Suchergebnisse

Abstract: Similarities and differences in predictors of retention/attendance patterns between African American and Hispanic parent participants (N= 143) from a family‐focused preventive intervention were examined. Three broad retention pattern groups, nonattenders, variable attenders, and consistent high attenders, and 2 subgroups of the variable attendance group, decreasing low attenders and decreasing high attenders, were identified. In subgroup analyses, 3 significant discriminant functions were evident: 1 function classified Hispanic parents' retention patterns using sociodemographic indicators (e.g., educational attainment, household income) and 2 functions discriminated Hispanic and African American parents' patterns using family‐level predictors (e.g., multiple caregivers attending the intervention, perceived barriers to participation). Implications are discussed in terms of strategies for improving methods of retaining participants in family‐centered interventions conducted with ethnic minority families.

Abstract
Background
There were 28,055 people living with HIV (PLWH) in Miami-Dade County (MDC) in 2017; 40.1% was either out of care or was not virally suppressed (uncontrolled HIV). The purpose of this study was to determine the association between the social determinants of health (SDOH) and the number of persons with uncontrolled HIV in MDC.

Setting
This cross-sectional study included PLWH 15 and older with uncontrolled HIV in MDC, 2017. Data on PLWH's viral load, age, gender, mode of HIV transmission, and race/ethnicity were aggregated to the ZIP code level. All five SDOH per HealthyPeople 2020 were represented: economic stability, education, social and community context, health and healthcare, and neighborhood and built environment.

Methods
Descriptive analyses on all study variables and a principal component analysis on the SDOH variables were performed. To account for overdispersion, multivariate negative binomial regressions were run while controlling for confounders and testing for significant interactions.

Results
The results of the regression analysis indicated that an increase in Factor 1 (economic stability, education, and health and healthcare determinants) was associated with a statistically significant increase in the number of PLWH with uncontrolled HIV. Additionally, we found a significant interaction between Factor 1 and White race. Among persons of low socioeconomic status, White race is associated with a reduction in PLWH with uncontrolled HIV.

Conclusions
These results suggest that reducing poverty and increasing education and rates of health insurance should result in significant reductions in PLWH with uncontrolled HIV. These results have the potential to influence future policy, interventions for retention, adherence, and continuity of care to improve suppression rates in MDC.

The purpose of this article is to provide an overview of the state of drug abuse research among Hispanic adolescents in the areas of prevalence, etiology, prevention, and treatment from a cultural perspective. Cultural and acculturation-related processes are central to the understanding of the epidemiology, etiology, prevention, and treatment of drug use among Hispanic adolescents. Culture is also embedded within each of the efficacious interventions for Hispanic adolescents, suggesting that integrating Hispanic cultural symbols and values is an important element in preventing and treating drug use and related problem behaviors in this population. The recommendations presented in this article, along with existing work in the fields of epidemiology, risk protection, prevention, and treatment, will help to reduce the health disparities in drug use and related problem behaviors in this vulnerable and rapidly growing segment of the U.S. population.

This 2½‐year, 5‐wave longitudinal study tests the hypothesis that acculturation discrepancies between Hispanic immigrant parents and adolescents would lead to compromised family functioning, which would then lead to problematic adolescent outcomes. Recent‐immigrant Hispanic parent–adolescent dyads (N = 302) completed measures of acculturation and family functioning. Adolescents completed measures of positive youth development, depressive symptoms, problem behavior, and substance use. Results indicated that Time 1 discrepancies in Hispanic culture retention, and linear trajectories in some of these discrepancies, negatively predicted adolescent positive youth development, and positively predicted adolescent depressive symptoms and binge drinking, indirectly through adolescent‐reported family functioning. The vast majority of effects were mediated rather than direct, supporting the acculturation discrepancy hypothesis. Implications for further research and intervention are discussed.

As shown by COVID-19, infectious diseases with a pandemic potential present a grave threat to health and wellbeing. Although the International Health Regulations provide a framework of binding legal obligations for pandemic prevention, preparedness, and response, many countries do not comply with these regulations. There is a need for a renewed framework for global collective action that ensures conformity with international regulations and promotes effective prevention and response to pandemic infectious diseases. This Health Policy identifies the necessary characteristics for a new global public health security convention designed to optimise prevention, preparedness, and response to pandemic infectious diseases. We propose ten recommendations to strengthen global public health governance and promote compliance with global health security regulations. Recommendations for a new global public health security convention include greater authority for a global governing body, an improved ability to respond to pandemics, an objective evaluation system for national core public health capacities, more effective enforcement mechanisms, independent and sustainable funding, representativeness, and investment from multiple sectors, among others. The next steps to achieve these recommendations include assembling an invested alliance, specifying the operational structures of a global public health security system, and overcoming barriers such as insufficient political will, scarcity of resources, and individual national interests.