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1.
AIDS Educ Prev ; 36(3): 182-197, 2024 06.
Article in English | MEDLINE | ID: mdl-38917302

ABSTRACT

This analysis examined correlates of HIV testing among Asian immigrant female sex workers in massage parlors. We interviewed 69 Chinese and Korean immigrant women who provided sexual services in massage parlors in New York City or Los Angeles County (2014-2016). Multivariable logistic regression results showed that participants who were younger, have lived in the U.S. for a longer period of time, had greater English proficiency, perceived higher HIV risk, or were living with an intimate partner were more likely to have had an HIV test. Disclosing sex work to a close friend was also positively associated with HIV testing at p < .1. These correlates may reflect differential access to information, systems, and social networks that would facilitate HIV testing, highlighting the importance of reducing social isolation and increasing HIV education, especially for older women who have come to the U.S. more recently. As the literature has indicated that Asian immigrant female sex workers experience high rates of intersectional stigma, efforts to mitigate these intersecting stigmas could further these objectives.


Subject(s)
Asian , Emigrants and Immigrants , HIV Infections , HIV Testing , Sex Workers , Social Stigma , Humans , Female , Sex Workers/statistics & numerical data , Sex Workers/psychology , Emigrants and Immigrants/statistics & numerical data , Emigrants and Immigrants/psychology , New York City/epidemiology , Los Angeles , Adult , Asian/psychology , Asian/statistics & numerical data , HIV Infections/ethnology , HIV Infections/diagnosis , HIV Infections/psychology , HIV Testing/statistics & numerical data , Middle Aged , Young Adult , Sex Work/statistics & numerical data , Sexual Partners , Interviews as Topic
2.
Cult Health Sex ; 26(2): 159-173, 2024 Feb.
Article in English | MEDLINE | ID: mdl-36995142

ABSTRACT

Transgender women face a disproportionate burden of carceral violence, or violence related to policing and the criminal legal system, with transgender women of colour experiencing even greater disparities. Several frameworks conceptualise the mechanisms through which violence impacts transgender women. However, none of them directly explore the role of carceral violence, particularly as it is experienced by transgender women themselves. Sixteen in-depth interviews were conducted with a racially/ethnically diverse sample of transgender women in Los Angeles between May and July 2020. Participants were between 23 - 67 years old. Participants identified as Black (n = 4), Latina (n = 4), white (n = 2), Asian (n = 2), and Native American (n = 2). Interviews assessed experiences of multilevel violence, including from police and law enforcement. Deductive and inductive coding methods were used to identify and explore common themes concerning carceral violence. Experiences of law enforcement-perpetrated interpersonal violence were common and included physical, sexual and verbal abuse. Participants also highlighted structural violence, including misgendering, the non-acceptance of transgender identities, and police intentionally failing to uphold laws that could protect transgender women. These results demonstrate the pervasive, multilevel nature of carceral violence perpetrated against transgender women and suggest avenues for future framework development, trans-specific expansions of carceral theory, and system-wide institutional change.


Subject(s)
Transgender Persons , Transsexualism , Humans , Female , Young Adult , Adult , Middle Aged , Aged , Los Angeles , Violence , Sexual Behavior
3.
J Nerv Ment Dis ; 212(3): 159-165, 2024 Mar 01.
Article in English | MEDLINE | ID: mdl-38113933

ABSTRACT

ABSTRACT: The present study explores the relationship between bullying victimization and suicidal thoughts among African American adolescents in urban neighborhoods. The study, which was guided by the general strain theory, proposed and tested potential pathways that link bullying victimization with suicidal thoughts through the mediators including emotional distress, low future orientation, hopelessness, and drug use. The study sample included 414 African American adolescents who were between ages 12 and 22 years and residing in low-income Chicago's South Side neighborhoods. Descriptive statistics, bivariate correlation, and path analyses were conducted. Bullying victimization was not significantly related to suicidal thoughts, although it was positively associated with emotional distress and drug use. The association between low future orientation and hopelessness was bidirectional. The study findings have implications for practice, which is important as resources to assist adolescents who are affected by violence tend to be limited.


