Consideration of Heterogeneity in a Meta-analysis of Latino Sexual Health Interventions (original) (raw)
Related papers
Clinical Social Work Journal, 2012
Latinos are the largest and fastest growing minority youth group in the United States. Currently, Latino adolescents experience higher rates of teen pregnancy compared to any other racial or ethnic group and have disproportionately high levels of sexually transmitted infections and HIV. Latino teens are also affected by a number of social problems such as school dropout, poverty, depression and limited access to healthcare, which contributes to disparities in reproductive health outcomes for this population. Relatively few intervention research studies and programs have been dedicated to reducing sexual risk among Latino youth, despite their particular vulnerabilities in experiencing negative reproductive health outcomes. We provide recommendations for identifying the unique reproductive health needs of Latino youth and specific applied strategies so that agency-based social workers and other providers can develop family-based interventions that improve adolescent Latino sexual and reproductive health.
Adolescent Latino Reproductive Health: A Review of the Literature
Hispanic Journal of Behavioral Sciences, 2001
Latino adolescent reproductive health has become an increasingly important topic because of the growth in the numbers of Latino youth and because Latino youth are at high risk for negative reproductive health outcomes. Latinas now have the highest teen birth rates, and Latinos have disproportionately high rates of HIV/AIDS. These trends highlight the need for greater understanding of the sexual and reproductive health and behavior of Latino youth. This overview provides an introduction to key aspects of the Latino population. It then examines and synthesizes the existing literature by domains useful to the study of Latinos. Areas that receive in-depth coverage are socioeconomic status, family, national origin, peers and partners, and acculturation. Based on the current state of knowledge and the issues facing young Latinos, suggestions for future research and uses for existing data and past research are included.
2014
Despite recent and dramatic declines in the rate of childbearing among Latino adolescents, that rate is still the highest among the major racial and ethnic groups in the United States. This fact underscores the need for effective interventions designed specifically to reduce teen pregnancy in this population. Child Trends examined the determinants of early childbearing among Latinos from multiple perspectives to develop a research-based pregnancy prevention approach for Latino adolescents. Specifically, we drew from research studies, program evaluations, and practitioner insights to identify,develop, or adapt promising program models for a Latino population.This brief highlights ways that adolescents' individual attitudes and behaviors, as well as family and parents, peers, and romantic partners, can help or hinder their desires to avoid teen pregnancy. Further, the brief addresses the need for programs and policy makers torecognize these influences and respond accordingly. Base...
Designing a culturally based intervention to reduce HIV sexual risk for Latino adolescents
Janac-journal of The Association of Nurses in Aids Care, 2005
There is a pressing need to develop effective interventions to prevent sexually transmitted HIV infection among Latino adolescents. Although there have been few models to direct the design of culturally effective interventions, the processes of recognizing the influence of specific cultural and contextual variables, building on "what works," and integrating community perspectives are important elements. These processes were used in the development of a Latino culturally based curriculum designed to reduce the risk of sexually transmitted HIV among Latino youth. Specific examples are provided to illustrate how these processes were used and how the curriculum evolved.
The Journal of school health, 2017
Teen pregnancy rates and related risks remain elevated among Latino teens. We tested the impact on youth sexual behaviors of a brief, culturally targeted, bilingual media intervention designed for parents of young adolescents. Salud y éxito (Health & Success) uses dramatic audio stories to model positive parenting practices. After completing classroom surveys, 27 urban schools in the Northeast and Southwest serving low-income Latino communities were randomized so that all families of seventh grade students were sent either: (1) booklets on healthy eating and exercise; (2) Salud-50, where families either received booklets or the intervention, or (3) Salud-100, where all families received the intervention. Postintervention follow-up surveys were conducted at 3- and 12-months. Multilevel analyses tested intervention effects, controlling for sociodemographics. Compared with controls, at 12-months postintervention (8th grade spring), youth in Salud-100 report lower sexual risks (touching...
Toward the Prevention of Risky Sexual Behavior Among Latina Youth
Oxford Handbooks Online, 2012
Sexual risk-taking among Latina youth has been noted as a critical health concern within the United States. In this chapter. the importance of prevention of risky sexual behavior among Latina youth will be discussed. Current prevalence rates and consequences associated with sexual behavior among Latino/as will be reviewed. along with factors that are relevant to understanding the prevention of sexual activity. Finally. programs that have been developed to prevent risky sexual behavior among Latinas will be reviewed and suggestions for prevention efforts will be presented. Key Words: Latino/. youth. adolescent. sexual activity. prevendon. teen pregnancy. risky behavior developmentally and emotionally mature (Driscoll, Biggs, Rrindis, & Yankah, 2001). Early sexual activity puts adolescents at risk for a variety of negative ourcomes across physical, psychological, and emotional domains (Driscoll et aI., 200l ; Kirby, 2007). Teens who are sexually active during early adolescence are more likely ro have unprotected sex and more sexual partners, and to panicipate in other risk behaviors such as using drugs and alcohol and dropping out of school (
Behavioral Sciences
According to the epidemiological paradox, less acculturated Latina/o youth display fewer sexual risk behaviors. A systematic review was performed on psychosocial and cultural mechanisms potentially underlying the epidemiological paradox in sexual risk behaviors of U.S. Latina/o youth across acculturation measures (between January 2000 to October 2022). Thirty-five publications (n = 35) with forty-eight analyses of underlying mechanisms met the inclusion criteria. Thirty-one results from twenty-three publications found supporting evidence that one of the five factors was an underlying mechanism in the epidemiological paradox (n = 13 parenting practices, n = 4 peer influences, n = 4 familismo values, n = 4 religiosity, n = 6 traditional gender norms) as, generally protective, mediators or moderators in the link between acculturation and sexual risk behaviors. Studies varied in the sexual risk behavior examined and measurement of acculturation, but primarily employed cross-sectional de...
AIDS Patient Care and STDs, 2010
The purpose of the present study was to examine the feasibility of conducting a parent-based intervention in a pediatric health clinic to prevent HIV, sexually transmitted infections (STIs), and unintended pregnancies among urban African American and Latino youth. Eight focus groups were conducted with health care providers, adolescent patients and the mothers of adolescent patients (n ¼ 41) from December 2007 to February 2008. All participants were recruited from a community-based pediatric health clinic in the Bronx, New York. Content analysis of focus group transcripts identified results in three primary areas: (1) the role of parents and providers in preventing HIV, STDs and unintended pregnancies among adolescents, (2) feasibility of the intervention in the clinic setting; and (3) optimal recruitment, retention and intervention delivery strategies. Study results suggest that a parent-based intervention delivered in a community-based pediatric health clinic setting is feasible. Focused recommendations for intervention recruitment, delivery, and retention are provided.