MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Immigrant and Minority Health' source. Thu, 09 Feb 2012 07:35:59 +0100 http://www.medworm.com/index.php?rid=5671860&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb6006tuw51648055%2F Abstract  More than 63,000 Iraqi refugees were resettled in the United States from 1994 to 2010. We analyzed data for all US-bound Iraqi refugees screened in International Organization for Migration clinics in Jordan during June 2007–September 2009 (n = 18,990), to describe their health profile before arrival in the United States. Of 14,077 US-bound Iraqi refugees ≥15 years of age, one had active TB, 251 had latent TB infection, and 14 had syphilis. No HIV infections were reported. Chronic diseases comorbidities accounted for a large burden of disease in this population: 35% (n = 4,105) of screened Iraqi refugees had at least one of three chronic medical conditions; hypertension, diabetes mellitus, or obesity. State health departments and clinici... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5671860 Fri, 03 Feb 2012 17:53:05 +0100 5671860 http://www.medworm.com/index.php?rid=5654319&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fer20317172515611%2F Abstract  Breast cancer prognosis and breast cancer molecular subtype vary by race/ethnicity. We determined whether the distribution of breast cancer subtypes varies among different Asian ethnic groups. Using immunohistochemical surrogates for the four molecularly defined breast cancer subtypes, we characterized breast cancer subtype for 346 Asian subjects treated at two New York City institutions. We found that Chinese and Japanese had a higher proportion of good-prognosis luminal A cancers (66.7 and 80.0%, respectively) compared to Filipinos and Koreans (48.5 and 47.1%) (P = 0.001). Filipinos had a higher proportion of HER-2/neu positive cancers (45.6%) compared to other ethnic groups (23.6%) (P = 0.002). Koreans had a higher proportion of triple negati... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5654319 Fri, 27 Jan 2012 17:55:49 +0100 5654319 http://www.medworm.com/index.php?rid=5654320&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F68j6201348h203u0%2F Abstract  There is evidence to suggest that Latino day laborers experience higher levels of acculturative stress than Latinos in employment sectors in the US. Given the stress-buffering role that social support plays in minimizing the negative physical and mental health outcomes of stress, this study examined this relationship in a sample of 70 Latino Day laborers in the northern San Diego area (100% male, mean age = 27.7, SD = 9.1). Results from multivariate regression analyses showed that there was a significant interaction effect between social support and acculturative stress (P = 0.025) on physical health, indicating that higher levels of social support buffered the negative effects of acculturative stress on physical health. Acculturative ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5654320 Fri, 27 Jan 2012 17:55:48 +0100 5654320 http://www.medworm.com/index.php?rid=5642048&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu65vn54k2914517q%2F Abstract  To explore sexual health knowledge among Latino immigrants in a Southern U.S. city, we conducted 20 qualitative interviews, (10 Women and 10 Men). We explored knowledge and factors associated with sexual health among male and female Latino immigrants in a Southern U.S. city experiencing a major growth of Latino immigrants in the past 10 years. Both genders demonstrated limited knowledge of Human Papillomavirus (HPV) and risks of sexually transmitted infection (STI) acquisition. Neither gender perceived that they could have an asymptomatic STI, including HPV. Gender differences exist in sexual behaviors and perceptions of STI risk. Females indicated that female Latinas tend to have older sexual initiation age, fewer lifetime sexual partners and more pro-active... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5642048 Tue, 24 Jan 2012 18:13:14 +0100 5642048 http://www.medworm.com/index.php?rid=5642049&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F36l25464568636gr%2F Abstract  Postprandial physical activity may blunt the blood glucose response. In diabetes prone female immigrants only slow walking is regularly performed raising the question of whether also this type of physical activity can attenuate their post meal blood glucose elevation. Using a cross over design, 11 female Pakistani immigrants living in Oslo were recruited to participate in three experiments where their blood glucose concentration was measured every 15 min for 2 h after intake of a high glycemic food, either while resting after the meal or doing very light post meal walking of two durations. Postprandial blood glucose peak value and incremental area under the 2 h blood glucose curve decreased with increasing duration of slow post meal walking. Also th... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5642049 Tue, 24 Jan 2012 07:17:23 +0100 5642049 http://www.medworm.com/index.php?rid=5623447&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl6l238x665r2l304%2F Abstract  In the US, HIV disproportionately affects Latinos who often present late in the disease. Baltimore has seen a recent rapid growth in its Latino population paralleled by an increasing impact of HIV/AIDS among Latinos. From 2009 to 2010, we performed a cross-sectional survey of Latinos accessing the Baltimore City Health Department (BCHD) Latino Outreach services to assess self-report of previous HIV testing, with particular attention to migration history and risk behaviors. Of 247 Latinos (46% male) accessing BCHD outreach services, 96% were foreign-born. Self-perceived HIV risk was not associated with actual risk behaviors or HIV testing. In multivariate models, previous HIV testing was correlated with knowledge of HIV transmission modes and knowing that a person ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5623447 Fri, 20 Jan 2012 07:46:49 +0100 5623447 http://www.medworm.com/index.php?rid=5623446&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv1543w4674717156%2F We examined ethnic differences in the home food environment and parental practices among 706 low-income, African-American and Hispanic families of preschoolers. Questionnaires measured the access and availability of various foods in the home, parental practices, and meal consumption behaviors. Mixed model logistic regression and ANCOVA were used to assess ethnic differences. Unhealthy foods were available for both groups. Hispanic families were more likely to have fresh vegetables (AOR = 2.9, P ≤ 0.001), fruit (AOR = 2.0, P = 0.004), and soda available (AOR = 1.40, P = 0.001) compared to African-Americans. African-Americans families were more likely to restrict (AOR = 0.63, P ≤ 0.001) and reward with de... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5623446 Fri, 20 Jan 2012 07:46:49 +0100 5623446 http://www.medworm.com/index.php?rid=5623448&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3242567786007188%2F Abstract  Size at birth is an important indicator of future infant morbidity and mortality. Ethnic/racial disparities in birth weight and other fetal growth outcomes are well documented for US and Canadian minority groups but not for those in Latin America. The study compared the growth outcomes of 1,227 full-term Ecuadorian newborns delivered by Afro-descendant and indigenous minority women with those of ethnic majority (mestizo) women. Minority newborns had higher risk for congenital microcephaly but no excess risk for low birth weight or stunted linear growth compared to mestizos. However, minority newborns were significantly heavier at birth, weighing an average of 3–5% more than mestizos. Afro-Ecuadorians newborns also were fatter. The risk profile of Ecuadorian ethn... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5623448 Thu, 19 Jan 2012 06:55:25 +0100 5623448 http://www.medworm.com/index.php?rid=5615081&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2530445437637777%2F Abstract  We sought to identify what services indigenous (Maori) and immigrant populations use pharmacies for, and how long pharmacy staff spend interacting with them, as longer interactions are associated with better quality care. We review literature on counseling in pharmacy, and interaction length as an indicator of counseling quality. 1,086 interactions were discretely observed in 36 pharmacies in 5 cities around New Zealand. Maori or Pacific people, along with men, were more likely to treat pharmacies as prescription ‘depots’, being less likely to buy over-the-counter or pharmacist only medicines (ORs: 0.25–0.72). However, the influence of demographic factors on interaction length was small (|B|s < 7.7 s). The weak effect of ethnicity on interac... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5615081 Wed, 18 Jan 2012 06:59:23 +0100 5615081 http://www.medworm.com/index.php?rid=5602287&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F02jk244716v67q26%2F This study describes the dynamics of adolescent childbearing of Nicaraguan-born and Costa Rican-born adolescents in Costa Rica and examines the association between socio-demographic factors and adolescent childbearing in the country. We studied Nicaraguan-born and Costa Rican adolescents using the data of the 2000 Census. Multivariate logistic regression was used to analyze the association between country of origin and adolescent childbearing, while controlling for socio-demographic factors (age, education, union, urbanization and poverty). 26% of Nicaraguan-born migrants and 9.5% of Costa Ricans had given birth during adolescence. The migrants’ increased odds of pregnancy decreased from 3.34 (CI 3.21, 3.48) to 1.88 (CI 1.79, 1.97) when controlling for socio-demographic factors. Ag... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5602287 Thu, 12 Jan 2012 16:44:40 +0100 5602287 http://www.medworm.com/index.php?rid=5575202&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg860lr58080kk38r%2F This study was part of a larger study examining women’s quality of life in south eastern Ontario. Using survey research methods, data were collected through face-to-face interviews with 91 women of whom 66 identified their country of origin as “other” than Canada. Descriptive, bivariate and regression analysis of this data revealed that immigrant and non-immigrant women’s macro-level predictors of mental health status vary. Overall, for immigrant women’s perceptions of neighbourhood social cohesion was a stronger predictor influencing mental health status, while for non-immigrant women social support was more influential. Research with larger, representative samples should explore the findings to ascertain generalizability. Content Type Journal ArticleCategory Original... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5575202 Thu, 05 Jan 2012 17:01:01 +0100 5575202 http://www.medworm.com/index.php?rid=5566562&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl754u51m6v5705v4%2F Abstract  The association between immigration status and cardiovascular disease (CVD) risk factor awareness is unknown. Using physical examination-based data and participants’ self-report of prior diagnosis, we assessed immigration-based disparities in awareness of diabetes, hypertension, hypercholesterolemia, and overweight among 12,124 participants in the 2003–2008 National Health and Nutrition Examination Survey. Unawareness of CVD risk factors is high among all groups, but tends to be higher among foreign-born English and non-English speaking participants than among US-born participants. After adjusting for demographic factors and access to health care, foreign-born participants appear more likely to be unaware of their hypertension and overweight than US-born parti... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5566562 Sat, 31 Dec 2011 16:48:17 +0100 5566562 http://www.medworm.com/index.php?rid=5566564&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F78u02646u4h74954%2F Abstract  An increasing number of university students are earning their degrees online. Thus far, the determinants of health among online university students have not been studied. The purpose of this cross-sectional internet survey was to test the association between behavioral risk factors and self-rated health in a diverse sample of online university students. Cigarette smoking was associated with lower odds of good self-rated health (OR = 0.27, P < 0.01). Compared to having zero days of mental distress, 14 or more days of mental distress was associated with lower odds of good self-rated health (OR = 0.08, P < 0.05). White students had lower odds of reporting good self-rated health compared to African-American students (OR&nbsp... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5566564 Fri, 30 Dec 2011 07:08:05 +0100 5566564 http://www.medworm.com/index.php?rid=5566563&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff282r2rq26610868%2F Abstract  The purpose was to explore the relationship between the presence of a free community clinic and factors associated with utilization of healthcare through a secondary data analysis. Using a descriptive correlational design, results were analyzed to explore relationships between potential utilization of healthcare, identification of a regular source of healthcare, and health insurance status. Most subjects would not seek healthcare if the free community clinic was not available. Subjects with health insurance were significantly more likely to have a regular source of healthcare and seek healthcare in the absence of the free community clinic. Subjects with a regular source of healthcare were significantly more likely to seek healthcare in the absence of the free comm... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5566563 Fri, 30 Dec 2011 07:08:05 +0100 5566563 http://www.medworm.com/index.php?rid=5548365&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Flw1l1078r7700084%2F Abstract  Deinstitutionalization has forced families of patients with schizophrenia to take responsibility of informal care, without having the tools to exert their role properly. The aim of this study was to evaluate the coping strategies of caregivers of patients with schizophrenia, belonging to the Aymara ethnic group, (aborigines who are located on the highlands of Northern Chile). The studied sample comprised 45 caregivers of patients with schizophrenia users of the Mental Health Service of Arica, Chile. The results from the Family Coping Questionnaire (FCQ) show that both, Aymara and non-Aymara caregivers use the same coping strategies except for spiritual help which is more likely to be used by Aymara. This strategy might be related with the worldview they possess, t... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5548365 Sat, 24 Dec 2011 16:42:15 +0100 5548365 http://www.medworm.com/index.php?rid=5548364&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv0552017247l3g42%2F Abstract  Many primary care physicians lack sufficient knowledge on current guidelines for overweight/obesity diagnosis among minority groups. We assessed physician knowledge and awareness on modified guidelines for identifying obesity among South Asian Indians (SAIs). Cross sectional survey of 183 physicians practicing in Houston, who reported on their knowledge on guidelines for obesity among SAIs, frequency of measurement of surrogate markers, self-reported competency in management of obesity, and readiness to seek training on obesity diagnosis among SAIs. 65% of physicians agree obesity is a growing problem among SAIs with only 9% of physicians reporting measuring waist circumference. Only 21% of physicians were aware of the recommended WHO modified BMI criteria and 41%... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5548364 Sat, 24 Dec 2011 16:42:15 +0100 5548364 http://www.medworm.com/index.php?rid=5541389&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq36132t1w06747pv%2F This study used a prospective, cross-sectional design with convenience sampling. An educational session on colorectal cancer screening (CRS) was provided to the participants during a health fair, and each participant was offered a no-cost FOBT kit. Data was collected over two consecutive years during three different health fairs. A questionnaire was used to collect demographic data. A total of 113 participants were recruited and 72% of them returned the FOBT kit. There was a significant association between having a primary-care physician (PCP) and having CRS in the past, even after controlling for age, gender and the length of time in the US (P = .009). Participants who visited a doctor for health maintenance were less likely to participate in the FOBT, compared to particip... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5541389 Tue, 20 Dec 2011 16:45:49 +0100 5541389 http://www.medworm.com/index.php?rid=5519159&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F754755414534q422%2F Abstract  The purpose of this literature review is to describe and assess the cultural barriers to behavior change in migrant South Asians, given the high morbidity and mortality associated with cardiovascular disease in this population. We reviewed studies that explored the relationship between South Asian culture in the Diaspora and lifestyle behaviors. Our review produced 91 studies, of which 25 discussed the relationship between various aspects of South Asians’ belief system and their approach to modifying lifestyle habits. We identify 6 specific categories of beliefs which play the largest role in the difficulties South Asians describe with behavior change: gender roles, body image, physical activity misconceptions, cultural priorities, cultural identity, and explana... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5519159 Fri, 16 Dec 2011 16:54:27 +0100 5519159 http://www.medworm.com/index.php?rid=5519160&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn078465048m6817j%2F This study estimates the prevalence patterns of overweight and obesity of new immigrants in the US. The 2003 New Immigrant Survey (NIS) was used to generate representative estimates of the prevalence of overweight and obesity among new immigrants overall and by place of origin subgroup. More than 45% of new immigrants are either overweight or obese. Overall, the higher prevalences of both overweight and obesity were found in Latin/Caribbean immigrants, older age group, those with longer years of US residence, and current residents of the West region. Men have a higher overweight prevalence and women have a slightly higher obesity prevalence. The overweight prevalence was higher for immigrants living above the poverty level, but there was not much difference in the obesity prevalence ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5519160 Fri, 16 Dec 2011 16:54:26 +0100 5519160 http://www.medworm.com/index.php?rid=5510209&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F218jgq277143167m%2F Abstract  Although the frequency of self-medication among Mexican migrants has been well-documented in the public health literature, the multiple reasons for this practice are poorly understood. Most studies point to migrants’ cultural preferences for Mexican medications, their prior experiences in countries where antibiotics are loosely regulated, and their lack of access to health care as the primary factors behind their self-medication. Based on participant observation and in-depth interviews with 23 Mexican migrants in a farm working community in the interior of California, we argue that occupational vulnerability is an equally important factor that encourages self-medication. All 23 of our interviewees reported having engaged in some degree of self-medication, notabl... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5510209 Wed, 14 Dec 2011 16:42:19 +0100 5510209 http://www.medworm.com/index.php?rid=5499588&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv571374j71017j41%2F Abstract  We situate elderly Chinese immigrants’ utilization of traditional Chinese medicine (TCM) in social contexts (e.g., family and social networks), exploring how TCM is used as a tool, a resource, and a product of meaning-construction in their everyday life. We conducted in in-depth interviews with 20 elderly Chinese immigrants in the United State, exploring the complexity of their understanding and practice of TCM. We used grounded theory to identify the set of meanings that are particular to elderly Chinese immigrants’ use of TCM as a part of their health practice. For our participants, TCM is not just a resource for illness management. Instead, incorporating TCM in their health practice allows them to: (a) perform and reaffirm their cultural identity as Chinese... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5499588 Fri, 09 Dec 2011 17:07:08 +0100 5499588 http://www.medworm.com/index.php?rid=5491069&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F872q587826800465%2F Abstract  The “Latina epidemiologic paradox” refers to the observation that despite socioeconomic disadvantages, Latina mothers in the United States (US) have a similar or lower risk for delivering an infant with low birth weight (LBW) compared to non-Latina White mothers. An analogous paradox may exist between foreign-born (FB) and US-born (USB) Latinas. Our goal was to assess differences in LBW in USB Latinas, FB Latinas, and non-Latina Whites in Los Angeles County in 2003 using birth records and survey data. Using logistic regression, we estimated associations between LBW and birthplace/ethnicity in a birth cohort and nested survey responder group and between LBW and acculturation in responders to a follow-up survey. USB Latinas and FB Latinas had a higher prevalence... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5491069 Wed, 07 Dec 2011 10:51:57 +0100 5491069 http://www.medworm.com/index.php?rid=5472490&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft671574352322811%2F This study used focus group methodology to examine perceptions of obesity and weight management among Latina immigrant women in Alabama. Four focus groups (N = 25) were conducted in Spanish as part of a participatory intervention development process. Participants were obese/overweight Latina immigrant women (BMI > 25) primarily recruited from a community hospital. The majority of participants were from Mexico. Participants described obesity in the context of short-term effects such as physical symptoms and aesthetics. Perceived weight gain was related to lifestyle changes since moving to the US. Social isolation, depression, and stress were reported to contribute to weight gain. Participants expressed interest in weight loss but emphasized a desire for programs ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5472490 Wed, 30 Nov 2011 18:43:51 +0100 5472490 http://www.medworm.com/index.php?rid=5452809&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F72745335564430j1%2F Abstract  South Asians, particularly Bangladeshis, are one of the fastest growing immigrant groups in the U.S. Limited data exist regarding the health needs of Bangladeshis in the U.S. More data are needed to guide health intervention efforts for this community. To help address this gap, we conducted a community-based health needs assessment survey among women in a Bangladeshi population living in Bronx, NY. Community health promoters conducted a door-to-door household survey and collected data from 167 women, an approach that yielded a participation rate over 90%. Over half reported fair or poor health and 36.5% screened positive for risk of depression. Only 35% had engaged in physical activity over the past month. 60% reported never having received a pap smear. Using WHO ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5452809 Thu, 24 Nov 2011 17:44:58 +0100 5452809 http://www.medworm.com/index.php?rid=5452810&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fvk210r1716689330%2F This study compared self-reported and measured hypertension among older black, white, and Hispanic Americans by nativity using the 2006 and 2008 Health and Retirement Study (n = 13,451). Sensitivity and specificity of self-reported hypertension were calculated using the Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure definition. Sensitivity was high among older blacks (88.9%), whites (82.8%), and Hispanics (84.0%), and both foreign-born (83.2%) and US-born (84.0%). Specificity was above 90% for both US-born and foreign-born, but higher for whites (92.8%) than blacks (86.0%). Despite the potential vulnerability of older foreign-born Americans, self-reported hypertension may be considered a reasonable es... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5452810 Tue, 22 Nov 2011 17:58:59 +0100 5452810 http://www.medworm.com/index.php?rid=5435730&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F33277l4125g85t30%2F Abstract  Racial/ethnic minorities are disproportionately affected by barriers to health care access and utilization. The primary objective was to test for an independent association between household food insecurity and health care access/utilization. In this cross-sectional survey, 211 Latinos (predominantly, Puerto-Ricans) with type 2 diabetes (T2D) were interviewed at their homes. Factor analyses identified four barriers for health care access/utilization: enabling factor, doctor access, medication access and forgetfulness. Multivariate logistic regression models examined the association between each of the barrier factors and food insecurity controlling for sociodemographic, cultural, psychosocial, and diabetes self-care variables. Higher food insecurity score was a ris... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5435730 Fri, 18 Nov 2011 17:32:23 +0100 5435730 http://www.medworm.com/index.php?rid=5435731&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fag0436402ww3w781%2F Abstract  Previous studies have found increased acculturation to the US lifestyle increases risk for obesity in Latinos. However, methodologies differ, and results in children are inconsistent. Moreover, previous studies have not evaluated risk factors within the heterogeneous US population. We recruited 144 self-identified Latino school children and their mother or father in grades 4–6 in San Francisco parochial schools and South San Francisco public schools using an information letter distributed to all students. Children and parents had weights, heights, demographic information, dietary patterns and lifestyle variables collected in English or Spanish through an interview format. A high percentage of our children were overweight [≥85th percentile body mass index (BMI)]... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5435731 Fri, 18 Nov 2011 17:32:22 +0100 5435731 http://www.medworm.com/index.php?rid=5435732&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj0151g63h1088265%2F This article presents the results from questions focused on pesticide exposure and its impact on general, reproductive, pregnancy, and fetal health. Workers reported a belief that pesticide exposure could be hazardous to pregnancy health; descriptions of symptoms and health concerns believed to be related to farmwork and to pesticide exposure; and descriptions of barriers preventing them from practicing safer occupational behaviors. Content Type Journal ArticleCategory Original PaperPages 1-7DOI 10.1007/s10903-011-9554-6Authors Joan Flocks, Center for Governmental Responsibility, Levin College of Law, University of Florida, 230 Bruton-Geer, PO Box 117629, Gainesville, FL 32611-7629, USAMaureen Kelley, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USAJean... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5435732 Fri, 18 Nov 2011 06:58:04 +0100 5435732 http://www.medworm.com/index.php?rid=5426629&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj511m16013154745%2F Abstract  This analysis assessed the prevalence of excess body weight, physical inactivity and alcohol and tobacco use in Asian American subgroups. Using 2005 California Health Interview Survey data, we estimated the prevalence of body mass index (BMI) categories using both standard and World Health Organization-proposed Asian-specific categories, physical inactivity, and alcohol and tobacco use for Chinese (n = 1,285), Japanese (n = 421), Korean (n = 620), Filipino (n = 659) and Vietnamese (n = 480) Americans in California. About 80% of Japanese and Filipino American men and 70% of Korean American men were “increased/high risk” by Asian-specific BMI categories. Most Asian American subgroups were more likely to walk for tr... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5426629 Wed, 16 Nov 2011 16:48:15 +0100 5426629 http://www.medworm.com/index.php?rid=5426628&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3m2040933g388027%2F We report on information channels associated with awareness about human papillomavirus (HPV) among immigrant Central and South American Latinos. We conducted a survey of 1,334 Latino ≥ 21 years attending safety-net clinics in 2007–2008. Logistic regression analyses evaluated associations with HPV awareness. Forty-eight percent were aware of HPV infection and 40% were aware of the vaccine. Spanish television (38%) and providers (23%) were the primary HPV information sources. Infection awareness was associated with internet use (OR 1.47; 95% CI 1.10–1.96) and self-efficacy to find health information (OR 1.19; 95% CI 1.08–1.30). Vaccine awareness was associated with media use for health information (OR 1.27; 95% CI 1.09–1.49) and internet use (OR 1.59; 95% CI 1.... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5426628 Wed, 16 Nov 2011 16:48:15 +0100 5426628 http://www.medworm.com/index.php?rid=5426630&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc63723283k3j1u8l%2F Abstract  As self efficacy beliefs help determine an individual’s response to challenging situations, we explored the impact of the refugee experience on efficacy beliefs and their contribution to resettlement. General self efficacy (GSE) was assessed in 186 resettled Afghan and Kurdish refugees against a range of personal and temporal variables. Although no differences in GSE in relation to temporal factors were noted, significant relationships between self efficacy, lower psychological distress and higher subjective well being were evident. The findings suggest that GSE, because of its positive association with mental health and well being, is a variable worthy of further examination in refugees. In addition to ensuring a supportive environment for learning English, pro... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5426630 Tue, 15 Nov 2011 16:57:08 +0100 5426630 http://www.medworm.com/index.php?rid=5414880&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft149r8p6t7436u33%2F This study examined whether discrimination and family dynamics are associated with depression in this population. Weighted logistic regressions using nationally representative data on Asian American adults (N = 2095) were used to examine associations between discrimination, negative interactions with relatives, family support, and 12-month major depressive disorder (MDD). Discrimination (odds ratio [OR] = 2.13, 95% confidence interval [CI] = 1.67, 2.71) and negative interactions with relatives (OR = 1.28, 95% CI = 1.03, 1.58) were positively associated with MDD. Family support was associated with lower MDD (OR = 0.73, 95% CI = 0.59, 0.89), and buffered lower levels of discrimination. Results suggest that discrimina... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5414880 Mon, 14 Nov 2011 16:57:04 +0100 5414880 http://www.medworm.com/index.php?rid=5414881&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxx108883j3826108%2F Abstract  Latino subgroups in the US often shoulder a greater burden of some common diseases, including cancer. The cultural norm of patriarchy in health-related decision-making has been found to be common among Latinos, and thus male members may be important in the adoption of health practices amongst family members. Demographic information was collected from 488 male attendees (20% of the total sample) as part of a larger randomized trial focused on promoting breast and cervical cancer screening among Latinas in which attendance was open to the entire community. The majority of male attendees were over the age of 40 (62%) and originally from Mexico (39%) or Puerto Rico (25%). Approximately half of attendees reported having no health coverage and living less than 5 ye... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5414881 Thu, 10 Nov 2011 16:48:17 +0100 5414881 http://www.medworm.com/index.php?rid=5414882&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh207742482073757%2F Abstract  Despite efforts to eliminate inequality in health and health care, disparities in health care access and utilization persist in the United States. The purpose of this study was to compare the access to care and use of health care services of US-born and foreign-born Asian Americans. We used aggregated data from the National Health Interview Survey (NHIS) from 2003 to 2005, including 2,500 participants who identified themselves as Asian. Associations between country of birth and reported access and utilization of care in the previous 12 months were examined. After controlling for covariates, being foreign-born was negatively related to indicators of access to care, including health insurance (OR = 0.29, 95%CI = 0.18–0.48), routine care ac... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5414882 Tue, 08 Nov 2011 19:15:02 +0100 5414882 http://www.medworm.com/index.php?rid=5414883&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F814k33xg00102574%2F Abstract  Ethnic disparities exist when comparing glycemic control: Latino patients have suboptimal glycemic control as compared to non-Latino whites. A key factor to achieving optimal diabetes management and control is medication adherence. We conducted a nested, cross-sectional retrospective study of data (n = 61) collected from a larger parallel, randomized, longitudinal study conducted at an urban primary care practice examining a culturally tailored community-based peer counselor intervention. Baseline demographic and medication utilization covariates were evaluated for eligibility into the multivariate logistic regression to predict medication adherence. Significant correlates of medication adherence were physician or healthcare team support (OR 12.79, 95% CI... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5414883 Tue, 08 Nov 2011 16:50:05 +0100 5414883 http://www.medworm.com/index.php?rid=5394084&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd757pnq77wg74802%2F Abstract  The purpose of this study was to develop targeted materials to encourage Hispanic parents to seek eye care for their children. Hispanic children present with high rates of eye problems such as astigmatism, strabismus, and amblyopia. Related vision impairment can be prevented with timely detection and treatment. After failing a vision screening, a child must obtain professional eye care to take care of the suspected problem. We involved Hispanic community members and health care experts in Alabama to develop educational materials to encourage Hispanic parents to seek eye care for their children. There were six stages in the development of the educational materials: (a) focus groups with Hispanic parents, (b) development of preliminary materials (c) panel with Hispa... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5394084 Thu, 03 Nov 2011 16:56:23 +0100 5394084 http://www.medworm.com/index.php?rid=5394083&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5l4q407611648v8j%2F Abstract  The patient-centered medical home model has the potential to reduce healthcare disparities among immigrant children. The purpose of this study is to examine the relationship between medical home (MH) participation and receipt of preventive services among immigrant children age 0–17. The study employed extant data from the National Survey of Children’s Health, 2007 (NSCH). Logistic regression analyses were employed to assess the relationship between receipt of preventive services and MH status among immigrant and non-immigrant children. Due to primarily the lack of family-centered care, only 40% of immigrant children met the medical home criteria versus approximately 62% of non-immigrant children. Immigrant children have decreased odds of receiving preventive ca... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5394083 Thu, 03 Nov 2011 16:56:23 +0100 5394083 http://www.medworm.com/index.php?rid=5371289&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe7428530h34ut515%2F Abstract  As the largest and most diverse ethnic minority population in the U.S., it is important to examine differences in and correlates of Pap test adherence among Hispanics by country of origin. The data for these analyses are baseline responses from a Randomized Controlled Trial. Bivariate and multivariable logistic regression models were conducted among Hispanic immigrant women who identified as Mexican, Puerto Rican, Dominican, or Central/South American (n = 1,305). There were significant differences in Pap test adherence: Dominicans (81.6%), Mexicans (77.5%), Central/South Americans (71.2%), and Puerto Ricans (69.3%). In multivariable analyses, there were different correlates of Pap test adherence for each country of origin. For example, marriage status (P... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5371289 Sat, 29 Oct 2011 05:49:09 +0100 5371289 http://www.medworm.com/index.php?rid=5341721&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd0pq6g6332160861%2F This study offers insight into the unique sociocultural and structural barriers faced by undocumented Latinos with HIV infection. Understanding and addressing these barriers will prove vital in the development and implementation of strategies to promote early entry into HIV care. Content Type Journal ArticleCategory Original PaperPages 1-8DOI 10.1007/s10903-011-9542-xAuthors Bich N. Dang, Department of Medicine, Baylor College of Medicine, Houston, TX, USAThomas P. Giordano, Department of Medicine, Baylor College of Medicine, Houston, TX, USAJennifer H. Kim, Houston Ryan White Planning Council, Houston, TX, USA Journal Journal of Immigrant and Minority HealthOnline ISSN 1557-1920Print ISSN 1557-1912 (Source: Journal of Immigrant and Minority Health) Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5341721 Wed, 19 Oct 2011 15:45:27 +0100 5341721 http://www.medworm.com/index.php?rid=5341722&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc1r2717v736l0544%2F This study highlights the culturally competent implementation and reports the outcomes of a breast cancer screening patient navigation program for refuge/immigrant women from Bosnia. Refugees/immigrant women from Bosnia age 40–79 were contacted by a Serbo-Croatian speaking patient navigator who addressed patient-reported barriers to breast cancer screening and, using individually tailored interventions, helped women obtain screening. The proportion of women up-to-date for mammography was compared at baseline and after 1-year using McNemar’s Chi-Square test. 91 Serbo-Croatian speaking women were eligible for mammography screening. At baseline, 44.0% of women had a mammogram within the previous year, with the proportion increasing to 67.0% after 1-year (P = 0.001). A cult... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5341722 Tue, 18 Oct 2011 15:59:05 +0100 5341722 http://www.medworm.com/index.php?rid=5341723&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv7543725105wj281%2F Abstract  Refugees with trauma histories are a difficult medical population to treat. Acupuncture care has gained acceptance in many mainstream hospitals in the United States, but research on acupuncture and refugee populations is limited. Herein, we report our experiences with 50 refugees (total acupuncture treatments = 425) at a major tertiary teaching hospital. Patients often reported extreme trauma including physical torture, rape and witnessing the same in family members. Patients represented 13 different countries, with about half the patients being Somali. The primary complaint of all patients was pain (100%). Using the Wong-Baker Faces Pain scale, 56% patients reported pain decreases. Patient acceptance of acupuncture was high. We provide three case histor... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5341723 Tue, 18 Oct 2011 05:58:59 +0100 5341723 http://www.medworm.com/index.php?rid=5328418&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8424t502555534l1%2F Abstract  Cambodian Americans have an elevated risk of liver cancer. This health disparity is attributable to high rates of hepatitis B virus (HBV) infection. Our study examined factors associated with HBV testing among Cambodian men and women. A population-based survey was conducted in the Seattle area. The Health Behavior Framework guided our survey instrument development. We attempted to interview a man and a woman in each household. The sample included 300 men and 367 women. About one-half of the male (45%) and female (54%) respondents had been tested for HBV. Two factors were independently associated with testing among men and women: a doctor had recommended testing and had asked a doctor for testing. Knowing that someone who looks and feels healthy can spread HBV was ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5328418 Fri, 14 Oct 2011 10:47:55 +0100 5328418 http://www.medworm.com/index.php?rid=5328419&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp168216r627564u0%2F Abstract  We conducted a cross-sectional study among 1,717 children and adolescents of Mexican origin ages 5–19 years living in Mexico and Texas to explore the influence of country of birth and country of longest residence on their overweight and obesity status. Descriptive statistics were used to compare demographic and anthropometric characteristics of participants born and raised in Mexico (Mexicans), born in Mexico and raised in the United States (Mexican immigrants), and born and raised in the United States (Mexican–Americans). Univariate and multivariate nominal logistic regression was used to determine the demographic predictors of obesity adjusted by country of birth, country of residence, age, and gender. Almost half (48.8%) of the Mexican–Americans and ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5328419 Fri, 14 Oct 2011 10:47:54 +0100 5328419 http://www.medworm.com/index.php?rid=5328420&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F76623436787h7307%2F Abstract  To examine risks for adverse perinatal outcomes among Southeast Asian women with pregnancies complicated by gestational diabetes mellitus (GDM) or preeclampsia. Perinatal outcomes of singleton births of Cambodian (3,489), Laotian (2,038), Vietnamese (11,605), Japanese (3,083) and non-Hispanic White women (33,088) were analyzed using Washington state linked birth certificate and hospitalization discharge records (1993–2006). Both Cambodian (aOR = 1.68) and Laotian (aOR = 1.71) women with GDM had increased odds of macrosomia when compared with Japanese women with GDM. Southeast Asian women with GDM had reduced odds of macrosomia when compared with White women. Southeast Asian women with preeclampsia had increased odds for preterm delivery when c... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5328420 Fri, 14 Oct 2011 10:47:53 +0100 5328420 http://www.medworm.com/index.php?rid=5328421&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fcn02t1lm53721q71%2F Content Type Journal ArticleCategory Book ReviewPages 1-2DOI 10.1007/s10903-011-9521-2Authors Karen Jaynes Williams, St. Luke’s Episcopal Health Charities, 3100 Main Street, Suite 865, Houston, TX 77002, USA Journal Journal of Immigrant and Minority HealthOnline ISSN 1557-1920Print ISSN 1557-1912 (Source: Journal of Immigrant and Minority Health) Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5328421 Thu, 13 Oct 2011 15:48:51 +0100 5328421 http://www.medworm.com/index.php?rid=5291152&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw203505754455744%2F Abstract  This paper describes HIV testing behaviors among undocumented Central American immigrant women living in Houston, Texas, USA. Respondent driven sampling was used to recruit participants for an HIV behavioral survey. HIV testing items included lifetime history of testing, date and location of the most recent test, and reason for testing. Multivariate logistic regression was used to assess the demographic, behavioral, and structural characteristics associated with testing. The lifetime prevalence of HIV testing was 67%. Half of those who tested did so within the past 2 years and almost 80% received their most recent test in a healthcare setting. The primary reason for testing was pregnancy. Lifetime testing was associated with being from Honduras, having over a... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5291152 Sun, 02 Oct 2011 05:47:00 +0100 5291152 http://www.medworm.com/index.php?rid=5279706&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fak1t81471143448v%2F The objective of this study was to compare the utilization of outpatient physician, emergency department and hospital services between refugees and the general population in Calgary, Alberta. Data was collected on 2,280 refugees from a refugee clinic in Calgary and matched with 9,120 non-refugees. Both groups were linked to Alberta Health and Wellness administrative data to assess health services utilization over 2 years. After adjusting for age, sex and medical conditions, refugees utilized general practitioners, emergency departments and hospitals more than non-refugees. A similar proportion in the two groups had seen a general practitioner within 1 week prior to their emergency department visit; however, refugees were more likely to have been triaged for urgent condition... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5279706 Fri, 30 Sep 2011 06:31:17 +0100 5279706 http://www.medworm.com/index.php?rid=5279707&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh6273334lm11q737%2F Abstract  Hypertension is the most common cardiovascular disease. No data exists on the health status of the largest ethnic groups in Jordan. Seven hundred ninety two Chechens and Circassians participated in this study. Two readings of systolic and diastolic blood pressure were taken from the left arm with the subject seated and the arm at heart level, after at least 5 min of rest, using standardized mercury sphygmomanometer. The mean of the two readings were taken as the individual’s blood pressure. The overall prevalence rate of hypertension was 23.9%. Risk factors for hypertension were: family history (OR = 3.6, CI, 2.1, 6.3), female gender (OR = 2.5, CI, 1.7, 4.0), Dyslipidemia (OR = 2.3, CI, 1.5, 3.6), waist measurement above normal ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5279707 Fri, 30 Sep 2011 06:31:16 +0100 5279707 http://www.medworm.com/index.php?rid=5279708&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm725m1n488015514%2F Abstract  Understanding the concepts of mental health and help seeking behaviours of migrant and ethnic minority families constitutes an important step toward improving the intercultural competence of health and education professionals. This paper addresses these goals among ethnic and migrant minorities in Portugal. For this a multi-informant approach was selected. The study involved nine focus groups (N = 39) conducted with different samples: young immigrants (12–17 years), immigrant parents, teachers and health professionals. The results showed similarities and differences in concepts of mental health, as well as help seeking processes. Stigma continued to be recognized as a barrier in the access to mental health care. The paper argues that providing ade... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5279708 Tue, 27 Sep 2011 05:51:50 +0100 5279708 http://www.medworm.com/index.php?rid=5279709&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F572803750p61u241%2F This study sought to understand the cost, quality of, and access to health care for the insured population in the context of spillover effects resulting from community-level uninsurance. We examined the health care access, quality, and cost experienced by insured Latina mothers in two communities, Minneapolis, Minnesota and McAllen, Texas. These communities differ substantially by the size of the local population without health insurance coverage. Four focus groups were conducted with insured Latina mothers who were caring for at least one child in their household. Eleven and thirteen mothers participated in each community, respectively. The experiences of the insured population in McAllen were substantially different from the experiences of the insured population in Minneapolis. The... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5279709 Tue, 27 Sep 2011 05:51:49 +0100 5279709 http://www.medworm.com/index.php?rid=5255687&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd22115t57714w725%2F This study is a secondary analysis of a prospective study of caretaker satisfaction with different interpreter modalities. We queried the medical record for event time stamps, clinical factors and disposition. The in-person cohort (116 min) had a significantly shorter total throughput time than telephonic (141 min) and bilingual provider (153 min) cohorts (P < 0.0001), due to a difference in time seen by provider to disposition. Time seen by provider to disposition remained statistically significantly shorter for the in-person cohort when compared to telephonic interpretation when controlling for potential confounders such as admission rate (P = 0.006). In-person interpretation significantly decreased ED throughput times and may be an important co... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5255687 Fri, 23 Sep 2011 16:19:23 +0100 5255687 http://www.medworm.com/index.php?rid=5244343&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb12510263t274644%2F Abstract  Hispanic women in the United States (US) are disproportionately affected by human immunodeficiency virus (HIV) infection. There are very limited data on the sexual risk differences among US-born Hispanic women (USBHW) and foreign-born Hispanic women (FBHW). Sexually active USBHW and FBHW were asked to complete a self-administered questionnaire. Demographics, sexual history, testing for HIV or sexually transmitted infection (STI), condom use, partner sexual risk and alcohol/substance use were compared between USBHW and FBHW. FBHW were 3.5 years older than USBHW at first sexual experience (95% CI: 2.8, 4.1; P < 0.001). This remained significant after controlling for age and education. There was no difference between groups in the proportion of women... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5244343 Mon, 19 Sep 2011 15:40:35 +0100 5244343 http://www.medworm.com/index.php?rid=5244344&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh616706825h20171%2F This study reports on the effect of direct and snowball sampling strategies and financial incentive levels on the response rates of a built environment and PA survey in a predominately urban, low-SES new-immigrant community. Women residing in the Jane-Finch neighbourhood of Toronto, Ontario were selected to participate by quasi-random sampling, yielding a response rate of 41.5%. The survey completion rate per contact attempt increased 2-fold when incentives were increased from 10 to20 and a further threefold following the increase from 20 to30. Snowball sampled respondents were older, less likely to have full-time employment, and had lower educational attainment than directly sampled participants. With appropriate incentives, face-to-face contact, and snowball sampling, survey-based... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5244344 Mon, 19 Sep 2011 13:44:33 +0100 5244344 http://www.medworm.com/index.php?rid=5244345&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9p4565n271t56862%2F Abstract  Refugee children can have significant health problems. Our objective was to describe health status and health care utilization of refugee children after resettlement. A retrospective chart review of refugee children was performed. Initial laboratory data was extracted. Primary care visits, emergency room visits, and subspecialty referrals in the first 15 months from arrival were recorded. The sample included 198 refugees, many with positive initial screening tests. After arrival, 21% had an emergency department visit, 40% had a primary care sick visit, and 71% had a primary care follow-up. Mean number of visits ranged from 0.3 for emergency department to 1.9 for follow-up. Fifty-seven percent were referred to at least one subspecialist. Refugee children had s... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5244345 Mon, 19 Sep 2011 13:44:32 +0100 5244345 http://www.medworm.com/index.php?rid=5216170&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr003177502x1l309%2F Abstract  Pediatric obesity continues to be an epidemic, affecting Hispanic children disproportionately. Recent recommendations outline a step-wise approach to the treatment of overweight and obese children, culminating in tertiary-care, multidisciplinary programs. We detail here how our tertiary-care, family-based, pediatric weight management clinic addressed the problem of few Spanish-speaking families enrolling in treatment after referral by adding a Bilingual Case Manager. Utilizing a family-centered, high-contact, personal approach, our program increased the number of Hispanic families enrolling over ten-fold. Further, outcomes in Hispanic families were equal to or better than other racial/ethnic groups. Lessons learned from this experience may benefit other obesity tr... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5216170 Sat, 10 Sep 2011 15:48:48 +0100 5216170 http://www.medworm.com/index.php?rid=5216171&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F021jl7583601w6l6%2F In this study we explore age-based variations in causal beliefs for heart disease and diabetes among Mexican origin adults in Houston, TX. This cross-sectional study included 497 adults of Mexican origin. Participants were asked to indicate the importance of biomedically defined and folk illness-related risk factors as causes for heart disease and diabetes. Biomedical risk factors were ranked highest as causes of diabetes and heart disease among all participants. Folk illness-related factors were ranked below biomedical factors as causes of heart disease among all age groups. Susto was ranked above the median as a risk factor for diabetes among older participants. Age-related differences in causal beliefs may have implications for designing culturally appropriate health services, suc... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5216171 Sat, 10 Sep 2011 15:48:46 +0100 5216171 http://www.medworm.com/index.php?rid=5216172&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fpt4186r6540kw607%2F Abstract  Disparities in breast screening are well documented. Less clear are differences within groups of immigrant and non-immigrant minority women or differences in adherence to mammography guidelines over time. A sample of 1,364 immigrant and non-immigrant women (African American, English Caribbean, Haitian, Dominican, Eastern European, and European American) were recruited using a stratified cluster-sampling plan. In addition to measuring established predictors of screening, women reported mammography frequency in the last 10 years and were (per ACS guidelines at the time) categorized as never, sub-optimal (<1 screen/year), or adherent (1+ screens/year) screeners. Multinomial logistic regression showed that while ethnicity infrequently predicted the never versu... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5216172 Fri, 09 Sep 2011 05:44:56 +0100 5216172 http://www.medworm.com/index.php?rid=5216174&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx546l32221507527%2F We present a case study of promotoras who participated in a research capacity building course focused on assessing community health needs. Data comes from course application surveys, follow-up notes, and narratives from qualitative phone interviews of eight promotoras. Content analysis drawing from grounded theory was conducted to identify and describe emerging themes. Four themes emerged as promotoras discussed their experience learning basic research skills and teaching others: (1) challenges, (2) support, (3) building capacity, and (4) using research. Promotores play an important role in the health of Latino communities and are increasingly asked to participate in research processes; however they have few opportunities for training and professional development in this area. Capac... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5216174 Thu, 08 Sep 2011 05:53:36 +0100 5216174 http://www.medworm.com/index.php?rid=5216173&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F713254v7547r0756%2F Abstract  Since the Iraq war began in 2003, over 4 million Iraqis have been displaced. Little is known about preventive cancer care in this population, but stark disparities have been documented. The purpose of this study was to assess the perspectives of Iraqi women refugees on preventive care and perceived barriers to breast cancer screening. Interviews were conducted in Arabic with twenty Iraqi refugee women by a bilingual (English/Arabic) medical student, transcribed, translated and coded according to established qualitative content and thematic analysis procedures. Psychosocial barriers, culturally mediated beliefs, and health consequences of war were identified as major themes, ultimately showing what factors, alone and collectively, have impeded Iraqi refugee wo... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5216173 Thu, 08 Sep 2011 05:53:36 +0100 5216173 http://www.medworm.com/index.php?rid=5216175&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn008t3121113rh67%2F Abstract  Prevalence of hepatitis B among Asian Americans is higher than for any other ethnic group in the United States. Since more than 50% of liver cancer is hepatitis B related, the burden of morbidity and mortality is extremely high among Asian Americans, highlighting the need for culturally appropriate interventions. We conducted focus groups (n = 8) with a total of 58 Korean, Vietnamese, and Chinese immigrants in Maryland to explore knowledge, awareness and perceived barriers toward hepatitis B screening and vaccinations. Thematic analysis uncovered generally low levels of knowledge and awareness of hepatitis B risks, screening, and vaccination; inter-generational differences; and barriers to prevention. Some differences arose across ethnic groups, particul... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5216175 Thu, 08 Sep 2011 05:53:35 +0100 5216175 http://www.medworm.com/index.php?rid=5189369&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxlx5627053266353%2F Abstract   Despite a rapid growth of Type 2 diabetes mellitus in Chinese Americans, the management of diabetes in this population is yet understudied. This pilot study attempts a first step in seeking solutions to decrease demand for health services in this population by improving patients’ self-care. Focus groups were conducted in well-controlled (HbA1c < 7) and poorly-controlled (HbA1c > 8) Chinese Americans with Type 2 DM who were asked about their knowledge and self-care skills of diabetes as well as experience of living with the disease. Well-controlled had more insights in their illness and were more inquisitive, while poorly-controlled were more fixated on symptoms and side effects of treatments. Common themes for both groups included inter... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5189369 Mon, 29 Aug 2011 16:00:26 +0100 5189369 http://www.medworm.com/index.php?rid=5173247&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F07464k3422j248h1%2F Abstract  Health services from Mexico constitute an important source of care for U.S. residents living along the U.S.-Mexico border. Data from The Cross-Border Utilization of Health Care Survey (n = 966) were used to estimate logit models that related acculturation, as measured by generational status, to the use of medication, physician, dental, and inpatient services from Mexico by U.S. residents in the Texas border region. Relative to first-generation Mexican immigrants, later-generation Mexican–Americans were progressively less likely to go to Mexico for health services. This finding holds with or without adjusting for the effects of selected demographic and socioeconomic variables. Addressing unmet needs in medical care in the southwestern U.S. border area s... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5173247 Sat, 27 Aug 2011 05:55:54 +0100 5173247 http://www.medworm.com/index.php?rid=5173246&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F80t3482n5r1213v8%2F In this study, we implemented a cross-sectional participatory community health assessment in an urban city in Massachusetts, to understand differences and similarities in demographics, health and healthcare access in Chinese and Vietnamese adults. We gathered qualitative data from community stakeholders to inform the development of a community health assessment tool. The tool elicited information on healthcare access, health status, behavioral health and chronic disease history and treatment. Healthcare access issues and poor health status, particularly among Chinese participants and mental health symptomotology in both groups were areas of concern. These findings revealed important health concerns in two Asian ethnic groups. Studies are needed to better understand these concerns and... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5173246 Sat, 27 Aug 2011 05:55:54 +0100 5173246 http://www.medworm.com/index.php?rid=5167274&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8k2084u64h75h1t0%2F This study utilized semi-structured interviews to explore the perceived health status and resources for health care in one group of 20 Latino day laborers in southern California. Results suggest a population that is largely in undocumented immigrant status with few health care resources other than emergency care centers and clinics provided for the homeless population. With close to 12 million undocumented workers currently residing in the US, this population bears additional scrutiny both for humanitarian reasons and for public health policy considerations. Content Type Journal ArticleCategory Original PaperPages 1-7DOI 10.1007/s10903-011-9516-zAuthors Oscar A. Leclere, Los Angeles County Department of Mental Health, Los Angeles, CA, USARebecca A. López, School of Social Work... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5167274 Wed, 24 Aug 2011 16:04:05 +0100 5167274 http://www.medworm.com/index.php?rid=5167275&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb483030340148808%2F Abstract  Investigation on the mental health of HIV-positive immigrants is severely limited. We examine the independent and combined effects of HIV symptom and coping resources on depressive symptoms among HIV-positive immigrants (n = 259). Ordinary Least Squares regression models were estimated with data from a survey of clinical and social-psychological outcomes in people receiving treatment for HIV infection. We tested for the impact of two HIV-related stressors, one life events stressor and three buffering resources on depressive symptoms, controlling for thirteen demographic, clinical and acculturative factors. HIV-related stressors were found to be positively related to depressive symptom severity. Coping resources, namely self-mastery, mediate the relationsh... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5167275 Tue, 23 Aug 2011 15:54:49 +0100 5167275 http://www.medworm.com/index.php?rid=5129228&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F55162n02q876k046%2F We describe female sex workers who are injection drug users’ (FSW-IDUs) circular migration and drug use behaviors. Between 2008-2010, 258 migrant FSW-IDUs residing in Tijuana and Ciudad Juarez, Mexico responded to questionnaires. 24% of FSW-IDUs were circular migrants. HIV prevalence was 3.2% in circular migrants and 6.1% in non-circular migrants; 50% of circular and 75% of non-circular migrants were unaware of their HIV infection. Among circular migrants, 44% (n = 27) consumed illicit drugs in their birthplace; 74% of these (n = 20) injected drugs and one-half of injectors shared injection equipment in their birthplace. Women reporting active social relationships were significantly more likely to return home. Circular migrant FSW-IDUs exhibit multiple HIV risks ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5129228 Thu, 11 Aug 2011 06:57:30 +0100 5129228 http://www.medworm.com/index.php?rid=5123526&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq438373h78p19lp2%2F This study investigated the type 2 diabetes cultural belief model of English-speaking Afro-Caribbean women in southwest Florida. A 53 item cultural consensus beliefs questionnaire was designed and administered to 30 Afro-Caribbean women diabetics. Cultural consensus analysis found that these women shared a single cultural belief model about type 2 diabetes, .72 ± .081 SD. Women with higher cultural knowledge scores (r s  = –.41730, P = .0218) were significantly younger at type 2 diabetes diagnosis than women with lower scores. In qualitative interviews, women described ongoing struggles to modify their traditional Caribbean diet and believed in the efficaciousness of traditional Caribbean medicine and prayer to treat type 2 diabetes. These findings... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5123526 Wed, 10 Aug 2011 15:46:17 +0100 5123526 http://www.medworm.com/index.php?rid=5105463&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr676k248k3x08877%2F Abstract  The increasing rates of HIV infection that are currently being reported in high-income countries can be partly explained by migration from countries with generalized epidemics. Yet, early diagnosis of HIV/AIDS in immigrants remains a challenge. This study investigated factors that might be limiting immigrants’ access to HIV/AIDS care. Data from 268 legal immigrant students of two Swedish language schools in Northern Sweden were analyzed using logistic regression. Thirty-seven percent reported reluctance to seek medical attention if they had HIV/AIDS. Fear of deportation emerged as the most important determinant of reluctance to seek care after adjusting for socio-demographic factors, knowledge level, stigmatizing attitudes and fear of disclosure. Targeted interv... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5105463 Thu, 04 Aug 2011 15:31:42 +0100 5105463 http://www.medworm.com/index.php?rid=5101524&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh15787132u15qm77%2F Abstract  More than 60% of Bosnian refugees in the United States may be current smokers. Examining health beliefs can provide insight into smoking behaviors in this community. Four hundred ninety-nine Bosnians were interviewed about health beliefs and personal health risks related to smoking. ANOVA was used to compare current, former, and never smokers. General health beliefs were significantly different by smoking status with medium effect sizes (P < .001; η2 = 0.04–0.06); current smokers were less likely to agree that smokers live shorter lives and that smokers are more likely to get heart disease. Significant differences with large effect sizes (P < .001; η2 = 0.11–0.29) were found in perception of personal risk of lung c... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5101524 Tue, 02 Aug 2011 16:01:31 +0100 5101524 http://www.medworm.com/index.php?rid=5084291&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2664877307503920%2F This study compared mental health care received by community dwelling Latino and non-Latino White Medicaid enrollees in Florida with a diagnosis of major depressive disorder (MDD) and examined predictors of adherence to American Psychiatric Association (APA) guidelines for the treatment of MDD. Latinos were more likely than Whites to receive guideline adherent treatment (OR = 1.21, P < .0001). Enrollees receiving combination drug therapy were most likely to receive treatment consistent with APA guidelines (OR = 4.25, P < .0001). Despite research demonstrating the efficacy of evidence–based practices, many study participants did not receive guideline adherent treatment. Policies and practices targeted at increasing adherence to approved g... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5084291 Fri, 29 Jul 2011 16:07:01 +0100 5084291 http://www.medworm.com/index.php?rid=5084292&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm5v4221w10j5854k%2F Abstract  The validity of a brief 10-item instrument for the assessment of stressors potentially related to migration and migration background (MIGSTR10) was evaluated in a retrospective analysis. To show convergent and discriminant validity, MIGSTR10 scores and general psychosocial stressors derived from DSM-IV axis IV (DSMSTR9) were compared between a randomly selected group of 30 inpatients with Turkish migration background (MIG) and a native German control group (CON), matched for age, gender, and diagnosis. The differential contribution of MIGSTR10 and DSMSTR9 to global functioning (GAF scores) was calculated. Multivariate analysis showed significantly higher distress in MIG compared to CON with regard to MIGSTR10 (λ = 0.33; P < 0.0005) and DSMST... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5084292 Thu, 28 Jul 2011 15:56:45 +0100 5084292 http://www.medworm.com/index.php?rid=5074704&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl55144544510n602%2F Abstract  Mobility is a key determinant of HIV/sexually transmitted infection (STI) transmission dynamics in Asia and Africa. Scant data exist regarding its dynamic impacts on HIV/STI risk in Central America and Mexico. Our objective was to critically review the epidemiology and social and structural context of HIV/STI risk among mobile populations in Central America and Mexico. Eligible articles were published in English or Spanish between January 1, 2000 and August 31, 2010; conducted in Central America or Mexico; specified the mobile population included; and described primary research. 2045 records were screened, 275 articles reviewed, and 22 studies included. Mobility is associated with increased HIV risk behaviors, though it also may increase preventive behaviors. Amon... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5074704 Mon, 25 Jul 2011 15:46:03 +0100 5074704 http://www.medworm.com/index.php?rid=5074703&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F53v733m52n261m84%2F Abstract  We assessed the health impacts of a natural disaster upon a major immigrant community by comparing pre- and post-event measures for identical individuals. We collected standard health measures for a population-based sample of working-age Vietnamese-Americans living in New Orleans in 2005, just weeks before Katrina occurred. Near the first- and second-year anniversaries of the event, we located and re-assessed more than two-thirds of this original pre-Katrina cohort. We found statistically significant declines in health status for seven of the eight standard SF-36 subscales and for both the physical and mental health component summaries at the first anniversary of the disaster. By the second anniversary, recovery of the health dimensions assessed by these measures ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5074703 Mon, 25 Jul 2011 15:46:03 +0100 5074703 http://www.medworm.com/index.php?rid=5074702&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd5u4818n8q725052%2F Abstract  The U.S. migrant and seasonal farmworker (MSFW) workforce is aging. Aging causes functional changes that can affect work performance and increase injury/accident risk. It also has been linked with deferred health-seeking. The exploratory study was conducted to investigate occupational injuries and health-seeking in Hispanic MSFW on the U.S.–Mexico border. Data were collected using an abbreviated Spanish-version of the California Agricultural Worker Health Survey. Nearly 60% of the 141 participants were middle-aged or older. Musculoskeletal injuries and those consistent with agrochemical and environmental exposures were common. Farmworkers aged >40 years were 2.5–5 times more likely than younger MSFW to report persistent single and multiple injuries inv... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5074702 Mon, 25 Jul 2011 15:46:03 +0100 5074702 http://www.medworm.com/index.php?rid=5074705&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4w038t087m70q658%2F The objective of the current study was to identify the socio-demographic, psychosocial, cultural, and clinical risk factors that predispose to depression, and resources that protect from depression among low income Latinos with T2D. Participants (N = 211) were interviewed in their homes upon enrollment. Multivariate logistic regression was used to identify factors associated with depressive symptoms based on a score of ≥21 on the Center for Epidemiological Studies Depression scale. Lower household income, interference of diabetes with daily activities, and more T2D clinical symptoms were associated with depression risk in the multivariate analyses. At each level of food insecurity the risk of depression was lower the higher the level of social support (P < 0.... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5074705 Mon, 25 Jul 2011 15:45:59 +0100 5074705 http://www.medworm.com/index.php?rid=5060628&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1710700062267642%2F Abstract  The study was conducted to examine the relative effectiveness of cognitive behavior therapy with a cultural tailoring intervention compared to brief medication management. The study used a two-arm randomized controlled trial in which participant assignment was stratified by gender. The intervention condition received eight weekly 40-min individualized counseling sessions of culturally tailored cognitive behavior therapy, while the control condition received eight weekly 10-min individualized counseling sessions of medication management. Both conditions received nicotine patches for 8 weeks. Data were collected at baseline and at four follow-up points (one and 4 weeks, and three and 6 months post-quit). Treatment outcomes were presented as an intentio... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5060628 Fri, 22 Jul 2011 17:05:44 +0100 5060628 http://www.medworm.com/index.php?rid=5060629&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Flv2154rj77671281%2F Abstract  Current tuberculosis control strategies in Canada rely exclusively on screening and surveillance of immigrants. This is consistent with current public health discourse that attributes the high burden of immigrant tuberculosis to the exposure of immigrants to infection in their country of origin. The effectiveness of control strategies is questionable given the evidence that many immigrants are at higher risk of tuberculosis reactivation because of risk factors such as poverty, malnutrition and overcrowded housing. This paper argues that the absence of policies that address poverty-related disadvantages among immigrants makes these populations more vulnerable to the reactivation of their tuberculosis long after they have been exposed in their countries of birth. Po... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5060629 Thu, 21 Jul 2011 18:17:34 +0100 5060629 http://www.medworm.com/index.php?rid=5060630&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa23843h6803207v6%2F Abstract  HIV/AIDS disproportionately affects Hispanics. Our objective was to determine the risk of late diagnosis and rate of survival after HIV/AIDS diagnosis among Hispanics compared to other racial/ethnic groups. We performed a systematic review of the PubMed database for peer-reviewed articles published between January 2000 and September 2010. Primary outcomes included survival after HIV/AIDS diagnosis and delayed diagnoses. The definition of delayed diagnosis varied by study, ranging from concurrent HIV/AIDS diagnosis to diagnosis of AIDS within 3 years of HIV diagnosis. We found that Hispanics are at significantly greater risk for delayed diagnosis than non-Hispanic whites. Hispanic males and foreign-born Hispanics had the highest risk of late diagnosis. Availab... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5060630 Wed, 20 Jul 2011 12:22:11 +0100 5060630 http://www.medworm.com/index.php?rid=5060631&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq964k5613x545g26%2F Abstract  High quality management of cardiovascular disease is a critical health issue for people of African descent as this group is more likely than the general population to have greater coexisting cardiovascular comorbidities. The higher than average rates of cardiovascular conditions among Black populations are a cause for concern. In an effort to combat the disproportionate number of African Americans experiencing cardiovascular conditions a significant number of churches within the African American community have initiated health promotion programmes and/or services. Health organisations and agencies in the United States are keen to support and encourage these programmes for cardiovascular disease risk populations (i.e. African Americans and other minority groups, su... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5060631 Wed, 20 Jul 2011 12:08:20 +0100 5060631 http://www.medworm.com/index.php?rid=5060632&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F44g113726h8r8208%2F Abstract  Since 2001, the Welcome Back Initiative (WBI) has implemented a program model in ten US cities to help foreign trained health professionals enter the US healthcare workforce. This paper reviews how the WBI has worked toward achieving this goal through community needs assessment, the development of a comprehensive program model and ongoing program evaluation. Since 2001, the WBI has served over 10,700 immigrant health professionals. Of these participants, 66% were not previously working in the health sector. After participating in the WBI’s services, 23% of participants found work in health care for the first time, 21% passed a licensing exam, and 87 physicians were connected to a residency program. As the US is facing a major shortfall of health care providers, ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5060632 Tue, 19 Jul 2011 06:39:48 +0100 5060632 http://www.medworm.com/index.php?rid=5046059&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk706035211k2342v%2F Abstract  Using prospective data from a cohort of elderly Hispanics, this study explores how first-, second- and 1.5-generation Latinos differ in their levels and trajectories of disability. The results indicate that compared to second-generation elderly Hispanics, first- and 1.5-generation Hispanics had higher levels of disability. In addition, 1.5-generation elderly Hispanics had higher average ADL and IADL limitations than second-generation Hispanics at the beginning, and over time, this difference increasingly diverged. Currently married individuals had lower levels of disability than formerly married Hispanics. Also, marriage at any point in time significantly limits variability in disability in the sample, indicating that readily available spousal support is significa... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5046059 Thu, 14 Jul 2011 06:00:20 +0100 5046059 http://www.medworm.com/index.php?rid=5025426&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7r17t505g4678556%2F This study provides a foundation for further exploration of the drinking patterns of Latinos in the US before they immigrated to this country. Findings suggest more research is needed to uncover the underlying factors associated with the higher rates of alcohol use among Latinos prior to their immigration when compared to alcohol use patterns of post-immigration Latinos. Content Type Journal ArticlePages 1-8DOI 10.1007/s10903-011-9498-xAuthors Mario De La Rosa, Center for Research on U.S. Latino HIV/AIDS & Drug Abuse (CRUSADA), Florida International University, 11200 SW 8th St., PCA 356, Miami, FL 33199, USAMariana Sanchez, Center for Research on U.S. Latino HIV/AIDS & Drug Abuse (CRUSADA), Florida International University, 11200 SW 8th St., PCA 356, Miami, FL 33199, USAFrank R. ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5025426 Sun, 10 Jul 2011 05:51:52 +0100 5025426 http://www.medworm.com/index.php?rid=5015372&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn23t542184232364%2F Abstract  Despite growing numbers of American Muslims, little empirical work exists on their use of traditional healing practices. We explored the types of traditional healing practices used by American Muslims in southeast Michigan. Twelve semi-structured interviews with American Muslim community leaders identified through a community-academic steering committee were conducted. Using a framework coding structure, a multidisciplinary investigative team identified themes describing traditional healing practices. Traditional healing practices can be categorized into three domains: Islamic religious text based practices, Islamic worship practices, and folk healing practices. Each domain may further contain therapies such as spiritual healing, medicinal herbs, mind body therapy... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=5015372 Fri, 08 Jul 2011 06:29:55 +0100 5015372 http://www.medworm.com/index.php?rid=4973462&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm0670812176g2537%2F Abstract   Chlamydia pneumoniae, Mycoplasma pneumoniae, and Legionella spp. are common causes of atypical pneumonia; however, data about these atypical pathogens are limited in the refugee setting. Paired nasopharyngeal and oropharyngeal specimens were collected from patients with respiratory illness presenting to healthcare centers in two refugee camps in Kenya. The specimens were tested for C. pneumoniae, M. pneumoniae, and Legionella spp. as well as eight respiratory viruses. Atypical pathogens were detected in 5.5% of the specimens of which 54% were co-infected with at least one of the eight viruses tested. Patients positive for atypical bacteria co-infected with virus were significantly more likely to have severe acute respiratory illness than patients infected with onl... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4973462 Thu, 23 Jun 2011 16:35:30 +0100 4973462 http://www.medworm.com/index.php?rid=4950244&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F37234224qw665137%2F Abstract  Few studies have investigated what Vietnamese American women believe about the Pap smear or how those beliefs might influence behavior. Thirty-one Vietnamese American women recruited through snowball sampling were interviewed about their beliefs regarding the Pap smear. Interviews were qualitatively analyzed using a theoretically informed, inductive approach. The women interviewed emphasized the importance of primary prevention of disease through culturally-informed personal health regimens. They were also largely unfamiliar with the Pap smear, but believed that gynecological exams in general were effective and necessary for disease detection. Finally, when access to gynecological care was difficult, women’s faith in their own preventive behaviors helped allevia... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4950244 Fri, 17 Jun 2011 10:49:01 +0100 4950244 http://www.medworm.com/index.php?rid=4950245&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5738l5485n411571%2F This study examined how subjective perceptions of the neighborhood environment (e.g., perceived ethnic density, safety, social cohesion, and satisfaction) influenced the physical and mental health of Korean American older adults. Using data from 420 residents of the New York City metropolitan area (M age = 71.6, SD = 7.59), health perceptions and depressive symptoms were estimated with hierarchical regression models entered in the order of (1) demographics and acculturation, (2) health-related variables, and (3) perceived neighborhood environment. After controlling for the effects of the individual-level variables, perceived neighborhood environment was found to make a significant contribution to both outcomes. Individuals less satisfied with their overall neighbo... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4950245 Thu, 16 Jun 2011 05:53:00 +0100 4950245 http://www.medworm.com/index.php?rid=4929838&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm010563171682756%2F Abstract  Understanding the different facilitators and barriers to screening within cultural and ethnic groups is important for developing appropriate education and outreach programs to underserved groups. Qualitative methods were employed to gain a rich understanding of participant views. In-depth interviews were conducted with 18 Chinese Australian women in their native languages and analysed using content analysis. Knowledge of cervical cancer was low, and few participants understood the benefits and purpose of screening. Having a doctor’s recommendation was a strong motivator, and returning for screening was encouraged by having a female Chinese doctor perform the exam, receiving a reminder letter and the absence of cost for screening participation. However, participa... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4929838 Sun, 12 Jun 2011 06:02:15 +0100 4929838 http://www.medworm.com/index.php?rid=4929839&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc734621063u0h6l7%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s10903-011-9490-5Authors Brandon N. Ong, Division of General Internal Medicine, Department of Medicine, Harborview Medical Center, University of Washington, 325 Ninth Avenue, Box 359780, Seattle, WA 98104, USAMei Po Yip, Division of General Internal Medicine, Department of Medicine, Harborview Medical Center, University of Washington, 325 Ninth Avenue, Box 359780, Seattle, WA 98104, USASherry Feng, Division of General Internal Medicine, Department of Medicine, Harborview Medical Center, University of Washington, 325 Ninth Avenue, Box 359780, Seattle, WA 98104, USARebecca Calhoun, Department of Health Services, University of Washington, Box 357660, Seattle, WA 98195, USAHendrika W. Meischke, Department of Health Services, University of Wa... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4929839 Sun, 12 Jun 2011 06:02:14 +0100 4929839 http://www.medworm.com/index.php?rid=4918434&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq7m66q7jk26872l4%2F This study attempts to provide evidence on the violent-related consequences that migration has on migrants. A mixed-method study was conducted between April 2006-May 2007 in shelters in Baja California, Mexicali and Tijuana, Mexico. 22 in depth interviews were performed and fifteen hundred and twelve migrants responded a questionnaire. Results from both in-depth interviews and the analysis of the quantitative data shows the different types of violence experiences by migrants which include threats, verbal abuse, and arbitrary detention based on ethnicity, as well as assaults, beatings and sexual violence. It is crucial to stress the importance and the need to evidence the condition in which migrants’ transit to the US and to effectively respond to the violence they experience. ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4918434 Tue, 07 Jun 2011 09:40:07 +0100 4918434 http://www.medworm.com/index.php?rid=4918435&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fdk552707888l8g72%2F Abstract  Arab American (ArA) women may be at greater risk for thyroid cancer (TC) than White women. This case-case comparison explored differences in known and proposed risk factors of TC among ArA and non-Hispanic White (NHW) female TC cases in metropolitan Detroit. Cases of invasive TC identified from a population-based registry responded to a telephone survey regarding potential TC risk factors. Thirty ArA women (response rate 52%) and 70 NHW women (67%) participated. NHW women reported significantly more prior thyroid disease (TD), family history of TD, hormone use, cumulative years of hormone use, cigarette and alcohol consumption. In adjusted logistic regression analysis, ArA women had significantly higher odds of exposure to dental x-rays (OR = 3.48, CI 1.... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4918435 Mon, 06 Jun 2011 14:56:28 +0100 4918435 http://www.medworm.com/index.php?rid=4918436&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl32l024466688376%2F This article describes the development and implementation of an educational program, emphasizing retention strategies, cultural tailoring and community participation. Community-based participatory research approaches were used to adapt and test the feasibility of a culturally tailored lifestyle intervention (named Health is Wealth) for Filipino-American adults at risk for diabetes (n = 40) in order to increase program attendance. A unique feature of this program was the flexibility of scheduling the eight classes, and inclusion of activities, foods and proverbs consistent with Filipino culture. We found that with this approach, overall program attendance for the experimental and wait-listed control groups was 88% and participant satisfaction was high with 93% very satisfied... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4918436 Mon, 06 Jun 2011 14:56:27 +0100 4918436 http://www.medworm.com/index.php?rid=4918437&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc0j526r3kk80697u%2F This study aims to determine effective strategies for increasing breast cancer screening in at-risk underserved Arab American women. AMBER utilizes a community based participatory approach to conduct formative research and program interventions, including culturally appropriate Arabic language breast cancer education, screening coordination, and cultural competency training for healthcare professionals in New York City. In 2 years, 597 women were educated, 189 underserved women were identified as being in need of assistance, 68 were screened, one new case of breast cancer was detected, and four active cases in need of follow-up reconnected with care. The AMBER model is an important intervention for breast cancer screening and care in the underserved Arab American community. ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4918437 Mon, 06 Jun 2011 14:56:26 +0100 4918437 http://www.medworm.com/index.php?rid=4918438&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk603820n0072945w%2F Abstract  Brazilian immigration to Massachusetts and other states in the US grew significantly in the last two decades. There is a lack of data about the working conditions and health and safety hazards faced by Brazilian immigrant workers. We surveyed over 500 workers in Eastern Massachusetts through a community-based participatory research project to explore occupational and immigration factors that may represent a risk to the health of Brazilian immigrant workers, who mostly work in the construction, housecleaning, and food services segments of the state labor force. Our pilot study suggests that Brazilian immigrant workers are exposed to chemical, ergonomic, physical, and psychosocial job hazards and have experienced a variety of health symptoms that may be associated w... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4918438 Sat, 04 Jun 2011 05:50:56 +0100 4918438 http://www.medworm.com/index.php?rid=4918440&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1v6j076615q161h1%2F This study examined HIV knowledge among persons living with HIV who were either born in Canada or in sub-Saharan Africa and, for comparison, in a sample of college students. All participants were residing in Canada. Participants completed questionnaires measuring demographic variables, sexual health behaviour, and HIV status, treatment, and knowledge. Canadian-born patients living with HIV were more likely to be older and male than the other groups. On average, patients living with HIV were diagnosed 6.4 years ago, and 80% reported having current or previous experience taking HIV medications. After adjusting for age and gender, significant differences were found between the groups on the Brief HIV Knowledge Questionnaire. Canadian-born persons living with HIV (n = 110... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4918440 Sat, 04 Jun 2011 05:50:52 +0100 4918440 http://www.medworm.com/index.php?rid=4918439&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9k3875428473011x%2F Abstract  The community-based prevention marketing program planning framework was used to adapt an evidence-based intervention to address eye injuries among Florida’s migrant citrus harvesters. Participant-observer techniques, other direct observations, and individual and focus group interviews provided data that guided refinement of a safety eyewear intervention. Workers were attracted to the eyewear’s ability to minimize irritation, offer protection from trauma, and enable work without declines in productivity or comfort. Access to safety glasses equipped with worker-designed features reduced the perceived barriers of using them; deployment of trained peer-leaders helped promote adoption. Workers’ use of safety glasses increased from less than 2% to between 28% and ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4918439 Sat, 04 Jun 2011 05:50:52 +0100 4918439 http://www.medworm.com/index.php?rid=4918441&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg57545617164121v%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s10903-011-9486-1Authors Filio Degni, Department of Public Health, University of Turku, 20014 Turku, FinlandSakari Suominen, Department of Public Health, University of Turku, 20014 Turku, FinlandBirgitta Essén, Department of Women’s and Children’s health, International Maternal and Child Health, University Uppsala, Uppsala, SwedenWalid El Ansari, Faculty of Sport, Health and Social Care, University of Gloucestershire, Oxstalls Campus, Oxstalls Lane, Gloucester, GL2 9HW UKKatri Vehviläinen-Julkunen, Department of Nursing Sciences, University of Kuopio, Kuopio, Finland Journal Journal of Immigrant and Minority HealthOnline ISSN 1557-1920Print ISSN 1557-1912 (Source: Journal of Immigrant and Minority Health) Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4918441 Sat, 04 Jun 2011 05:50:51 +0100 4918441 http://www.medworm.com/index.php?rid=4899849&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn3312g837541029m%2F Abstract  Estrogen and endocrine-disrupting chemicals (EDCs) that are associated with several health outcomes have been found in hair products. We evaluated the proportion, frequency, duration, and content of hair products in a racially/ethnically diverse population. We recruited n = 301 African-American, African-Caribbean, Hispanic, and white women from the New York metropolitan area. We collected data on hair oil, lotion, leave-in conditioner, root stimulator, perm, and other product use. Estrogen and EDC information was collected from commonly used hair products’ labels (used by >3% of population). African-American and African-Caribbean women were more likely to use all types of hair products compared to white women (P < 0.0001). Among hai... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4899849 Mon, 30 May 2011 16:58:03 +0100 4899849 http://www.medworm.com/index.php?rid=4899850&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw217044u22767581%2F Abstract  Despite generally lower socioeconomic status and worse access to healthcare, Latinos have better overall health outcomes and longer life expectancy than non-Latino Whites. This “Latino Health Paradox” has been partially attributed to healthier cardiovascular (CV) behaviors among Latinos. However, as Latinos become more acculturated, differences in some CV behaviors disappear. This study aimed to explore how associations between acculturation and CV behaviors among Latinos vary by country of origin. Combined weighted data from the 2005 and 2007 California Health Interview Survey (CHIS) were used to investigate associations between acculturation level and CV behaviors among Latinos by country of origin. Among all Latinos, increased acculturation was associated w... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4899850 Mon, 30 May 2011 16:57:59 +0100 4899850 http://www.medworm.com/index.php?rid=4859687&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F05l2q998l1x9g823%2F We examined the prevalence of cigarette smoking among Cambodian Americans in Long Beach, California. A stratified random sample of 1,414 adult respondents was selected from 15 census tracts with high concentrations of Cambodian Americans. The prevalence of current smokers was 13.0%; the sex-specific prevalence of smoking was 24.4% for men and 5.4% for women. The mean age of the sample was 50.5 years; about 60% of the respondents were women. The survey response rate was 90.5% among households in which respondents self-identified as Cambodian American, and at least one person completed the survey. Significant covariates of current smoking were gender, age, education, marital status, and health status. The prevalence of smoking among Cambodian men was higher than among other males ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4859687 Wed, 18 May 2011 06:14:20 +0100 4859687 http://www.medworm.com/index.php?rid=4859688&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp2j7l3p1xt73211w%2F Abstract  In the United States, a disproportionate percentage of tuberculosis (TB) cases occur in foreign-born persons. We implemented a performance improvement project to improve rates of screening for latent tuberculosis infection in a medical clinic. A questionnaire was developed to identify patients for tuberculosis screening, which was performed as a Tuberculin Skin Test (TST). Patients with positive skin tests underwent further testing. One hundred and sixty-five patients were screened, with 58 TSTs ordered and 36 placed. Twenty-seven patients returned to have the TST read with 12 positive. Eleven of these patients had chest X-rays, 2 revealing findings suggestive of active TB. This project identifies the importance of a standardized TB screening process for high-risk... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4859688 Wed, 18 May 2011 06:14:19 +0100 4859688 http://www.medworm.com/index.php?rid=4837788&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe3p37253p2125644%2F Abstract  Data on health status of immigrants and practice recommendations for providers are scarce. We evaluated 99 recent immigrants from developing nations in an immigrant clinic in New York City to assess epidemiology of diseases and to recommend potential screening. Providers received ongoing training. Majority patient was from West Africa and Central America with a mean of 2.1 years in the US. Two thirds were uninsured. Half had positive PPD. Half had prior hepatitis B infection, which was higher in Africans. One quarter had intestinal parasites. Two thirds were overweight; 33% had hypercholesterolemia, 26% were hypertensive, and 25% of women had a Pap smear previously. Eosinophila was higher in African and males (P < 0.05) but didn’t predict stool ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4837788 Sat, 14 May 2011 05:48:19 +0100 4837788 http://www.medworm.com/index.php?rid=4837789&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd22572v193726700%2F Abstract  This paper reports pilot testing of “Familias En Nuestra Escuela”, an in-school interpersonal violence prevention intervention targeting Hispanic-American teens. The intervention, based on the hypothesis that the preservation and reinforcement of Hispanic cultural values can serve as a protective factor against violence, focused on the enhancement of ethnic pride. Researchers formed a partnership with a midwestern Hispanic community to test the feasibility, receptivity and preliminary impact of the intervention in a pre/post test, no control group design. Participants were low-income, predominantly first-generation Hispanic-American freshmen and sophomore students from one Hispanic-serving high school. Findings revealed a statistically significant increase in ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4837789 Sat, 14 May 2011 05:48:17 +0100 4837789 http://www.medworm.com/index.php?rid=4826772&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F766t031268w2968p%2F This study investigates whether self-reported racial discrimination is related to poor health-related quality of life (HRQoL). Analyses focused on Whites (n = 52,571), Blacks (n = 4,343), Mexicans (n = 12,336), Central Americans (n = 1,504), Multi-ethnic Latinos (n = 1,102), and Other Latinos (n = 1,828) who participated in the 2003 and 2005 California Health Interview survey. Logistic and negative binomial regression was used to examine the association between HRQoL (assessed with the CDC unhealthy days measures) and self-reported racial discrimination. Discrimination was reported by 10% of Whites, 57% of Blacks, and 24–31% of the Latino groups. These reports were associated with increased number of unhealthy days, disabil... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4826772 Wed, 11 May 2011 15:46:32 +0100 4826772 http://www.medworm.com/index.php?rid=4826773&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F64x22725q4667168%2F This study examined differences in health status, rates of postpartum depression, perceptions of health services, unmet service needs, and barriers to service use among women born in and outside of Canada at 6 weeks following postpartum discharge from hospital. A secondary analysis of data gathered for a longitudinal cross-sectional survey of postpartum health and service use was conducted. Data from participants recruited from two urban hospitals were used for this analysis (n = 1,045). Analyses examined differences between women born in and outside of Canada. Immigrant women were significantly more likely to experience fair/poor postpartum health status and risk for postpartum depression. Immigrant women were also more likely to rate community health services as fair... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4826773 Wed, 11 May 2011 06:26:16 +0100 4826773 http://www.medworm.com/index.php?rid=4826774&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm447vr4862124683%2F Abstract   This short communication piece provides an overview of the Latin American Supercourse, a collection of public health lectures in Spanish targeting educators in Mexico, US, and Spanish speaking countries. Content Type Journal ArticlePages 1-3DOI 10.1007/s10903-011-9475-4Authors Nicolas Padilla-Raygoza, Division of Health Sciences and Engineering, Campus Celaya Salvatierra, University of Guanajuato, Rio Lerma S/N Col. Enrique Colunga Celaya, 38060 Gto Mexico, MexicoRonald LaPorte, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USAEugene Shubnikov, Institute of Internal Medicine, Novosibirsk, RussiaMeredith Hennon, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USARobert P. Edwards, University of Pittsburg... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4826774 Wed, 11 May 2011 06:26:14 +0100 4826774 http://www.medworm.com/index.php?rid=4810530&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw468k10347412517%2F Abstract  To better address prostate cancer disparities, we investigated the differences among US-born, African-born, and Caribbean-born Black men on prostate cancer risk reduction and early detection behaviors. Data were collected from over 3,400 Black men in five cities in Florida. One-way analysis of variance was used to explore the ethnic variations among the three study groups. We found that there were significant differences among the three groups. The US-born Black men had the highest knowledge, were most likely to have health insurance, and consume the most meat compared to African-born, and Caribbean-born Black men. African-born Black men were most likely to use chemoprevention products and discuss prostate cancer risk-reduction and early detection with a physician... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4810530 Thu, 05 May 2011 16:37:14 +0100 4810530 http://www.medworm.com/index.php?rid=4786869&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F71828384m215p768%2F Abstract  Despite benefits of screening mammography, many South Asian (SA) immigrant women in Canada remain under screened. We aimed to elicit their experiences and beliefs about barriers to mammography and possible solutions. SA immigrant women aged 50 years or over were eligible if they never had a mammogram or had one more than 3 years ago. We employed the participatory mixed-method approach of Concept Mapping. Sixty women participated with a mean age of 58 years. Participants brainstormed 150 items which were consolidated into 67 items. After sorting and rating, cluster analysis revealed eight clusters of barriers on knowledge, fear, language and transportation, access to mammogram center, access to doctor, beliefs and practices, self-care, and family dep... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4786869 Mon, 02 May 2011 15:01:08 +0100 4786869 http://www.medworm.com/index.php?rid=4751911&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft616740750226753%2F Abstract  The purposes of this exploratory pilot were to describe perceived barriers to participation in cervical cancer prevention research, and identify culturally-appropriate communication strategies to recruit Asian women into cancer prevention research. This thematic analysis of transcripts, from focus groups and in-depth interviews, was conducted in English, Vietnamese, and Mandarin Chinese, at a community clinic in Philadelphia, Pennsylvania. Thirty participants were either Vietnamese (35%) or Chinese (65%). Mean age was 36.8 (SD 9.9 years). Reasons for non-participation were: lack of time, inconvenience, mistrust of institutions and negative experiences, lack of translated materials, feeling intimidated by English, and the lack of translation of key words or te... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4751911 Thu, 21 Apr 2011 18:00:29 +0100 4751911 http://www.medworm.com/index.php?rid=4746856&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg7628504036n3520%2F Abstract  Migrant workers comprise 80% of the population of the United Arab Emirates, but there is little research on their mental health. To determine the prevalence and correlates of depression among workers living in labor camps, we conducted a cross-sectional survey in labor camps in Al Ain city. The Depression Anxiety and Stress Scale (DASS-42) was used to assess depression and suicidal ideation among the study participants. Off the 319 contacted workers agreed to participate, however 239 fully completed the DASS-42. The prevalence of a score >=10 (“depression”) was 25.1% (60/239). Depression was correlated with physical illness (97/301), (adjusted odds ratio-AOR = 2.9; 95% CI 2.26–5.18), working in construction industry (prevalence 124/304), AOR&nbsp... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4746856 Tue, 19 Apr 2011 07:18:27 +0100 4746856 http://www.medworm.com/index.php?rid=4730527&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F487038312121hmr4%2F Abstract  The effects of acculturation, body perception, and health behaviors on weight status among Vietnamese American students in Houston, Texas were examined for our research. A survey was mailed to 600 randomly selected Vietnamese American students at one university, and 261 complete surveys (response rate, 43.5%) were used for final analyses. Respondents were classified as overweight or normal weight based on the World Health Organization recommended overweight cutoff for Asians (BMI of 23 kg/m2). About 32% of respondents were overweight. Men, undergraduate students, and those with an acceptable body perception were more likely to be overweight. Nativity and its interaction with length of US residence were significant predictors of weight status after controlling ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4730527 Tue, 12 Apr 2011 21:34:11 +0100 4730527 http://www.medworm.com/index.php?rid=4708101&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx472k0016681102q%2F Abstract  Somali women living in the US are at increased risk for chronic health conditions due to changes in lifestyle following immigration. Numerous barriers to physical activity have been reported in this population. Behavioral theory may inform the design of successful health interventions. We explored in focus groups the behavioral determinants of physical activity (theory of planned behavior, self-efficacy) among Somali women (N = 30). We found that most (two-thirds) subjects were sedentary, although women who had lived in the US for 10 years or longer were more likely to be active. Somali women recognize the health threat of physical inactivity, including high rates of obesity. Moral norms appear to be the major barrier to physical activity, due to pro... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4708101 Sun, 10 Apr 2011 05:52:06 +0100 4708101 http://www.medworm.com/index.php?rid=4708102&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd65nn4728t0l0g7h%2F Abstract  Peer outreach models have been successful in addressing HIV risk behaviors of drug users. Patients in methadone maintenance treatment programs who were migrants from Puerto Rico and/or familiar with drug use there were trained to conduct HIV-related peer outreach. A group randomized design was implemented; patients in the Experimental (E) condition (n = 80) received training and conducted 12 weeks of outreach. Half of the patients completed the training and outreach. At follow-up, patients in the E condition who conducted outreach felt they were more helpful to their community, showed a trend for engaging in more vocational activities, and were more likely to talk with others about HIV, compared to those who did not conduct outreach and those in the... