Pub Date : 2022-05-01Epub Date: 2022-03-17DOI: 10.1037/lat0000171
Beatriz Suro, Julia Lechuga, Carol L Galletly, Laura Glasman
<p><p>Although new HIV infections have remained stable or decreased for most U.S. groups at risk for HIV, incidence among Latinx increased by 6% and among Latinx individuals, immigrants are disproportionately infected. One driver of these infections is low rates of HIV testing. While research shows the chilling effect that restrictive immigration laws can have on immigrants' health care utilization, few studies have examined the influence of perceived immigration context and healthcare utilization immigration law concerns on following a public health recommendation such as HIV testing. The purpose of the study is to test an exploratory model of immigration-related variables and their impact on U.S. Latinx immigrants' yearly HIV testing. U.S.-Latinx immigrants (N=169) completed a cross-sectional survey assessing perceived enforcement of immigration laws, perceptions of law enforcement attitudes towards Latinx and immigrants, fear of deportation, concerns with the consequences of immigration laws for health care utilization, and yearly HIV testing. Path analysis findings indicated that perceived enforcement of immigration laws was related to perceived negative attitudes from law enforcement towards Latinx and immigrants which was associated with fear of deportation. Fear of deportation was associated with concerns with the implications of immigration laws for accessing publicly funded healthcare services and these concerns were negatively related to yearly HIV testing and mediated the association between fear of deportation and yearly HIV testing. Findings point to the need of developing and implementing individual- and policy-level interventions to increase HIV testing among Latinx immigrants in a restrictive immigration law environment.</p><p><strong>Resumen: </strong>Aunque nuevas infecciones de VIH se han mantenido estable o han disminuido para la mayoría de los grupos en los Estados Unidos (E.U.) en alto riesgo de contraer VIH, la incidencia de VIH entre Latinx ha aumentado 6% y entre individuos Latinx, los inmigrantes están desproporcionalmente afectados por la epidemia. Uno de los factores que contribuye a la alta tasa de VIH es la baja tasa de pruebas de VIH entre inmigrantes. Aunque la investigación confirma los efectos escalofriantes que las leyes restrictivas de inmigración pueden tener en la utilización de servicios de salud entre los inmigrantes, pocos estudios han examinado la influencia de la percepción del contexto de inmigración y las preocupaciones sobre las implicaciones de las leyes de inmigración si se utilizan servicios de salud públicos en seguir la recomendación de salud pública de hacerse la prueba de VIH regularmente. El propósito del estudio es someter a la prueba un modelo exploratorio de la influencia de variables relacionadas a la inmigración y su impacto en las pruebas anuales de HIV en los inmigrantes Latinx que viven en los E.U. (N=169). Los participantes contestaron un cuestionario transversal que midió la percepci
虽然美国大多数艾滋病毒高危人群的新增艾滋病毒感染率保持稳定或有所下降，但拉丁裔的感染率却上升了 6%，而且在拉丁裔人群中，移民的感染率更高。造成这些感染的原因之一是艾滋病毒检测率低。虽然研究表明，限制性移民法会对移民利用医疗保健服务产生寒蝉效应，但很少有研究探讨移民环境感知和医疗保健服务利用移民法问题对遵循艾滋病毒检测等公共卫生建议的影响。本研究的目的是检验移民相关变量及其对美国拉美裔移民每年进行 HIV 检测的影响的探索性模型。美国拉美裔移民（169 人）完成了一项横断面调查，评估了对移民法执行情况的看法、对拉美裔和移民执法态度的看法、对被驱逐出境的恐惧、对移民法对医疗保健利用后果的担忧以及每年的 HIV 检测情况。路径分析结果表明，对移民法执行情况的看法与执法部门对拉美裔和移民的消极态度有关，而这种消极态度又与害怕被驱逐出境有关。担心被驱逐出境与担心移民法对获得公共资助的医疗保健服务的影响有关，这些担心与每年的艾滋病毒检测呈负相关，并在担心被驱逐出境与每年的艾滋病毒检测之间起中介作用。研究结果表明，有必要制定并实施个人和政策层面的干预措施，以增加限制性移民法环境中拉美裔移民的艾滋病检测。 摘要：尽管美国大多数艾滋病高危人群的艾滋病新发感染率保持稳定或有所下降，但拉美裔人群的艾滋病发病率却上升了 6%，在拉美裔人群中，移民受艾滋病的影响尤为严重。导致艾滋病毒感染率高的因素之一是移民中艾滋病毒检测率低。尽管研究证实，限制性移民法可能会对移民利用医疗服务产生寒蝉效应，但很少有研究对移民的认知背景的影响进行研究，也很少有研究关注如果公共医疗服务用于遵循公共卫生建议定期进行艾滋病毒检测，移民法会产生什么影响。本研究的目的是检验移民相关变量的影响及其对居住在美国的拉丁裔移民（169 人）每年进行 HIV 检测的影响的探索性模型。参与者填写了一份横截面调查问卷，调查内容包括对移民执法的看法、对移民执法人员对拉美裔和移民态度的看法、对被驱逐出境的恐惧、对移民法给医疗保健利用带来的后果的具体担忧、社会对艾滋病毒污名化的看法，以及移民是否每年进行艾滋病毒检测。轨迹分析的结果表明，移民法的执行与执法人员对拉美裔和移民持消极态度的看法有关，而这种看法与害怕被驱逐出境有关。担心被驱逐出境与担心移民法对利用联邦政府赞助的医疗服务的影响有关，这些担心与每年的艾滋病毒检测呈负相关，并在担心被驱逐出境与每年的艾滋病毒检测之间起中介作用。这些结果表明，在限制性移民法的环境中，制定和实施个人和政策层面的干预措施，以增加拉美裔移民艾滋病毒检测的重要性。
