的含糖饮料消费模式,并了解导致这种消费行为的社会决定因素,以便设计更有效的健康宣传活动。这项研究调查了德克萨斯州潘汉德尔地区西班牙裔大学生高水平含糖饮料(SSBs)消费背后的原因。方法:通过创新的基于社交媒体的在线访谈协议对15名拉丁裔/o学生进行访谈。结果:随后的分析显示,同伴压力、社交、社交活动中包装饮用水的缺乏、有针对性的广告和不良的生活方式选择是焦点人群中SSB高摄入量的原因。结论:本研究建议设计面向拉丁裔/非拉丁裔青年的公共服务公告,以提高人们对大量食用SSBs可能导致的长期健康风险的认识。此外,应强调饮用水对健康的积极益处,拉丁裔/非拉丁裔父母应避免美化SSB,并在子女面前限制他们对SSB的消费。进一步的研究应着眼于设计教育信息,利用理论支持,测试拉丁裔/非拉丁裔青年如何回应这些信息。
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引用次数: 3
Hispanic Health Care International: Meeting the Needs of Our Readers 西班牙裔医疗保健国际:满足读者的需求
Q3 Nursing Pub Date : 2019-09-25 DOI: 10.1177/1540415319875247
M. Enriquez
Hispanic Health Care International (HHCI) is the official journal of the National Association of Hispanic Nurses (NAHN). HHCI is a peer-reviewed journal that serves as an interdisciplinary forum for the dissemination of information for clinical practice, education, research, and policy on issues concerning Hispanic/Latino populations around the globe. In addition to our commitment to the Hispanic/Latino population, we are committed to doing our best to meet the needs of our reading audience. With this commitment in mind, this editorial reports on the journal’s accomplishments and new features over the past year. During 2019, HHCI saw growth in circulation (i.e., subscriptions). In addition, there was an increase in online usage with full-text downloads up by 16%. The journal enhanced its productivity and number of article submissions during 2019. HHCI is proud to report an efficient full peer-review process: average time to first decision within 1 month of manuscript submission and an average time to final decision within 3 months. HHCI is taking steps to provide its authors with strategies to enhance visibility of their published articles. HHCI now features visual abstracts, which authors can use to share their work on social media platforms. HHCI, via its publisher Sage, partners with Kudos, a service that provides authors with tools to enhance visibility and impact of their work. In direct response to feedback from the readers and subscribers, HHCI began two new series of articles in 2019. In response to a “call to action” to strengthen the mental health workforce (National Council for Behavioral Health, 2018), HHCI began publishing a series of brief reports focused on mental health topics. In particular, these reports serve to raise awareness among health care providers, educators, researchers, and policy makers about the important issues surrounding the mental health needs of the Hispanic/ Latino population. The series began in the September issue with an article focused on an understudied, and sometimes ignored, problem: Hispanics and suicide. In this December issue, the negative impact of discriminating policies on the mental health of Hispanics is discussed. To address a request by our readers for more resources that can be used to enhance scholarly productivity, HHCI will publish a series of articles focused on scholarship. In this December issue, you will find the first article in the series, which gives “tips” for reviewing the literature and writing literature reviews. Dr. Norma Cuellar, NAHN President, and Editor of the Journal of Transcultural Nursing (https://journals.sagepub. com/home/tcn), authored the article, and I encourage you to read it and share it with your colleagues, as it provides many pearls of helpful information. Future articles in the series will focus on topics such as grant writing, giving professional presentations, and preparing abstracts. The goal of these articles is to provide readers with practical tips, use
