{"title":"Assessing and Improving Medical-Spanish Language Proficiency Among Nursing Students.","authors":"Carmen Kiraly, Christine Grippi, Daniela Castillo","doi":"10.1177/15404153241296511","DOIUrl":"https://doi.org/10.1177/15404153241296511","url":null,"abstract":"<p><p><b>Introduction:</b> Language discordance among health care providers and patients has been shown to result in poor patient outcomes. Health care providers who identify as being proficient in the native language of their patients may decline the use of professional interpreters due to their self assessment of language proficiency. More information is needed about whether providers who speak Spanish are proficient in medical Spanish. This study measured medical-Spanish language proficiency among nursing students. <b>Methods:</b> A quantitative pretest posttest evaluation (N = 30) at a large private university in the northeastern U.S. compared student and faculty assessment of student language proficiency after taking a medical-Spanish course using the Interagency Language Roundtable (ILR). T-tests compared student's final, self-assessed ILR scores with faculty's final ILR scores. <b>Results:</b> A significant difference was noted between students' self assessments and faculty assessments of student language proficiency (Rater 1: t(29) = -2.660, p = 0.013; Rater 2: t(29) = -2.693, p = 0.012) with high interrater reliability (kappa = 0.875). There was a significant difference between students' self-assessment of language abilities before and after the course (t(29) = -3.694; p < 0.001). <b>Conclusion:</b> Objective assessment of medical-Spanish language proficiency following a medical Spanish course may more accurately measure proficiency than self-assessment alone.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"15404153241296511"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585163","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":"Health Disparities and the Influence of Culturally Competent Care in Overall Health and Healthcare Utilization among Hispanics in a Southeastern US Community.","authors":"Natasha P Malmin, Shannon Owen, Diana Hoyos Lopez, Rebecca McKinney, Vanessa Rodríguez","doi":"10.1177/15404153241289550","DOIUrl":"https://doi.org/10.1177/15404153241289550","url":null,"abstract":"<p><p><b>Introduction:</b> This study sought to assess disparities in health/healthcare utilization for Hispanic immigrant community in Greenville County, SC. The study also assessed the role of culturally competent care perceptions on health/healthcare utilization within this growing community. <b>Methods:</b> Secondary administrative data collected by a large health care system in the county facilitated the assessment of health/healthcare utilization disparities using multivariate regression. Primary purposive surveys collected among Hispanic adults assessed culturally competent care perceptions and health/healthcare utilization. Culturally competent care measures included: (1) provider understanding, (2) provider communication behaviors, (3) provider assurance, and (4) interpreter service access. <b>Results:</b> Health disparities were present, with Hispanic residents having lower overall health and lower routine healthcare seeking behaviors compared to non-Hispanic White residents. Moreover, culturally competent care perceptions influenced overall health and healthcare-seeking behavior within this growing Hispanic community. Hispanic residents who perceived negative communication behaviors, lack of assurance, and increased interpretive service barriers reported lower overall health and lower routine healthcare seeking behaviors. <b>Conclusions:</b> Addressing potential cultural competency barriers may reduce health disparities among underrepresented racial/ethnic communities as they grow and become established in the Southeast, while also improving broader health equity for all communities.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"15404153241289550"},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482354","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":"Perceptions of Cultural Adaptations and Other Characteristics of Weight Management Interventions among Hispanic/Latinx Immigrants.","authors":"Montserrat Carrera Seoane, Megan A McVay","doi":"10.1177/15404153241286768","DOIUrl":"https://doi.org/10.1177/15404153241286768","url":null,"abstract":"<p><p>Hispanic/Latinx immigrants have high obesity rates, yet they participate less in weight management interventions. This cross-sectional online study recruited Hispanic/ Latinx immigrants living in the United States (US). In a within-subject experimental crossover component, participants were presented with brief information about a hypothetical weight management intervention that was culturally adapted for Hispanics/ Latinx, or a standard intervention (not adapted) and asked about their willingness to enroll. Participants also reported their preferences for weight management