{"title":"COVID-19 Deaths in Transnational Settings: Disrupted Bereavement and Pandemic-Related Prolonged Grief Disorder in the Latinx Immigrant Population.","authors":"Kelsey Shaulis, Victor Garcia","doi":"10.1177/15404153241290175","DOIUrl":"10.1177/15404153241290175","url":null,"abstract":"<p><p>The Latinx immigrant population experienced one of the highest COVID-19 death rates. Those left behind have exhibited rising rates of mental illness, particularly, pandemic-related prolonged grief disorder. The Latinx immigrant population is uniquely vulnerable to this disorder as a result of disrupted culturally appropriate bereavement practices, constrained social support, and concurrent COVID-19 stressors and immigration-related trauma. Despite a rising call for research on pandemic-related prolonged grief disorder, little is known about the true prevalence, cause, and appropriate treatment protocol behind this disorder in the Latinx immigrant population. Four areas of research critical to the identification and understanding of pandemic-related prolonged grief disorder in this population are recommended: 1) death and bereavement in transnational settings, 2) immigrant social networks and disrupted bereavement, 3) COVID-19 stressors and grieving, and 4) prolonged grief disorder and mental illness comorbidities. An understanding of these four contributing areas to Latinx immigrants' vulnerability to prolonged grief disorder is imperative to providers' development of assessments and treatment protocols needed to identify and treat prolonged grief disorder in this population.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"144-150"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395728","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}
Stephen Contreras, Jessica Calderón-Mora, Alok Kumar Dwivedi, Guowei Li, Mariela Lane
{"title":"Impact of Social Drivers of Health on Mammogram Screening Adherence Among Women of Different Hispanic Subgroups in the United States.","authors":"Stephen Contreras, Jessica Calderón-Mora, Alok Kumar Dwivedi, Guowei Li, Mariela Lane","doi":"10.1177/15404153251350607","DOIUrl":"https://doi.org/10.1177/15404153251350607","url":null,"abstract":"<p><p><b>Introduction:</b> This study addresses the diversity within Hispanic communities by examining mammogram screening adherence among various Hispanic subgroups, focusing on how social drivers of health influence adherence to United States Preventive Services Task Force (USPSTF) mammogram screening guidelines from 2010, 2013, 2015, and 2018. <b>Methods:</b> We analyzed datasets from the 2010, 2013, 2015, and 2018 National Health Interview Survey (NHIS). We included 3,120 Hispanic women aged 50-74 and assessed their demographic and health characteristics, including insurance coverage and healthcare utilization. The primary outcome was adherence to mammogram guidelines. <b>Results:</b> Health insurance significantly increased mammogram screening adherence across all Hispanic subgroups (PR 1.39, p < 0.001). For Mexican Americans, longer U.S. residency was associated with lower screening adherence (PR 0.72, p < 0.001), and among Dominicans, education beyond high school was associated with lower screening adherence (PR 0.68, p = 0.011). Consulting a general doctor in the past (PR 1.17, p < 0.001) and having a usual place to go when sick (PR 1.48, p < 0.001) were associated with mammogram screening adherence across all subgroups. <b>Conclusion:</b> Screening rates varied among subgroups but did not differ significantly, consistent with prior studies. However, inconsistencies in subgroup behaviors highlight the need for targeted healthcare interventions addressing the unique challenges of these diverse communities.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"15404153251350607"},"PeriodicalIF":0.0,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627904","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}
Pablo C Ochoa, Tissiana Gm Vallecillo, Ana Ibis Calderon Alonso, Jamie O'Byrne, Linda X Yin, Janalee K Stokken, Semirra L Bayan
{"title":"A New Diversity Strategy to Increase Latinx Representation in Otolaryngology: A Survey of Latinx Medical Students.","authors":"Pablo C Ochoa, Tissiana Gm Vallecillo, Ana Ibis Calderon Alonso, Jamie O'Byrne, Linda X Yin, Janalee K Stokken, Semirra L Bayan","doi":"10.1177/15404153251356589","DOIUrl":"https://doi.org/10.1177/15404153251356589","url":null,"abstract":"<p><p><b>Introduction:</b> Despite ongoing diversity initiatives, Otolaryngology - Head and Neck surgery continues to face a widening representation gap as the Latinx population in the United States grows. To address this disparity, novel strategies for recruiting Latinx medical students into the specialty must be explored. <b>Methods:</b> A