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Zapata JP, Rojas E, Durán P, Martínez AJ, Del Pino HE. The Impact of Sibling Relationships on Behavioral and Sexual Health among Latino Sexual Minority Men. ARCHIVES OF SEXUAL BEHAVIOR 2024; 53:2751-2763. [PMID: 38553660 PMCID: PMC11219362 DOI: 10.1007/s10508-024-02832-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 02/08/2024] [Accepted: 02/12/2024] [Indexed: 07/03/2024]
Abstract
Pre-exposure prophylaxis (PrEP) is a highly effective method for preventing HIV acquisition and plays a crucial role in the Ending the HIV Epidemic in the US initiative. However, there are various barriers that hinder the access and uptake of PrEP among Latino sexual minority men (SMM) at individual, interpersonal, and cultural levels. While the significance of cultural factors in designing and implementing HIV prevention programs for Latino populations has been consistently emphasized in the literature and prioritized by the Centers for Disease Control and Prevention, few studies have directly integrated these cultural factors into their programs. Our study aimed to investigate the potential influence of siblings in promoting the utilization of PrEP for HIV prevention, an area that has received limited attention. We conducted interviews with 31 pairs of siblings between December 2020 and January 2021, which were held in either English or Spanish and lasted approximately 45-60 min. The data were analyzed using a deductive thematic content analysis approach. The interviews revealed several key themes and categories, including: (1) Sibling support for coming out; (2) Types of support that siblings provide to each other for behavior change; (3) Sibling support for PrEP; and (4) The impact of the study interview on the quality of the sibling relationships. Our findings indicated that siblings were willing to provide support for PrEP in various ways, ranging from emotional support for brothers who may be concerned about potential rejection to practical support such as transportation or financial assistance. These results have significant implications for the design of HIV prevention interventions for Latinos. Incorporating siblings or other extended family members into these interventions can facilitate communication between siblings and their brothers, ultimately encouraging the use of PrEP or similar prevention methods. By considering the unique dynamics and support systems within Latino communities, researchers can develop more effective strategies to promote HIV prevention and support the well-being of Latino SMM.
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Affiliation(s)
- Juan Pablo Zapata
- Institute for Sexual and Gender Minority Health and Wellbeing, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Edwin Rojas
- St. John's Community Health, Los Angeles, CA, USA
| | - Petra Durán
- Psychiatry and Human Behaviors, Charles R. Drew University of Medicine and Science, Los Angeles, CA, 90059, USA
| | - Angel J Martínez
- Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA
| | - Homero E Del Pino
- Psychiatry and Human Behaviors, Charles R. Drew University of Medicine and Science, Los Angeles, CA, 90059, USA.
- Psychiatry and Behavioral Sciences, General Internal Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
- Geriatric Research, Education, and Clinic Center, VA Greater Los Angeles Healthcare System (Geriatric Research, Education, and Clinical Center), Los Angeles, CA, USA.
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Londoño T, Gulbas LE, Zayas LH. Sibling relationships among U.S. citizen children of undocumented Mexican parents. FAMILY PROCESS 2022; 61:873-889. [PMID: 34189734 DOI: 10.1111/famp.12685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 04/27/2021] [Accepted: 04/30/2021] [Indexed: 06/13/2023]
Abstract
Current U.S. immigration policies disproportionately impact Mexican-origin mixed-status families, yet few studies examine the consequences of immigration enforcement (e.g., immigration-related arrest and detention) and deportation on sibling dynamics. Given this gap, this study focuses on the experiences and changes within sibling relationships in the aftermath of parental detention and deportation. We analyzed a subsample of 20 citizen children interviews (7 sibling dyads; 2 sibling triads) from a multi-site binational study that examined the psychosocial functioning of U.S. citizen children with undocumented Mexican parents. Using inductive thematic analysis, we explored the roles and functional importance of sibling relationships before and after experiences of parents' detention and deportation. Our findings suggest that prior to detention or deportation experiences, sibling relationships were described as "normal." After these experiences, however, sibling relationships changed and developed protective adaptations, including more open communication about their experiences and the assumption of caregiving roles. In cases where deportation did not occur, there still existed the threat of future immigration-related action, which contributed to fear and an inability to share feelings and experiences among siblings. Our findings suggest that sibling relationships might serve as an important locus of stability and protection. Yet, adaptive communication may not emerge as long as the threat of apprehension, detention, and deportation exists.
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Affiliation(s)
- Tatiana Londoño
- Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA
| | - Lauren E Gulbas
- Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA
| | - Luis H Zayas
- Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA
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Kaestle CE, Allen KR, Wesche R, Grafsky EL. Adolescent Sexual Development: A Family Perspective. JOURNAL OF SEX RESEARCH 2021; 58:874-890. [PMID: 34003063 DOI: 10.1080/00224499.2021.1924605] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Adolescent sexual development is informed by individual, relational, generational, institutional, and cultural perspectives. Families matter: they are the social institution at the intersection of adolescent development and broader social systems, charged with the responsibility for rearing children and adolescents to adulthood. This narrative review maps insights from family theory and research onto adolescent sexual development research. Our purpose is to inform sexuality researchers from diverse fields about how family perspectives can enrich understanding of adolescent sexual development. We present the critical, intersectional theoretical framework guiding this review as consisting of three meta-themes for understanding families through an examination of family structure, process, and context. Then, we apply those meta-themes to current research on adolescent sexual development by selectively organizing our review around the contexts of family structural diversity and family relational complexity, demonstrating that both the structure and the process components are embedded within the intersectional and cultural contexts that shape and are shaped by families. Our review demonstrates that diverse, intersectional family structures and transitions may affect adolescent sexual development by influencing family processes, particularly around sexual communication. We conclude with implications of using family perspectives for future inquiry related to adolescent sexual development.
