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https://www.readbyqxmd.com/read/28337560/medical-mistrust-as-a-key-mediator-in-the-association-between-perceived-discrimination-and-adherence-to-antiretroviral-therapy-among-hiv-positive-latino-men
#1
Frank H Galvan, Laura M Bogart, David J Klein, Glenn J Wagner, Ying-Tung Chen
Discrimination has been found to have deleterious effects on physical health. The goal of the present study was to examine the association between perceived discrimination and adherence to antiretroviral therapy (ART) among HIV-positive Latino men and the extent to which medical mistrust serves as a mediator of that association. A series of linear and logistic regression models was used to test for mediation for three types of perceived discrimination (related to being Latino, being perceived as gay and being HIV-positive)...
March 23, 2017: Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28334935/genome-wide-association-study-of-iron-traits-and-relation-to-diabetes-in-the-hispanic-community-health-study-study-of-latinos-hchs-sol-potential-genomic-intersection-of-iron-and-glucose-regulation
#2
Laura M Raffield, Tin Louie, Tamar Sofer, Deepti Jain, Eli Ipp, Kent D Taylor, George J Papanicolaou, Larissa Avilés-Santa, Leslie A Lange, Cathy C Laurie, Matthew P Conomos, Timothy A Thornton, Yii-Der Ida Chen, Qibin Qi, Scott Cotler, Bharat Thyagarajan, Neil Schneiderman, Jerome I Rotter, Alex P Reiner, Henry J Lin
Genetic variants contribute to normal variation of iron-related traits and may also cause clinical syndromes of iron deficiency or excess. Iron overload and deficiency can adversely affect human health. For example, elevated iron storage is associated with increased diabetes risk, although mechanisms are still being investigated. We conducted the first genome-wide association study (GWAS) of serum iron, total iron binding capacity (TIBC), transferrin saturation, and ferritin in a Hispanic/Latino cohort, the Hispanic Community Health Study/Study of Latinos (HCHS/SOL; >12,000 participants) and also assessed the generalization of previously known loci to this population...
March 7, 2017: Human Molecular Genetics
https://www.readbyqxmd.com/read/28334336/ophthalmic-screening-patterns-among-youths-with-diabetes-enrolled-in-a-large-us-managed-care-network
#3
Sophia Y Wang, Chris A Andrews, Thomas W Gardner, Michael Wood, Kanakadurga Singer, Joshua D Stein
Importance: Ophthalmic screening to check for diabetic retinopathy (DR) is important to prevent vision loss in persons with diabetes. The American Academy of Ophthalmology recommends that ophthalmic screening for DR occur beginning at 5 years after initial diabetes diagnosis for youths with type 1 diabetes; the American Diabetes Association recommends screening of youths with type 2 diabetes at the time of initial diagnosis. To our knowledge, it is unknown to what extent youths with diabetes obtain eye examinations in accordance with these guidelines...
March 23, 2017: JAMA Ophthalmology
https://www.readbyqxmd.com/read/28333604/patient-preferences-for-discussing-childhood-trauma-in-primary-care
#4
Ellen Goldstein, Ninad Athale, Andrés F Sciolla, Sheryl L Catz
CONTEXT: Exposure to traumatic events is common in primary care patients, yet health care professionals may be hesitant to assess and address the impact of childhood trauma in their patients. OBJECTIVE: To assess patient preferences for discussing traumatic experiences and posttraumatic stress disorder (PTSD) with clinicians in underserved, predominantly Latino primary care patients. DESIGN: Cross-sectional study. MAIN OUTCOME MEASURE: We evaluated patients with a questionnaire assessing comfort to discuss trauma exposure and symptoms using the Adverse Childhood Experiences (ACE) Study questionnaire and the Primary Care-PTSD screen...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28332066/cultural-variables-underlying-obesity-in-latino-men-design-rationale-and-participant-characteristics-from-the-latino-men-s-health-initiative
#5
Lisa Sanchez-Johnsen, Meredith Craven, Magdalena Nava, Angelica Alonso, Amanda Dykema-Engblade, Alfred Rademaker, Hui Xie
Overweight and obesity are associated with significant health problems and rates of obesity are high among Latino men. This paper describes the design, rationale and participant characteristics of the key demographic variables assessed in an NIH-funded study (R21-CA143636) addressing culture and several obesity-related variables (diet, physical activity, and body image) among Mexican and Puerto Rican men using a community-based participatory research framework. Participants completed objective measures (height, weight, body fat, hip, waist), a health and culture interview, a diet questionnaire, and used an accelerometer to measure their level of physical activity...
