Search Results (12)

Residents of vulnerable neighborhoods show lower levels of, and faster longitudinal declines in cognition across most, but not all studies. Mixed results may exist, in part, because residents’ self-reported (individual-level) perceptions of their neighborhood do not always reflect Census-level measurements. We investigated both types of neighborhood characteristics to reexamine previously reported null associations between neighborhood vulnerability and cognition within an interactive socio-environmental framework. Self-identified Latinos (N = 224; $\overline{\mathrm{x}}$age = 70.4) without dementia completed a modified Perception of Neighborhood Environment Scale (mPNES; higher scores = more positive perceptions of total and domain-specific community cohesiveness, health opportunities, and ambience), annual cognitive assessments, and had baseline addresses geocoded to a Census-derived Social Vulnerability Index (SVI; higher scores = higher vulnerability). Separate mixed effects regression models adjusted for relevant confounders tested relationships between mPNES and cognitive composite z-scores, and modifying effects of mPNES on the SVI-cognition associations. Higher total mPNES scores were associated with higher baseline global cognition and working memory (driven by community cohesiveness). Higher domain-specific health opportunities associated with slower rates of global cognitive decline. mPNES modified relationships between SVI and cognition, particularly baseline global cognition and episodic memory. Results demonstrate the importance of incorporating individual-level neighborhood perceptions when examining relationships between Census-level measures of neighborhood health and cognition. Full article

Background: Parents of children with cancer experience significant psychological distress that is associated with poorer health outcomes. A recent review of caregiver interventions illustrated none targeting Latino parents of children with cancer and a significant need for culturally congruent intervention approaches. Aims: Following our first paper in this issue describing the development of a community co-developed intervention to address psychosocial outcomes in Spanish-speaking Latino families impacted by childhood cancer, this second paper describes the formative evaluation and exploratory analysis of preliminary efficacy in a single-arm pre–post trial. Methods: A total of 32 Spanish-speaking Latino parents/caregivers of children with cancer received the 12-session intervention targeting health literacy, culturally congruent care, and caregiver well-being. Quantitative measures of health literacy and emotional well-being were collected at baseline, post-intervention, and 3 months post-intervention and mixed methods formative evaluation data were collected immediately post-intervention. Results: Mixed methods formative evaluation showed that the intervention was useful, helpful, and relevant. Exploratory preliminary efficacy data using a non-parametric Friedman test showed that health literacy doubled from pre- (33%) to post-intervention (67%) and was sustained at 3 months (X²(2) = 12.52, p = 0.002; Cohen’s d = 0.65). Repeated measures ANOVA showed that emotional distress decreased significantly from baseline to immediately post-intervention with sustained treatment effects at 3 months post-intervention (F(2,62) = 4.37, p = 0.046; Cohen’s d = 0.42). Satisfaction scores were well above treatment acceptability (M = 39.13, SD = 2.80). Conclusions: Implementation of a community co-developed intervention with the goal of achieving cultural congruency was feasible, likeable, and relevant for Spanish-speaking Latino parents and caregivers of children undergoing treatment for cancer. Moreover, the exploratory analysis showed the intervention was associated with improvements in health literacy and emotional well-being and high levels of treatment satisfaction. Full article

How people perceive their neighborhoods can impact their aging trajectories, with less known regarding neighborhood perceptions among older adults from minoritized groups. This study examined the impacts of behavioral and psychosocial factors on neighborhood perceptions among non-Latino (NL) Black and Latino older adults. Participants (N = 506) were NL Black (n = 372) and Latino (n = 134) older adults ($\overline{x}$ age = 79 years) without dementia. Participants completed a modified Perceptions of Neighborhood Environments Scale (mPNES; higher scores indicate more favorable perceptions) and measures of behavioral and psychosocial factors. We performed fully saturated linear regression analyses to assess how each factor related to the mPNES, followed by stepwise linear regression analyses to determine final predictive models for the full sample and each ethnoracial group. For the full sample, higher purpose in life, more physical activity, less discrimination, and higher income were associated with higher mPNES scores. For NL Black older adults, more physical activity, less discrimination, and higher income were associated with higher mPNES scores. For older Latinos, more purpose in life and a larger social network size were associated with higher mPNES scores. Distinct associations exist by ethnoracial group and suggest unique considerations to facilitate positive neighborhood perceptions among NL Black and Latino older adults. Full article

“Racial Injustice, Violence, and Resistance: New Approaches from Multidimensional Perspectives” is the product of a dialogue among three experts, bridging the disciplines of economics, criminology, and sociology and bringing together expertise in racial inequality, urban sociology, international immigration, Latin America, and Latino/a/x studies [...] Full article