{"title":"The Influence of Perceived Immigration Context and Healthcare Utilization Immigration Law Concerns Latinx Immigrants' HIV Testing.","authors":"Beatriz Suro, Julia Lechuga, Carol L Galletly, Laura Glasman","doi":"10.1037/lat0000171","DOIUrl":"10.1037/lat0000171","url":null,"abstract":"<p><p>Although new HIV infections have remained stable or decreased for most U.S. groups at risk for HIV, incidence among Latinx increased by 6% and among Latinx individuals, immigrants are disproportionately infected. One driver of these infections is low rates of HIV testing. While research shows the chilling effect that restrictive immigration laws can have on immigrants' health care utilization, few studies have examined the influence of perceived immigration context and healthcare utilization immigration law concerns on following a public health recommendation such as HIV testing. The purpose of the study is to test an exploratory model of immigration-related variables and their impact on U.S. Latinx immigrants' yearly HIV testing. U.S.-Latinx immigrants (N=169) completed a cross-sectional survey assessing perceived enforcement of immigration laws, perceptions of law enforcement attitudes towards Latinx and immigrants, fear of deportation, concerns with the consequences of immigration laws for health care utilization, and yearly HIV testing. Path analysis findings indicated that perceived enforcement of immigration laws was related to perceived negative attitudes from law enforcement towards Latinx and immigrants which was associated with fear of deportation. Fear of deportation was associated with concerns with the implications of immigration laws for accessing publicly funded healthcare services and these concerns were negatively related to yearly HIV testing and mediated the association between fear of deportation and yearly HIV testing. Findings point to the need of developing and implementing individual- and policy-level interventions to increase HIV testing among Latinx immigrants in a restrictive immigration law environment.</p><p><strong>Resumen: </strong>Aunque nuevas infecciones de VIH se han mantenido estable o han disminuido para la mayoría de los grupos en los Estados Unidos (E.U.) en alto riesgo de contraer VIH, la incidencia de VIH entre Latinx ha aumentado 6% y entre individuos Latinx, los inmigrantes están desproporcionalmente afectados por la epidemia. Uno de los factores que contribuye a la alta tasa de VIH es la baja tasa de pruebas de VIH entre inmigrantes. Aunque la investigación confirma los efectos escalofriantes que las leyes restrictivas de inmigración pueden tener en la utilización de servicios de salud entre los inmigrantes, pocos estudios han examinado la influencia de la percepción del contexto de inmigración y las preocupaciones sobre las implicaciones de las leyes de inmigración si se utilizan servicios de salud públicos en seguir la recomendación de salud pública de hacerse la prueba de VIH regularmente. El propósito del estudio es someter a la prueba un modelo exploratorio de la influencia de variables relacionadas a la inmigración y su impacto en las pruebas anuales de HIV en los inmigrantes Latinx que viven en los E.U. (N=169). Los participantes contestaron un cuestionario transversal que midió la percepci","PeriodicalId":56151,"journal":{"name":"Journal of Latinx Psychology","volume":"10 2","pages":"156-167"},"PeriodicalIF":2.