Evelyn Iriarte, Rosina Cianelli, Joseph P De Santis, Natalia Villegas, Lisette Irarrazabal, Catherine Jankowski, Elias Provencio-Vasquez
{"title":"HIV-Related Stigma and Multidimensional Frailty Among Older Latinos With HIV.","authors":"Evelyn Iriarte, Rosina Cianelli, Joseph P De Santis, Natalia Villegas, Lisette Irarrazabal, Catherine Jankowski, Elias Provencio-Vasquez","doi":"10.1177/15404153231208130","DOIUrl":"10.1177/15404153231208130","url":null,"abstract":"<p><p><b>Introduction:</b> Frailty is a geriatric syndrome of increased vulnerability to stressors marked by a higher risk for poor health outcomes. HIV-related stigma is a stressor for Latino people with HIV (PWH) and an important barrier to HIV care. This study examines the association between HIV-related stigma and multidimensional frailty among older Latino PWH. <b>Methods:</b> A cross-sectional design with 120 Latino PWH aged 50 and older was used. Self-reported questionnaires were administered to assess multidimensional frailty (Tilburg Frailty Indicator) and HIV-related stigma (HIV stigma scale). <b>Results:</b> Participants were 59.1 ± 7.0 years old, primarily White-Hispanic (85.00%, <i>n </i>= 102), single (48.33%, <i>n </i>= 58), and male (73.30%, <i>n </i>= 88). Nearly half of the participants were frail (45.85%, <i>n </i>= 55). Compared to non-frail, frail individuals had significantly higher scores in the total HIV-related stigma (<i>M </i>= 98.5 ± 24.7 vs. <i>M </i>= 85.3 ± 25.6, <i>p </i>= .020) and all subscales. The odds of multidimensional frailty were 1.021 times higher for people with higher HIV-related stigma scores (<i>p </i>= .007). This association remained significant after adjustment for income and comorbidities (<i>p </i>= .049). <b>Conclusions:</b> HIV-related stigma among older Latino PWH was significantly associated with their odds of being frail. Efforts to prevent multidimensional frailty should consider addressing HIV-related stigma through age-appropriate and culturally tailored resources for this group.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"99-108"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685773","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}
Lila de Tantillo, Brian E. McCabe, Martin Zdanowicz, Johis Ortega, Juan M. Gonzalez, Sandra Chaparro
{"title":"Implementing Strategies to Recruit and Retain a Diverse Sample of Heart Failure Patients.","authors":"Lila de Tantillo, Brian E. McCabe, Martin Zdanowicz, Johis Ortega, Juan M. Gonzalez, Sandra Chaparro","doi":"10.1177/15404153241248144","DOIUrl":"https://doi.org/10.1177/15404153241248144","url":null,"abstract":"Introduction: The increased prevalence, severity, and mortality of heart disease and specifically heart failure among Hispanic and Black populations are a concern for clinicians and researchers. Additionally, patients of poor socioeconomic status also have worse outcomes for cardiovascular disease. To address disparities, it is necessary to address the persistent lack of representation in clinical research of diverse populations, including the Hispanic and Black populations and individuals who are of low socioeconomic status. Method: This study was a pilot randomized trial of a medication adherence intervention for heart failure patients conducted at a safety net hospital and affiliated pharmacy with a diverse patient population. Using an evidence-based multifactorial approach, this investigation implemented and adapted best practices to support the inclusion of Hispanic, Black, and socioeconomically diverse participants. Results: A total of 40 participants were recruited, 58% were Hispanic, 38% Black, and 5% White. A total of 40% reported the need for socioeconomic assistance. At 30 days after discharge, follow-up data were obtained for 37 of 40 (93%) of participants either by interview, electronic record, or both. Conclusion: Findings suggest that a combination of strategies used in this trial can be applied to recruit and retain ethnically and socioeconomically diverse participants.","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"122 45","pages":"15404153241248144"},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140677867","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}
F. Brenes, Evan V. Goldstein, Ernesto Lázaro Sarduy, Richard Lazarus, Gabriela Fernandez, Federico A. Henriquez, Dariel Asgarali
