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Erschienen in: AIDS and Behavior 3/2017

23.06.2016 | Original Paper

Between Synergy and Travesty: A Sexual Risk Syndemic Among Pregnant Latina Immigrant and Non-immigrant Adolescents

verfasst von: Isabel Martinez, Trace S. Kershaw, Jessica B. Lewis, Emily C. Stasko, Jonathan N. Tobin, Jeannette R. Ickovics

Erschienen in: AIDS and Behavior | Ausgabe 3/2017

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Abstract

Substance use, intimate partner violence, and depression contribute to sexual risk individually, yet have not been evaluated as a syndemic for adolescents. Using data from 772 pregnant Latina adolescents, we evaluated these factors as a syndemic and tested the moderating role of immigration. Bivariate analyses showed syndemic score (OR = 1.40, p = 0.02) and severity (OR = 1.68, p = 0.006) were predictors for multiple sex partners, and syndemic score predicting STIs (OR = 1.15, p = 0.05). Syndemic severity remained significant in multivariate analyses for multiple sex partners (OR = 1.53, p = 0.04). Moderation analyses showed higher syndemic severity was associated with more condom use among immigrants (OR = 1.75, p = 0.04) and less condom use (OR = 0.07, p = 0.011) among those with separated orientation. Higher syndemic severity also predicted greater odds for multiple partners (OR = 2.40, p = 0.01) among immigrants. This evidence suggests a sexual risk syndemic exists among Latina adolescents. Research should continue exploring this phenomenon, particularly exploring the role immigration plays for sexual health.
Literatur
1.
Zurück zum Zitat CDC. Sexually transmitted disease surveillance, 2013. Atlanta: U.S. Department of Health and Human Services; 2014. CDC. Sexually transmitted disease surveillance, 2013. Atlanta: U.S. Department of Health and Human Services; 2014.
2.
Zurück zum Zitat Satterwhite CL, Torrone E, Meites E, et al. Sexually transmitted infections among US women and men: prevalence and incidence estimates, 2008. Sex Transm Dis. 2013;40(3):187–93.CrossRefPubMed Satterwhite CL, Torrone E, Meites E, et al. Sexually transmitted infections among US women and men: prevalence and incidence estimates, 2008. Sex Transm Dis. 2013;40(3):187–93.CrossRefPubMed
3.
Zurück zum Zitat Forhan SE, Gottlieb SL, Sternberg MR, et al. Prevalence of sexually transmitted infections among female adolescents aged 14 to 19 in the United States. Pediatrics. 2009;124(6):1505–12.CrossRefPubMed Forhan SE, Gottlieb SL, Sternberg MR, et al. Prevalence of sexually transmitted infections among female adolescents aged 14 to 19 in the United States. Pediatrics. 2009;124(6):1505–12.CrossRefPubMed
6.
Zurück zum Zitat Chen E, Martin AD, Matthews AD. Socieoconomic status and health: do gradients differ with childhood and adolescence? Soc Sci Med. 2006;62(9):2161–70.CrossRefPubMed Chen E, Martin AD, Matthews AD. Socieoconomic status and health: do gradients differ with childhood and adolescence? Soc Sci Med. 2006;62(9):2161–70.CrossRefPubMed
8.
Zurück zum Zitat Silverman JG, Decker MR, Raj A. Immigration-based disparities in adolescent girls’ vulnerability to dating violence. Matern Child Health J. 2007;11(1):37–43.CrossRefPubMed Silverman JG, Decker MR, Raj A. Immigration-based disparities in adolescent girls’ vulnerability to dating violence. Matern Child Health J. 2007;11(1):37–43.CrossRefPubMed
9.
Zurück zum Zitat Singer M. AIDS and the health crisis of the U.S. urban poor: the perspective of critical medical anthropology. Soc Sci Med. 1994;39(7):931–48.CrossRefPubMed Singer M. AIDS and the health crisis of the U.S. urban poor: the perspective of critical medical anthropology. Soc Sci Med. 1994;39(7):931–48.CrossRefPubMed
10.
