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.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Exploratory Grants (P20)
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Special Emphasis Panel (ZMD1-RN)
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Florida International University
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Sanchez, Mariana; Dillon, Frank R; Concha, Maritza et al. (2015) The Impact of Religious Coping on the Acculturative Stress and Alcohol Use of Recent Latino Immigrants. J Relig Health 54:1986-2004
Sastre, Francisco; Sheehan, Diana M; Gonzalez, Arnaldo (2015) Dating, marriage, and parenthood for HIV-positive heterosexual Puerto Rican men: normalizing perspectives on everyday life with HIV. Am J Mens Health 9:139-49
Sheehan, Diana M; Trepka, Mary Jo; Fennie, Kristopher P et al. (2015) Rate of new HIV diagnoses among Latinos living in Florida: disparities by country/region of birth. AIDS Care 27:507-11
Sheehan, Diana M; Trepka, Mary Jo; Dillon, Frank R (2015) Latinos in the United States on the HIV/AIDS care continuum by birth country/region: a systematic review of the literature. Int J STD AIDS 26:12-Jan
Blackson, Timothy C; De La Rosa, Mario; Sanchez, Mariana et al. (2015) Latino Immigrants' Biological Parents' Histories of Substance Use Problems in Their Country of Origin Predict Their Pre- and Post-Immigration Alcohol Use Problems. Subst Abus 36:257-63
Sastre, Francisco; Rojas, Patria; Cyrus, Elena et al. (2014) Improving the health status of Caribbean people: recommendations from the Triangulating on Health Equity summit. Glob Health Promot 21:19-28
Trepka, Mary Jo; Fennie, Kristopher P; Sheehan, Diana M et al. (2014) Late HIV diagnosis: Differences by rural/urban residence, Florida, 2007-2011. AIDS Patient Care STDS 28:188-97
Sanchez, Mariana; De La Rosa, Mario; Blackson, Timothy C et al. (2014) Pre- to postimmigration alcohol use trajectories among recent Latino immigrants. Psychol Addict Behav 28:990-9
Rojas, Patria; Dillon, Frank R; Cyrus, Elena et al. (2014) Alcohol use as a determinant of HIV risk behaviors among recent Latino immigrants in south Florida. J Assoc Nurses AIDS Care 25:135-44
Sheehan, Diana M (2014) Marketing little cigars and cigarillos in African American communities. Am J Public Health 104:e1

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