{"title":"Suicide Among Older Hispanic Adults: A Call to Action.","authors":"R Andrew Yockey, Rebecca Vidourek, Keith King","doi":"10.1177/15404153221149790","DOIUrl":"https://doi.org/10.1177/15404153221149790","url":null,"abstract":"In 2020, suicide was the 12th leading cause of death in the United States (Garnett et al., 2022). Suicide contributes to high healthcare costs and accounts for numerous emergency department visits. The United States’ Healthy People 2030 Initiative has outlined a goal to reduce the suicide rate overall, and recent data shows that progress is being made (U.S. Department of Health and Human Services, n.d). However, despite continuing progress by several health entities (e.g., CDC), suicide remains a critical, complex health problem, with numerous challenges and hurdles (Knox et al., 2004). Practitioners, health educators, and clinicians need to engage in the promotion of equitable healthcare access and increase provider services to populations at-risk for suicide. There has been a rapid increase in suicidal behaviors by adult Hispanic populations. From 2010 to 2020, suicide rates among Hispanics increased by 35.7% for males and 40.6% for females (Khubchandani & Price, 2022). Hispanic males and females were more likely to take their own life by hanging/suffocation methods. Further, in 2020, suicide became the 5th leading cause of death among Hispanic adults in the United States (Khubchandani & Price, 2022), highlighting the need to investigate further these trends and behaviors among this population. Despite a high prevalence of suicidal behaviors, little attention has been given to Hispanic older adults (i.e., individuals >50 years of age). The literature shows that suicide among older adults is not new, in fact Baca-Garcia et al. (2011) found that Puerto Rican women ages 45–64 are at a high risk of engaging in suicidal behaviors, compared to White women (4.4% to 2.4%, respectively). Although Hispanic populations are less likely to die by suicide (Smith et al., 1985), which is likely an undercount, they are also more likely not to have access to healthcare, behavioral health, and preventive health services (Velasco-Mondragon et al., 2016). Further, the U.S. Preventive Services Task Force (LeFevre & US Preventive Services Task Force*, 2014) recommends greater access to screening for populations who may not have access to such services. Access to screening and care is one of the main protective factors against injury and co-morbid conditions. Tailored interventions (e.g., culturally competent programs designed to instruct others on the warning signs of suicide; increase screening and access to suicide prevention initiatives) are warranted to highlight the potential causes of life-threatening behaviors, such as suicide. A paucity of research has examined the risk factors associated with suicide among older Hispanic adults suicide. There is a critical need healthcare professionals and researchers to focus these issues. Researchers must focus on the factors associated with suicidal behaviors and allow a multicultural lens to influence their research practices. To improve the nation’s health and reach the Healthy People 2030 Initiative, we must focus more","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"21 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10730313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding the Impact of Trauma in Hispanic Nursing Students: Resilience and Learning Outcomes.","authors":"Karen R Fowler, Melissa Anne Wholeben","doi":"10.1177/15404153221098131","DOIUrl":"https://doi.org/10.1177/15404153221098131","url":null,"abstract":"<p><p><b>Introduction:</b> The purpose of the research was to examine the relationship between Hispanic nursing students' trauma experiences and the influence on resilience and learning outcomes. <b>Methods:</b> The study used quantitative, correlational methods to analyze the data. The survey tool included the Adverse Childhood Experience International Questionnaire, a resilience scale, and results from a standardized academic exam. Data Analysis was conducted using descriptive statistics and multivariate correlation analysis. <b>Results:</b> The results provide evidence of a negative relationship between trauma levels and resilience. As students' trauma scores increased their level of resilience decreased. No observed significant relationship between the Hispanic nursing student's lived trauma and learning outcomes was noted. <b>Conclusion:</b> This study will help in understanding the stressors that might affect students and help educators to create environments within the classroom that will allow students to overcome these stressors. Evidence identified that Hispanic nursing students experienced multiple traumatic childhood events. Through the study of traumatic experiences in nursing students, we garner insights into the prevalence of adverse experiences in this population. Additionally, given projections of a nursing shortage, evidence that lends insights to ensure Hispanic nursing student success will ultimately benefit nursing and patient care.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"21 1","pages":"22-29"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10724988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan R Canedo, Victoria Villalta-Gil, Carlos G Grijalva, David Schlundt, Rebecca N Jerome, Consuelo H Wilkins
