{"title":"Disparities in Health Outcomes and Access to Care Between Sexual Minority and Heterosexual Hispanic Adults: A Non-Monolithic Approach.","authors":"Gilbert Gonzales, Eric Connelly","doi":"10.1007/s10903-025-01684-z","DOIUrl":"https://doi.org/10.1007/s10903-025-01684-z","url":null,"abstract":"<p><p>A large body of research has documented disparities in health and access to care experienced by sexual minorities and Hispanic populations in the United States. Very few population-based studies have examined health outcomes at the intersections of sexual orientation and Hispanic ethnicity- and large research gaps remain on the health of lesbian, gay, bisexual, and queer/questioning (LGBQ+) Hispanic communities by specific Hispanic ethnicities and/or ancestries. The objectives of this study are to compare health outcomes and access to care between LGBQ + adults and heterosexual adults by specific Hispanic ethnicities. We use representative data from Hispanic adults identifying as sexual minority (n = 768) or heterosexual (n = 26,036) in the 2013-2018 National Health Interview Surveys. Descriptive statistics and chi-squared tests were used to compare demographic characteristics (e.g., age, sex, relationship status, survey language, and educational attainment) across ethnicities by sexual minority status. Logistic regression models evaluated differences in self-reported health outcomes and barriers to care. After adjusting for sociodemographic characteristics, compared to their heterosexual peers, sexual minority Mexicans, Mexican Americans, and Central/South Americans were significantly more likely to report moderate to severe psychological distress and unmet mental health care needs due to cost. Sexual minority Cubans were more likely to report having a chronic health condition compared to their heterosexual peers. This study demonstrates the importance of approaching LGBQ + and Hispanic health with non-monolithic perspectives. Future research should continue to leverage community-based research, large-scale quantitative surveys, and qualitative research to help inform targeted interventions that advance LGBQ + Hispanic health equity.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Qualitative Review of Office of Inspector General Complaints Submitted by Individuals Held in ICE Detention.","authors":"Michaela Whitelaw, Alison Casey, Annette Dekker, Parveen Parmar, Joseph Nwadiuko, Amy Zeidan","doi":"10.1007/s10903-025-01682-1","DOIUrl":"https://doi.org/10.1007/s10903-025-01682-1","url":null,"abstract":"<p><p>Growing evidence highlights medical mismanagement and gross negligence at United States (U.S.) Immigration and Customs Enforcement (ICE) detention facilities. Accountability at these facilities is predominately limited to annual inspections to determine compliance with specific detention standards and responses to formal grievances and/or complaints. The grievance process is particularly important as it provides an opportunity for individuals directly impacted to document and formalize negative experiences. To gain a better understanding of the conditions and violations faced by individuals detained, we performed a thematic analysis of formal complaints submitted by or on behalf of individuals detained at Stewart Detention Center (SDC) to the Office of Inspector General within the Department of Homeland Security between 2019 - 2021. Major themes included concerns about substandard medical care, human rights violations, and operational failures. Concerns about medical care were related to inappropriate management of acute and chronic medical conditions, lack of durable medical accommodations, and inadequate medication management. This study supports growing evidence of medical mismanagement at U.S. ICE detention facilities, specifically at SDC, and is one of the first contributions to the medical literature evaluating complaints submitted directly by affected individuals. Our findings provide ongoing evidence that SDC is unable to meet quality medical care standards, which supports ongoing advocacy efforts for improved transparency and accountability at U.S. ICE detention facilities.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Associations Between Parent's and Child's Total Physical Activity and Sedentary Behavior among Hispanic/Latino Families.","authors":"Savannah Shifflett, Humberto Parada, Noe C Crespo","doi":"10.1007/s10903-025-01683-0","DOIUrl":"10.1007/s10903-025-01683-0","url":null,"abstract":"<p><p>Parents play a critical role in supporting their children's physical activity (PA) and sedentary behavior (SB). However, less is known about parents' support for child PA and SB in underserved populations. In this study, we examined the associations between parent and child total PA (TPA), SB, and moderators of these associations in a primarily Hispanic/Latino sample. This cross-sectional study used baseline data from 68 parent-child dyads who participated in a two-group randomized controlled trial. TPA and SB