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AIDS and Behavior
Published in: AIDS and Behavior 2/2010

01-04-2010 | Original Paper

Acculturation, Coping Styles, and Health Risk Behaviors Among HIV Positive Latinas

Authors: Mónica Sánchez, Eric Rice, Judith Stein, Norweeta G. Milburn, Mary Jane Rotheram-Borus

Published in: AIDS and Behavior | Issue 2/2010

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Abstract

This study examined the relationships among acculturation, coping styles, substance use, sexual risk behavior, and medication non-adherence among 219 Latinas living with HIV/AIDS in Los Angeles, CA. Coping styles were hypothesized to mediate the link between acculturation and health risk behaviors for HIV positive Latinas. Structural equation modeling revealed that greater acculturation was related to less positive coping and more negative coping. In turn, negative coping was associated with more health risk behaviors and more non-adherence. Positive coping was associated with less substance use as reflected in use of cigarettes and alcohol and less non-adherence. Coping styles mediated the relationship between acculturation and health risk behaviors. Findings echo previous works examining the Hispanic Health Paradox wherein more acculturated Latinos exhibit increased risk behavior and maladaptive coping styles. HIV/AIDS interventions need to be mindful of cultural differences within Hispanic populations and be tailored to address these differences.
Literature
1.
2.
Espinoza L, Hall HI, Selik RM, Hu X. Characteristics of HIV infection among Hispanics, United States 2003–2006. J Acquir Immune Defic Syndr. 2008;49:94–101.CrossRefPubMed
3.
Hall HI, Song R, Rhodes P, et al. Estimation of HIV incidence in the United States. JAMA. 2008;300:520–9.CrossRefPubMed
4.
Carmona JV, Romero GJ, Loeb TB. The impact of HIV status and acculturation on Latinas’ sexual risk taking. Cult Divers Ethnic Minor Psychol. 1999;5:209–21.CrossRef
5.
Loue S, Cooper M, Traore F, Fiedler J. Locus of control and HIV risk among a sample of Mexican and Puerto Rican women. J Immigr Health. 2004;6:155–65.CrossRefPubMed
6.
Nyamathi A, Leake B, Flaskerud J, Lewis C, Bennett C. Outcomes of specialized and traditional AIDS counseling programs for impoverished women of color. Res Nurs Health. 1993;16:11–21.CrossRefPubMed
7.
Bianchi FT, Zea MC, Poppen PJ, Reisen CA, Echeverry JJ. Coping as a mediator of the impact of sociocultural factors on health behaviour among HIV-positive Latino gay men. Psychol Health. 2004;19:89–101.CrossRef
8.
Finch BK, Kolody B, Vega WA. Perceived discrimination and depression among Mexican-origin adults in California. J Health Soc Behav. 2000;41:295–313.CrossRefPubMed
9.
Finch BK, Vega WA. Acculturation stress, social support, and self-rated health among Latinos in California. J Immigr Health. 2003;5:109–17.CrossRefPubMed
10.
Lara M, Gamboa C, Kahramanian MI, Morales LS, Bautista DEH. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.CrossRefPubMed
11.
Berry JW. An ecological perspective on cultural and ethnic psychology. In: Trickett E, editor. Human diversity: perspectives on people in context. San Francisco: Jossey-Bass; 1994. p. 115–41.
12.
Burnam MA, Hough RL, Escobar JI, et al. Six-month prevalence of specific psychiatric disorders among Mexican Americans and non-Hispanic Whites in Los Angeles. Arch Gen Psychiatry. 1987;44:687–94.PubMed
13.
Zambrana RE, Scrimshaw SCM, Collins N, Dunkel-Schetter C. Prenatal health behaviors and psychosocial risk factors in pregnant women of Mexican origin: the role of acculturation. Am J Public Health. 1997;87:1022–6.CrossRefPubMed
14.