Subject(s)
Bullying , Crime Victims , Substance-Related Disorders , Adolescent , Humans , Black or African American , Bullying/psychology , Crime Victims/psychology , Substance-Related Disorders/psychology , Suicidal Ideation , Violence , Child , Young Adult
4.
Behav Sci (Basel) ; 13(10)2023 Oct 11.
Article in English | MEDLINE | ID: mdl-37887484

ABSTRACT

The present study investigates whether less computer access is associated with an increase or decrease in cyberbullying and face-to-face bullying victimization. Data were derived from the 2009-2010 Health Behavior in School-Aged Children U.S. Study, consisting of 12,642 adolescents aged 11, 13, and 15 years (Mage = 12.95). We found that less computer usage was negatively associated with cyberbullying victimization and face-to-face bullying victimization. The findings from the study have implications for research and practice.

5.
J Interpers Violence ; 38(5-6): 5019-5043, 2023 03.
Article in English | MEDLINE | ID: mdl-36062750

ABSTRACT

Within the United States, transgender women face a disproportionate burden of violence, experiencing increased rates of multiple forms of violence compared with cisgender women and other sexual/gender minority groups. Among transgender women, further racial/ethnic disparities in experiences of violence exist. Resilience has been shown to be protective against the adverse impacts of violence on mental and physical health outcomes, yet little is known about unique sources of resilience, coping, and strength among transgender women. Sixteen in-depth interviews were conducted with a racially diverse sample of transgender women between May and July, 2020 in Los Angeles. Participants were between the ages of 23 and 67 years. Four participants identified as African American/Black, four as Latina, four as White, two as Asian, and two as Native American. Participants were recruited from a local social service organization. Interview questions assessed social network characteristics, experiences of violence, coping mechanisms, and sources of resilience in response to violence. Deductive and inductive coding schemes were used to identify common themes, and data analysis focused upon experiences of violence and sources of resilience/coping. Violence was common among members of the sample, with every participant reporting a history of multiple forms of violence. Violence perpetration came from many sources, including cisgender male strangers, family members, intimate partners, and other transgender women. Women also reported multiple sources of strength and coping, including engaging in self-care and leisure activities, behavioral adaptations, mentorship/support from other transgender women, and striving to "pass" as cisgender. Despite having faced extensive violence, the participants in this sample were resilient, demonstrating many internal and external coping mechanisms and sources of strength. These findings can inform programs and services that target transgender women, providing participants with opportunities to build resilience and other coping mechanisms to buffer the harmful mental and physical health impacts of exposure to violence.


Subject(s)
Transgender Persons , Humans , Male , Female , United States , Young Adult , Adult , Middle Aged , Aged , Los Angeles , Violence , Sexual Behavior , Gender Identity
6.
AIDS Behav ; 27(2): 535-544, 2023 Feb.
Article in English | MEDLINE | ID: mdl-36048289

ABSTRACT

This study conducted 28 semi-structured, in-depth interviews with Young Black Men who have Sex with Men in Chicago to investigate the impact of COVID-19 on their HIV care and ancillary service access. The qualitative analysis identified both negative and positive effects. The negative effects included: (l) mixed disruptions in linkage to and receipt of HIV care and ancillary services, and (2) heightened concerns about police and racial tensions in Chicago following the murder of George Floyd, contributing to possible disruption of retention in care. The positive effects included: (1) the ability to reflect and socially connect, contributing to heightened self-care and retention in care, and (2) some improvements in receipt of medical care. These findings suggest that while COVID-19 disruptions in care reduced in-person use of HIV care, the expansion of telemedicine allowed more administrative tasks to be handled online and focused in-person interactions on more substantive interactions.


