Ecodevelopmental HIV prevention programs for Hispanic adolescents.

Pantín, Hilda; Schwartz, Seth J.; Sullivan, Summer; Prado, Guillermo; Szapocznik, José

doi:10.1037/0002-9432.74.4.545

Cited by 108 publications

(147 citation statements)

References 76 publications

(114 reference statements)

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“…The overall findings highlight the value of culturally grounded HIV prevention programs for Mexican American youth that are created in collaboration with community members and address ecological factors affecting adolescent sexual behaviors (Jemmott et al, 2005;Lesser, Koniak-Griffen, Gonzalez-Figueroa, Huang, & Cumberland, 2007;Pantin et al, 2004). Results are also consistent with the psychosocial and psycho-educational factors that are integral to successful progression through the three stages of the ARRM (Catania et al, 1990).…”

Section: Discussionsupporting

confidence: 62%

A Quasi-Experimental Evaluation of a Community-Based HIV Prevention Intervention for Mexican American Female Adolescents: The Shero's Program

Harper¹,

Bangi²,

Sánchez³

et al. 2009

AIDS Education and Prevention

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This article describes a quasi-experimental evaluation of a community-based, culturally and ecologically tailored HIV prevention intervention for Mexican American female adolescents grounded in the AIDS risk reduction model. A total of 378 Mexican American female adolescents (mean age = 15.2) participated in either the nine-session SHERO's (a female-gendered version of the word hero) intervention or a single session information-only HIV prevention intervention. Assessment data were collected at pretest, posttest, and 2-month follow up. Significant improvements across all time points were revealed on measures of self-esteem, condom attitudes, beliefs regarding a woman's control of her sexuality, beliefs regarding sexual assault, perceived peer norms, and HIV/AIDS and STI knowledge. At posttest SHERO's participants were more likely to carry condoms and to report abstaining from vaginal sex in the previous 2 months; and at 2-month follow up they reported using condoms more often in the preceding 2 months and planned on using them more frequently in the coming 2 months. Findings support the development of community-based adolescent HIV prevention interventions that address culturally specific ecological factors.Sexually transmitted infections (STIs), including HIV, continue to threaten the health of Latinas in the United States. Rates for chlamydia were three times higher and rates for primary and secondary syphilis were nearly two times higher among Latina females than Whites (Centers for Disease Control and Prevention [CDC], 2007). In 2006, Latinas made up 11% of the U.S. female population but accounted for 15% of females living with HIV/

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Section: Discussionsupporting

confidence: 62%

A Quasi-Experimental Evaluation of a Community-Based HIV Prevention Intervention for Mexican American Female Adolescents: The Shero's Program

Harper¹,

Bangi²,

Sánchez³

et al. 2009

AIDS Education and Prevention

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“…The parents and adolescents were selected for inclusion in the larger trial because of risk factors inherent in the Hispanic immigrant experience and not because the adolescents were displaying any academic or behavioral problems (see Pantin et al, 2004, for more information on participant selection). Family functioning-Family functioning was assessed using both parent and adolescent reports.…”

Section: Methods Participantsmentioning

confidence: 99%

Section: The Importance Of Studying Family Functioning Identity Andmentioning

confidence: 99%

“…Moreover, as noted earlier, the compounding of intergenerational and intercultural conflicts may reduce the supportiveness, involvement, and warmth with which Hispanic immigrant parents interact with their adolescents (Merali, 2004). In addition to parent-adolescent acculturation discrepancies, parents' immigration and occupational stressors also compromise family functioning in Hispanic immigrant families (Pantin, Schwartz, et al, 2003;Pantin, Schwartz, Sullivan, Prado, & Szapocznik, 2004).Compromised family functioning represents a significant risk factor for behavior problems and may add to the risks posed by other risk factors, such as association with Americanized peers and lack of parental involvement in school.Given the assumption that the effects of contextual processes operate through intrapersonal processes (Dodge & Pettit, 2003), compromised family functioning may relate to behavior problems partially through a confused and poorly organized sense of identity, whereas adaptive family functioning may protect against behavior problems partially through a coherent sense of identity. The present study can be conceptualized as an examination of this possibility and perhaps as a precursor to intervention efforts, targeting both family functioning and identity development, which can be used to prevent or reduce behavior problems in Hispanic immigrant early adolescents.…”

mentioning

confidence: 99%

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Family Functioning, Identity, and Problem Behavior in Hispanic Immigrant Early Adolescents

