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Evaluating Hispanic/Latino Programs: Ensuring Cultural Competence
In: Alcoholism treatment quarterly: the practitioner's quarterly for individual, group, and family therapy, Band 16, Heft 1-2, S. 109-131
ISSN: 1544-4538
Examining differences in culturally based stress among clinical and nonclinical Hispanic adolescents
In: Cultural diversity and ethnic minority psychology, Band 21, Heft 3, S. 458-467
ISSN: 1939-0106
The Hispanic Stress Inventory Version 2: Improving the Assessment of Acculturation Stress
This paper reports on a two-phase study to revise the Hispanic Stress Inventory (HSI) (Cervantes, Padilla, & Salgado de Snyder, 1991). The necessity for a revised stress-assessment instrument was determined by demographic and political shifts affecting Latin American immigrants and later-generation Hispanics in the U.S. in the two decades since the development of the HSI. The data for the revision of the HSI (termed the HSI2) was collected in four sites: Los Angeles, El Paso, Miami, and Boston and included 941 immigrants and 575 US-born Hispanics and a diverse population of Hispanic subgroups. The immigrant version of the HSI2 includes 10 stress subscales, while the US-born version includes 6 stress subscales. Both versions of the HSI2 are shown to possess satisfactory Cronbach alpha reliabilities and demonstrate expert-based content validity, as well as concurrent validity when correlated with subscales of the Brief Symptom Inventory and the Patient Health Questionnaire. The new HSI2 instruments are recommended for use by clinicians and researchers interested in assessing psychosocial stress among diverse Hispanic populations of various ethnic subgroups, age groups, and geographic location.
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Psychosocial and Cognitive Correlates of Alcohol Use in Younger Adult Immigrant and U.S.-Born Hispanics
In: International journal of the addictions, Band 25, Heft sup5, S. 687-708
Stressors among Hispanic adults from immigrant families in the United States: Familismo as a context for ambivalence
In: Cultural diversity and ethnic minority psychology, Band 22, Heft 3, S. 408-416
ISSN: 1939-0106
Elective surgery cancellations due to the COVID-19 pandemic. Global predictive modelling to inform surgical recovery plans
Background: The COVID-19 pandemic has disrupted routine hospital services globally. This study estimated the total number of adult elective operations that would be cancelled worldwide during the 12 weeks of peak disruption due to COVID-19. Methods: A global expert response study was conducted to elicit projections for the proportion of elective surgery that would be cancelled or postponed during the 12 weeks of peak disruption. A Bayesian β-regression model was used to estimate 12-week cancellation rates for 190 countries. Elective surgical case-mix data, stratified by specialty and indication (surgery for cancer versus benign disease), were determined. This case mix was applied to country-level surgical volumes. The 12-week cancellation rates were then applied to these figures to calculate the total number of cancelled operations. Results: The best estimate was that 28 404 603 operations would be cancelled or postponed during the peak 12 weeks of disruption due to COVID-19 (2 367 050 operations per week). Most would be operations for benign disease (90·2 per cent, 25 638 922 of 28 404 603). The overall 12-week cancellation rate would be 72·3 per cent. Globally, 81·7 per cent of operations for benign conditions (25 638 922 of 31 378 062), 37·7 per cent of cancer operations (2 324 070 of 6 162 311) and 25·4 per cent of elective caesarean sections (441 611 of 1 735 483) would be cancelled or postponed. If countries increased their normal surgical volume by 20 per cent after the pandemic, it would take a median of 45 weeks to clear the backlog of operations resulting from COVID-19 disruption. Conclusion: A very large number of operations will be cancelled or postponed owing to disruption caused by COVID-19. Governments should mitigate against this major burden on patients by developing recovery plans and implementing strategies to restore surgical activity safely.
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