This proposed community-based participatory research subproject is part of our P20 competitive renewal application of the NIMHD-funded Center for Substance Use and AIDS Research on Latinos in the United States (C-SALUD) at Florida International University (FIU). The proposed longitudinal study consists of 4-annual assessments of recent Latina immigrants (N=600;ages of 18-23). By partnering with local community-based organizations, our multi-disciplinary research team will: (1) elucidate culturally relevant antecedent social determinants of liability (consisting of individual, cultural, interpersonal and community/institutional determinants collectively referred to as social determinants) which predict HIV/AIDS risk behaviors (HIVR), concomitant substance use severity (SUS), HIV/AIDS diagnoses, substance use disorders (SUDs) and access to health care resources (HCR), (2) determine the moderating effects of dyadic attachments (daughter-father, daughter-mother, daughter-peers, daughter-romantic partner) on the relationship between adverse social determinants and early adult trajectories of HIV/AIDS risk behaviors and SUS, (3) clinically validate outcomes with laboratory tests (saliva, urine and blood) for alcohol plus 9-drug classes, HIV-EIA and STDs and (4) create a psychometrically sound and culturally relevant screening instrument derived from the obtained results (Latina Screening Index of Risk and Resilience-LaSIRR) which may be employed to identify recent Latina immigrants at high risk to succumb to HIV/AIDS and SUDs. Longitudinal statistical analyses will capture dynamic system interactions between change processes and causal networks to elucidate interactions among the modeled variables across 4-annual waves. Factor analyses will be applied to data obtained at baseline assessment to derive a preliminary LaSIRR to predict HIV and SUD outcomes across 3 follow-up assessments.

Public Health Relevance

The obtained results will inform social policy to develop innovative prevention and intervention strategies for recent Latina immigrants to promote their recruitment and retention into a continuum of health care prevention and intervention services which redirect their adult developmental trajectories away from potentially fatal early to mid-adult outcomes (e.g., HIV/AIDS, drug abuse) to healthy adult outcomes.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Exploratory Grants (P20)
Project #
5P20MD002288-07
Application #
8552051
Study Section
Special Emphasis Panel (ZMD1-RN)
Project Start
Project End
Budget Start
2013-07-01
Budget End
2014-06-30
Support Year
7
Fiscal Year
2013
Total Cost
$181,022
Indirect Cost
$40,996
Name
Florida International University
Department
Type
DUNS #
071298814
City
Miami
State
FL
Country
United States
Zip Code
33199
Weissman, Jessica; Kanamori, Mariano; Dévieux, Jessy G et al. (2017) HIV Risk Reduction Interventions Among Substance-Abusing Reproductive-Age Women: A Systematic Review. AIDS Educ Prev 29:121-140
Cano, Miguel Ángel; Sánchez, Mariana; Trepka, Mary Jo et al. (2017) Immigration Stress and Alcohol Use Severity Among Recently Immigrated Hispanic Adults: Examining Moderating Effects of Gender, Immigration Status, and Social Support. J Clin Psychol 73:294-307
Da Silva, Nicole; Dillon, Frank R; Rose Verdejo, Toni et al. (2017) Acculturative Stress, Psychological Distress, and Religious Coping Among Latina Young Adult Immigrants. Couns Psychol 45:213-236
Rojas, Patria; Li, Tan; Ravelo, Gira J et al. (2017) Correlates of Cervical Cancer Screening Among Adult Latino Women: A 5-Year Follow-Up. World Med Health Policy 9:239-254
Cano, Miguel Ángel; Sánchez, Mariana; Rojas, Patria et al. (2017) Alcohol Use Severity Among Adult Hispanic Immigrants: Examining the Roles of Family Cohesion, Social Support, and Gender. Subst Use Misuse :1-9
Cano, Miguel Ángel; de Dios, Marcel A; Correa-Fernández, Virmarie et al. (2017) Depressive symptom domains and alcohol use severity among Hispanic emerging adults: Examining moderating effects of gender. Addict Behav 72:72-78
Cyrus, Elena; Dawson, Christyl; Fennie, Kristopher P et al. (2017) Disparity in Retention in Care and Viral Suppression for Black Caribbean-Born Immigrants Living with HIV in Florida. Int J Environ Res Public Health 14:
Sheehan, Diana M; Mauck, Daniel E; Fennie, Kristopher P et al. (2017) Black-White and Country of Birth Disparities in Retention in HIV Care and Viral Suppression among Latinos with HIV in Florida, 2015. Int J Environ Res Public Health 14:
Sneij, Alicia; Campa, Adriana; Martinez, Sabrina Sales et al. (2016) Lower Plasma Zinc Levels in Hyperglycemic People Living with HIV in the MASH cohort. J AIDS Clin Res 7:
Rojas, Patria; Huang, Hui; Li, Tan et al. (2016) Sociocultural Determinants of Risky Sexual Behaviors among Adult Latinas: A Longitudinal Study of a Community-Based Sample. Int J Environ Res Public Health 13:

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