Subject(s)
COVID-19 , HIV Infections , Sexual and Gender Minorities , Male , Humans , Homosexuality, Male , HIV Infections/epidemiology , HIV Infections/therapy , Chicago/epidemiology
7.
Int J Transgend Health ; 23(1-2): 232-242, 2022.
Article in English | MEDLINE | ID: mdl-35403117

ABSTRACT

Background: Transgender women of Color experience disproportionate rates of HIV, depression, and anxiety, and high rates of substance use, attempted suicide, and interpersonal verbal, physical, and sexual violence and assault. However, there are few interventions targeting transgender women of Color that address overlapping health and mental health challenges. Aims: There are two aims/research questions: (1) what are the elements of a transgender-centric model for delivering evidence based interventions and practices?, and (2) does Seeking Safety improve substance use and mental health outcomes for transgender women of Color? Methods: We present a case study of the delivery process of Seeking Safety by Special Service for Groups/Asian Pacific AIDS Intervention Team (SSG/APAIT), and analyze baseline and three month post program participant data (n = 81). Results: The transgender-centric model of intervention delivery consisted of multiple steps, also integrating the structural disadvantages experienced by transgender women of Color. Comparing baseline and three months after completion showed significant decrease in reported alcohol use, depression, and severe anxiety. Discussion: Transgender-centric approaches may lead to programs that significantly improve co-occurring substance use and mental health for transgender women of Color. We recommend that organizations aiming to existing programs include feedback from members of the communities that the adapted programs aim to help, and in addition, train community members to deliver the programs. The statistical results indicate that Seeking Safety, a trauma-based program with a short program delivery timeline, may show longer term effects on substance use and mental health. We recommend that programs targeting substance use and mental health for transgender women of Color should be combined with services that address disadvantage (i.e., lack of access to housing, income/employment, health care).

8.
J Sch Health ; 92(8): 786-793, 2022 08.
Article in English | MEDLINE | ID: mdl-35347734

ABSTRACT

BACKGROUND: This study examined pathways from peer victimization to alcohol use and the role of parental support in mediating potential peer effects among biracial youth. Given a significant dearth of research on biracial youth, this study addresses this significant gap in the extant literature. METHODS: Secondary data analyses were conducted using the Health Behavior in School-Aged Children (HBSC) study in the United States. This study enrolled 492 self-identified biracial school-aged youth using a nationally representative sampling of public and private schools. RESULTS: Structural equation modeling was computed to test the mediational effects of low number of close friends, affiliation with delinquent friends, and parental support on alcohol use. Major findings indicated that affiliation with delinquent friends was correlated with higher alcohol use, higher levels of parental support were correlated with lower peer victimization, and higher levels of parental support were negatively correlated with affiliation with delinquent peers and alcohol use. CONCLUSIONS: Parental and peer effects remain salient for biracial youth who are navigating adolescence and experiencing peer victimization. School-based interventions that include parents and friends of biracial youth are likely to be effective in reducing peer victimization and its negative sequelae.


Subject(s)
Bullying , Crime Victims , Adolescent , Child , Humans , Parents , Peer Group , Risk Factors , United States
9.
J Adolesc Health ; 68(5): 937-944, 2021 05.
Article in English | MEDLINE | ID: mdl-33431249

ABSTRACT

PURPOSE: We present a conceptual framework based on a review of the literature to highlight the interconnecting and reinforcing elements of a violence syndemic and how this syndemic influences sexual risk behaviors among African American heterosexual adolescents. METHODS: We review existing peer-reviewed published research from 2000 to 2020 that links a violence syndemic (i.e., racism and race-related stress, neighborhood and police violence, peer violence, and family violence and disruptions) to adolescent sexual risk behaviors. Empirical findings and theoretical underpinnings are used to document this relationship and illuminate the factors that mediate this relationship. RESULTS: Empirical studies support the links between specific types of violence and sexual risk behaviors among African American adolescents. Further, existing studies point to the important relationships among the specific types of violence, supporting a violence syndemic approach. CONCLUSIONS: While more researchers are examining socio-ecological contextual factors as important predictors for sexual risk behaviors, there remains inadequate understanding about how violence types reinforce one another to heighten sexual risk behaviors among African American heterosexual adolescents. This article presents new directions for adolescent research, especially how a violence syndemic approach can be used to explain sexual risk, but also to refocus intervention design on the complex burdens experienced by this population.