intervention features. Participants (n = 54) were majority female (51.9%), aged 51 years or older (56.0%), American citizens (87.0%), and immigrated to US ≥10 years ago (81.7%), with a mean BMI 29.6 + 3.7 kg/m<sup>2</sup>. There was no difference in willingness to enroll in a culturally adapted (46.3%) compared to standard intervention (48.1%), though more participants preferred a culturally adapted intervention (68.5%). Preference for a culturally adapted intervention was greater among females (p = 0.008) and those with lower acculturation (p = 0.052). Use of non-evidence-based complementary and alternative medicine strategies was common and associated with greater willingness to enroll in a behavioral program (p = 0.007). Preferences for intervention features varied. These findings may inform efforts to increase the reach of weight management interventions for Hispanic/Latinx immigrants.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"15404153241286768"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395729","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":"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":"https://doi.org/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":"15404153241290175"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395728","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":"Latine Immigrant Perspectives on Trust of Clinical Research.","authors":"Christine Tzelios, Margarita Velasco, Altaf Saadi","doi":"10.1177/15404153241286745","DOIUrl":"10.1177/15404153241286745","url":null,"abstract":"<p><p><b>Introduction:</b> Medical mistrust impedes minority group participation in research, but there are few studies assessing determinants of Latine immigrants' trust in the clinical research enterprise. This qualitative study explored Latine immigrants' perspectives of clinical research. <b>Methods:</b> We conducted telephonic interviews with 20 Latine immigrants receiving care at a Federally Qualified Health Center in Los Angeles, California. Interviews were conducted between December 2021 and April 2022, and resultant data were coded using thematic analysis. <b>Results:</b> Six main themes emerged across two domains. First, trust was influenced by perceptions of the investigators' intentions. These perceptions were primarily based on (1) adequacy of information provided about the research, (2) perceived intent of investigators to respect their humanity, and (3) opportunities to share personal experiences. Second, trust was influenced by perceptions of the study's potential impact, including (4) risk of adverse outcomes, including health risks and risk of immigration status exposure, (5) perceived personal benefits, and (6) perceived community-level benefits. <b>Conclusion:</b> Researchers can build trust and promote participation among Latine immigrants by effectively communicating study objectives, risk mitigation efforts, and personal and community benefits. Enhancing the trustworthiness of clinical research can increase the relevance of scientific findings, representing one pathway to achieving health equity.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"15404153241286745"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367715","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":"Spanish-speaking Patients' Experiences with Hearing Health Care.","authors":"Laura Gaeta, Andrew John","doi":"10.1177/15404153241286766","DOIUrl":"https://doi.org/10.1177/15404153241286766","url":null,"abstract":"<p><p><b>Background/introduction:</b> Health care providers working with Spanish-speaking patients must provide culturally and linguistically appropriate care to meet the communication needs of this population. Disparities related to hearing health care access remain understudied, leaving gaps in clinical practice and guidance for audiologists. The purpose of this study was to explore the experiences of Spanish-speaking patients with hearing loss when accessing hearing health care services through a limited income hearing aid program. <b>Methods:</b> Six Spanish-speaking patients (three monolingual Spanish, three bilingual Spanish/English) with hearing loss from the Oklahoma City metropolitan area completed in-depth, semi-structured interviews. <b>Results/findings:</b> Three main themes emerged: (1) perceived barriers to service delivery (cost, language, and transportation); (2) success with hearing health care (use of interpreters and reduced cost of services and amplification); and (3) cultural factors (family, religion, and use of home remedies). <b>Discussion/conclusion:</b> The themes identified can provide a foundation for service delivery of patient-centered services that are culturally and linguistically appropriate to help improve access to and quality of hearing health care, particularly for this population of patients. This study identified factors that may contribute to hearing health care disparities for Spanish-speaking adults, which may not be observed in other disciplines that are less communication-focused. Suggestions for improving services for audiologists serving Spanish-speaking patients are discussed.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"15404153241286766"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367717","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":"https://doi.org/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":"15404153241286720"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","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}
