Purpose The purpose of this study was to describe perception of risk for developing diabetes among foreign-born Spanish-speaking U.S. Latinos. Methods Participants (N=146), recruited at food-pantry distribution events and free clinics, were surveyed using the Risk Perception Survey for Developing Diabetes in Spanish. Type 2 diabetes risk factors measured included: Body Mass Index, physical activity, and Hemoglobin A1C. Results Sample characteristics were mean age 39.5 (±9.9) years old, 58% with less than a high school graduate level education, and 65% with a family income less than $15,000/year. Prevalence of risk factors was 81% overweight or obese, 47% < 150 minutes/week moderate/vigorous intensity physical activity, and 12% A1C consistent with prediabetes. Of the 135 participants with complete data, 31% perceived high/moderate risk for developing diabetes. In univariate logistic regression analyses, 9 of 18 potential variables were significant (p<0.05) predictors of perception of risk. When these 9 variables were entered into a multiple logistic regression model, 5 were significant predictors of perception of risk: history of gestational diabetes, ≥ high school graduate, optimistic bias, worry, and perceived personal disease risk. Conclusions This is the first study using the Risk Perception Survey for Developing Diabetes in Spanish in this population and reveals factors that influence perception of risk for developing diabetes. The results can be used to promote culturally acceptable type 2 diabetes primary prevention strategies and provide a useful comparison to other populations.

Background and Purpose Create a Spanish-language version of the Risk Perception Survey for Developing Diabetes (RPS-DD) and assess psychometric properties. Research Design and Methods The Spanish-language version was created through translation, harmonization, and presentation to the tool’s original author. It was field tested in a foreign-born Latino sample and properties evaluated in principal components analysis. Results Personal Control, Optimistic Bias, and Worry multi-item Likert subscale responses did not cluster together. A clean solution was obtained after removing two Personal Control subscale items. Neither the Personal Disease Risk scale nor the Environmental Health Risk scale responses loaded onto single factors. Reliabilities ranged from .54 to .88. Test of knowledge performance varied by item. Conclusions This study contributes to evidence of validation of a Spanish-language RPS-DD in foreign-born Latinos.

Immigrant Latinas may have different cultural attitudes toward menopause and aging, and may experience higher levels of distress associated with adaptation to their new environment. The purpose of this secondary analysis was to describe the frequency of depressive symptoms experienced by premenopausal Latinas (40–50 years of age) living in the United States and compare Latinas born in the US with immigrant Latinas on stress and sociodemographic factors that influence depressive symptom experience. Analysis was conducted on a subsample of 94 self-identified Latinas who participated in a longitudinal study and completed the Center for Epidemiological Studies-Depression (CES-D) scale at enrollment and 6 months. Immigrant Latinas had a significantly higher CES-D (14.4 ± 11.1) than US-born Latinas (10.0 ± 7.9) and the difference remained at 6 months. There was no difference in age, body mass index (BMI), self-report of general health, or perceived stress. Higher BMI, work-related stress, and insufficient income for essential daily needs were associated with depressive symptom scores in immigrant Latinas. High BMI and less education were associated with depressive symptom scores in the US-born Latinas.

Purpose: Low-income Latino immigrants lack access to mental health providers. We explored the feasibility of training promotores to deliver a stress management program in community settings. Methods: We trained promotores to deliver an 8-week intervention program comprising evidence-based cognitive-behavioral stress management techniques. Trained promotores then delivered the program to Spanish-speaking Latino immigrants. Results: Promotores ( n =10) improved their knowledge significantly after the training ( p <0.001) and delivered the program demonstrating excellent fidelity. Participants who received the program ( n =50) had significantly improved scores on immigration stress, perceived stress, and depressive symptoms ( p <0.001). Conclusion: It is feasible to train Latino promotores to deliver an effective stress management program to low-income Latino immigrants in their communities. Results contribute to a growing literature on the value of such interventions in community settings. If it is found to be effective in future studies, the program could help fill a large need in the Latino community.

The Stress of Immigration Survey (SOIS) is a screening tool used to assess immigration-related stress. The mixed methods approach included concept development, pretesting, field-testing, and psychometric evaluation in a sample of 131 low-income women of Mexican descent. The 21-item SOIS screens for stress related to language; immigrant status; work issues; yearning for family and home country; and cultural dissonance. Mean scores ranged from 3.6 to 4.4 (1-5 scale, higher is more stress). Cronbach's alphas >.80 for all sub-scales. The SOIS may be a useful screening tool for detecting high levels of immigration-related stress in low-income Mexican immigrant women.

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