Subject(s)
HIV Infections , Substance-Related Disorders , Adolescent , Black or African American , Humans , Risk-Taking , Sexual Behavior , Syndemic , Violence
10.
J Plan Educ Res ; 20192019 Jul.
Article in English | MEDLINE | ID: mdl-32982037

ABSTRACT

Immigrant-run sexually oriented massage parlors embody the intersection of important planning issues, including inequitable distribution of controversial land uses and economic functions of illicit businesses. We analyzed geocoded data from a ratings website to examine sexually oriented massage parlor clustering in Los Angeles County (LAC) and New York City (NYC). In LAC, clustering occurred in areas with more Asian and Hispanic residents. In NYC, clustering occurred mostly in Manhattan and was negatively associated with household size. Local regulation did not appear to affect clustering. Study findings hold lessons about both more effective regulation and enabling economic development in immigrant populations.

11.
Ethn Dis ; 28(Suppl 1): 261-266, 2018.
Article in English | MEDLINE | ID: mdl-30116096

ABSTRACT

Public Health Critical Race Praxis (PHCRP) contributes three functional elements to health equity studies: a race conscious orientation; an antiracism lexicon based on Critical Race Theory (CRT); and an integrated, reflexive approach. Few big data studies employ all three functional elements. Therefore, this article describes the application of PHCRP to the Human Immunodeficiency Virus Testing, Linkage and Retention in care (HIV TLR) study (N=3,476,741), which connects multiple large datasets to electronic medical records to examine contextual determinants of racial/ethnic disparities in HIV care continuum outcomes in southern California. As HIV TLR demonstrates, PHCRP's innovative tools and strategies help big data research maintain fidelity to CRT.


Subject(s)
Big Data , HIV Infections/ethnology , Public Health , Racism/prevention & control , Ethnicity , Health Equity/statistics & numerical data , Humans , Psychology, Social , Public Health/methods , Public Health/statistics & numerical data , Research Design , Retention in Care
12.
Health Place ; 43: 104-112, 2017 01.
Article in English | MEDLINE | ID: mdl-28012312

ABSTRACT

This study examined the relationship between racial/ethnic residential segregation and access to health care in rural areas. Data from the Medical Expenditure Panel Survey were merged with the American Community Survey and the Area Health Resources Files. Segregation was operationalized using the isolation index separately for African Americans and Hispanics. Multi-level logistic regression with random intercepts estimated four outcomes. In rural areas, segregation contributed to worse access to a usual source of health care but higher reports of health care needs being met among African Americans (Adjusted Odds Ratio [AOR]: 1.42, CI: 0.96-2.10) and Hispanics (AOR: 1.25, CI: 1.05-1.49). By broadening the spatial scale of segregation beyond urban areas, findings showed the complex interaction between social and spatial factors in rural areas.


Subject(s)
Black or African American/statistics & numerical data , Ethnicity , Health Services Accessibility/statistics & numerical data , Hispanic or Latino/statistics & numerical data , Rural Health Services/statistics & numerical data , Social Segregation , Adult , Female , Humans , Male , Residence Characteristics , Socioeconomic Factors , Surveys and Questionnaires , Urban Population/statistics & numerical data
13.
Am J Public Health ; 106(8): 1463-9, 2016 08.
Article in English | MEDLINE | ID: mdl-27310341

ABSTRACT

OBJECTIVES: To examine whether living in a rural versus urban area differentially exposes populations to social conditions associated with disparities in access to health care. METHODS: We linked Medical Expenditure Panel Survey (2005-2010) data to geographic data from the American Community Survey (2005-2009) and Area Health Resource File (2010). We categorized census tracts as rural and urban by using the Rural-Urban Commuting Area Codes. Respondent sample sizes ranged from 49 839 to 105 306. Outcomes were access to a usual source of health care, cholesterol screening, cervical screening, dental visit within recommended intervals, and health care needs met. RESULTS: African Americans in rural areas had lower odds of cholesterol screening (odds ratio[OR] = 0.37; 95% confidence interval[CI] = 0.25, 0.57) and cervical screening (OR = 0.48; 95% CI = 0.29, 0.80) than African Americans in urban areas. Whites had fewer screenings and dental visits in rural versus urban areas. There were mixed results for which racial/ethnic group had better access. CONCLUSIONS: Rural status confers additional disadvantage for most of the health care use measures, independently of poverty and health care supply.