descriptive, cross-sectional survey was distributed to Latinx medical students in the United States via social media platforms (Facebook, Twitter, Instagram) and Latino Medical Student Association (LMSA) chapters. <b>Results:</b> Most respondents were unfamiliar with Otolaryngology-specific health disparities affecting Latinx communities and indicated an interest in learning more about these disparities. Most respondents indicated that early exposure to Otolaryngology disparities affecting Latinx communities could increase interest in exploring the specialty. Additionally, most participants deemed a department's commitment to diversity, equity and inclusion and opportunities to serve Latinx patients to be necessary residency program attributes when deciding between programs (69.2% and 66.7%, respectively). <b>Conclusion:</b> Integrating community outreach and education on Otolaryngology-related health disparities into undergraduate medical education may serve as a promising strategy to enhance Latinx recruitment and representation in the specialty.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"15404153251356589"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602439","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":"Nursing Trailblazers: Unsung Heroes - Dr. Hector Hugo Gonzaléz.","authors":"Glenda Bowden Daniels, Oteka Jackson-Cenales, Melissa McIntire Sherrod","doi":"10.1177/15404153251356591","DOIUrl":"https://doi.org/10.1177/15404153251356591","url":null,"abstract":"<p><p>IntroductionThis paper explores the life and contributions of Dr. Gonzaléz, a Spanish American male from South Texas, whose career exemplifies resilience and leadership. Born in Roma, Texas, in 1937 and descended from Spanish settlers who arrived in the region in 1747, Dr. Gonzaléz rose from modest beginnings and limited educational opportunities to become a nursing leader, educator, and international advocate. At a time when men and ethnic minorities faced significant barriers to entering the profession, his journey was shaped by personal determination and early support from an employer who encouraged his pursuit of higher education.MethodsEmploying traditional historical research methods, including the examination of published sources and personal archives, this work affirms Dr. Gonzaléz's legacy in nursing history.ResultsHis story contributes to the growing body of literature that recognizes the role of underrepresented leaders in shaping the nursing profession and underscores the continued importance of mentorship and inclusive practices in healthcare education.ConclusionAs one of the founders of the National Association of Hispanic Nurses, Dr. Gonzaléz's journey represents the legacy of an unsung hero.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"15404153251356591"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577137","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":"Acculturation, Breast Cancer Knowledge, and Stages of Change for Mammography among Hispanic/Latina Women Aged 40 and Older in the USA.","authors":"Wei-Chen Tung, Sandra M Olguin","doi":"10.1177/15404153251348657","DOIUrl":"https://doi.org/10.1177/15404153251348657","url":null,"abstract":"<p><p><b>Introduction:</b> Breast cancer is the leading cause of cancer-related deaths among Hispanic/Latina women in the USA. Mammography utilization in this group falls below Healthy People 2030 targets. Our study examined (a) breast cancer knowledge and mammography behaviors, and (b) the associations between demographics, acculturation, and breast cancer knowledge with the transtheoretical model (TTM) stages of change related to mammography in this population. <b>Methods:</b> This study used a quantitative design with a self-administered questionnaire to collect data from 473 participants recruited via community outreach, social media, and referrals. <b>Results:</b> Participants showed higher acculturation and moderate breast cancer knowledge. Among participants, 66% had regular mammograms, 14.4% never had one, and 19.7% had inconsistent or discontinued screenings. Older participants, non-U.S.-born, primarily Spanish speakers, unmarried, unemployed, less educated, uninsured, without a primary care provider, and with lower acculturation and breast cancer knowledge were more likely to be in the TTM precontemplation/contemplation/preparation stage or exhibit inconsistent screening. <b>Conclusion:</b> Our results identified participants with specific demographics, lower acculturation, and limited breast cancer knowledge as being at higher risk of never receiving or inconsistently obtaining mammograms, highlighting the need for targeted interventions to address socio-demographic barriers and increase knowledge. More TTM studies involving Hispanic/Latina women are needed.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"15404153251348657"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327911","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}