were measured for seven consecutive days using GeneActiv wrist-worn accelerometers. Multivariable linear regression was used to evaluate the parent-child TPA and SB associations [betas (ß) and 95% confidence intervals (CIs)]. We examined child sex (girl versus boy), child age (6-10 versus 11-12 years), and day of week (weekday versus weekend) as moderators of these associations. In covariate-adjusted models, there were no statistically significant associations between parent-child TPA (ß = - 0.04, 95%CI = - 0.20, 0.13) or SB (ß = 0.05, 95%CI = - 0.13, 0.22), and child sex and child age did not modify these associations (P<sub>interaction</sub> > 0.05). Parent-child TPA were not associated on weekdays (ß = - 0.07, 95%CI = - 0.22, 0.09) or weekends (ß = - 0.05, 95%CI = - 0.21, 0.12); however, parent-child SB were significantly associated on weekends (ß = 0.67, 95%CI = 0.38, 0.96), but not weekdays (ß = 0.04, 95%CI = - 0.12, 0.21). In this study of primarily Hispanic/Latino parent-child dyads, parent and child TPA and SB were not associated, except for SB on the weekends. Interventions aimed at supporting Hispanic/Latino parents to promote PA and limit SB in their children may be important for promoting a healthy lifestyle.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katherine E Douglas, Miriam T Fox, Daniel O'Meara, Joshua Dodderer, Lindsay B Demers, Christine Cheston
{"title":"Assessment of a Video Training Module on Effective Communication with Interpreters.","authors":"Katherine E Douglas, Miriam T Fox, Daniel O'Meara, Joshua Dodderer, Lindsay B Demers, Christine Cheston","doi":"10.1007/s10903-025-01680-3","DOIUrl":"https://doi.org/10.1007/s10903-025-01680-3","url":null,"abstract":"<p><p>Trainee physicians are expected to communicate effectively with patients requiring language interpretation immediately when beginning independent practice, yet few receive training. Given the importance of professional interpreters' expertise and perspectives in teaching physicians, our team of pediatric residents, attending physicians, and professional interpreters co-developed an interdisciplinary educational video module to teach best practices. Residents and fellows at a large academic medical center completed the module in June 2022. Participants' knowledge and self-reported behaviors were assessed three times: before the module (pre-test), immediately after the module (immediate post-test), and 6 months after the module (delayed post-test). Our analysis included 96 out of 333 respondents (29%) who completed all three tests. Mean pre-test to delayed post-test scores increased. The single best practice behavior reported more often by trainees at the time of the delayed post-test was interpreter maintenance of confidentiality. A video module improved trainee knowledge on working with interpreters, though more research is needed on how to improve best-practice behaviors.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aishat Adewoye, Bettye Apenteng, Linda Kimsey, Samuel Opoku
{"title":"A Scoping Review to Explore the Intersection of Immigration-Related Policies and Immigrants' Health Access and Outcomes During the COVID-19 Pandemic.","authors":"Aishat Adewoye, Bettye Apenteng, Linda Kimsey, Samuel Opoku","doi":"10.1007/s10903-025-01681-2","DOIUrl":"https://doi.org/10.1007/s10903-025-01681-2","url":null,"abstract":"<p><p>The COVID-19 pandemic may have exacerbated existing health inequities in the U.S., disproportionately affecting marginalized groups, particularly immigrants. Structural barriers, institutional inequalities, and exclusion from relief measures may have worsened these communities' health outcomes. Additionally, anti-immigrant rhetoric, restrictive policies, and fear of deportation may have deterred many immigrants from accessing essential services, affecting both their physical and mental health. This scoping review examines immigrant health access, outcomes, and relevant policies during the pandemic using the Arksey and O'Malley framework and PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews) guidelines. Key findings highlight widespread distrust in government, limited healthcare access, and significant adverse mental health challenges among immigrants during the pandemic, which may be worsened by restrictive immigration policies such as revisions to the public charge rule.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alyssa Lozano, Dalton Scott, Carolina Fernandez-Branson, Yannine Estrada, Maya I Ragavan, Cynthia N Lebron, Guillermo Prado