Subject(s)
Ethnicity/statistics & numerical data , Health Services Accessibility/statistics & numerical data , Racial Groups/statistics & numerical data , Rural Population/statistics & numerical data , Urban Population/statistics & numerical data , Adolescent , Adult , Black or African American/statistics & numerical data , Cholesterol/blood , Dental Care/statistics & numerical data , Female , Hispanic or Latino/statistics & numerical data , Humans , Male , Middle Aged , Patient-Centered Care , Socioeconomic Factors , United States , Uterine Cervical Neoplasms/diagnosis , White People/statistics & numerical data , Young Adult
14.
Health Educ Behav ; 41(4): 406-13, 2014 Aug.
Article in English | MEDLINE | ID: mdl-24858792

ABSTRACT

Existing research suggests that religious institutions play a significant role in improving the health of communities, particularly those coping with racial and ethnic discrimination. Using the California Health Interview Survey, this article examines the relationship of self-reported experiences of racial/ethnic discrimination, worship attendance, and several health behaviors. Supporting existing research, higher self-reported racial/ethnic discrimination is associated with worse health behaviors. Logistic regression models indicate that the odds of engaging in healthy lifestyle behaviors significantly increase for those who report attending worship, compared with those who do not attend worship, with variations by race/ethnicity. Worship attendance moderates the association between discrimination and binge drinking, but does not moderate the association for smoking, walking, or being obese. Findings suggest that religious attendance plays an important role in the health and well-being of all population groups. More research is needed to ascertain the reasons why attending worship may have the ability to mitigate the relationship between racial/ethnic discrimination and health.


Subject(s)
Health Behavior/ethnology , Prejudice/ethnology , Racial Groups , Religion , Social Determinants of Health/ethnology , Adolescent , Adult , Aged , California , Cross-Sectional Studies , Female , Health Status Disparities , Health Surveys , Humans , Male , Middle Aged
15.
AIDS Educ Prev ; 25(6): 508-18, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24245597

ABSTRACT

Asian heterosexual women in the U.S. have experienced relative rising HIV case rates, but there remain few studies and no evidence-based interventions that focus on this population. This study was a randomized controlled trial of a gender and ethnically tailored HIV prevention intervention for monolingual Chinese-speaking women who work as masseuses in Los Angeles. The intervention was two group-based sessions focused on HIV risk and prevention knowledge and condom skills. The control condition was a single-session HIV review. Participants were recruited using newspaper advertisements and referrals from agencies and massage schools. Two hundred women were randomly assigned to one of each condition. Retention in both conditions exceeded 90% at 3-month follow-up. Participants in both conditions demonstrated increases in knowledge on how to use male and female condoms. These effects were sustained at 3-month follow-up. The results highlight the possible efficacy of a one-workshop intervention in increasing HIV knowledge, but that more intensive participant interaction may be needed for improved condom use knowledge.


Subject(s)
Asian People/statistics & numerical data , HIV Infections/prevention & control , Health Knowledge, Attitudes, Practice , Health Promotion/methods , Adult , Aged , China/ethnology , Condoms/statistics & numerical data , Counseling , Culture , Female , Follow-Up Studies , HIV Infections/ethnology , Humans , Los Angeles/epidemiology , Massage , Middle Aged , Outcome Assessment, Health Care/statistics & numerical data , Risk Reduction Behavior , Safe Sex/ethnology , Safe Sex/statistics & numerical data , Socioeconomic Factors , Surveys and Questionnaires , Young Adult
16.
Soc Sci Med ; 75(4): 699-708, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22647562