{"title":"Botánicas Function as Health Care Safety Nets Among Hispanic American Immigrants: A Brief Report.","authors":"F. Brenes, Evan V. Goldstein, Ernesto Lázaro Sarduy, Richard Lazarus, Gabriela Fernandez, Federico A. Henriquez, Dariel Asgarali","doi":"10.1177/15404153241247261","DOIUrl":"https://doi.org/10.1177/15404153241247261","url":null,"abstract":"As the U.S. population becomes more racially/ethnically diverse, the Hispanic American immigrant population has slowly grown in recent years. In the face of anti-immigrant policies, limited access to care, fear of deportation, discrimination, stigmatization, poverty, and other stressors, Hispanic American immigrants seek services from botánicas for religious, spiritual, medical, and psychosocial health reasons, including the accessibility and affordability of services from folk practitioners in these herbal dispensaries. Hispanics are the primary consumers of herbal remedies and complementary and alternative medicines in the United States. The purpose of this article is to emphasize the critical role of botánicas in the health and wellness of Hispanic American immigrants. Recommendations for health professionals are provided in the care of Hispanic Americans who utilize folk, traditional, and herbal medicines for health and healing.","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"22 S5","pages":"15404153241247261"},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140702145","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}
Christian Arce Guzman, Catherin Morocho, Kristen Lentsch, Ashley D Meagher
{"title":"Influence of Medical Interpreters on the Healthcare Experiences of Hospitalized Spanish-Speaking Patients.","authors":"Christian Arce Guzman, Catherin Morocho, Kristen Lentsch, Ashley D Meagher","doi":"10.1177/15404153241246803","DOIUrl":"https://doi.org/10.1177/15404153241246803","url":null,"abstract":"Introduction: The perspective of hospitalized patients with limited English proficiency (LEP) in US hospitals interacting with language-discordant healthcare providers remains understudied. Our goal is to examine the inpatient experiences of Spanish-speaking patients and offer suggestions to improve patient satisfaction. Methods: A survey was administered to Spanish-speaking patients using interpreters during their admission to medicine at an urban, academic hospital. Qualitative thematic analysis of responses was conducted. Results: Thirty-six patients completed the survey. Despite limited use of interpreters, the majority of patients rated interpretation services as excellent, reported high level of involvement in care and respect of their opinions, and preferred video remote interpreting and in-person interpreters. Language barrier and cost affected patients' comfort level requesting health care services. The mean patient satisfaction score was 9.64. Patients suggested an increase in bilingual personnel, improved access to interpreters, specifically in-person. Conclusion: Although highly satisfied, patients reported inconsistent use of interpretation services in the inpatient setting and suboptimal access. Hospitals should strive to provide language-concordant care and patient-centered interpretation. Patients' understanding of their health care rights needs better assessment to ease the inpatient experience. Further research is needed to estimate the regard for autonomy by Spanish-speaking patients in their own care.","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"73 10","pages":"15404153241246803"},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140707730","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}
Deborah Lee, Joshua Fogel, Linda Arce, Mohab Idriss, Madilyn Thomas, Mary Fatehi
{"title":"Roe v. Wade Overturned: The Association of Acculturation with Interest in and Awareness of Hospital Services for Family Planning Among Hispanic Women.","authors":"Deborah Lee, Joshua Fogel, Linda Arce, Mohab Idriss, Madilyn Thomas, Mary Fatehi","doi":"10.1177/15404153241246103","DOIUrl":"https://doi.org/10.1177/15404153241246103","url":null,"abstract":"Introduction: The overturning of Roe v. Wade impacted family planning services in many areas of the United States (US). Our study investigates the association of acculturation with interest in and awareness of family planning hospital services of contraception and elective termination of pregnancy among Hispanic women. Methods: We surveyed 306 Hispanic women at a public hospital in a Long Island suburb of New York City. Predictor variables were acculturation (language, media, ethnic social relations) measured by the Short Acculturation Scale for Hispanics and years lived in the US. Outcome variables were interest in and awareness of hospital services of family planning for elective abortion and non-elective non-abortion family planning methods. Results: For interest in hospital services, both language and ethnic social relations acculturation were significantly positively associated with almost all family planning methods whether abortion or non-abortion. However, media acculturation and years lived in the US were significantly positively associated with abortion but not the non-abortion methods. For awareness of hospital services, only language acculturation was significantly positively associated with abortion and some nonelective non-abortion family planning methods. Conclusion: We recommend that healthcare providers and hospitals should be aware of acculturation levels when providing counseling and information about family planning methods to Hispanic