Engineering requires more bachelor’s degree graduates to meet the growing demand for engineering skills globally. One way to address this demand is increasing student degree completion, which is lower than higher education in general. In particular, Black, Latino/a/x, and Indigenous (BLI) students are less likely to complete an engineering degree than their peers. BLI students experience a host of unwelcoming behaviors in engineering environments that contribute to departure without their intended degree. Improving environments to support belonging may offer one solution. Through an ecological belonging intervention, we seek to improve continued enrollment and increase belonging. Quasi-experimental methods were used in a second-semester engineering programming course. Surveys collected before and after an intervention combined with institutional data were used to test the moderation effects of the intervention on continued enrollment in engineering during the semester following the intervention. BLI students who were enrolled in intervention treatment sections were more likely to be enrolled in engineering the following fall. The intervention treatment increased belonging such that control section participants were less likely to continue to be enrolled in engineering. While research to assess the efficacy and mechanisms of the intervention is ongoing, the intervention offers promising results to address attrition, particularly for BLI students. Full article

Genetic variation among inhaled corticosteroid (ICS)-metabolizing enzymes may affect asthma control, but evidence is limited. This study tested the hypothesis that single-nucleotide polymorphisms (SNPs) in Cytochrome P450 3A5 (CYP3A5) would affect asthma outcomes. Patients aged 2–18 years with persistent asthma were recruited to use the electronic AsthmaTracker (e-AT), a self-monitoring tool that records weekly asthma control, medication use, and asthma outcomes. A subset of patients provided saliva samples for SNP analysis and participated in a pharmacokinetic study. Multivariable regression analysis adjusted for age, sex, race, and ethnicity was used to evaluate the impact of CYP3A5 SNPs on asthma outcomes, including asthma control (measured using the asthma symptom tracker, a modified version of the asthma control test or ACT), exacerbations, and hospital admissions. Plasma corticosteroid and cortisol concentrations post-ICS dosing were also assayed using liquid chromatography–tandem mass spectrometry. Of the 751 patients using the e-AT, 166 (22.1%) provided saliva samples and 16 completed the PK study. The e-AT cohort was 65.1% male, and 89.6% White, 6.0% Native Hawaiian, 1.2% Black, 1.2% Native American, 1.8% of unknown race, and 15.7% Hispanic/Latino; the median age was 8.35 (IQR: 5.51–11.3) years. CYP3A5*3/*3 frequency was 75.8% in White subjects, 50% in Native Hawaiians and 76.9% in Hispanic/Latino subjects. Compared with CYP3A5*3/*3, the CYP3A5*1/*x genotype was associated with reduced weekly asthma control (OR: 0.98; 95% CI: 0.97–0.98; p < 0.001), increased exacerbations (OR: 6.43; 95% CI: 4.56–9.07; p < 0.001), and increased asthma hospitalizations (OR: 1.66; 95% CI: 1.43–1.93; p < 0.001); analysis of 3/*3, *1/*1 and *1/*3 separately showed an allelic copy effect. Finally, PK analysis post-ICS dosing suggested muted changes in cortisol concentrations for patients with the CYP3A5*3/*3 genotype, as opposed to an effect on ICS PK. Detection of CYP3A5*3/3, CYPA35*1/*3, and CYP3A5*1/*1 could impact inhaled steroid treatment strategies for asthma in the future. Full article

Evidence suggests an association between exposure to electronic cigarette (e-cigarette) marketing and e-cigarette use (vaping) among adolescents. However, there is limited evidence on exposure to e-cigarette marketing and susceptibility to future vaping, especially among Black and Latino adolescents. This study aimed to examine associations between exposure to e-cigarette marketing and susceptibility to future vaping among Black and Latino adolescents in the United States (US). Participants (N = 362; equal representation between Black and Latino adolescents) completed a baseline assessment (available in English and Spanish) including sociodemographic characteristics (e.g., racial/ethnic group, age, gender, sexual orientation, etc.), exposure to e-cigarette marketing, and susceptibility to future vaping. Exposure to e-cigarette marketing was recoded and organized into two categories (high exposure = 2 to 3; low exposure = 0 to 1). Cochran–Mantel–Haenszel tests were used to evaluate the association between exposure to e-cigarette marketing and susceptibility to future vaping, stratified by racial/ethnic group. Multiple logistic regressions assessed the association between exposure to e-cigarette marketing and susceptibility to future vaping, controlling for gender, sexual orientation, grade, and academic performance within each racial/ethnic group. Black adolescents reported significantly higher frequencies of exposure to e-cigarette marketing (p = 0.005). A significant interaction was found between exposure to e-cigarette marketing and racial/ethnic group (X² (1) = 6.294, p = 0.012). Among Black adolescents, high exposure to e-cigarette marketing (vs. low exposure) was associated with a higher probability of susceptibility to future vaping (OR: 2.399, 95% CI 1.147–5.021, p = 0.020). For Latino adolescents, exposure to e-cigarette marketing was not associated with susceptibility to future vaping (OR: 0.503, 95% CI 0.245–1.03, p = 0.062). Future studies should evaluate how and where adolescents are exposed to e-cigarette marketing. Prevention efforts must include the implementation of effective counter-marketing campaigns and the reduction of exposure to e-cigarette marketing among Black and Latino adolescents. Full article