{"title":"How do Hispanics/Latinos Perceive and Value the Return of Research Results?","authors":"Juan R Canedo, Victoria Villalta-Gil, Carlos G Grijalva, David Schlundt, Rebecca N Jerome, Consuelo H Wilkins","doi":"10.1177/15404153211070821","DOIUrl":"10.1177/15404153211070821","url":null,"abstract":"<p><p><b>Introduction:</b> Interest in the return of research results has been increasing; however, little is known about how Hispanics/Latinos perceive and value receiving results. This study examined differences among Hispanics/Latinos by education and income in the experience and expectations about the return of research results, perceived value of specific types of information, and the least and most valuable specific information. <b>Method:</b> Retrospective observational design using a cross-sectional national survey sample of Hispanics/Latinos (n = 327). <b>Results:</b> Higher educational attainment was positively associated with the expectation to receive research results, likelihood to participate in research if given study findings, and likelihood to trust researchers if given results. Higher income was positively associated with the perceived value of getting results. Respondents with higher education specifically perceived greater value in information about how lifestyle and genetics affect their risk of disease, how genetics affect how they respond to medications, their ancestry, available clinical trials near them, and how to connect with other study participants. Respondents with higher income perceived greater value in information about how genetics affect their risk of disease and how they respond to medications. <b>Conclusion:</b> The findings offer important insights for planning research initiatives and for developing culturally targeted educational materials for Hispanics/Latinos.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"20 4","pages":"238-247"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9273811/pdf/nihms-1785015.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39689481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Programmatic Evaluation of School Preparedness for Latinx Children and Families: A Partnership Program.","authors":"Amy A Williams, Emily E Johnson","doi":"10.1177/15404153211063639","DOIUrl":"https://doi.org/10.1177/15404153211063639","url":null,"abstract":"<p><p><b>Introduction:</b> Latinx children are the fastest-growing ethnic minority of children under the age of 5 years in a tri-county area in the Southeastern United States (US Census, 2018). There are limited culturally and linguistically appropriate school preparedness initiatives in this geographic region. <b>Methods:</b> A cultural and linguistic appropriate program was developed in coordination with the state's largest Latinx advocacy organization and two patient-centered pediatric medical homes (PCPMHs) after securing extramural grant funding for an evidenced-based home visitation program using skilled community health workers (CHWs) aimed at Latinx children at the age of 0-5 years and their caregivers. The program includes developmental screenings using the Ages & Stages Questionnaires®, Third Edition (ASQ®-3), CHW role modeling of developmentally appropriate play, early literacy, connection to resources, oral health, nutrition, and physical activity. <b>Results:</b> Of the 103 unique children represented in this programmatic evaluation that received an initial and follow-up ASQ®-3 developmental screening, paired <i>t</i>-tests indicate statistically significant improvement in mean scores from the first to second ASQ®-3 in all five major developmental domains with the largest gains represented in the communication and fine motor skill domains. <b>Conclusion:</b> This evaluation suggests that low-frequency home visits from skilled CHWs can have a beneficial effect on development in early childhood. PPCMHs can serve as a hub for these community-based programs.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"20 4","pages":"231-237"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39743813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth A Anderson, Allison B Anbari, Yuanlu Sun, Jane M Armer
{"title":"A Multiple Case Study of Latina Breast Cancer Survivors Returning to Work With Breast Cancer-Related Lymphedema: Adaptation, Resilience, and Quality of Life.","authors":"Elizabeth A Anderson, Allison B Anbari, Yuanlu Sun, Jane M Armer","doi":"10.1177/15404153221116755","DOIUrl":"https://doi.org/10.1177/15404153221116755","url":null,"abstract":"<p><p><b>Introduction:</b> Breast cancer-related lymphedema (BCRL), a side effect of cancer treatment, may negatively impact the ability to perform work. Factors such as delayed diagnosis, late-stage disease, and a high percentage of service occupations may challenge work choices for Latinas after BCRL diagnosis. <b>Methods:</b> Our multiple case study explored work experiences and quality of life (QOL) for Hispanic/Latina survivors. Participants completed demographic and short form-36 (SF-36) surveys. Semi-structured interviews focused on how work environment, self-management, and QOL were influenced by BCRL. Thematic