Zurück zum Zitat Singer M, Clair S. Syndemics and public health: reconceptualizing disease in bio-social context. Med Anthropol Q. 2003;17(4):423–41.CrossRefPubMed Singer M, Clair S. Syndemics and public health: reconceptualizing disease in bio-social context. Med Anthropol Q. 2003;17(4):423–41.CrossRefPubMed
11.
Zurück zum Zitat Singer MC, Erickson PI, Badiane L, et al. Syndemics, sex and the city: understanding sexually transmitted diseases in social and cultural context. Soc Sci Med. 2006;63(8):2010–21.CrossRefPubMed Singer MC, Erickson PI, Badiane L, et al. Syndemics, sex and the city: understanding sexually transmitted diseases in social and cultural context. Soc Sci Med. 2006;63(8):2010–21.CrossRefPubMed
12.
Zurück zum Zitat Singer M. Introduction to syndemics: a critical systems approach to public and community health. New York: Wiley; 2009. Singer M. Introduction to syndemics: a critical systems approach to public and community health. New York: Wiley; 2009.
13.
Zurück zum Zitat Mustanski B, Garofalo R, Herrick A, Donenberg G. Psychosocial health problems increase risk for HIV among urban young men who have sex with men: preliminary evidence of a syndemic in need of attention. Ann Behav Med. 2007;34(1):37–45.CrossRefPubMedPubMedCentral Mustanski B, Garofalo R, Herrick A, Donenberg G. Psychosocial health problems increase risk for HIV among urban young men who have sex with men: preliminary evidence of a syndemic in need of attention. Ann Behav Med. 2007;34(1):37–45.CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Gonzalez-Guarda RM, McCabe BE, Florom-Smith A, Cianelli R, Peragallo N. Substance abuse, violence, HIV and depression: an underlying syndemic factor among Latinas. NursRes. 2011;60(3):182–9. Gonzalez-Guarda RM, McCabe BE, Florom-Smith A, Cianelli R, Peragallo N. Substance abuse, violence, HIV and depression: an underlying syndemic factor among Latinas. NursRes. 2011;60(3):182–9.
15.
Zurück zum Zitat Gonzalez-Guarda RM, Vasquez EP, Urrutia MT, Villarruel AM, Peragallo N. Hispanic Women’s Experiences with Substance Abuse, Intimate Partner Violence, and Risk for HIV. J Transcult Nurs. 2011;22(1):46–54.CrossRefPubMedPubMedCentral Gonzalez-Guarda RM, Vasquez EP, Urrutia MT, Villarruel AM, Peragallo N. Hispanic Women’s Experiences with Substance Abuse, Intimate Partner Violence, and Risk for HIV. J Transcult Nurs. 2011;22(1):46–54.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Gonzalez-Guarda RM, Al Florom-Smith, Thomas T. A syndemic model of substance abuse, intimate partner violence, HIV infection, and mental health among hispanics. Public Health Nurs. 2011;28(4):366–70.CrossRefPubMedPubMedCentral Gonzalez-Guarda RM, Al Florom-Smith, Thomas T. A syndemic model of substance abuse, intimate partner violence, HIV infection, and mental health among hispanics. Public Health Nurs. 2011;28(4):366–70.CrossRefPubMedPubMedCentral
17.
18.
Zurück zum Zitat Parsons JT, Grov C, Golub SA. Sexual compulsivity, co-occurring psychosocial health problems, and HIV risk among gay and bisexual men: further evidence of a syndemic. Am J Public Health. 2012;102(1):156–62.CrossRefPubMedPubMedCentral Parsons JT, Grov C, Golub SA. Sexual compulsivity, co-occurring psychosocial health problems, and HIV risk among gay and bisexual men: further evidence of a syndemic. Am J Public Health. 2012;102(1):156–62.CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Stall R, Mills TC, Williamson J, Hart T, Greenwood G, Paul J, et al. Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. Am J Public Health. 2003;93(6):939–42.CrossRefPubMedPubMedCentral Stall R, Mills TC, Williamson J, Hart T, Greenwood G, Paul J, et al. Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. Am J Public Health. 2003;93(6):939–42.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Baskin-Sommers A, Sommers I. The co-occurrence of substance use ad high-risk behaviors. J Adolesc Health. 2006;38(5):609–11.CrossRefPubMed Baskin-Sommers A, Sommers I. The co-occurrence of substance use ad high-risk behaviors. J Adolesc Health. 2006;38(5):609–11.CrossRefPubMed
