Depressive Symptoms Among Immigrant Latino Sexual Minorities

Rhodes, Scott D.; Martínez, Omar; Song, Eun Young; Daniel, Jason; Alonzo, Jorge; Eng, Eugenia; Duck, Stacy; Downs, Mario; Bloom, Fred; Allen, Alex Boeving; Miller, Cindy; Reboussin, Beth A.

doi:10.5993/ajhb.37.3.13

Cited by 53 publications

(35 citation statements)

References 63 publications

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“…4 Studies have also linked racial and gender-based discrimination with stress and depression among TWOC. 15,19 The effects of discrimination on mental health contribute to low negotiation power and lack of consistent condom use for TW in commercial as well as personal sexual relationships, increasing their HIV risk. 14,20 Furthermore, finding gender affirmation in a sexual partner is very important for transgender women's mental health.…”

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confidence: 99%

Documentation Status as a Contextual Determinant of HIV Risk Among Young Transgender Latinas

et al. 2016

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Purpose: The purpose of this study was to explore the contextual factors that determine or mitigate vulnerability to HIV among Latina transgender women. Documentation status (legal authorization to live in the United States) has been cited by other studies as a barrier to recruitment or engagement in HIV-related care among immigrant Latinos, but not explored as a determinant of HIV risk for transgender immigrant Latinas. Methods: We collaborated with a community-based organization to explore these contextual, including social and structural, factors. In-depth interviews in Spanish captured life histories of eight 18-to 29-year-old transgender Latinas, who collectively self-identify as chicas trans. Codes were assigned deductively from the interview guide, and emerging themes were identified throughout data collection. Results: Most participants migrated to the United States from Central America after experiencing discrimination and violence in their countries of origin. Participants emphasized documentation status as a critical factor in three areas related to social and structural determinants of HIV risk: gender identity expression, access to services, and relationship power dynamics. Chicas trans who gained legal asylum reported greater control over sexual relationships, improved access to services, and less risky employment. Conclusions: Documentation status emerged as a key HIV risk factor for this population. For undocumented transgender Latinas, legal asylum appears to be a promising HIV-related protective factor. Further research could assess whether legal assistance combined with wraparound support services affects HIV prevention for this population.

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confidence: 99%

Documentation Status as a Contextual Determinant of HIV Risk Among Young Transgender Latinas

et al. 2016

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“…V. Marin, Tschann, Gomez, & Gregorich, 1998) and the Condom Outcome Expectancy Scale (DiIorio, Maibach, O’Leary, Sanderson, & Celentano, 1997). We also assessed sexual compulsivity (Kalichman & Rompa, 1995; Rhodes, Martinez, et al, 2013). …”

Section: Methodsmentioning

confidence: 99%

“…Although some Latinos may shy away from discussing sex and sexuality openly with others, including healthcare providers, their gender identity, sexual orientation, or same-sex behavior may further preclude discussions about sex (Jarama et al, 2005; Ramirez-Valles, Kuhns, Campbell, & Diaz, 2010; Rhodes, Daniel, et al, 2013; Rhodes et al, 2010; Rhodes et al, 2011). Moreover, taking risks may be perceived to be a way to overcome perceived negative external assumptions and internal feelings about one’s behavior, orientation, and masculinity (Rhodes et al, 2010; Rhodes et al, 2011; Sandfort, Melendez, & Diaz, 2007) or result from other psychological distress (Chae & Ayala, 2009; Rhodes, Martinez, et al, 2013). Higher acculturation also has been associated with unprotected sex among immigrant Latino MSM (Warren et al, 2008); however, the interplay between changing sexual values and practices associated with immigration in relationship to sexual risk remains poorly understood, particularly when considering sexual orientation and same-sex behaviors (Diaz & Ayala, 2001; Lescano, Brown, Raffaelli, & Lima, 2009).…”