《西班牙裔医疗国际》(HHCI)是美国全国西班牙语护士协会(NAHN)的官方期刊。HHCI是一份同行评审期刊,是一个跨学科论坛,用于传播全球西班牙裔/拉丁裔人口相关问题的临床实践、教育、研究和政策信息。除了我们对西班牙裔/拉丁裔人口的承诺外,我们还致力于尽最大努力满足读者的需求。考虑到这一承诺,这篇社论报道了该杂志在过去一年中取得的成就和新特点。2019年,HHCI的发行量(即订阅量)有所增长。此外,在线使用量有所增加,全文下载量增长了16%。该杂志在2019年提高了生产力和文章提交量。HHCI自豪地报告了一个高效的全面同行评审过程:平均在稿件提交后1个月内做出第一次决定,平均在3个月内作出最终决定。HHCI正在采取措施为其作者提供策略,以提高他们发表文章的知名度。HHCI现在以视觉摘要为特色,作者可以使用这些摘要在社交媒体平台上分享他们的作品。HHCI通过其出版商Sage与Kudos合作,Kudos是一项为作者提供工具以提高其作品的知名度和影响力的服务。为了直接回应读者和订阅者的反馈,HHCI于2019年开始了两个新系列的文章。为了响应加强心理健康队伍的“行动呼吁”(国家行为健康委员会,2018),HHCI开始发布一系列专注于心理健康主题的简短报告。特别是,这些报告有助于提高医疗保健提供者、教育工作者、研究人员和政策制定者对西班牙裔/拉丁裔人口心理健康需求的重要问题的认识。该系列始于9月号,一篇文章聚焦于一个研究不足、有时被忽视的问题:西班牙裔和自杀。在本期12月刊中,我们讨论了歧视政策对西班牙裔心理健康的负面影响。为了满足读者对更多可用于提高学术生产力的资源的要求,HHCI将发表一系列专注于学术的文章。在这期12月刊中,你会发现该系列的第一篇文章,它为回顾文献和撰写文献评论提供了“提示”。Norma Cuellar博士,NAHN主席,《跨文化护理杂志》编辑(https://journals.sagepub.com/home/tcn)撰写了这篇文章,我鼓励您阅读并与同事分享,因为它提供了许多有用的信息。该系列未来的文章将聚焦于资助写作、专业演讲和准备摘要等主题。这些文章的目的是为读者提供实用的技巧、有用的资源和指导机会。如果您对本系列的文章或主题有建议,请联系HHCI编辑。随着2019年的结束,我想借此机会衷心感谢该杂志的读者、同行评审员、作者和敬业的编委会成员与HHCI分享他们的时间和专业知识。此外,该杂志感谢NAHN、First Point Resources和Sage Publications的HHCI团队的支持。没有你们所有人,就不会有HHCI期刊。祝大家2020年快乐健康!
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引用次数: 0
We Care, and We Are Aware! 我们关心,我们知道!
Q3 Nursing Pub Date : 2019-09-23 DOI: 10.1177/1540415319874889
N. Cuellar
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引用次数: 0
Hispanics, Mental Health, and Discriminating Policies: Brief Report 西班牙裔、心理健康和歧视性政策:简要报告
Q3 Nursing Pub Date : 2019-09-23 DOI: 10.1177/1540415319875103
F. Brenes
Hispanics, the largest minority group in the United States, are a heterogeneous group that contains a large portion of immigrants from Latin America. Recently, anti-immigrant policies and anti-Hispanic discriminatory practices have heightened at state and national levels. These policies and practices serve to endanger the mental health of Hispanics and play a major role in health care disparities. Positive correlations have been found between chronic discrimination and depression as well as other comorbid conditions, such as anxiety and substance use, and physical disorders. This report provides an overview of the changes in law/policy in recent history that negatively affect the well-being of Hispanics. Recommendations for health care professionals, educators, and researchers are presented.
西班牙裔是美国最大的少数族裔群体,是一个异质群体,其中包括很大一部分来自拉丁美洲的移民。最近,在州和国家层面,反移民政策和反西班牙裔歧视做法愈演愈烈。这些政策和做法危害西班牙裔的心理健康,并在医疗保健差距中发挥重要作用。研究发现,慢性歧视与抑郁症以及其他共病状况(如焦虑和药物使用)和身体障碍之间存在正相关。本报告概述了近年来对西班牙裔福祉产生负面影响的法律/政策变化。对卫生保健专业人员、教育工作者和研究人员提出了建议。
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引用次数: 6
期刊
Hispanic Health Care International
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