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081501/pdf/nihms-1857794.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9382811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From cradle to college: Cultural socialization, identity development, and the college experiences of Latinx students.","authors":"Jasmine A. Mena","doi":"10.1037/lat0000207","DOIUrl":"https://doi.org/10.1037/lat0000207","url":null,"abstract":"","PeriodicalId":56151,"journal":{"name":"Journal of Latinx Psychology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46514722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Iliana Flores, Andrés J Consoli, J C Gonzalez, Erika Luis Sanchez, Miya L Barnett
Promotoras de salud are community health workers that mostly help the underserved members of Latinx communities. They seek to reduce health disparities through community engagement and work that is voluntary or mostly unpaid. While there is evidence that promotoras aid in prevention, follow-up care, and treatment adherence, little is known about promotoras themselves, specifically, the impact that fulfilling their roles has on their views of themselves and their service identities. Fourteen Spanish-speaking, Latina promotoras were interviewed individually about their experiences and their motivation for the role. Four themes emerged from the content analysis of the participant responses: "Uno Nace Siendo Promotora:" One is Born Being a Promotora, "Poner Esa Semillita:" To Plant a Seed by Sharing Knowledge, "Es un Regalo Ser Promotora:" It is a Gift to be a Promotora, and "Se Hace por Amor pero también Hay Necesidad:" A Labor of Love but there are Needs too. The findings show that assuming and enacting the promotora role had positive benefits, both personal and professional, despite the often-limited recognition they received. The findings have multiple implications for the development of health and prevention programs, particularly for those that involve promotoras de salud.
Promotoras de salud是社区卫生工作者，主要帮助拉丁裔社区服务不足的成员。它们力求通过社区参与和自愿或大多无偿的工作来缩小健康差距。虽然有证据表明推广人员有助于预防、后续护理和治疗依从性，但对推广人员本身知之甚少，特别是履行其角色对他们对自己和服务身份的看法的影响。14名讲西班牙语的拉丁裔推广人员分别接受了采访，了解他们的经历和担任该职位的动机。对与会者的回答进行内容分析后，出现了四个主题:“Uno Nace Siendo Promotora”:“一个人天生就是一个推动者”，“Poner Esa Semillita”:“通过分享知识来播种”，“Es un Regalo Ser Promotora”:“成为推动者是一种礼物”，以及“Se Hace por Amor pero tamamicamo”Hay Necesidad:“爱的劳动，但也有需要。”研究结果表明，承担和扮演促进者的角色对个人和职业都有积极的好处，尽管他们得到的认可往往有限。这些发现对健康和预防项目的发展具有多重意义，特别是对那些涉及健康促进者的项目。
{"title":"\"<i>Todo Se Hace de Corazón</i>:\" An Examination of Role and Identity Among Latina <i>Promotoras de Salud</i>.","authors":"Iliana Flores, Andrés J Consoli, J C Gonzalez, Erika Luis Sanchez, Miya L Barnett","doi":"10.1037/lat0000194","DOIUrl":"https://doi.org/10.1037/lat0000194","url":null,"abstract":"<p><p>Promotoras de salud are community health workers that mostly help the underserved members of Latinx communities. They seek to reduce health disparities through community engagement and work that is voluntary or mostly unpaid. While there is evidence that promotoras aid in prevention, follow-up care, and treatment adherence, little is known about promotoras themselves, specifically, the impact that fulfilling their roles has on their views of themselves and their service identities. Fourteen Spanish-speaking, Latina promotoras were interviewed individually about their experiences and their motivation for the role. Four themes emerged from the content analysis of the participant responses: \"<i>Uno Nace Siendo Promotora</i>:\" One is Born Being a Promotora, \"<i>Poner Esa Semillita</i>:\" To Plant a Seed by Sharing Knowledge, \"<i>Es un Regalo Ser Promotora</i>:\" It is a Gift to be a Promotora, and \"<i>Se Hace por Amor pero también Hay Necesidad</i>:\" A Labor of Love but there are Needs too. The findings show that assuming and enacting the promotora role had positive benefits, both personal and professional, despite the often-limited recognition they received. The findings have multiple implications for the development of health and prevention programs, particularly for those that involve promotoras de salud.