March 23, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28329844/the-influence-of-exercise-on-cognitive-function-in-older-hispanic-latino-adults-results-from-the-%C3%A2-caminemos-study
#6
Lissette M Piedra, Flavia C D Andrade, Rosalba Hernandez, Seth William Boughton, Laura Trejo, Catherine A Sarkisian
Purpose of the Study: We examined the prospective effect of an evidence-based exercise intervention (¡Caminemos!) on cognitive function among older Hispanic/Latino adults and the potential synergistic effects (if any) of an attribution-retraining intervention given to a random sample to counter negative ascriptions of the aging process. Design and Methods: We analyzed baseline and follow-up (1- and 2-year) data collected from Hispanics/Latinos ≥60 years (N = 571) who participated in ¡Caminemos! across 27 senior centers...
March 15, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329091/association-between-sleep-timing-obesity-diabetes-the-hispanic-community-health-study-study-of-latinos-hchs-sol-cohort-study-sleep-timing-obesity-and-diabetes
#7
Kristen L Knutson, Donghong Wu, Sanjay R Patel, Jose S Loredo, Susan Redline, Jianwen Cai, Linda C Gallo, Yasmin Mossavar-Rahmani, Alberto R Ramos, Yanping Teng, Martha L Daviglus, Phyllis C Zee
Study Objectives: Recent studies implicate inadequate sleep duration and quality in metabolic disease. Fewer studies have examined the timing of sleep, which may be important because of its potential impact on circadian rhythms of metabolic function. We examined the association between sleep timing and metabolic risk among Hispanic/Latino adults. Methods.: Cross-sectional data from community-based study of 13,429 participants aged 18-74 years. People taking diabetes medications were excluded...
January 28, 2017: Sleep
https://www.readbyqxmd.com/read/28324794/the-socio-political-context-of-migration-and-reproductive-health-disparities-the-case-of-early-sexual-initiation-among-mexican-origin-immigrant-young-women
#8
Kate Coleman-Minahan
Prior research often explains the lower risk of early sexual initiation among foreign-born Mexican-origin young women by a patriarchal and sexually conservative "traditional Latino culture." This definition overlooks structural factors such as exploitation of migrant workers, and conflates gender inequality and sexual expectations. I use an intersectional framework and the theory of gender and power to explore how gender inequality and sexual expectations are both influenced by structural factors and affect reproductive health outcomes...
March 9, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28320212/effect-of-the-national-diabetes-prevention-program-on-weight-loss-for-english-and-spanish-speaking-latinos
#9
Natalie D Ritchie, Liesel Christoe-Frazier, Kim K McFann, Edward P Havranek, Rocio I Pereira
PURPOSE: To study the effect of the National Diabetes Prevention Program (NDPP) on weight loss in Latinos. DESIGN: No-control, cohort study comparing Latino and non-Hispanic white (NHW) participants. SETTING: A health-care system. PARTICIPANTS: Five hundred sixty-seven Latino and 175 NHW patients who enrolled in the NDPP. A total of 45.2% of Latinos selected the Spanish-language NDPP. INTERVENTION: The NDPP is a nationwide translation of a clinical trial and seeks to prevent diabetes through weight loss in a yearlong group program...
January 1, 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/28317385/does-perceived-safety-modify-the-effectiveness-of-a-walking-group-intervention-designed-to-promote-physical-activity
#10
Jamila L Kwarteng, Amy J Schulz, Graciela B Mentz, Barbara A Israel, Trina R Shanks, Denise White Perkins
PURPOSE: To examine whether perceived safety modified the effectiveness of the Walk Your Heart to Health (WYHH) intervention in promoting physical activity and reducing central adiposity in predominantly non-Latino black (henceforth black) and Latino communities. DESIGN: Generalized estimation equations were used to assess modifying effects of perceived safety on the route and perceived neighborhood safety on (1) WYHH participation at 8 weeks and 32 weeks, (2) associations between participation and physical activity, and (3) associations between physical activity and central adiposity...