{"title":"Do You Speak English or Spanish? Language as a Predictor of Health Outcomes Among Hispanic Adolescents.","authors":"Alyssa Lozano, Dalton Scott, Carolina Fernandez-Branson, Yannine Estrada, Maya I Ragavan, Cynthia N Lebron, Guillermo Prado","doi":"10.1007/s10903-025-01676-z","DOIUrl":"https://doi.org/10.1007/s10903-025-01676-z","url":null,"abstract":"<p><p>Language is our primary tool for communication and a salient component of acculturation status among Hispanic populations. Importantly, language is associated with behavioral health outcomes and can identify and confront health disparities among Hispanic adolescents. The purpose of this study was to evaluate the association between adolescent language identity and drug use and depressive symptoms and examine parent-adolescent communication and parent language identity as mediators and moderators, respectively, of this association. We conducted a secondary data analysis (N = 746) of a study evaluating the effectiveness of a family-based intervention to prevent drug use and condomless sex among Hispanic adolescents. We evaluated whether adolescent language identity (i.e., Spanish or English) predicted (1) past 90-day drug use and (2) symptoms of anxiety and depression 30-months post-baseline and whether this relationship was mediated by parent-adolescent communication. We also examined whether the mediational pathway was moderated by parent language identity. English language identity was positively associated with past 90-day drug use and this association was mediated by parent-adolescent communication. The mediational pathway was not moderated by parent language identity. There was not a statistically significant association between English language use and anxiety/depression. However, this association was mediated by parent-adolescent communication. The mediational pathway was not moderated by parent language identity. Hispanic adolescents with an English language identity may have a greater propensity for drug use. Results emphasize the importance of promoting biculturalism and considering parent and adolescent language and communication when developing culturally syntonic interventions for Hispanic adolescents.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sophia W Light, Jeimmy Hurtado, Myriam Del Salto, Lauren Opsasnick, Stephanie Batio, Alyssa Vela, Alissa Bernstein Sideman, Michael S Wolf
{"title":"Brain Health Attitudes, Awareness and Actions in Middle-Aged Latinos.","authors":"Sophia W Light, Jeimmy Hurtado, Myriam Del Salto, Lauren Opsasnick, Stephanie Batio, Alyssa Vela, Alissa Bernstein Sideman, Michael S Wolf","doi":"10.1007/s10903-025-01677-y","DOIUrl":"https://doi.org/10.1007/s10903-025-01677-y","url":null,"abstract":"<p><p>Alzheimer's disease and related dementias (ADRD) disproportionately impact Latinos in the US. Interventions that promote engagement in established protective behaviors throughout the life course may offer an opportunity to address disparities. To inform brain health promotion efforts, this study aimed to examine current brain health-related attitudes, awareness, and actions of middle-aged Latinos. A cross-sectional, online survey was completed by 200 Latinos 35-64 years old. Survey items assessed concern about ADRD, beliefs related to ways to support brain health, knowledge of protective behaviors, and actual engagement in protective behaviors. Multivariable analyses examined differences in knowledge, attitudinal, and behavioral outcomes by sociodemographic and psychosocial factors including health literacy and health activation. A third (36.0%) of participants were \"very concerned\" about ADRD. Nearly two thirds (61.0%) \"strongly agreed\" steps can be taken to reduce risk of ADRD. Less than a third (29.5%) were able to name three steps to support brain health, and 45.5% reported currently engaging in behaviors to support brain health. In multivariable analyses, participants with lower acculturation were more likely to be \"very concerned\" about ADRD and to \"strongly agree\" that steps can be taken to support brain health. Participants with low health activation were less likely to agree that steps can be taken. Those who were older and had a family member with ADRD were more likely to be able to name three steps that can be taken. Most middle-aged Latinos believed brain health is actionable, while concern for ADRD, awareness of ways to protect the brain, and engagement in science-based protective behaviors was variable. Opportunities exist for increasing education about well-established modifiable risk factors for ADRD, yet more research is needed to understand these factors in historically minoritized communities.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Examining the Presence of Border Patrol Agents in Hospitals in South Texas.","authors":"Christine Crudo Blackburn, Mayra Rico, Lauren Knight, Miryoung Lee, Jessica Hernandez","doi":"10.1007/s10903-025-01673-2","DOIUrl":"https://doi.org/10.1007/s10903-025-01673-2","url":null,"abstract":"<p><p>U.S. policy dictates that immigration enforcement should not take place in or near \"sensitive locations,\" such as healthcare facilities, but Border Patrol agents are often required to accompany detained border crossers to hospitals for medical care. There is little understanding of the presence of Border Patrol agents within healthcare facilities. This study is the first to examine the presence of Border Patrol agents in healthcare