analysis of cases used In Vivo and descriptive coding and constant cross-case comparative methods. <b>Results:</b> Analysis illustrated how Hispanic/Latina survivors perceive the influence of BCRL on work experience as requiring adaptation and personal resilience. Participants identified BCRL knowledge gap challenges and described coping with physical, psychosocial, and work activity changes. They described creative work adaptations and discussed BCRL's impact on both positive and negative interpersonal perceptions. Strong support from family, friends, and colleagues contributed to improved QOL and continued work activities. <b>Conclusion:</b> Future research should incorporate coping strategies and creative management of BCRL to optimize work activities across the lifespan. These strategies can provide guidance for the creation of survivorship care plans, education of healthcare professionals (HCPs), and lifelong occupational support.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"222-230"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40617534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Discrimination and Type 2 Diabetes-Related Health Outcomes among Hispanic Adults in the United States: An Integrative Literature Review.","authors":"Brenda Olmos, Emily J Jones","doi":"10.1177/15404153221077370","DOIUrl":"https://doi.org/10.1177/15404153221077370","url":null,"abstract":"Type 2 diabetes mellitus (T2DM) incidence continues to rise in the United States, and T2DM prevalence in Hispanics living in the United States is 16.7% in men and 17.2% in women, compared to 8.6% in non-Hispanic White men and 6.6% in non-Hispanic White women. Among adults ≥ 18 years, 4.9 million Hispanic Americans are diagnosed with T2DM (Centers for Disease Control & Prevention [CDC], 2020). T2DM prevalence among Hispanic older adults (> 65 years) is not fi ed the CDC, but this group is disproportionately affected by the micro- and macrovascular complications of T2DM 2009).","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"20 4","pages":"256-266"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39793280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica Calderón-Mora, Luis Alvarado, Alok Dwivedi, Navkiran Shokar
{"title":"Prevalence of Colorectal Cancer Screening Among Hispanic Subgroups in the United States: NHIS 2010 and 2015 Data.","authors":"Jessica Calderón-Mora, Luis Alvarado, Alok Dwivedi, Navkiran Shokar","doi":"10.1177/15404153211063637","DOIUrl":"https://doi.org/10.1177/15404153211063637","url":null,"abstract":"<p><p><b>Introduction:</b> Much of the data related to colorectal cancer (CRC) disease burden among Hispanics is grouped together. The purpose of our study was to better understand the current screening uptake across Hispanic subgroups. <b>Methods:</b> Data from the CRC screening portion of the 2010 and 2015 Adult Cancer Control Module of the National Hispanic Interview Survey (NHIS). A univariate and multivariable analysis were conducted. <b>Results:</b> Total sample size: 7,389. Subgroup with most participants: Mexican-American. For all Hispanics, 24% were up to date with CRC screening. In adjusted analyses, variables significantly associated with being up to date among all Hispanics were: older age (prevalence ratio [PR] = 1.03; <i>p</i> = <.0001), female sex (PR = 1.28; <i>p</i> = 0.003), more than high school education (PR = 1.25; <i>p</i> = 0.006), annual household income between $45,000 and $74,999 ( PR = 1.51; <i>p</i> = 0.018), living in the United States for 15 years or more (PR = 1.45; <i>p</i> = 0.039), having health insurance (PR = 2.06; <i>p</i> = <.0001), and having a first-degree relative with CRC (PR = 1.35; <i>p</i> < .0001). <b>Discussion:</b> Various social determinants of health were found to be associated with increased prevalence of being up to date with CRC screening among different Hispanic subgroups. <b>Conclusion:</b> These findings serve as a starting point to develop interventions tailored to specific Hispanic subgroups with social determinants of health, namely low socioeconomic status, at the forefront of development.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"20 3","pages":"202-211"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39724027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Randa J Jalloul, Aida Vigil, Han-Yang Chen, Clara Ward
{"title":"Effectiveness of Educational Materials Designed to Improve Knowledge Regarding Crying and Shaken Baby Syndrome in Mothers of Hispanic Population.","authors":"Randa J Jalloul, Aida Vigil, Han-Yang Chen, Clara Ward","doi":"10.1177/15404153211040244","DOIUrl":"https://doi.org/10.1177/15404153211040244","url":null,"abstract":"<p><p><b>Background:</b> Caregiver frustration with inconsolable crying is a commonly cited antecedent factor of Abusive head trauma (AHT) in infants. <b>Objective:</b> To assess the effectiveness of an educational intervention to improve patients' knowledge of normal crying patterns in infants and the implications of AHT among women of Hispanic population. <b>Methods:</b> The Period of PURPLE Crying program was piloted as part of Centering Prenatal Care at an outpatient clinic site in the Harris County Health Department system, which cares for a primarily underserved and Spanish