Schwartz

Pantín

Prado

et al. 2005

The Journal of Early Adolescence

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102

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The present study investigated the role of identity in the relationship between family functioning and behavior problems in a sample of Hispanic immigrant early adolescents and their families. The sample consisted of 181 Hispanic immigrant adolescents (92 males, 89 females) and their participating caregivers (who were mostly mothers). Identity was measured using adolescent reports, whereas family functioning and early adolescent behavior problems were measured using both adolescent and parent reports. Correlational analyses indicated that previously obtained relationships among family functioning, identity, and behavior problems were replicated in the present sample. Structural equation models indicated that 20% of the relationship between family functioning and behavior problems operated indirectly through identity, and identity confusion partially mediates the relationship between family functioning and early adolescent behavior problems. Implications for intervention are discussed. KeywordsHispanic; family; identity; behavior problems; structural equation modeling Adolescence is a time when both positive and negative developmental trajectories begin to take shape. Positive outcomes, such as the formation of a coherent sense of identity (Erikson, 1950;Marcia, 1980), begin to appear prominently during the adolescent years. On the other hand, behavior problems also tend to appear and increase during adolescence (Loeber, Farrington, Stouthamer-Loeber, Moffitt, & Caspi, 1999). Although there is some evidence that these positive and negative developmental processes may be related (e.g., Adams et al., 2001;Wires, Barocas, & Hollenbeck, 1994), studies investigating these relationships have generally not attended to ecological factors (e.g., family functioning) that may be related to both identity and behavior problems in adolescence.Identity is one of the pivotal developmental tasks of adolescence (Erikson, 1950(Erikson, , 1968 and is a central positive process during this stage. A coherent sense of identity helps to organize and give meaning to one's experiences and to guide one's decisions and behaviors, whereas a NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript fragmented, confused, or poorly structured sense of identity may render one especially susceptible to external events (Côté & Levine, 2002;Erikson, 1950). Ultimately, some degree of both identity synthesis and identity confusion is adaptable, provided that identity synthesis predominates over identity confusion (Erikson, 1950).Both identity and behavior problems may be, to some extent, a function of family processes and environment. The effects of family functioning on adolescent identity (e.g., Adams, Dyk, & Bennion, 1987;Grotevant & Cooper, 1986) and on adolescent behavior problems (Dishion, Capaldi, & Yoerger, 1999;Olson, Bates, Sandy, & Lanthier, 2000;Pettit, Bates, & Dodge, 1997) have been widely (and separately) studied. What has generally been found is that adaptive family functioning (e.g., family cohesion and pos...

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“…Given risk and protective factors associated with adolescent risky behaviors are present at multiple levels of the social environment, the ecodevelopmental framework [9] was used to guide intervention development. This framework organizes risk and protective factors from the macrosystem (i.e., broad societal factors, such as Hispanic cultural values) to the microsystem (i.e., contexts in which youth participate directly, such as family, peers, and school).…”

mentioning

confidence: 99%

Factors associated with the implementation of the Familias Unidas intervention in a type 3 translational trial

George

Huang

Vidot

et al. 2015

Behav. Med. Pract. Policy Res.

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This study highlights how Familias Unidas, a Hispanicspecific, evidence-based, family centered preventive intervention, progressed from intervention development (type 1 translation; T1) through rigorous evaluation (T2) and examines the role of intervention fidelity-adherence and competence-in a T3 trial. Effects of participant, provider, and organizational variables on direct (observational) and indirect (self-reported) fidelity were examined as were effects of fidelity. Two structural equation models were estimated using data from 367 Hispanic parent-adolescent dyads randomized to Familias Unidas. Facilitator perceptions of parental involvement in schools, school performance grade, and school socioeconomic status predicted indirect adherence ratings, which were positively related to adolescent substance use. Facilitator openness to evidence-based practices was associated with indirect competence ratings, school performance grade and size were associated with direct competence ratings, and direct competence ratings were negatively associated with substance use. Findings highlight unique contributions of direct and indirect fidelity ratings in the implementation of Familias Unidas.

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Ecodevelopmental HIV prevention programs for Hispanic adolescents.

Abstract: The purpose of this article is to illustrate how an

Cited by 108 publications

References 76 publications

A Quasi-Experimental Evaluation of a Community-Based HIV Prevention Intervention for Mexican American Female Adolescents: The Shero's Program

A Quasi-Experimental Evaluation of a Community-Based HIV Prevention Intervention for Mexican American Female Adolescents: The Shero's Program

Family Functioning, Identity, and Problem Behavior in Hispanic Immigrant Early Adolescents

Factors associated with the implementation of the Familias Unidas intervention in a type 3 translational trial

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