settings and its possible impact on the willingness of undocumented individuals to access healthcare. We conducted interviews with 57 emergency medical services (EMS) personnel working in one county in South Texas. Interviews were held between November 2023- January 2024. Interview transcripts were coded using NVivo 14 and thematic analysis was performed on the transcript data. There is a regular, highly visible Border Patrol presence in healthcare settings in the community of study. In many cases, participants stated that they saw Border Patrol agents every time they brought a patient to the hospital. Hospitals are listed as sensitive locations for immigration enforcement, but policies that require agents to accompany detained border crossers result in a near constant presence of Border Patrol agents in hospitals. The regular, visible presence of Border Patrol agents at hospitals in the study community may deter community residents without legal status from seeking healthcare.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew T Murrill, Katya Salcedo, Cynthia A Tschampl, Nisha Ahamed, Elinor S Coates, Jennifer Flood, Donna H Wegener, Priya B Shete
{"title":"Policy Impediments to Tuberculosis Elimination: Consequences of an Absent Medicare National Coverage Determination for Tuberculosis Prevention.","authors":"Matthew T Murrill, Katya Salcedo, Cynthia A Tschampl, Nisha Ahamed, Elinor S Coates, Jennifer Flood, Donna H Wegener, Priya B Shete","doi":"10.1007/s10903-025-01674-1","DOIUrl":"https://doi.org/10.1007/s10903-025-01674-1","url":null,"abstract":"<p><p>Despite being preventable, tuberculosis (TB) continues to affect thousands of individuals in the US with an increasing incidence every year since the COVID-19 pandemic. Critical to TB elimination efforts is the scale-up of screening and treatment for the estimated 13 million Americans with TB infection. For the Medicare population, the implementation of TB preventive services is hampered by the lack of clear coverage of TB infection screening. Despite a consistent US Preventive Services Task Force (USPSTF) recommendation since 1996, TB infection screening does not have a Medicare national coverage determination, which would ensure consistent coverage across the US. All other USPSTF recommended preventive services for Medicare recipients have a national coverage determination, a broadly applicable clinical quality measure or are medications generally covered through Medicare Part D. The lack of a national coverage determination for TB infection screening is crucially a health equity issue with TB disproportionally affecting non-US-born and minoritized US-born persons. To address this important barrier to TB prevention, a request to Medicare for a national coverage determination for TB screening was submitted in early 2024.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura X Vargas, Merlin Ariefdjohan, Chloe E Page, Zachary F Meisel, Connie M Ulrich, Margarita Alegría, Norma Pimentel, C Neill Epperson, Therese S Richmond
{"title":"Field Notes from the Border: Lessons Learned in Conducting Mental Health Research Involving Newly Arrived Latinx Immigrants as Study Participants.","authors":"Laura X Vargas, Merlin Ariefdjohan, Chloe E Page, Zachary F Meisel, Connie M Ulrich, Margarita Alegría, Norma Pimentel, C Neill Epperson, Therese S Richmond","doi":"10.1007/s10903-024-01643-0","DOIUrl":"10.1007/s10903-024-01643-0","url":null,"abstract":"<p><p>In this paper, we describe a research protocol for surveying and interviewing Latinx immigrants recently arrived at the US southern border, and we raise important and unique issues that need to be considered with this population. The main objective is to share experiences, challenges, opportunities, and essential considerations (which we call lessons learned) that researchers should take into account when working with this vulnerable study population. The six lessons learned focus on: (1) fostering relationships with community partners; (2) participant consent and compensation; (3) linguistic and cultural fluency of researchers; (4) adapting data collection procedures to the environment and conditions; (5) establishing trust with participants and being trustworthy; and (6) addressing the ethical considerations of research with immigrant populations and the positionality of researchers. This paper provides a unique perspective of working with a vulnerable population that is in transit, often coming from circumstances of danger and risk to their lives, who are now headed towards new and uncertain experiences that may include disadvantage, exclusion or other risks. The lessons learned from the field inform best practices for working with recently arrived Latinx immigrants, with implications for public health research that may extend to other immigrant populations.</p>","PeriodicalId":15958,"journal":{"name":"Journal of Immigrant and Minority Health","volume":" ","pages":"181-189"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}