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4708102 Sun, 10 Apr 2011 05:52:04 +0100 4708102 http://www.medworm.com/index.php?rid=4691110&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc42x265003570518%2F Abstract  Communication problems due to language and cultural differences between health care professionals and patients are widely recognized. Finns are described as more silent whereas one concurrent large immigrant group, the Somalis, are described as more open in their communication. The aim of the study was to explore physicians-nurses/midwives’ communication when providing reproductive and maternity health care to Somali women in Finland. Four individual and three focus group interviews were carried out with 10 gynecologists/obstetricians and 15 nurses/midwives from five selected clinics. The health care providers considered communication (including linguistic difficulties), cultural traditions, and religious beliefs to be problems when working with Somali women. Ma... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4691110 Tue, 05 Apr 2011 09:57:31 +0100 4691110 http://www.medworm.com/index.php?rid=4680409&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr6825362wv4700m4%2F Abstract  Among migrant workers (MWs) in the US, HIV/AIDS prevalence may be as high as 13.5%. This serial cross-sectional study examines associations between Ethnic Identity (EI) in African American and Hispanic MWs and short-term changes in high-risk sexual behaviors. Baseline and 3-month follow-up data was collected from a larger HIV intervention study among MWs in Immokalee, Florida (n = 119) who reported unprotected sex in the past 30 days. The Multigroup Identity Measure was used to assess EI. A high EI score indicates less acculturation to one’s new surroundings. Females had higher levels of positive behavior change. Lower EI was associated with higher levels of positive change in relation to HIV/AIDS risk behavior. Among Hispanics, education was nega... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4680409 Sat, 02 Apr 2011 05:54:09 +0100 4680409 http://www.medworm.com/index.php?rid=4649667&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F51211713x3774305%2F We examined correlates of ever injecting drugs in Mexico among residents of San Diego, California. From 2007 to 2010, injecting drug users (IDUs) in San Diego underwent an interviewer-administered survey. Logistic regression identified correlates of injection drug use in Mexico. Of 302 IDUs, 38% were Hispanic, 72% male and median age was 37; 27% ever injected in Mexico; 43% reported distributive syringe sharing there. Factors independently associated with ever injecting drugs in Mexico included being younger at first injection, injecting heroin, distributive syringe sharing at least half of the time, and transporting drugs over the last 6 months. One-quarter of IDUs reported ever injecting drugs in Mexico, among whom syringe sharing was common, suggesting possible mixing between... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4649667 Fri, 25 Mar 2011 18:55:15 +0100 4649667 http://www.medworm.com/index.php?rid=4635075&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fvj7r6641w26kl23r%2F We examined this relationship using the 2000 National Health Interview Survey, which provides cross-sectional data on a nationally representative sample of US Hispanics. Multinomial logistic regression models estimated relationships between language use (a measure of acculturation) and patterns of adherence, by gender, to multiple cancer-preventive health behaviors using adherence scores. Hispanics had greater odds of adherence to multiple behaviors compared to Non-Hispanics (OR = 2.76 [2.27, 3.36]). Hispanics with greater English language use had lower odds of adherence (OR = 0.45 [0.29, 0.69]). Women were more adherent than men (P < 0.01) and their language use was associated with patterns of behavioral adherence more so than among men. Differences b... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4635075 Tue, 22 Mar 2011 18:09:56 +0100 4635075 http://www.medworm.com/index.php?rid=4620337&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj86845t41038m587%2F Abstract  Perinatal health data for Haitians are scant. We evaluated adverse birth outcomes for Haitians in Québec, Canada. We analyzed 2,124,909 live births from 1981 to 2006. Haitian ethnicity was assessed using maternal birth country (Haiti, other Caribbean country, other foreign country, Canada) and home language (Creole, French/English but Creole mother tongue, French/English, other). Associations between ethnicity and preterm birth (PTB), low birth weight (LBW), and small-for-gestational-age (SGA) birth were calculated. Adverse birth outcomes were more common among mothers with Haitian ethnicity. Relative to Canadian-born mothers, odds for Haitian-born mothers were 4 times greater for extreme PTB (≤27 weeks), twice greater for very PTB (28–31 weeks), an... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4620337 Sat, 19 Mar 2011 16:59:52 +0100 4620337 http://www.medworm.com/index.php?rid=4620338&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F26v85771332752p3%2F Abstract  The aim of the current research was to assess and compare level of depression literacy and level of depression related stigma in first generation immigrants from former Yugoslavia (FY) with a same aged Anglo Australian (AA) sample. The community sample comprised of 54 immigrants born in the FY and 54 AA born participants living in Melbourne. Participants were recruited through various social and recreational clubs. All participants completed questionnaires assessing depression literacy, self and perceived stigma and level of acculturation for the immigrants from FY in an interview format. After controlling for level of education, immigrants from the FY demonstrated lower depression literacy and higher personal and perceived depression stigma scores compared to the... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4620338 Sat, 19 Mar 2011 16:59:51 +0100 4620338 http://www.medworm.com/index.php?rid=4614096&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd235p057686nm8j0%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s10903-011-9459-4Authors Enrique Gonzalez-Mendez, Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA USACatherine Gonzalez-Maddux, Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA USACeleste Hall, Monterey County Health Department, Monterey, CA USAMary Maddux-Gonzalez, Sonoma County Health Department, Sonoma, CA USAMargaret A. Handley, Department of Epidemiology and Biostatistics and Center for Vulnerable Populations, University of California San Francisco, San Francisco, CA USA Journal Journal of Immigrant and Minority HealthOnline ISSN 1557-1920Print ISSN 1557-1912 (Source: Journal of Immigrant and Minority Health) Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4614096 Thu, 17 Mar 2011 18:13:51 +0100 4614096 http://www.medworm.com/index.php?rid=4614095&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm0g861224340x3n0%2F Abstract  Obesity may be masking other health problems such as height deficit, or stunting. Stunting may reflect the cumulative effect of chronic malnutrition especially in underserved immigrant communities. Exploratory analysis of a sample of children 2–19 years old from the 2007–2008 NHANES was used to assess the relationship between chronic malnutrition and overweight/obesity in Hispanic children. Overall, overweight/obesity prevalence was nearly 1 in 3 children and stunting prevalence was 3.1%. The prevalence of stunting varied significantly across race/ethnicity, with prevalence among Hispanics of 6.6%. Prevalence of stunting varied significantly by socio-economic characteristics within the Hispanic population. Our exploratory study showed differences in the p... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4614095 Thu, 17 Mar 2011 18:13:51 +0100 4614095 http://www.medworm.com/index.php?rid=4577504&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe84426015r13w60m%2F Abstract  Occupational stress is a well researched topic leading to the development of strong, viable models of workplace stress. However, there is a gap in the literature with respect to the applicability of this research to specific cultural groups, in particular those of immigrant status. The present paper reviews the extant literature regarding occupational stress from a multicultural perspective, evaluates the usefulness for existing models in the multicultural context, and discusses current issues with respect to increasing multiculturalism in the work environment. The authors conclude that workforce diversity is emerging as a pressing issue of organizational life and consequently, that future research needs to continue investigating whether current knowledge regardin... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4577504 Thu, 10 Mar 2011 17:13:04 +0100 4577504 http://www.medworm.com/index.php?rid=4564486&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Flt6368224367qvp2%2F Abstract  Studies among ethnic minorities suggest that prenatal care (PNC) may be less protective against preterm birth (PTB) among foreign-born relative to US-born mothers. We assessed relations between nativity, PNC inadequacy, and PTB risk over 17 years in one US state. Adjusted multivariable models were fit to assess the potential interaction between nativity and PNC inadequacy as a determinant of PTB. Additionally, we calculated predicted probabilities of PTB by PNC inadequacy, stratified by nativity. In adjusted models of PTB, there was a significant interaction (P interaction < 0.01) between nativity and PNC inadequacy. US-born mothers who did not use PNC adequately had 2.9% higher predicted probability of PTB than adequate users, which compares to ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4564486 Sat, 05 Mar 2011 16:51:46 +0100 4564486 http://www.medworm.com/index.php?rid=4510851&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl7h3704067u67112%2F In this study, we create a descriptive profile of the concept of trans-border mobility by exploring the relationship between mobility status and a series of demographic, economic and socio-cultural characteristics among mobile and non-mobile Hispanics living in the El Paso-Juarez border region. Using a two-stage stratified random sampling design, bilingual interviewers collected survey data from border residents (n = 1,002). Findings show that significant economic, cultural, and behavioral differences exist between mobile and non-mobile respondents. While non-mobile respondents were found to have higher social economic status than their mobile counterparts, mobility across the border was found to offer less acculturated and poorer Hispanics access to alternative sources of ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4510851 Sat, 19 Feb 2011 07:04:09 +0100 4510851 http://www.medworm.com/index.php?rid=4500389&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw41hl22w51233263%2F Abstract  The purpose of this study was to observe differences in HIV characteristics between the foreign and U.S. born HIV population. The study sample consisted of individuals, ≥13 years of age, who have been diagnosed with HIV and are patients of the Lexington Bluegrass Care Clinic. For the comparison analysis, the sample was divided into two groups (n = 1070), foreign born and U.S. born. Compared to U.S. born patients, foreign born patients were younger at the time of their HIV diagnosis (31 years vs. 36 years, P = 0.005), of Hispanic origin (63.1% vs. 1.1%, P < 0.001), and reported heterosexual contact as their mode of transmission (67.7% vs. 33.9% P < 0.001). Foreign born patients enrolled into care at a muc... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4500389 Thu, 17 Feb 2011 08:01:35 +0100 4500389 http://www.medworm.com/index.php?rid=4500390&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F52710515t10115h5%2F Abstract  Latinos, and Puerto Ricans in particular, have been disproportionately impacted by HIV/AIDS. Severe mental illness (SMI) is associated with an increase in HIV risk. Relatively little research has focused on the role of SMI among Puerto Rican injection drug users (IDUs) and non-IDUs in susceptibility to and transmission of HIV and there are few published reports on HIV risk among Latina SMI. We conducted a longitudinal mixed methods study with 53 Puerto Rican women with schizophrenia, bipolar disorder, or major depression to examine the cultural context of HIV risk and HIV knowledge, beliefs, and behaviors among a larger study with Puerto Rican and Mexican women with serious mental illness (SMI). There was a high prevalence of past and current substance use and a h... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4500390 Thu, 17 Feb 2011 08:01:34 +0100 4500390 http://www.medworm.com/index.php?rid=4493601&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk1177tn872245845%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s10903-011-9454-9Authors Elaine Hsieh, Department of Communication, University of Oklahoma, 610 Elm Ave., Room 101, Norman, OK 73019, USA Journal Journal of Immigrant and Minority HealthOnline ISSN 1557-1920Print ISSN 1557-1912 (Source: Journal of Immigrant and Minority Health) Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4493601 Wed, 16 Feb 2011 06:58:01 +0100 4493601 http://www.medworm.com/index.php?rid=4487833&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb84h71kx6451640v%2F The objectives of this study were to: (1) calculate age-specific and age-adjusted cause-specific mortality rates for Arab Americans; and (2) compare these rates with those for blacks and whites. Mortality rates were estimated using Michigan death certificate data, an Arab surname and first name list, and 2000 U.S. Census data. Age-specific rates, age-adjusted all-cause and cause-specific rates were calculated. Arab Americans (75+) had higher mortality rates than whites and blacks. Among men, all-cause and cause-specific mortality rates for Arab Americans were in the range of whites and blacks. However, Arab American men had lower mortality rates from cancer and chronic lower respiratory disease compared to both whites and blacks. Among women, Arab Americans had lower mortality rates ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4487833 Mon, 14 Feb 2011 06:54:10 +0100 4487833 http://www.medworm.com/index.php?rid=4449072&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8h274620361v6761%2F Abstract  There remains limited research on cardiovascular disease (CVD) risk factors in Puerto Rican adults. We compared lifestyle and CVD risk factors in Puerto Rican men and women with normal fasting glucose (NFG), impaired fasting glucose (IFG), or type 2 diabetes (T2D), and investigated achievement of American Diabetes Association (ADA) treatment goals in those with T2D. Baseline data from the Boston Puerto Rican Health Study were analyzed, which included 1,287 adults aged 45–75 years. Obesity, hyperglycemia, and dyslipidemia were prevalent and increased from NFG to IFG and T2D. In individuals without T2D, fasting insulin correlated significantly with body mass index. Achievement of ADA goals was poor; LDL cholesterol was most achieved (59.4%), followed by blood... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4449072 Sat, 05 Feb 2011 16:56:21 +0100 4449072 http://www.medworm.com/index.php?rid=4449073&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff575111582153x73%2F This study explores the birth histories and medical records access among Hispanic women in California, taking into account the potential role of immigration on access to VBAC. Study aims are to describe for a sample of Hispanic women: (1) CD and VBAC histories as well as history of vaginal delivery preceding CD; and (2) medical records access, among women who had previous births in Mexico. Chart review was conducted for prenatal patients from three safety net clinics in two California counties with large Mexican migrant populations between August, 2003 and February 2004—during which VBAC was widely available in these two counties to determine: obstetric histories, CD details, birthplace and whether or not medical records had been requested/obtained for CD. 355 multiparous Hispanic ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4449073 Sat, 05 Feb 2011 16:56:20 +0100 4449073 http://www.medworm.com/index.php?rid=4441422&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv67r121534266553%2F Abstract  The assessment of individual vulnerability to stress emerges as a predictive factor of a higher risk of developing stress-related disorders. In the last decade, the geography of immigration in Portugal experienced intense transformations in terms of recruitment and patterns of geographic settlement, with an increasing and exponential inflow of new and diversified migratory groups. The immigrant populations coming from Eastern European countries are a recent migratory flow, with linguistic, cultural and socio-demographic specificities which are very different from the general Portuguese population. This makes them a paradigmatic group in potential transcultural studies on mental health issues. The primary aim of the study was to describe the characteristics of vuln... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4441422 Thu, 03 Feb 2011 07:28:54 +0100 4441422 http://www.medworm.com/index.php?rid=4441423&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe17283225t573816%2F Abstract  Effective communication during a medical emergency is crucial for an appropriate emergency medical services (EMS) response. This exploratory qualitative study explored intentions to use 9-1-1 in a Chinese speaking community and the barriers and facilitators to accessing EMS. Focus groups with Chinese adults who self-reported limited English proficiency were conducted. An inductive iterative approach was used to categorize and connect themes identified in the discussions. Language difficulties, negative perceptions of EMS, perceived costs of using emergency services, and no previous experience with 9-1-1 were commonly described as barriers to calling EMS during emergencies. Positive past experiences with EMS and encountering an emergency situation perceived as too ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4441423 Tue, 01 Feb 2011 08:48:49 +0100 4441423 http://www.medworm.com/index.php?rid=4441424&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw276901326247534%2F Abstract  Immigration status is a likely deterrent of mental health care utilization in the United States. Using the Medical Expenditure Panel Survey and National Health Interview survey from 2002 to 2006, multivariable logistic regressions were used to estimate the effects of immigration status on mental health care utilization among patients with depression or anxiety disorders. Multivariate regressions showed that immigrants were significantly less likely to take any prescription drugs, but not significantly less likely to have any physician visits compared to US-born citizens. Results also showed that improving immigrants’ health care access and health insurance coverage could potentially reduce disparities between US-born citizens and immigrants by 14–29% and 9–2... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4441424 Tue, 01 Feb 2011 08:48:48 +0100 4441424 http://www.medworm.com/index.php?rid=4427751&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft160w8x8qk34w847%2F Abstract  Information is limited on alcohol use among Arab Americans. The purpose of this study was to describe and analyze the alcohol use pattern among Arab Americans by reviewing existing surveys using an acculturation model. Secondary data analysis. Nationally, English-speaking immigrant Arab Americans reported lower rates of lifetime alcohol use (50.8%), past month use (26.4%) and binge drinking (10%) than the White majority group. In a state survey, self-identified English-speaking Arab Americans were less likely to report past month use (45.6%) than the White majority group but reported similar rate of binge drinking (17.0%). Locally, lifetime drinking was reported by 46.2% of the immigrants but only 13.4% of refugees fleeing war. Few databases are available to estim... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4427751 Sat, 29 Jan 2011 17:19:17 +0100 4427751 http://www.medworm.com/index.php?rid=4427752&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh860741tj322t711%2F Abstract  Immigrants depend on within-group social networks for social support during the acculturation process. Within-group social networks are linked to higher mutual concern and reciprocity, lower acculturative stress, and lower depression among immigrants Studies are limited, however, about immigrants’ social support in the contexts of global connectedness and transnational connectivity. Grounded in social capital approach and immigrant health framework, this qualitative, community-based study examined the social networks of immigrant men from India to New York City. Drawing upon the participants’ narratives, the author illustrates the ways that social capital influences social networking and acculturative stress in post-immigration sociocultural contexts along wit... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4427752 Thu, 27 Jan 2011 17:40:04 +0100 4427752 http://www.medworm.com/index.php?rid=4417760&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa40333q83324825r%2F This study examines how Latino-white spatial segregation is associated with the risk of obesity for Latinos and whites, whether neighborhood socioeconomic resources, the built environment, and subcultural orientation serve as the underlying mechanisms, and whether neighborhood context helps explain obesity disparities across ethnic and immigrant groups. The study was based on an extensive database containing self-reported BMI measures obtained from driver license records in Utah merged with census data and several GIS-based data. Multilevel analyses were performed to examine the research questions. For both men and women, Latino residential isolation is significantly and positively linked to the risk of obesity; after controlling for immigrant concentration, this effect gets amplifie... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4417760 Thu, 27 Jan 2011 17:40:04 +0100 4417760 http://www.medworm.com/index.php?rid=4410281&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F35222j7h5602412q%2F Abstract  To examine the extent of nutritional vulnerability seen in a cohort of asylum seekers in Australia. Twenty-one asylum seekers (15 males, 6 females) that used a food bank were interviewed over a 6 week period at the Melbourne based Asylum Seeker Resource Centre about foods consumed in the previous 24-h and any non food bank foods obtained. A basket audit was conducted after participants accessed the food bank on the day of interview, Participants obtained significantly less than the minimum requirements for the Australian Guide to Healthy Eating in the vegetables and legumes (P < .001, 95% CI −3.5, −1.7) fruits (P < .001, 95% CI −1.7, −.1.2), dairy (P < .001, 95% CI −1.8, −1.5) and meat and meat alternatives cor... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4410281 Wed, 26 Jan 2011 00:02:58 +0100 4410281 http://www.medworm.com/index.php?rid=4410282&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj2g25181553n42l4%2F Abstract  Ethnic disparities in labor pain management exist. Our purpose is to identify patients’ attitudes and beliefs about epidural analgesia in order to develop a culturally competent educational intervention. A prospective observational study was conducted in patients admitted for vaginal delivery between July 1st–31st, 2009. Inclusion criteria were: singleton, term, cephalic, normal fetal heart tracing and no contraindications for epidural. Patients were surveyed regarding their wishes for analgesia, and their reasons for declining epidural. The obstetrics physician performed pain management counseling as is usually done. Patients were asked again about their choice for analgesia. Likert scale questionnaires were used. Wilcoxon signed ranked test was used for cate... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4410282 Wed, 26 Jan 2011 00:02:56 +0100 4410282 http://www.medworm.com/index.php?rid=4410283&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr43n142245g27237%2F Abstract  Neuropsychological impairments (NPI) can lead to difficulties in daily functioning and ultimately contribute to poor health outcomes. However, evidence for the feasibility of NPI assessment in resource-limited settings using tests developed in high literacy/high education cultures is sparse. The main objectives were to: (1) determine the feasibility and appropriateness of conducting neuropsychological assessments among a migrant farm worker population in Baja California, Mexico and (2) preliminary describe neuropsychological test performance in this unique population. A neuropsychological test battery was administered to 21 presumably healthy adults (8 men, 13 women) during a two-day international health services and research collaboration. All but one neuropsycho... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4410283 Mon, 24 Jan 2011 18:03:03 +0100 4410283 http://www.medworm.com/index.php?rid=4410284&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9576545u60913090%2F In this study, we seek to determine if enrollment in a home health care program would improve diabetic outcomes in this traditionally vulnerable population. Of the 64 non-English speaking diabetics evaluated in our clinic between 1/1/2002 and 12/30/2005, 26 (40.6%) patients who met the criteria for poor glycemic control (defined by HgbA1c > 8% on two separate occasions) were identified, but three were excluded because they did not participate in home health. Comparing diabetic outcomes 24 months post-home health intervention to 24 months prior, patients showed improvement in mean HbA1c, mean LDL, and mean systolic blood pressure. With home health intervention, there appears to be improved diabetic outcomes across all measured parameters. Content Type Journ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4410284 Mon, 24 Jan 2011 18:03:00 +0100 4410284 http://www.medworm.com/index.php?rid=4376172&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa7287r6g1v283242%2F This study describes the development and evaluation of online Public Health Emergency Preparedness (PHEP) training adapted to the learning styles and needs of tribal Community Health Representatives (CHRs). Working through a university-tribal community college partnership, the Arizona Center for Public Health Preparedness at the University of Arizona and Diné College of the Navajo Nation delivered a blended online and face-to-face public health preparedness certificate program based on core public health emergency preparedness competencies. This program was carefully adapted to meet the environmental and learning needs of the tribal CHRs. The certificate program was subsequently evaluated via a scenario-based decision-making methodology. Significant improvements in five of six compe... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4376172 Mon, 17 Jan 2011 20:30:49 +0100 4376172 http://www.medworm.com/index.php?rid=4376173&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr410m28765013132%2F Abstract  Hispanic women, a large and growing ethnic minority group in the U.S., have an unintended birth rate over twice the national average. However, little is known about unintended birth among Hispanic immigrants. The purpose of this study is to determine the sociodemographic, including immigration-related, correlates of unintended birth in this population. Data were collected as part of a preventive intervention among pregnant Hispanic immigrants at increased risk for depression (n = 215). The correlates of women’s self-reported pregnancy intention (intended, mistimed, unwanted) were examined using multinomial logistic regression. Similar to nationally representative findings, unintended birth was more common among younger women, single women and women not ... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4376173 Mon, 17 Jan 2011 20:30:48 +0100 4376173 http://www.medworm.com/index.php?rid=4341566&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff7lw176010254752%2F Abstract  Immigrants in the U.S. often experience better health than the native-born, and many explanations for this phenomenon center around the positive health behaviors that immigrants bring from their home cultures. Immigrants from the former Soviet Union may be an exception; because they come from societies where unhealthy lifestyles and high mortality are common, they are often expected to experience worse health than the native population. Using data from the Integrated Health Interview Series, I compare FSU immigrants with U.S.-born, non-Hispanic whites on several health measures. FSU immigrants are twice as likely as native whites to report fair or poor health, but they are less likely to smoke or drink, and are less likely to report a functional limitation. FSU im... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4341566 Mon, 10 Jan 2011 16:16:29 +0100 4341566 http://www.medworm.com/index.php?rid=4341567&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw4515ur4k81048l1%2F Abstract  The effect of acculturation with cardiovascular disease (CVD) risk factors is poorly understood. We assessed the association of three acculturation measures (English language, US country of birth and a combination of the two) with CVD risk factors and co-morbid medical and behavioral conditions in a registry of 6,793 Latinos with hypertension. Greater acculturation was associated with higher adherence to medication (P < 0.05) and a higher prevalence of behavioral conditions (P < 0.01) but not with differences in prevalence of CVD risk factors, greater levels of CVD risk factor control or outcomes. Our study demonstrates that our proxies for acculturation were associated with behavioral risk factors, but not with the level of control of bio... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4341567 Mon, 10 Jan 2011 16:16:26 +0100 4341567 http://www.medworm.com/index.php?rid=4326587&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq1l7524475561x50%2F Abstract  Nationally, Hispanics comprise nearly one-quarter of all non-elderly Medicaid recipients. We evaluated readability, layout characteristics, and document complexity of state-issued Spanish-language Medicaid enrollment applications. We located and analyzed Internet-based Spanish enrollment applications from 37 states and the District of Columbia. We calculated the readability of each Medicaid enrollment application “Signature” page using the Spanish Lexile Analyzer. We assessed application layout characteristics utilizing the User-Friendliness Tool, and we evaluated document complexity using the PMOSE/IKIRSCH scale. The average Lexile score estimated an 11th–12th grade reading level (M = 1184, SD = 192) for “Signature” pages of enrollmen... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4326587 Thu, 06 Jan 2011 17:55:52 +0100 4326587 http://www.medworm.com/index.php?rid=4301623&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5j0023725621425u%2F Abstract  Immigrants from low-income countries are more likely than ethnic Norwegians to receive disability pensions. In a previous study in Oslo, we showed that occupational position probably accounted for all of this difference. The present article presents a study of the total population, with data on education and age at receipt of pension. Census and social security data for all persons living in Norway from 1992 to 2003 were used to identify new disability pensions to those aged 30–55 years and eligible in 1992, comprising 15.9% females and 11.4% males. Age-adjusted relative risk was 2.03 (95% CI 1.97–2.08) for non-Western males and 1.30 (1.26–1.36) for non-Western females compared with Westerners, and more than three times higher for males from North Afric... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4301623 Tue, 28 Dec 2010 15:36:52 +0100 4301623 http://www.medworm.com/index.php?rid=4301622&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm51h41383524727w%2F Abstract  Racial, ethnic and language-based disparities occur throughout the US health system. Pediatric prehospital emergency medical services are less likely to be used by Latinos. We identified perceptions of and barriers to prehospital pediatric emergency care (911) access among Spanish-speaking parents. A qualitative study involving six focus groups was conducted. Spanish-speaking parents participated with a bilingual moderator. Topics discussed included experiences, knowledge, beliefs, fears, barriers, and improvement strategies. All groups were audiotaped, transcribed, and reviewed for recurring themes. Forty-nine parents participated. Though parents believed 911 was available to all, many were uncertain how to use it, and what qualified as an emergency. Barriers inc... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4301622 Tue, 28 Dec 2010 15:36:52 +0100 4301622 http://www.medworm.com/index.php?rid=4301626&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk40r4124248t3h51%2F Abstract  Since 1975, over 3.5 million refugees have resettled in the United States, many of whom have experienced some form of torture, and little data exists on their primary care needs. This is retrospective chart-review of sixty-one torture survivors in Denver, Colorado. The patients were predominantly from Africa, 88% experienced physical torture, 21% sexual torture. Medical conditions included: major depression (45%), PTSD (48%), anxiety (31%), insomnia (50%), hypertension (29%), dyslipidemia (6%), HIV (6%) and tuberculosis class 2–4 (32%). Physical torture increased rates of PTSD (OR 7.29; CI 1.81, 29.45) and insomnia (OR 5.08; CI 1.41, 18.34). Sexual torture increased rates of major depression (OR 5.44; CI 1.29, 22.99), PTSD (OR 8.24; CI 1.61, 42.18), and ins... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4301626 Tue, 28 Dec 2010 15:36:51 +0100 4301626 http://www.medworm.com/index.php?rid=4301625&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F48x36t3r24175r62%2F Abstract  The article describes barriers to health care experienced by Burmese migrants in a province of Thailand based on the experience of Medecins Sans Frontieres over the past three years. In addition to the barriers, the article makes suggestions for improving the conditions for the migrant workers. Content Type Journal ArticleDOI 10.1007/s10903-010-9433-6Authors Richard Veerman, Médecins Sans Frontières Operational Centre Brussels (MSF-OCB), Suguta Road (Off Mugoiri Road), Kileleshwa, P.O. Box 38897, Nairobi, 00623 KenyaTony Reid, Médecins Sans Frontières Operational Centre Brussels, Brussels, Belgium Journal Journal of Immigrant and Minority HealthOnline ISSN 1557-1920Print ISSN 1557-1912 (Source: Journal of Immigrant and Minority Health) Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4301625 Tue, 28 Dec 2010 15:36:51 +0100 4301625 http://www.medworm.com/index.php?rid=4301624&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc84j488251744377%2F The objective of this study was to investigate the relationship between immigration status, income, drinking and overweight and obesity in African American adults residing in the United States using an internet web based survey. Data on 303 adult African American immigrants and non-immigrants was collected using a self-administered web based survey. Respondents were recruited using a snowball sampling technique to obtain a convenience sample. Multiple logistic regression analysis were used to test the independent effects of the immigration status while controlling for confounding effects of demographic, social and behavioral variables. The results of the study showed no significant difference between obesity and immigration status in black adults residing in the US (adjusted odds rat... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4301624 Tue, 28 Dec 2010 15:36:51 +0100 4301624 http://www.medworm.com/index.php?rid=4288222&cid=s_35990_46_f&fid=35990&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg6p05g3113951q11%2F We report on four workshops attended by a total of 61 community health workers recruited from Boston-area hospitals, community health centers and outreach programs. Support for and knowledge of clinical trials was measured in a pretest and post-test, which also included a satisfaction rating. Participants had a range of prior experience with clinical trials in the context of their personal and professional experience. Mean accuracy of knowledge about clinical trials increased from 72 to 84%, support for clinical trials improved considerably, and satisfaction with the training experience was high. Knowledge gaps and low levels of support for cancer clinical trials among community health workers can be improved with a short training program delivered by other community health workers.... Journal of Immigrant and Minority Health journals http://www.medworm.com/rss/comments.php?id=4288222 Wed, 22 Dec 2010 20:20:21 +0100 4288222