Social Determinants of Depression Among Hispanic Women

Oliveira, Giovanna De; Cianelli, Rosina; Gattamorta, Karina A.; Kowalski, Norma; Peragallo, Nilda

doi:10.1177/1078390316669230

Cited by 51 publications

(35 citation statements)

References 36 publications

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“…The importance of this outcome in validating the effectiveness of the SEPA program should be examined within the context that females and persons of Hispanic origins respectively have the highest and second highest rates of depression in the United States. 42 More importantly, significant associations between depressive symptoms and HIV risk among Hispanic women exist in the literature. 40 Depressive symptoms have also been found to inversely correlate with self-esteem among Hispanic women.…”

Section: Discussionmentioning

confidence: 99%

Evaluating a Culturally Tailored HIV Risk Reduction Intervention Among Hispanic Women Delivered in a Real-World Setting by Community Agency Personnel

et al. 2018

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To evaluate the effectiveness of Salud, Educació n, Prevenció n, y Autocuidad/Health, Education, Prevention and Selfcare (SEPA) to increase human immunodeficiency virus (HIV)/sexually transmitted infections (STI) prevention behaviors for Hispanic women delivered in a real-world setting. Design: Randomized controlled trial. Setting: Participants were recruited from the Miami Refugee Center, the Florida Department of Health, and public locations in Miami. Participants: Three hundred twenty Hispanic women. Intervention: The SEPA is a culturally tailored intervention developed to address HIV/STI risk behaviors among Hispanic women. The SEPA intervention consisted of three 2.5 hour sessions per week conducted with small groups. The SEPA sessions consisted of group discussions, role playing, negotiation skills, partner communication, and skills building as part of the methodology. Measures: Acculturation, HIV/STI risk behaviors, HIV knowledge, partner communication, intimate partner violence, drug/ alcohol use, condom use. Analysis: Differences at baseline by group were assessed using Wilcoxon rank sum test, w 2 , and a negative-binomial model. Changes in dependent variables, compared to baseline, were analyzed in separate models. Log-binomial models and negative binomial models were used for dichotomous and count/rate-type dependent variables. Results: Significant outcome improvements were observed in the SEPA group at 6 and 12 months follow-up. The adjusted prevalence of any condom use was 30% and 37% higher at each follow-up. The adjusted prevalence of answering 10/12 HIV knowledge questions correctly rose by 57% and 63% at each follow-up. Intimate partner violence was significantly lower at each subsequent time point (62% and 41% of baseline). Moderate depressive symptoms were reduced to 50% and 42%, getting drunk was reduced to 20% and 30%, and condom use self-efficacy was significantly higher (84% and 96%). Conclusion: The SEPA intervention reduced HIV/STI risk-related behaviors when delivered in a real-world setting. The results suggest that SEPA can be implemented in various settings to reach Hispanic women, and that SEPA could reach large numbers of women in an efficient, cost-effective way.

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Section: Discussionmentioning

confidence: 99%

Evaluating a Culturally Tailored HIV Risk Reduction Intervention Among Hispanic Women Delivered in a Real-World Setting by Community Agency Personnel

et al. 2018

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“…In the present study, the internal consistency was α = .74 for the acculturation Hispanic domain subscale and α = .95 for the acculturation non‐Hispanic domain. Previous studies including a sample of Hispanic women have found an internal consistency of .82 for the Hispanic domain and .96 for the non‐Hispanic domain (De Oliveira, Cianelli, Gattamorta, Kowalski, & Peragallo, ).…”

Section: Methodsmentioning

confidence: 99%

Gender‐Role Attitudes Among Immigrant Latinas: Empowering Women

Villalba¹,

Ramírez-Ortiz²,

Dévieux³

et al. 2018

World Med & Health Policy

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In general Latinos hold more conservative attitudes regarding gender roles when compared to Whites. However, Latinos born in the United States with higher education are more likely to have egalitarian gender role attitudes compared to Latino immigrants. The aim of this study was to analyze the relationship between gender role attitudes and acculturation, marianismo, and relationship control, among Latina immigrants living in the United States. A hierarchical regression and correlation analysis were used to measure the outcome of this study. A total of 234 women were included in the study with a mean age of 34 years old. The education level was less than high school (53 percent), with the majority employed (54 percent). The average time living in the United States was 8 years (SD = 2.0). Acculturation, marianismo, and relationship control were significantly associated with gender‐role, R2 = .207, F (3, 95) = 11.3, p = 0.001. The correlation analysis showed an inverse relationship between egalitarian attitudes and marianismo (r = −.304, p < .0005) and a positive relationship with acculturation (r = .295, p < .0005). Egalitarian gender role attitudes were observed with an inverse bidirectional relationship between marianismo and acculturation among Latino immigrant women living in the United States.

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“…Further research on depression among OBWLH is needed to address the multiple factors that play a role in the developing of the condition. This population is particularly vulnerable as women are affected with depression at higher rates than men, and minority women are affected at higher rates than Caucasian women (De Oliveira, Cianelli, Gattamorta, Kowalski, & Peragallo, 2017). This study identified predictive and protective factors for OBWLH who have moderate to severe depressive symptoms (which was 90% of the sample).…”

Section: Discussionmentioning

confidence: 99%

Social Determinants of Depression Among Older Black Women Living With HIV

Oliveira

Cianelli

Villegas

et al. 2019

J Am Psychiatr Nurses Assoc

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BACKGROUND: The prevalence of depression spans age-groups, but it can be particularly destructive for older people with chronic illness. Among older Black women living with HIV (OBWLH), multiple social determinants have been associated with the prevalence and severity of depression. A greater understanding of the impact of the social determinants at the individual, interpersonal, and community levels is needed. AIMS: To explore social determinants of depression among OBWLH at the intrapersonal, interpersonal, and community levels. METHOD: Cross-sectional descriptive design. RESULTS: A total of 118 OBWLH were analyzed in the study. Depression was prevalent among the participants. Approximately 89.8% of the participants had moderate to severe depressive symptoms. Health status, exercise, and social support were significant predictors of depression in the sample. CONCLUSION: Social determinants at multiple levels play a significant role in the occurrence and management of depression among OBWLH. Implications for practice, education, and research can be drawn from these findings.

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Social Determinants of Depression Among Hispanic Women

Cited by 51 publications

References 36 publications

Evaluating a Culturally Tailored HIV Risk Reduction Intervention Among Hispanic Women Delivered in a Real-World Setting by Community Agency Personnel

Evaluating a Culturally Tailored HIV Risk Reduction Intervention Among Hispanic Women Delivered in a Real-World Setting by Community Agency Personnel

Gender‐Role Attitudes Among Immigrant Latinas: Empowering Women

Social Determinants of Depression Among Older Black Women Living With HIV

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