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ABSTRACT: A social ecological framework integrated the six elements of the U.S. Department of Education Safe Schools/Healthy Students Initiative in High School District 201, Cook County, Illinois. Program components were organized across ecological levels (community-wide strategies, school-wide strategies, classrooms, and targeted individual students) along the developmental continuum from preschool to Grade 12. The goal of the community initiative was to promote positive youth development and social and emotional learning in all youth settings in the community, including the schools. There were demonstrated program effects for each of the components of the Initiative. The coalition and the program's activities have been sustained and have brought new interagency collaboration to more effectively serve Latino immigrant youth and their families.
Journal of Prevention & Intervention Community 01/2009; 37(4):326-38.
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ABSTRACT: National level data show food insecurity/insufficiency is more common in Latino families than the dominant population, however local ethnic rates aren't often available, nor have there been many studies of food insufficiency/insecurity among Latino ethnic groups. This study presents food insufficiency data from three low income immigrant Latino Chicago communities. Data were collected as part of a larger study of ethnic Latino differences in health and nutrition attitudes/behaviors and child health services use. Face to face interviews were conducted with 320 mothers of Latino children entering school for the first time (mean age 5.5 years). Food insufficiency questions from the Radimer/Cornell and NHANES III instruments were used. Participants were 70% Mexican, 22% Puerto Rican and 8% other Latino, reflecting Chicago Latino distribution. Thirty percent (n = 96) reported household food insufficiency, although most was worry about obtaining food, and was due to lack of money or Food Stamps. Some families experienced more severe food access problems, namely adults and children skipping meals, and adults or children going without food for an entire day. Puerto Rican families reported more severe food insufficiency than Mexican families, but there were few other ethnic differences. Only 30% of these low income food insufficient families were Food Stamp participants although 90% of the children received school meals. These data point to the need for better screening and program outreach for low income, immigrant Latino families.
Journal of Immigrant and Minority Health 08/2007; 9(3):197-204. · 1.16 Impact Factor
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ABSTRACT: This study examined the predictive factors enabling access to children's oral health care at the level of financial barriers, beliefs, and the provider.
In-depth interviews were conducted with 320 immigrant mothers of low-income families regarding their use of oral health services for children aged four to eight years old. Access to oral health care was measured with frequency of planned dental visits, continuity of care, and age at first visit to dentist.
The mother took her child to the dentist at a younger age if she received referrals to a dentist from pediatrician. Regular dental visits were significantly related to household income, provider availability on weekends, and insurance coverage. The extended clinic hours in the evenings, and the belief in the importance of the child's regular dentist visits increased the likelihood of continuing care. The mothers perceiving a cost burden for the child's dental care were also less likely to return to the dentist.
The available care delivery system, coordinated medical care, and health beliefs were among important predictors of the health service use. The study findings suggest need for culturally competent dental health interventions to enhance access to oral health care among particularly vulnerable populations such as low-income children in Korean communities.
Taehan Kanho Hakhoe chi 01/2005; 34(8):1460-7.
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ABSTRACT: Postpartum depression was studied in 66 multiparous Mexican American women using a prospective longitudinal design. Interviews were conducted at 34 to 36 weeks prenatally and 4 to 6 weeks postpartum. Women expressing prenatal depression were more likely to continue to experience depression postpartum. Other predictors included a high need for postpartum support, specific support network characteristics, acculturation, and poor quality relationships within the family. It is important for the health care provider to assess the presence of depressive symptoms and available social support during the prenatal period and work with Mexican American mothers to increase support and secure help in dealing with daily life stressors.
Journal of Transcultural Nursing 11/2003; 14(4):329-38. · 0.93 Impact Factor
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ABSTRACT: Fundamental to our protection against biological weapons and the detection of disease outbreaks is the need to strengthen our surveillance systems. Improved electronic communications between local, state, and federal public health agencies provide a way for health officials to share information on unusual disease outbreaks and provide important health alert information. This article describes a model of a partnership between a regional medical library of the National Library of Medicine, a school of public health, and federally qualified community health centers. This project upgraded technology and provided public health professional training on Internet information and resources for local public health agencies.
Journal of Medical Systems 01/2003; 26(6):529-43. · 1.13 Impact Factor
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ABSTRACT: Because the Mexican American population in the United States is increasing, nurses will inevitably come into contact with members of this cultural group. Social support is essential for women to adapt to the demands of the perinatal period, and Mexican American childbearing women face particular challenges in obtaining social support. In this article, traditional roles and social support in Mexican American families are described, the challenges of delivering prenatal care within these traditions are discussed, and strategies for nursing intervention are offered.
Journal of Obstetric Gynecologic & Neonatal Nursing 34(6):755-60. · 1.03 Impact Factor