Section: Introductionmentioning

confidence: 99%

“…They tend to be from southern Mexico and Central America, have lower educational attainment, are less acculturated, and have arrived more recently compared to those who traditionally immigrated to Arizona, California, New York, and Texas. These immigrants also come to communities that lack histories of immigration and developed infrastructures to meet their needs (Dockterman & Velasco, 2010; Elder, Ayala, Parra-Medina, & Talavera, 2009; Harari, Davis, & Heisler, 2008; Hayes-Bautista, 2004; Painter, 2008; Rhodes, Martinez, et al, 2013)…”

Section: Introductionmentioning

confidence: 99%

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Condom Use Among Immigrant Latino Sexual Minorities: Multilevel Analysis After Respondent-Driven Sampling

Rhodes¹,

McCoy²

2015

AIDS Education and Prevention

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This study explored correlates of condom use within a respondent-driven sample of 190 Spanish-speaking immigrant Latino sexual minorities, including gay and bisexual men, other men who have sex with men (MSM), and transgender person, in North Carolina. Five analytic approaches for modeling data collected using respondent-driven sampling (RDS) were compared. Across most approaches, knowledge of HIV and sexually transmitted infections (STIs) and increased condom use self-efficacy predicted consistent condom use and increased homophobia predicted decreased consistent condom use. The same correlates were not significant in all analyses but were consistent in most. Clustering due to recruitment chains was low, while clustering due to recruiter was substantial. This highlights the importance accounting for clustering when analyzing RDS data.

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“…Given the continued growth of the Latino population and concomitant rise in the demand for health care [26,30,31], it is a public health priority to gain a better understanding of the factors contributing to poor health status in immigrant patients.…”

Section: Introductionmentioning

confidence: 99%

Language Barriers in Hispanic Patients: Relation to Upper-Extremity Disability

Menendez

Eberlin

Mudgal

et al. 2014

Hand (New York, N,Y.)

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Background Although upper-extremity disability has been shown to correlate highly with various psychosocial aspects of illness (e.g., self-efficacy, depression, kinesiophobia, and pain catastrophizing), the role of language in musculoskeletal health status is less certain. In an English-speaking outpatient hand surgery office setting, we sought to determine (1) whether a patient's primary native language (English or Spanish) is an independent predictor of upper-extremity disability and (2) whether there are any differences in the contribution of measures of psychological distress to disability between native English-and Spanish-speaking patients. Methods A total of 122 patients (61 native English speakers and 61 Spanish speakers) presenting to an orthopaedic hand clinic completed sociodemographic information and three Patient-Reported Outcomes Measurement Information System (PROMIS)-based computerized adaptive testing questionnaires: PROMIS Pain Interference, PROMIS Depression, and PROMIS Upper-Extremity Physical Function. Bivariate and multivariable linear regression modeling were performed. Results Spanish-speaking patients reported greater upperextremity disability, pain interference, and symptoms of depression than English-speaking patients. After adjusting for sociodemographic covariates and measures of psychological distress using multivariable regression modeling, the patient's primary language was not retained as an independent predictor of disability. PROMIS Depression showed a medium correlation (r=−0.35; p<0.001) with disability in Englishspeaking patients, while the correlation was large (r=−0.52; p < 0.001) in Spanish-speaking patients. PROMIS Pain Interference had a large correlation with disability in both patient cohorts (Spanish-speaking: r = −0.66; p < 0.001; English-speaking: r=−0.77; p<0.001). The length of time since immigration to the USA did not correlate with disability among Spanish speakers. Conclusion Primary language has less influence on symptom intensity and magnitude of disability than psychological distress and ineffective coping strategies. Interventions to optimize mood and to reduce pain interference should be considered in patients of all nationalities.Type of study/level of evidence: Prognostic II.

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Depressive Symptoms Among Immigrant Latino Sexual Minorities

Cited by 53 publications

References 63 publications

Documentation Status as a Contextual Determinant of HIV Risk Among Young Transgender Latinas

Documentation Status as a Contextual Determinant of HIV Risk Among Young Transgender Latinas

Condom Use Among Immigrant Latino Sexual Minorities: Multilevel Analysis After Respondent-Driven Sampling

Language Barriers in Hispanic Patients: Relation to Upper-Extremity Disability

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