Colombia has extensive laws prohibiting discrimination against sexual minority people. However, violence and discrimination toward sexual minorities are still frequent. While a growing body of research shows that sexual minority people experience elevated rates of discrimination and domestic abuse globally, little research has been conducted on these issues affecting sexual minorities in Colombia specifically. Using minority stress theory as a conceptual framework, this paper aims to fill this gap by examining the prevalence of experiencing intimate partner violence (IPV) and witnessed discrimination and the relationship of these stressors to self-reported health among a national sample of sexual minority Colombians. We found that bisexual individuals experienced higher rates of physical and sexual IPV, compared to lesbian and gay individuals. Additionally, sexual minority Colombians who experienced IPV and witnessed discrimination were more likely to report having poorer health, compared to those who had not. We discuss the implications of our findings for future research and clinicians working with sexual minority clients. Full article

Latino/a/x workers perform labor-intensive forestry and fire stewardship work in the U.S. Pacific Northwest, but are not well recognized in research and practice about wildfire governance. This industry has pervasive issues of unsafe working conditions, inequitable wage practices, violations of worker rights, limited opportunity for advancement, and a lack of recognition and inclusion of workers in decision making. We draw on a literature review and practice-based knowledge to make this workforce’s history more visible, from its origins in lumber production and reforestation to expansion into forest and fire stewardship. We suggest a new conceptual framing of “multiple marginalities” that situates this workforce as simultaneously crucial to our future with wildfire and subject to structural, distributional, recognitional, and procedural inequities. We recommend new approaches to research and practice that can better examine and address these inequities, while also acknowledging the persistent and systemic nature of these challenges. These include participatory action research, lessons learned from research and advocacy related to farmworkers and incarcerated workers, and Cooperative Extension and education programs that are learner-centered and culturally appropriate. Multiple interventions of offering education and outreach, enforcing or reforming law, and changing policy and practice must all occur at multiple scales given the many drivers of these marginalities. Study and practice can contribute new knowledge to inform this and expand current conceptions of equity and environmental justice in the wildfire governance literature to become more inclusive of the forest and fire stewardship workforce. Full article

The COVID-19 pandemic has impacted everyone in urban areas. Some of these impacts in the United States have negatively affected People of Color more than their White counterparts. Using Seattle, Washington as a case study, we investigated whether inequitable effects appear in residents’ interactions with urban nature (such as urban green space). Using a 48-question instrument, 300 residents were surveyed, equally divided across four racial/ethnic groups: Asian, Black and African American, Latino/a/x, and White. Results showed that during the span of about 6 months after the onset of the pandemic, Black and Latino residents experienced a significant loss of time in urban nature, while Asian and White residents did not. The implications of these findings, including inequities in the potential buffering effects of urban nature against COVID-19 and the future of urban nature conservation, are discussed. Multiple variables were tested for association with the changes to time spent in urban nature, including themes of exclusion from urban nature spaces found throughout the existing literature. Findings show that decreases in time spent in urban nature among Black and Latino residents may be associated with their feeling as though they did not belong in urban nature. We provide recommendations based on these findings for how government agencies can promote more equitable access to urban nature during the pandemic and beyond. The results of this study have implications that extend beyond the US and are relevant to the international scholarly literature of inequities and urban nature interaction during the COVID-19 pandemic. Full article

This study explored the influence family relationships have on HIV-related factors among Hispanic or Latino/a/x Mexican sexual minority cisgender males in San Antonio, TX, US. A total of 15 young adults (7 people living with HIV; PLWH) ages 21–30 completed a semi-structured interview. Data were transcribed verbatim and analyzed using thematic analysis. The following themes emerged: (1) family support; (2) mother-son relationships; (3) father-son relationships; (4) sibling support; (5) family marginalization of sexual minorities; and (6) internalized homophobia. People who reported being HIV negative were more likely to have a prominent mother-son relationship, strong sense of family, supportive siblings, and family acceptance as a sexual minority. PLWH were more likely to report a weak sense of family, being raised in a maternal-led household, and less likely to have a relationship with their father and siblings. Marginalization among participants regardless of HIV status included exposure to religious rhetoric stigmatizing sexual minorities and fathers’ reinforcing Mexican traditional gender norms. In addition to encountering homophobia, PLWH were further marginalized by family members due to their HIV status. The findings suggest a need for greater attention to examining the impact of familial support of Hispanic or Latino/a/x Mexican sexual minority cisgender males as young adults with or at risk of HIV. Full article

The 21st century has brought unique opportunities and challenges for parents, and this is particularly true for Latinx families, whose children comprise more than one-fourth of the school-age population in the U.S. today. Taking an ecological and strengths-based approach, the current study examined the role of mothers’ cultural assets (familism values, family cohesion) and challenges (economic hardship, ethnic–race-based discrimination) on children’s educational adjustment in middle childhood, as well as the indirect role of mother–child warmth and conflict in these associations. The sample included 173 Latinx mothers and their middle childhood offspring (i.e., 5th graders and younger sisters/brothers in the 1st through 4th grade). Mothers participated in home visits and phone interviews and teachers provided ratings of children’s educational adjustment (academic and socioemotional competence, aggressive/oppositional behaviors). Findings revealed family cohesion was indirectly linked to children’s educational adjustment via mother–child warmth and conflict, particularly for younger siblings. Discussion focuses on the culturally based strengths of Latinx families and highlights potential implications for family-based prevention in middle childhood. Full article