January 1, 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/28288073/association-of-the-affordable-care-act-with-smoking-and-tobacco-treatment-utilization-among-adults-newly-enrolled-in-health-care
#11
Kelly C Young-Wolff, Daniella Klebaner, Cynthia I Campbell, Constance Weisner, Derek D Satre, Alyce S Adams
OBJECTIVES: To examine rates of smoking and tobacco treatment utilization by insurance coverage status (Medicaid, commercial, exchange) among newly enrolled patients in the post Affordable Care Act (ACA) era. METHODS: We examined new members who enrolled in Kaiser Permanente Northern California through Medicaid, the California exchange, or nonexchange commercial plans (N=122,298) in the first 6 months of 2014 following ACA implementation. We compared these groups on smoking prevalence and tested whether smokers in each group differed on sociodemographic characteristics and in their utilization of tobacco treatment (pharmacotherapy and counseling) in 2014...
March 10, 2017: Medical Care
https://www.readbyqxmd.com/read/28284748/sexual-and-behavioral-health-disparities-among-sexual-minority-hispanics-latinos-findings-from-the-national-health-and-nutrition-examination-survey-2001-2014
#12
Omar Martinez, Ji Hyun Lee, Frank Bandiera, E Karina Santamaria, Ethan C Levine, Don Operario
INTRODUCTION: Hispanics/Latinos (henceforth, Latinos) are the largest minority group in the U.S. With growing health disparities among this group, the highest burden remains among sexual and gender minority Latinos. Differences regarding sexual orientation have not been fully explored within this group using national representative samples. This study analyzed sexual and behavioral health disparities associated with sexual minority status among Latinos in the U.S. METHODS: The study included data from 5,598 Latino adults who participated in the 2001-2014 waves of the National Health and Nutrition Examination Survey...
March 8, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28277731/impostor-feelings-as-a-moderator-and-mediator-of-the-relationship-between-perceived-discrimination-and-mental-health-among-racial-ethnic-minority-college-students
#13
Kevin Cokley, Leann Smith, Donte Bernard, Ashley Hurst, Stacey Jackson, Steven Stone, Olufunke Awosogba, Chastity Saucer, Marlon Bailey, Davia Roberts
This study investigated whether impostor feelings would both moderate and mediate the relationship between perceived discrimination and mental health in a sample of diverse ethnic minority college students (106 African Americans, 102 Asian Americans, 108 Latino/a Americans) at an urban public university. African American students reported higher perceived discrimination than Asian American and Latino/a American students, while no racial/ethnic group differences were reported for impostor feelings. Analyses revealed that among African American students, high levels of impostor feelings moderated the perceived discrimination and depression relationship and mediated the perceived discrimination and anxiety relationship...
March 2017: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/28277687/subjective-social-status-and-rumination-in-relation-to-anxiety-and-depressive-symptoms-and-psychopathology-among-economically-disadvantaged-latinos-in-primary-care
#14
David C Talavera, Daniel J Paulus, Monica Garza, Melissa Ochoa-Perez, Chad Lemaire, Jeanette Valdivieso, Daniel Bogiaizian, Zuzuky Robles, Jafar Bakhshaie, Kara Manning, Rheeda Walker, Michael Businelle, Michael J Zvolensky
The present investigation examined the interactive effects of subjective social status and rumination in relation to anxiety/depressive symptoms and psychopathology among 276 Latinos (82% female; Mage = 39.2, SD = 11.1; 97.0% reported Spanish as first language) who attended a community-based primary health care clinic. Results indicated that the interaction between rumination and subjective social status was significantly associated with depression (B = -.04, t = -3.52, p < .001, 95% CI [-.06, -.02]), social anxiety (B = -...
March 9, 2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28277029/physical-psychiatric-comorbidity-patterns-and-explanations-for-ethnic-group-differences
#15
Christy L Erving
OBJECTIVE: This paper examines ethnic differences in the co-occurrence of physical and psychiatric health problems (physical-psychiatric comorbidity) for women and men. The following ethnic groups are included: Non-Latino Whites, African Americans, Caribbean Blacks, Spanish Caribbean Blacks, Mexicans, Cubans, Puerto Ricans, Other Latinos, Chinese, Filipinos, Vietnamese, and Other Asian Americans. In addition, the study assesses the extent to which social factors (socioeconomic status, stress exposure, social support) account for ethnic differences in physical-psychiatric comorbidity (PPC)...