speaking population. Educational material and direct counseling were delivered by the clinician. Demographic data was collected and a pre- and post-test survey was administrated to assess participant's knowledge and behavior. <b>Results:</b> Between April 2017 and April 2018, 63 Hispanic women were included in this study. Prior to implementation of the educational tool, most of the survey questions were answered incorrectly. After the intervention, knowledge regarding normal infant crying patterns was significantly improved in all questions. However, knowledge gaps persisted especially in relation to the adequacy of parents' ability to soothe a crying infant and normalcy of excessive crying. <b>Conclusions:</b> The educational curriculum was an effective tool for improving knowledge about normal infant crying patterns in Hispanic mothers.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"20 3","pages":"179-183"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39493737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Commitment to Diversity, Equity, and Inclusion.","authors":"Maithe Enriquez","doi":"10.1177/15404153221115579","DOIUrl":"https://doi.org/10.1177/15404153221115579","url":null,"abstract":"Hispanic Health Care International (HHCI) is the official journal of the National Association of Hispanic Nurses (NAHN). The journal is an interdisciplinary forum for the dissemination of information for clinical practice, education, global health, research, policy, and technology on issues concerning Hispanic and Latinx populations. HHCI is published by Sage, whose diversity, equity, and inclusion (DEI) mission is to “build bridges to knowledge and enable people from all backgrounds to contribute to and benefit from teaching and research resources that are balanced, grounded, antiracist, and promote a more just society.” Information and resources related to DEI in publishing can be reviewed at: https://group.sagepub.com/dei. HHCI strives to support authors who are underrepresented or are nonnative English speakers. Further, the journal seeks to publish manuscripts that represent diverse and marginalized populations. HHCI has recently accepted/published several articles that represent this commitment. Examples include: “Post-rape experiences of undocumented Mexican women in the U.S.-Mexico border region: a critical ethnography” by Acosta and McEwen; “Street nursing: teaching and improving community health” by Cavazos; “Call for inclusive and diverse suicide prevention strategies among Cuban Americans” by Brenes and “Harnessing the Power of Technology to Improve Sexual and Reproductive Youth Health in Nicaragua” by Alfaro of TeenSmart International. I hope that you will take the time to read these thoughtprovoking manuscripts. HHCI is proud to have a devoted editorial board that is committed to being fair and respectful to our authors, reviewers, and readers. The editorial board strives to improve the journal based on feedback from individuals and groups from all backgrounds. The editorial board believes in open communication and transparency. I would like to take this opportunity to acknowledge HHCI’s reviewers. HHCI is grateful to the individuals who graciously give their time and expertise to review manuscripts that exemplify the journal’s DEI mission. If you have feedback or ideas for HHCI with regard to DEI, or other topics, please send them to me at: NAHNeditor@ thehispanicnurses.org.","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"170"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40632524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding the Dialogical Experiences of Puerto Rican Women With Fibromyalgia: An Intersectional Analysis.","authors":"Cristina De León-Menjivar","doi":"10.1177/15404153211064608","DOIUrl":"https://doi.org/10.1177/15404153211064608","url":null,"abstract":"<p><p><b>Introduction:</b> Fibromyalgia is a condition that is often misunderstood by the medical community. Misunderstandings are exacerbated when a patient is an ethnic minority, and recent literature suggests that ethnic minorities are shown to have a higher prevalence of fibromyalgia. Despite this information, many studies about fibromyalgia are conducted with Anglo-Americans while ethnic minorities are underrepresented. <b>Methods:</b> To address this research gap, this study uses qualitative interviews to discuss the dialogical experiences of Puerto Rican women with fibromyalgia through a combination of intersectional and rhetorical theory. These methodologies can reveal what having various identities can mean when communicating in institutional and cultural settings. <b>Results:</b> The data shows a significant level of gaslighting by providers, which led participants to more aggressively seek proper treatment. Cultural deference towards doctors was also noted as a practice that can backfire, especially when living with a condition that is often dismissed. <b>Conclusion:</b> The results indicate that when the body's truth is filtered through intersectional lenses, this truth can become distorted or lost.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"20 3","pages":"195-201"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39693835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}