ABSTRACT

HIV and sexually transmitted human papillomavirus (HPV) are associated with each other and with the development of comorbid cancer. Current epidemiology indicates that among Pacific Islanders in the United States, young adults are at highest risk of HIV and HPV. In our inductive community based participatory research study, we used focus groups and key informant interviews (March-August 2010) with young adults, parents, community leaders, and providers (n = 95) to identify and contextualize factors that shape HIV and HPV risk and prevention among young adults in Chamorro and Tongan communities in Southern California. We identified nine themes that incorporated the following principal factors: misinformation and otherization; dominant concerns regarding premarital pregnancy; restricted intergenerational communication; family shame and privacy; gendered manifestations of religio-cultural norms; barriers impeding access to sexual health resources; parents' role in prevention; community vs. individual responsibility; and family and ethnic pride. Our thematic findings fit well with Rhodes' "risk and enabling environment" heuristic (2009), which we used to contextualize risk and prevention at micro and macro levels of physical, social, economic, and policy environments. We propose the addition of a separate cultural environment to the heuristic and conclude that a focus on applying individual and community agency at the micro-level would be an approachable starting point for intervention for our local Pacific Islander communities and groups in similar ecological contexts globally. Enhanced community-led education programs and engagement of religious and other community leaders to facilitate intergenerational communication could counteract taboos that obstruct prevention.


Subject(s)
HIV Infections/ethnology , Native Hawaiian or Other Pacific Islander , Papillomavirus Infections/ethnology , Adolescent , Adult , California , Community-Based Participatory Research , Female , HIV Infections/prevention & control , Humans , Male , Middle Aged , Native Hawaiian or Other Pacific Islander/statistics & numerical data , Papillomavirus Infections/prevention & control , Pregnancy , Qualitative Research , Risk Factors , Young Adult
17.
Prog Community Health Partnersh ; 6(1): 95-102, 2012.
Article in English | MEDLINE | ID: mdl-22643793

ABSTRACT

PROBLEM: This paper argues that it is necessary to strengthen Asian American, Native Hawaiian, and Pacific Islander (AA and NHPI) community-based participatory research (CBPR) models that integrate a health policy agenda through dynamic legislative partnerships. PURPOSE: We utilize a case study approach and examine three health research partnership models that impact legislative design and action: The California Program on Access to Care (CPAC), the California Health Benefits Review Program (CHBRP), and the University of California Asian American and Pacific Islander Policy Multicampus Research Program (UC AAPI Policy MRP). KEY POINTS: In-depth examination reveals the difficulties of engaging in research that collaborates with multiple parties simultaneously and the specific benefits and challenges in each case. CONCLUSIONS: New directions are needed to deepen legislative engagement potential in CBPR and the translation of policy research that considers the health of all AA and NHPI communities.


Subject(s)
Asian/ethnology , Community-Based Participatory Research/organization & administration , Health Services Research/organization & administration , Native Hawaiian or Other Pacific Islander/ethnology , Community-Based Participatory Research/economics , Community-Based Participatory Research/legislation & jurisprudence , Community-Institutional Relations , Financing, Government , Health Policy/economics , Health Policy/legislation & jurisprudence , Health Services Accessibility/legislation & jurisprudence , Health Services Accessibility/standards , Health Services Research/economics , Health Services Research/legislation & jurisprudence , Humans , Models, Organizational , Research Support as Topic/legislation & jurisprudence , State Government , Universities
18.
AIDS Care ; 24(10): 1302-7, 2012.
Article in English | MEDLINE | ID: mdl-22440043