women.","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"45 1","pages":"15404153241246103"},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140707464","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":"Internet-Based Access to Sexual and Reproductive Health Services Among Colombian Youth: A Cross-Sectional Study.","authors":"J. Brisson, Karena D. Volesky-Avellaneda","doi":"10.1177/15404153241246102","DOIUrl":"https://doi.org/10.1177/15404153241246102","url":null,"abstract":"Introduction: Sexual and reproductive health (SRH) is a sensitive subject, and young people may be unfamiliar with how to access SRH services. In this cross-sectional study, we examined young people's internet use to understand how they accessed SRH clinics in Colombia. This study also explored Colombian youth's interest in online material teaching how to access SRH services. Methods: During August 2019-February 2020, patients aged 10-24 years old presenting at two SRH clinics in Colombia were invited to answer a survey. Chi-square tests were performed to assess possible differences in how participants inquired how to access the clinic according to sociodemographic characteristics. Results: Among the 812 patients who participated, 91.4% were female and the median age was 19 years. To inquire how to access the SRH clinic, 30.7% of participants asked their parent(s) and 24.0% used the internet. Participants aged 20-24 years old were more likely to use the internet compared to younger participants (p < .001). Most respondents (81.5%) were interested in the availability of online material explaining how to access SRH services. Conclusions: While Colombian youth learned about how to access SRH clinics from several different sources, the vast majority indicated their interest in having access to online materials explaining how to access SRH services.","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"101 1","pages":"15404153241246102"},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140707529","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":"Opening Remarks at NAHN's second Annual Hispanic Health Policy Summit 2024.","authors":"Adrianna Nava","doi":"10.1177/15404153241243144","DOIUrl":"https://doi.org/10.1177/15404153241243144","url":null,"abstract":"","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"38 2","pages":"15404153241243144"},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140727757","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 in a Predominantly Hispanic School Community.","authors":"Araceli Orozco","doi":"10.1177/15404153241244448","DOIUrl":"https://doi.org/10.1177/15404153241244448","url":null,"abstract":"","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"19 1","pages":"15404153241244448"},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140747908","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":"Enhancing Survey Response Rates Among Hispanic Populations: Strategies and Considerations.","authors":"Robert Andrew Yockey","doi":"10.1177/15404153241243151","DOIUrl":"https://doi.org/10.1177/15404153241243151","url":null,"abstract":"","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":"61 3","pages":"15404153241243151"},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140750604","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 COVID-19 Among Unvaccinated Hispanics.","authors":"Rosalia Molina, Yesenia Olmedo","doi":"10.1177/15404153231212656","DOIUrl":"10.1177/15404153231212656","url":null,"abstract":"<p><p><b>Introduction:</b> Despite the availability of an effective COVID-19 vaccine, uptake had been low in Midwestern Hispanic communities. A small qualitative study was undertaken to better understand perceptions of COVID-19 disease and prevention among unvaccinated Hispanic adults. <b>Methods:</b> Individual interviews were conducted, in Spanish, with adults (<i>n</i> = 20) who had not been vaccinated for COVID-19. Interview questions were guided by the Theory of Planned Behavior. <b>Results:</b> Participants (<i>n</i> = 20) were Hispanic adults (male = 5; female = 15). One overarching theme, lack of trust, emerged from the data. Perceived barriers to vaccination included emotions, personal values and myths. Recommendations by trusted health providers and willingness to receive education emerged as facilitators to COVID vaccine uptake. <b>Conclusion:</b> Members of the Kansas City Chapter of National Association of Hispanic Nurses used findings from this study to tailor strategies to enhance vaccine confidence in their local community. The chapter partnered with the local health department and Hispanic-serving organizations to provide COVID-19 education and vaccine access.</p>","PeriodicalId":73240,"journal":{"name":"Hispanic health care international : the official journal of the National Association of Hispanic Nurses","volume":" ","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650576","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}