Montserrat González-Pascual, Mónica Pérez-Ferreiro, Susana Rodríguez de Castro, María Del Carmen Cerro-González, Ana María Recio-Vivas
{"title":"Occupational Stress in Healthcare Professionals in Spain: A Multicenter Study.","authors":"Montserrat González-Pascual, Mónica Pérez-Ferreiro, Susana Rodríguez de Castro, María Del Carmen Cerro-González, Ana María Recio-Vivas","doi":"10.1177/15404153241269512","DOIUrl":"10.1177/15404153241269512","url":null,"abstract":"<p><p><b>Introduction:</b> Occupational stress significantly impacts healthcare professionals in the Spanish public hospital system. This study, conducted from April to June 2022, focuses on analyzing stress levels using the Nursing Stress Scale through an online survey. <b>Methods:</b> A cross-sectional study was carried out using an online survey from April to June 2022 in four hospitals. The Nursing Stress Scale was used to comprehensively assess stress levels among healthcare professionals. <b>Results:</b> The findings revealed a substantial contrast in stress outcomes based on personal circumstances. Healthcare professionals in stable partnerships and with children exhibited lower stress levels, acting as protective factors during the pandemic. Conversely, those engaged in rotating shifts, especially those working over 60 h per week, showed a sevenfold increase in high-stress probability (p < 0.05). Temporary contract holders and those with heightened exposure to COVID-19 reported elevated stress levels, highlighting the complex dynamics impacting the mental well-being of healthcare workers. <b>Conclusions:</b> Findings emphasize the necessity for targeted interventions to safeguard healthcare professionals' well-being, focusing on the psychological consequences of factors like rotating shifts and extended working hours. Protective elements such as stable partnerships and parenthood could serve as a foundation for initiatives supporting work-life balance, potentially involving government policies and hospital management.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"102-106"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977359","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":"Readability Level of Spanish Language Online Health Information: A Systematic Review.","authors":"Judith Aponte, Karen Tejada, Kelin Figueroa","doi":"10.1177/15404153241286720","DOIUrl":"10.1177/15404153241286720","url":null,"abstract":"<p><p><b>Introduction:</b> Because there is limited online health information in Spanish and it is critical to raise health literacy among Spanish-speaking people, it is essential to assess the readability level of Spanish material. <b>Method:</b> This systematic review included all articles published up to January 3, 2024, and used the CINAHL, MEDLINE, and PubMed databases. The objective was to include the body of knowledge on published articles on the readability levels of Spanish-language, web-based health information intended for lay audiences. <b>Results:</b> There were 27 articles in the final review. Within these articles, 11 tools were used in the Spanish language text. Of the tools, INFLESZ was the most frequently used and the FRY formula, Flesch-Szigriszt Index, and Flesch Formula Index were least used. Most materials (85.2%) reported readability levels of online Spanish information above the 8<sup>th</sup> grade reading level. <b>Conclusions:</b> The findings show the lack of internet-based Spanish language health information and materials at a recommended (e.g., 5<sup>th</sup> to 8<sup>th</sup> grade) reading level. More research is needed to determine which readability tests are more accurate for calculating the readability of Spanish web health information.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"107-122"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367716","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}
Nadia Laniado, Parth Shah, Linda Gallo, Martha Daviglus, Carmen Isasi