February 7, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28277024/structural-social-support-and-cardiovascular-disease-risk-factors-in-hispanic-latino-adults-with-diabetes-results-from-the-hispanic-community-health-study-study-of-latinos-hchs-sol
#16
Rosalba Hernandez, Mercedes Carnethon, Aida L Giachello, Frank J Penedo, Donghong Wu, Orit Birnbaum-Weitzman, Rebeca Espinoza Giacinto, Linda C Gallo, Carmen R Isasi, Neil Schneiderman, Yanping Teng, Donglin Zeng, Martha L Daviglus
OBJECTIVE(S): Cross-sectional and longitudinal studies have yielded inconsistent findings on the associations of social support networks with cardiovascular health in Hispanic/Latino adults with diabetes. We examined the cross-sectional associations of structural social support and traditional cardiovascular disease (CVD) risk factors in a diverse sample of Hispanic/Latino adults with diabetes. RESEARCH DESIGN AND METHODS: This analysis included 2994 adult participants ages 18-74 with diabetes from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL - 2008-2011)...
February 23, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28277017/the-relationship-of-education-and-acculturation-with-vigorous-intensity-leisure-time-physical-activity-by-gender-in-latinos
#17
Erick B López, Takashi Yamashita
OBJECTIVES: Latinos have poorer health outcomes among certain conditions (e.g. diabetes, obesity, mental health) compared to non-Latino Whites in the U.S., in part due to difference in the amount of physical activity, which are heavily influenced by sociocultural factors such as educational attainment and acculturation. Vigorous-intensity leisure time physical activity (VLTPA) may provide health benefits with a shorter amount of time than moderate-to-light physical activity. However, VLTPA has been significantly understudied compared to LTPA in general...
February 28, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28276924/latino-men-who-have-sex-with-transgendered-women-the-influence-of-heteronormativity-homonegativity-and-transphobia-on-gender-and-sexual-scripts
#18
Miguel Muñoz-Laboy, Nicolette Severson, Ethan Levine, Omar Martínez
Latino men who have sex with transgender women make up an overlooked sector of the population that requires more attention than is currently given in sexuality and gender studies, particularly in regard to their non-commercial, long-term sexual and romantic relationships with transgender women. Sixty-one sexual histories were selected for this qualitative analysis from a larger study on Latino male bisexuality in the New York City metropolitan area. Findings suggest that participants' sexual and gender scripts with transgender women are strongly regulated by heteronormativity...
February 13, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28274345/making-the-cut-depression-screening-in-urban-general-hospital-clinics-for-culturally-diverse-latino-populations
#19
Damara Gutnick, Carole Siegel, Eugene Laska, Joseph Wanderling, Ellen Cogen Wagner, Gary Haugland, Mary K Conlon
OBJECTIVES: We examined whether the cut-point 10 for the Patient Health Questionnaire-9 (PHQ9) depression screen used in primary care populations is equally valid for Mexicans (M), Ecuadorians (E), Puerto Ricans (PR) and non-Hispanic whites (W) from inner-city hospital-based primary care clinics; and whether stressful life events elevate scores and the probability of major depressive disorder (MDD). METHODS: Over 18-months, a sample of persons from hospital clinics with a positive initial PHQ2 and a subsequent PHQ9 were administered a stressful life event questionnaire and a Structured Clinical Interview to establish an MDD diagnosis, with oversampling of those between 8 and 12: (n=261: 75 E, 71 M, 51 PR, 64 W)...
March 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28274336/examining-psychotropic-medication-use-among-youth-in-the-u-s-by-race-ethnicity-and-psychological-impairment
#20
Benjamin Lê Cook, Nicholas J Carson, E Nilay Kafali, Anne Valentine, Juan David Rueda, Sarah Coe-Odess, Susan Busch
OBJECTIVE: Clinical practice guidelines underscore the need for careful evaluation of the risk-benefit ratio of psychotropic medications treating mental health disorders among youth. While it is well known that racial/ethnic disparities exist in psychotropic medication use, little is known about whether these differences are driven by over-prescribing among white youth, under-prescribing among minority youth, or both. To build evidence in this area, this study examined racial/ethnic differences in the prescription of psychotropic medications among youth with and without psychological impairment...
March 2017: General Hospital Psychiatry
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