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Affiliation(s)
| | | | - Rose Wesche
- Department of Human Development and Family Science, Virginia Tech
| | - Erika L Grafsky
- Department of Human Development and Family Science, Virginia Tech
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Peterson-Burch FM, Olshansky E, Abujaradeh HA, Choi JJ, Zender R, Montgomery K, Case A, Sorkin DH, Chaves-Gnecco D, Libman I, Lucas CT, Zaldivar F, Charron-Prochownik D. Cultural understanding, experiences, barriers, and facilitators of healthcare providers when providing preconception counseling to adolescent Latinas with diabetes. ACTA ACUST UNITED AC 2018; 5. [PMID: 31572615 PMCID: PMC6768083 DOI: 10.7243/2054-9865-5-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background Latinas are at a higher risk than Caucasians for both type 1 and type 2 diabetes (DM), as well as DM-associated reproductive health (RH) complications. Healthcare providers (HCPs) should deliver culturally-sensitive care to enhance the care relationship between Latinos and HCPs and to improve patient outcomes. This study explored an expert panel's cultural understanding, experiences, barriers, and facilitators regarding RH and preconception counseling (PC) for adolescent Latinas with DM and their families. Methods This study used open-ended questions with a focus group of 8 HCPs from the mid-Atlantic, Southwest, and Northwest regions of the United States in a teleconference format. Two researchers transcribed and reviewed the transcript for accuracy. Using content analysis, four members of the team identified themes. All researchers discussed themes and a 100% consensus was reached. For confirmation, a coding protocol was created based on the emerging themes. Results Five themes related to cultural understanding and experiences were identified: 1) issues of identity; 2) acculturation; 3) stigma; 4) ambivalence toward birth control, RH education, and PC; and 5) cultural sensitivity vs. best practice. Four barriers were identified: 1) language; 2) religion; 3) access to healthcare, and 4) discomfort with discussion. Ten facilitators were identified: 1) the importance of support and support networks; 2) promoting trust among HCPs, daughters, and families; 3) assessing emotional development; 4) empowerment; 5) emphasizing safety; 6) communicating in patients' preferred language; 7) discussing RH-related topics and PC using cultural sensitivity; 8) importance of being ready/temporality/planning for the future; 9) the importance of family-centered care; and 10) variation in educational tailoring and dissemination/ care delivery. Conclusions Findings support the need for culturally sensitive and developmentally appropriate PC programs to empower adolescent Latinas with DM.
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Affiliation(s)
- Frances M Peterson-Burch
- University of Pittsburgh School of Nursing, 440 Victoria Building, 3500 Victoria Street Pittsburgh, USA
| | - Ellen Olshansky
- Professor Emerita, University of California, Irvine Sue & Bill Gross School of Nursing 802 W Peltason Drive Irvine, CA 92697, USA
| | - Hiba A Abujaradeh
- University of Pittsburgh School of Nursing, 440 Victoria Building, 3500 Victoria Street Pittsburgh, USA
| | - Jessica J Choi
- University of Pittsburgh School of Nursing, 440 Victoria Building, 3500 Victoria Street Pittsburgh, USA
| | - Robynn Zender
- University of California, Irvine, Sue & Bill Gross School of Nursing, 802 W Peltason Drive Irvine, CA 92697, USA
| | | | - Amy Case
- Consortium for Independent Research, 512 E. 27th Street Vancouver, WA, USA
| | - Dara H Sorkin
- Department of Medicine 100 Theory, University of California, Irvine, Suite 110 Irvine, CA, USA
| | - Diego Chaves-Gnecco
- MD, MPH, FAAP UPMC Children's Hospital of Pittsburgh, Oakland Medical Building, 3420 Fifth Ave. Pittsburgh, PA, USA
| | - Ingrid Libman
- MD, MPH, FAAP UPMC Children's Hospital of Pittsburgh, Oakland Medical Building, 3420 Fifth Ave. Pittsburgh, PA, USA
| | - Candice Taylor Lucas
- University of California, Irvine School of Medicine, 333 The City Blvd. West, Suite 800 Orange, CA, USA
| | - Frank Zaldivar
- Department of Pediatrics University of California, Irvine, Pediatric Exercise and Genomics Research Center (PERC), UC Irvine School of Medicine, 101 Academy, Suite 150 Irvine, CA, USA
| | - Denise Charron-Prochownik
- University of Pittsburgh School of Nursing, 440 Victoria Building, 3500 Victoria Street Pittsburgh, USA
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