{"title":"Social Network Size and Severe Tooth Loss among Persons With Diabetes: Findings From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).","authors":"Nadia Laniado, Parth Shah, Linda Gallo, Martha Daviglus, Carmen Isasi","doi":"10.1177/15404153241264770","DOIUrl":"10.1177/15404153241264770","url":null,"abstract":"<p><p><b>Aims:</b> The aims of this study were to examine the association of social network size with severe tooth loss and the number of missing teeth among Hispanic adults with diabetes in the United States and to assess whether the association varied by glycemic control. <b>Methods:</b> Data obtained from 1,007 adults who participated in the Hispanic Community Health Study were analyzed. Structural social support was measured with the Social Network Index (SNI), which assessed network size and frequency of social contacts. Tooth loss was measured by a count of the number of missing teeth and categorically as severe tooth loss (<9 remaining teeth). Descriptive statistical analyses were conducted to examine the sample characteristics. Logistic and negative binomial regression analyses were performed to examine the independent association between SNI and tooth loss and to test whether the association was modified by the glycemic target. <b>Results:</b> The prevalence of severe tooth loss was 5.91%. For each one-unit increase in SNI, the expected log count of the number of missing teeth was reduced by 3.3% (<i>p</i>-value: 0.037). <b>Conclusions:</b> In this study, a larger social network size was associated with fewer missing teeth among Hispanic persons living with diabetes. Further examination of social support and oral health is warranted.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"78-84"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735869","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":"Engaging Students in a Bilingual Service-Learning Health Promotion Project.","authors":"Maria V Hughes","doi":"10.1177/15404153241266571","DOIUrl":"10.1177/15404153241266571","url":null,"abstract":"<p><p><b>Introduction:</b> This service-learning, health promotion project used Leininger's Culture Care Theory to engage Baccalaureate Nursing students in a health promotion initiative specific to Hispanic community members. <b>Methods:</b> Thirty-seven students examined population health data, surveyed Hispanic community members to identify health priorities, and developed a population-specific intervention on diet and risk factors for diabetes. Students created a 5-min script focused on healthy eating plans with recognition of traditional foods associated with the Hispanic culture. Students delivered the script to community members attending an annual Hispanic Heritage Festival. <b>Results:</b> Seventy-six percent of the 488 community participants reported increased knowledge about diabetes risk factors and healthy eating habits. Each student completed a self-reflection on how the project impacted their transcultural skills and reported increased confidence related to engagement and communication with the Hispanic community. <b>Discussion/Significance:</b> Incorporating community-based service-learning into the undergraduate curricula is a powerful educational approach that can enhance students' ability to provide culturally congruent nursing care.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"123-128"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879882","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":"Patients' and Providers' Perspectives of the Transition of Care from Hospital to Community for Hispanic/Latino Adults with Diabetes.","authors":"Blanca Iris Padilla, Emily Granados, Leonor Corsino","doi":"10.1177/15404153241269473","DOIUrl":"10.1177/15404153241269473","url":null,"abstract":"<p><strong>Introduction: </strong>Transition of care is a critical point of care for Hispanic/Latino patients with diabetes, who face higher rates of diabetes-related complications and hospital readmission and challenges during the transition of care from hospital to the community.</p><p><strong>Methods: </strong>Using semi-structured interviews, with questions tailored to each group, we explored patients' and providers' perspectives of their experiences and challenges during the transition of care of Hispanic/Latino adult patients with diabetes from the hospital to the community.</p><p><strong>Results: </strong>Overlapping themes emerged from both patient and provider interviews identifying common barriers regarding the transition of care, including discordance due to language/communication barriers, perceived burden/nuisance, lack/unawareness of available resources, and lack of patient education.</p><p><strong>Conclusions: </strong>Findings in this study provide a frame of reference that can be used to address challenges facing Hispanic/Latino patients with diabetes. The uniqueness of this study is its exploration of the perspectives of patients and healthcare providers and the overlapping themes that emerged. Additionally, timely outpatient follow-up care, education, and reducing communication discordance can help with lowering readmission rates for patients with diabetes, especially those who are medically disadvantaged and have language barriers.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"85-93"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894945","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}