</p>","PeriodicalId":56151,"journal":{"name":"Journal of Latinx Psychology","volume":"10 1","pages":"5-24"},"PeriodicalIF":2.6,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8802993/pdf/nihms-1723476.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10651842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tu bienestar es mi bienestar: A psychosociocultural understanding of Latinx immigrant well-being through a qualitative lens.","authors":"O. F. Rojas Perez, P. P. Heppner, Lisa Y. Flores","doi":"10.1037/lat0000175","DOIUrl":"https://doi.org/10.1037/lat0000175","url":null,"abstract":"","PeriodicalId":56151,"journal":{"name":"Journal of Latinx Psychology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45591761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Phoenix R. Crane, Amelia E. Talley, Brandy Piña-Watson
{"title":"This is what a scientist looks like: Increasing Hispanic/Latina women’s identification with STEM using relatable role models.","authors":"Phoenix R. Crane, Amelia E. Talley, Brandy Piña-Watson","doi":"10.1037/lat0000202","DOIUrl":"https://doi.org/10.1037/lat0000202","url":null,"abstract":"","PeriodicalId":56151,"journal":{"name":"Journal of Latinx Psychology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2022-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48280661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lydia P. Buki, Zully A. Rivera Ramos, R. F. Sabet, Emaan N. Lehardy, Kari A. Weiterschan
{"title":"“¿Qué viene después?”: Latina women diagnosed with breast cancer twice.","authors":"Lydia P. Buki, Zully A. Rivera Ramos, R. F. Sabet, Emaan N. Lehardy, Kari A. Weiterschan","doi":"10.1037/lat0000198","DOIUrl":"https://doi.org/10.1037/lat0000198","url":null,"abstract":"","PeriodicalId":56151,"journal":{"name":"Journal of Latinx Psychology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49341895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The longitudinal links between parenting stress, harsh parenting, and adolescents’ social behaviors in Latinx families.","authors":"Cara Streit, A. Davis","doi":"10.1037/lat0000203","DOIUrl":"https://doi.org/10.1037/lat0000203","url":null,"abstract":"","PeriodicalId":56151,"journal":{"name":"Journal of Latinx Psychology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45022211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashley A. Walsdorf, Kathleen M. Roche, M. Caughy, C. McGeorge
{"title":"Latinx parents’ perceptions of how the changing immigration climate has affected their adolescent children.","authors":"Ashley A. Walsdorf, Kathleen M. Roche, M. Caughy, C. McGeorge","doi":"10.1037/lat0000199","DOIUrl":"https://doi.org/10.1037/lat0000199","url":null,"abstract":"","PeriodicalId":56151,"journal":{"name":"Journal of Latinx Psychology","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2021-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48497703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acculturative stress, family relations, and depressive symptoms among Latinx college students: A cross-lagged study.","authors":"Hsiu-Lan Cheng","doi":"10.1037/lat0000197","DOIUrl":"https://doi.org/10.1037/lat0000197","url":null,"abstract":"","PeriodicalId":56151,"journal":{"name":"Journal of Latinx Psychology","volume":"1 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43687713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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