Madeline Fernandez-Pineda, Carlos R Melendez, Melanie Fernandez, Rosina Cianelli, Jessica Roman, Natalia Villegas, Yui Matsuda, Nilda Peragallo Montano
{"title":"Predictors of Human Papillomavirus Vaccine Intention and Uptake Among US Hispanic Parents: A Cross-Sectional Study.","authors":"Madeline Fernandez-Pineda, Carlos R Melendez, Melanie Fernandez, Rosina Cianelli, Jessica Roman, Natalia Villegas, Yui Matsuda, Nilda Peragallo Montano","doi":"10.1177/15404153241229688","DOIUrl":"10.1177/15404153241229688","url":null,"abstract":"<p><p><b>Introduction:</b> This study explored the influence of the Theory of Planned Behavior constructs on human papillomavirus (HPV) vaccine (HPVV) intentions and uptake among Hispanic parents in South Florida for their children aged 9-21. <b>Method:</b> A descriptive exploratory analysis was conducted using 39 surveys completed by Hispanic parents. These surveys encompassed demographic data and questions about HPVV uptake, intention, attitudes, subjective norms, knowledge, self-efficacy, and awareness. <b>Results:</b> Most participants were uninsured (77%), unemployed (59%), and had low Americanism acculturation (74%). A little over half were aware of the HPVV (54%), yet most had high positive HPVV attitudes (95%) and self-efficacy (85%). HPVV intentions within the year were also high (82%); however, HPVV uptake (45%) and HPVV knowledge (40%) were low at the time of the study. Most parents reported physicians (72%) and nurses/nurse practitioners (59%) as the most influential individuals in their decision-making. A statistically significant relationship between HPVV intention and HPVV attitude (X_Wald^2 (1) = 5.71, p = 0.02., OR = 5.11) and between HPVV uptake and HPVV awareness (X_Wald^2 (1) = 4.63, p = 0.03., OR = 12) were observed. <b>Conclusion:</b> This study recommends further research and targeted interventions to improve HPVV awareness among Hispanic communities. The participants' highly positive attitudes and self-efficacy provide a hopeful outlook for future vaccination efforts within this demographic.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"142-149"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698960","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}
Enrique Moncada-Mapelli, Luz Angela Roman, Maryorie Katteryne Galeas-Torre, Victor Roman-Lazarte
{"title":"Access to Contraceptives among Venezuelan Migrant Women Residing in Peru: Analysis on a Population-Based Survey.","authors":"Enrique Moncada-Mapelli, Luz Angela Roman, Maryorie Katteryne Galeas-Torre, Victor Roman-Lazarte","doi":"10.1177/15404153241258158","DOIUrl":"10.1177/15404153241258158","url":null,"abstract":"<p><p><b>Introduction:</b> The emigration of Venezuelans has seen a significant increase in recent years. The aim of this study was to identify factors associated with access to contraceptives in migrant women from Venezuela residing in Peru. <b>Methods:</b> An exploratory cross-sectional study was conducted using data from the Second Survey of the Venezuelan Population Residing in Peru. Access to contraceptives (yes/no) was established as the dependent variable. A Poisson regression model was performed for complex samples, and crude (PRc) and adjusted (PRa) prevalence ratios were reported. <b>Results:</b> A total of 3617 migrant women were analyzed, with 50.12% reporting access to contraceptives. Factors associated with greater access to contraceptives included being between 20 to 29 years old, having a university education, the entry period after the declaration of COVID-19 quarantine was associated with lower access to contraceptives. <b>Conclusions:</b> Access to contraceptives for Venezuelan migrants should be provided to all, as it is a free service in Peru. Additionally, education and family planning should be provided from the basic or middle school level to prevent unintended pregnancies in the future. Complete coverage should be provided regardless of the time of entry into Peru.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"168-177"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141163004","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":"President's Message.","authors":"","doi":"10.1177/15404153241266644","DOIUrl":"10.1177/15404153241266644","url":null,"abstract":"","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"131-132"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879883","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}