Flaskerud J, Uman G. Acculturation and its effect on self-esteem among immigrant Latina women. Behav Med. 1996;22:123–33.PubMed
15.
Raffaelli M, Zamboanga BL, Carlo G. Acculturation status and sexuality among female Cuban American college students. J Am Coll Health. 2005;54:7–13.CrossRefPubMed
16.
Heilemann MV, Lee KA, Kury FS. Strength factors among women of Mexican descent. West J Nurs Res. 2005;27:949–65.CrossRefPubMed
17.
Vega WA, Alderete E, Kolody B, Aguilar-Gaxiola S. Illicit drug use among Mexicans and Mexican Americans in California: the effects of gender and acculturation. Addiction. 1998;93:1839–50.CrossRefPubMed
18.
Markides KS, Coreil J. The health of Hispanics in the southwestern United States: an epidemiologic paradox. Public Health Rep. 1986;101:253–65.PubMed
19.
Farley T, Galves A, Dickinson LM, de Jesus Diaz P, erez M. Stress, coping, and health: a comparison of Mexican immigrants, Mexican-Americans, and non-Hispanic whites. J Immigr Health. 2005;7:213–20.CrossRefPubMed
20.
Franzini L, Ribble JC, Keddie AM. Understanding the Hispanic paradox. Ethn Dis. 2001;11:496–518.PubMed
21.
Caetano R, Ramisetty-Mikler S, Wallisch LS, McGrath C, Spence RT. Acculturation, drinking, and alcohol abuse and dependence among Hispanics in the Texas-Mexico border. Alcohol Clin Exp Res. 2008;32:314–21.CrossRefPubMed
22.
Sabogal F, Pérez-Stable EJ, Otero-Sabogal R, Hiatt RA. Gender, ethnic, and acculturation differences in sexual behaviors: Hispanic and non-Hispanic white adults. Hisp J Behav Sci. 1995;17:139–59.CrossRef
23.
Raffaelli M, Suarez-Al-Adam M. Reconsidering the HIV/AIDS prevention needs of Latino women in the United States. New York: Harrington Park Press/The Haworth Press; 1998.
24.
Rojas-Guyler L, Ellis N, Sanders S. Acculturation, health protective sexual communication, and HIV/AIDS risk behavior among Hispanic women in a large midwestern city. Health Educ Behav. 2005;32:767–79.CrossRefPubMed
25.
Ashton E, Vosvick M, Chesney M, et al. Social support and maladaptive coping as predictors of the change in physical health symptoms among persons living with HIV/AIDS. AIDS Patient Care STDs. 2005;19:587–98.CrossRefPubMed
26.
Folkman S, Chesney MA, Pollack L, Phillips C. Stress, coping, and high-risk sexual behavior. Health Psychol. 1992;11:218–22.CrossRefPubMed
27.
Ickovics JR, Beren SE, Grigorenko EL, Morrill AC, Druley JA, Rodin J. Pathways of risk: race, social class, stress, and coping as factors predicting heterosexual risk behaviors for HIV among women. AIDS Behav. 2002;6:339–50.CrossRef
28.
Tarakeshwar N, Hansen N, Kochman A, Sikkema KJ. Gender, ethnicity and spiritual coping among bereaved HIV-positive individuals. Ment Health Relig Cult. 2005;8:109–25.CrossRef
29.
Zea MC, Reisen CA, Poppen PJ. Psychological well-being among Latino lesbians and gay men. Cultur Divers Ethnic Minor Psychol. 1999;5:371–9.CrossRef
30.
Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.
31.
Namir S, Wolcott DL, Fawzy FI, Alumbaugh MJ. Coping with AIDS: psychological and health implications. J Appl Soc Psychol. 1987;17:309–28.CrossRef
32.
Cabassa LJ. Measuring acculturation: where we are and where we need to go. Hispanic J of Behav Sci. 2003;25:127–46.CrossRef
33.
Hawley SR, Chavez DV, St Romain T. Developing a bicultural model for academic achievement: a look at acculturative stress, coping, and self-perception. Hisp J Behav Sci. 2007;29:283–99.CrossRef
34.
Díaz RM, Ayala G. Love, passion and rebellion: Ideologies of HIV risk among Latino gay men in the USA. Cult Health Sex. 1999;1:277–93. Special issue: Alternative sexualities and changing identities among Latin American men.CrossRef
35.
Bentler PM. EQS structural equations program manual. Encino, CA: Multivariate Software, Inc; 2006.
36.