ABSTRACT

Between 1999 and 2003, Asian Americans and Pacific Islanders (APIs) in the US experienced more rapid growth in the number of AIDS cases than any other racial or ethnic group. In addition, the prevalence of HBV and HIV co-infection is estimated to be significantly higher among APIs in the US than in other racial/ethnic groups. High rates of HIV and hepatitis B or C (HBV and/or HCV) co-infection, in concert with language and cultural barriers, create significant challenges to effective coordination of treatment. The purpose of this study is to identify barriers to care and treatment in APIs with HIV with and without hepatitis co-infection. Specifically, we analyze results from semi-structured interviews with health care providers (N=23) and Asian Americans who are HIV and hepatitis (HBV and/or HCV) co-infected (N =17) in order to clarify how stigma in particular may impede/limit access to coordinated health care provision. Providers and clients recognize the need for integrated, culturally and linguistically appropriate access to care while simultaneously acknowledging that stigma is a severe barrier to access to care. This article sheds light on the complexities of the stigma experienced by HIV and hepatitis co-infected Asian Americans and suggests a need for further research and renewed efforts by caregivers to reduce stigma in these communities.


Subject(s)
Asian , Delivery of Health Care/standards , HIV Infections/epidemiology , Hepatitis B/epidemiology , Hepatitis C/epidemiology , Native Hawaiian or Other Pacific Islander , Adult , Coinfection , Comprehension , Female , HIV Infections/drug therapy , HIV Infections/psychology , Hepatitis B/drug therapy , Hepatitis B/psychology , Hepatitis C/drug therapy , Hepatitis C/psychology , Humans , Male , Middle Aged , Prevalence , Stereotyping , Surveys and Questionnaires , United States/epidemiology , Young Adult
19.
AIDS Educ Prev ; 23(1): 54-64, 2011 Feb.
Article in English | MEDLINE | ID: mdl-21341960

ABSTRACT

This article presents an analysis of a 2008 community needs assessment survey of a convenience sample of 179 Pacific Islander respondents in southern California; the needs assessment focused on HIV knowledge, HIV testing behavior, and experience with intimate partner/relationship violence. Multivariate logistic regression results indicated that race/ethnicity and reported experience with intimate partner/relationship violence were the most important variables in explaining the variation in reported HIV testing among Chamorro/Guamanian and Samoan respondents. However, when analyzed separately, self-reported experience with intimate partner/relationship violence was associated with reported HIV testing only for Chamorro respondents and not for Samoan respondents. As U.S. Pacific Islanders experience a high degree of HIV health disparities, additional research is needed to clarify the links among race/ethnicity, intimate partner/relationship violence, and HIV testing behavior.


Subject(s)
Domestic Violence/statistics & numerical data , HIV Infections/diagnosis , HIV Infections/ethnology , Health Knowledge, Attitudes, Practice , Native Hawaiian or Other Pacific Islander , Adult , California/epidemiology , Female , HIV Infections/epidemiology , Healthcare Disparities , Humans , Logistic Models , Male , Middle Aged , Needs Assessment , Risk Reduction Behavior , Surveys and Questionnaires , Translating
20.
J Community Health ; 36(1): 47-55, 2011 Feb.
Article in English | MEDLINE | ID: mdl-20556491

ABSTRACT

We measured Hepatitis B virus (HBV) transmission knowledge and self-reported screening/testing behavior among Pacific Islanders (Guamanians/Chamorros, Samoans, and Tongans) in Southern California. We also examined access and trust by Pacific Islanders of varying health information sources. We administered and analyzed survey data (N = 297), using a convenience sample in Los Angeles, Orange, and San Diego Counties in spring 2009. We found that while Pacific Islander respondents reported that they receive health information from physicians, and largely trust this source, information from and trust in physicians were not statistically significant in explaining whether respondents sought HBV screening or vaccination.


Subject(s)
Health Knowledge, Attitudes, Practice , Hepatitis B Vaccines/administration & dosage , Hepatitis B/ethnology , Mass Screening/statistics & numerical data , Native Hawaiian or Other Pacific Islander/psychology , Patient Acceptance of Health Care/ethnology , Vaccination/statistics & numerical data , Adolescent , Adult , Aged , Aged, 80 and over , California , Female , Health Services Accessibility , Hepatitis B/diagnosis , Hepatitis B/prevention & control , Humans , Male , Middle Aged , Native Hawaiian or Other Pacific Islander/statistics & numerical data , Patient Education as Topic , Physician-Patient Relations , Surveys and Questionnaires , Trust , Young Adult
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