Learning health equity frameworks within a community of scholars.

Scholars in nursing science have long espoused the concept of health equity without specifically using the term or dialoguing about the social determinants of health and social justice. This article describes the development, implementation, and evaluation of a doctoral and postdoctoral seminar collective entitled "Health Equity: Conceptual, Linguistic, Methodological, and Ethical Issues." The course enabled scholars-in-training to consider the construct and its nuances and frame a personal philosophy of health equity. An example of how a group of emerging scholars can engage in the important, but difficult, discourse related to health equity is provided. The collective provided a forum for debate, intellectual growth, and increased insight for students and faculty. The lessons learned by all participants have the potential to enrich doctoral and postdoctoral scientific training in nursing science and may serve as a model for other research training programs in the health sciences.

Promotores as researchers: expanding the promotor role in community-based research.

The community health worker, known as promotor in the Hispanic community, is an accepted member of the public health team whose core role is that of bridging target communities with health services. However, the promotor's role in research has not been considered a core function of their work. This article will present the promotor in the additional role of researcher, as conceived by the Migrant Clinicians Network for the Hombres Unidos Contra La Violencia Familiar (Men United Against Family Violence) sexual violence/intimate partner violence project. The Hombres Unidos project used promotores as survey facilitators, gathering male Hispanic farmworkers' perspectives on the sensitive topic of sexual violence and intimate partner violence. This article demonstrates that when trained, the promotores' linguistic and cultural competence make them a valuable addition to the research team, especially when collecting sensitive information.

Human trafficking: the role of the health care provider.

Human trafficking is a major public health problem, both domestically and internationally. Health care providers are often the only professionals to interact with trafficking victims who are still in captivity. The expert assessment and interview skills of providers contribute to their readiness to identify victims of trafficking. The purpose of this article is to provide clinicians with knowledge on trafficking and give specific tools that they may use to assist victims in the clinical setting. Definitions, statistics, and common health care problems of trafficking victims are reviewed. The role of the health care provider is outlined through a case study and clinical practice tools are provided. Suggestions for future research are also briefly addressed.

Maternal predictors of behavioral problems among Mexican migrant farmworker children.

This study investigated the impact of maternal parenting factors on the emotional and behavioral health of Mexican Migrant Head Start children. Although the majority of children sampled in this study did not exhibit problematic behaviors, the findings concluded that children who demonstrated emotional and behavioral problems experienced a more rejecting maternal parenting style, greater parenting stress, and mothers reporting feelings of depression. Gender differences were found between the behavioral and emotional problems of sons and daughters. Surprisingly, years in the United States, maternal birthplace, income, education, and language spoken in the home were not associated with child behavioral problems.

Sexual violence: psychiatric healing with eye movement reprocessing and desensitization.

Sexual violence, which affects one in three women worldwide, can result in significant psychiatric morbidity and suicide. Eye movement desensitization and reprocessing (EMDR) offers health care providers the option of a brief psychiatric intervention that can result in psychiatric healing in as few as four sessions. Because health care providers often hear stories of sexual violence from their patients, they are in an ideal position to make recommendations for treatment. The purpose of this article is to introduce health care providers to the technique of EMDR, review safety and appropriateness, and discuss clinical and research implications.

Eliciting behavior change in a US sexual violence and intimate partner violence prevention program through utilization of Freire and discussion facilitation.

Designed by Migrant Clinicians Network, the Hombres Unidos Contra La Violencia Familiar (Men United Against Family Violence) Project used facilitated discussion groups as the method to encourage self-reflection and behavior change. Male participants were not taught to rectify any past sexual or intimate partner violence (SV/IPV) 'tendencies', rather the discussion facilitation allowed them to reflect on the SV/IPV that was present in their lives and in the Hispanic community. Subsequently, the sessions and self-reflection, coupled with the discussions with other participating males, empowered several participants to have further interactions about SV/IPV with individuals in their community. The discussions led participants to realize that SV/IPV existed in their community, but that there were males within their community that wanted to change. The Hombres Unidos Contra La Violencia Familiar project demonstrated that behavior change does not need to be actively persuaded, but that self-reflection, which elicits behavior change, can be achieved through facilitated discussion and by permitting the facilitators to become participants. By creating sessions that allow participants to construct their own understanding of the perceived problem while reflecting on their past behavior, true behavior change that is initiated by the participant can be achieved. Through discussion facilitation, a targeted and structured behavior change intervention can assist participants in realizing that their past actions were damaging to themselves and their community, while aiding the participant in employing self-initiated responses, learned within the discussions, to alter their behaviors.

Fish consumption during pregnancy: an overview of the risks and benefits.

Evidence supports the benefits of fish consumption during pregnancy, primarily because of the effects of n-3 polyunsaturated fatty acids on the neurodevelopment of the fetus. Many fish may also be potent sources of methylmercury and polychlorinated biphenol exposure, which have been shown to have severe negative impacts on both the mother and fetus. Therefore, all women of childbearing age should be informed of both the benefits and risks of fish consumption.