Schwartz SJ, Pantin H, Sullivan S, Prado G, Szapocznik J. Nativity and years in the receiving culture as markers of acculturation in ethnic enclaves. J Cross Cult Psychol. 2006;37:345–53.CrossRefPubMed
37.
Wallen GR, Feldman RH, Anliker J. Measuring acculturation among Central American women with the use of a brief language scale. J Immigr Health. 2002;4:95–102.CrossRefPubMed
38.
Murphy DA, Rotheram-Borus MJ, Marelich WD. Factor structure of a coping scale across two samples. J Appl Soc Psychol. 2003;33:627–47.CrossRef
39.
Mannheimer S, Thackeray L, Huppler Hullsiek K, et al. A randomized comparison of two instruments for measuring self-reported antiretroviral adherence. AIDS Care. 2008;20:161–9.CrossRefPubMed
40.
Tabachnick BG, Fidell LS. Using multivariate statistics. Boston: Pearson Education, Inc; 2007.
41.
Chou C-P, Bentler PM. Model modification in covariance structure modeling: comparison among likelihood ratio, lagrange multiplier, and Wald test. Multivar Behav Res. 1990;2:115–36.CrossRef
42.
MacCallum RC. Specification searches in covariance structure modeling. Psychol Bull. 1986;100:107–20.CrossRef
43.
Jimenez J, Potts MK, Jimenez DR. Reproductive attitudes and behavior among latina adolescents. J Ethnic Cult Divers Soc Work. 2002;11:221–49.CrossRef
44.
Faulkner SL, Mansfield PK. Reconciling messages: the process of sexual talk for Latinas. Qual Health Res. 2002;12:310–28.CrossRefPubMed
45.
Marin VO. HIV prevention in the Hispanic community: sex, culture, and empowerment. J Transcult Nurs. 2003;14:186–92.CrossRefPubMed
46.
Nyamathi A, Stein JA, Brecht M-L. Psychosocial predictors of AIDS risk behavior and drug use behavior in homeless and drug addicted women of color. Health Psychol. 1995;14:265–73.CrossRefPubMed
47.
Polednak AP. Gender and acculturation in relation to alcohol use among Hispanic (Latino) adults in two areas of the northeastern United States. Subst Use Misuse. 1997;32:1513–24.CrossRefPubMed
48.
Schwartz SJ, Zamboanga BL, Jarvis LH. Ethnic identity and acculturation in Hispanic early adolescents: mediated relationships to academic grades, prosocial behaviors, and externalizing symptoms. Cultur Divers Ethnic Minor Psychol. 2007;13:364–73.CrossRefPubMed
49.
Bangsberg DR, Hecht FM, Charlebois ED, Chesney M, Moss A. Comparing objective measures of adherence to HIV antiretroviral therapy: electronic medication monitors and unannounced pill counts. AIDS Behav. 2001;5:275–81.CrossRef
50.
Kalichman SC, Amaral CM, Stearns H, et al. Adherence to antiretroviral therapy assessed by unannounced pill counts conducted by telephone. J Gen Intern Med. 2007;22:1003–6.CrossRefPubMed
51.
Cuellar I, Arnold B, Maldonado R. Acculturation rating scale for Mexican Americans-II: a revision of the original ARSMA scale. Hispanic J Behav Sci. 1995;17:275–304.CrossRef
52.
Marín G, Gamba RJ. A new measurement of acculturation for Hispanics: the bidimensional acculturation scale for Hispanics (BAS). Hisp J Behav Sci. 1996;18:297–316.CrossRef
53.
Zea MC, Asner-Self K, Birman D, Buki L. The abbreviated multidimensional acculturation scale: empirical validation with two Latino/a samples. Cultur Divers Ethnic Minor Psychol. 2003;9:107–26.CrossRefPubMed
54.
Spivack G, Shure MB. ICPS and beyond: centripetal and centrifugal forces. Am J Community Psychol. 1985;13:226–43.CrossRefPubMed
Metadata
Title
Acculturation, Coping Styles, and Health Risk Behaviors Among HIV Positive Latinas
Authors
Mónica Sánchez
Eric Rice
Judith Stein
Norweeta G. Milburn
Mary Jane Rotheram-Borus
Publication date
01-04-2010
Publisher
Springer US
Published in
AIDS and Behavior / Issue 2/2010
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-009-9618-y

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