21.
Zurück zum Zitat Hussey JM, Hallfors DD, Waller MW, et al. Sexual behavior and drug use among Asian and Latino adolescents: association with immigrant status. J Immigr Minor Health. 2007;9(2):85–94.CrossRefPubMed Hussey JM, Hallfors DD, Waller MW, et al. Sexual behavior and drug use among Asian and Latino adolescents: association with immigrant status. J Immigr Minor Health. 2007;9(2):85–94.CrossRefPubMed
22.
Zurück zum Zitat Teitelman AM, Ratcliffe SJ, Morales-Aleman MM, Sullivan CM. Sexual relationship power, intimate partner violence, and condom use among minority urban girls. J Interpers Violence. 2008;23(12):1694–712.CrossRefPubMedPubMedCentral Teitelman AM, Ratcliffe SJ, Morales-Aleman MM, Sullivan CM. Sexual relationship power, intimate partner violence, and condom use among minority urban girls. J Interpers Violence. 2008;23(12):1694–712.CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Coker AL. Does physical intimate partner violence affect sexual health? Trauma, Violence, & Abuse. 2007;8(2):149–77.CrossRef Coker AL. Does physical intimate partner violence affect sexual health? Trauma, Violence, & Abuse. 2007;8(2):149–77.CrossRef
24.
Zurück zum Zitat Lee J, Hahm HC. Acculturation and sexual risk behaviors among Latina adolescents transitioning to young adulthood. J Youth Adolesc. 2010;39(1):414–27.CrossRefPubMed Lee J, Hahm HC. Acculturation and sexual risk behaviors among Latina adolescents transitioning to young adulthood. J Youth Adolesc. 2010;39(1):414–27.CrossRefPubMed
26.
Zurück zum Zitat Blake SM, Ledsky R, Goodenow C, O’Donnell L. Recency of immigration, substance use, and sexual behavior among massachusetts adolescents. Am J Public Health. 2001;91(5):794–8.CrossRefPubMedPubMedCentral Blake SM, Ledsky R, Goodenow C, O’Donnell L. Recency of immigration, substance use, and sexual behavior among massachusetts adolescents. Am J Public Health. 2001;91(5):794–8.CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Gonzalez-Guarda RM, Peragallo N, Urrutia MT, Vasquez EP, Mitrani VB. HIV risks, substance abuse, and intimate partner violence among hispanic women and their intimate partners. J Assoc Nurses AIDS Care. 2008;19(4):252–66.CrossRefPubMed Gonzalez-Guarda RM, Peragallo N, Urrutia MT, Vasquez EP, Mitrani VB. HIV risks, substance abuse, and intimate partner violence among hispanic women and their intimate partners. J Assoc Nurses AIDS Care. 2008;19(4):252–66.CrossRefPubMed
30.
Zurück zum Zitat Illangasekare S, Burke J, Chander G, Gielen A. The syndemic effects of intimate partner violence, HIV/AIDS, and substance abuse on depression among low-income urban women. Journal of Urban Health. 2013;90(5):934–47.CrossRefPubMedPubMedCentral Illangasekare S, Burke J, Chander G, Gielen A. The syndemic effects of intimate partner violence, HIV/AIDS, and substance abuse on depression among low-income urban women. Journal of Urban Health. 2013;90(5):934–47.CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Sullivan KA, Messer LC, Quinlivan EB. Substance abuse, violence, and HIV/AIDS (SAVA) syndemic effects on viral suppression among HIV positive women of color. AIDS Patient Care STDs. 2015;29(s1):s42–8.CrossRefPubMedPubMedCentral Sullivan KA, Messer LC, Quinlivan EB. Substance abuse, violence, and HIV/AIDS (SAVA) syndemic effects on viral suppression among HIV positive women of color. AIDS Patient Care STDs. 2015;29(s1):s42–8.CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Pitpitan EV, Kalichman SC, Eaton LA, et al. Co-occurring psychosocial problems and HIV risk among women attending drinking venues in a South African township: a syndemic approach. Ann Behav Med. 2014;45(2):153–62.CrossRef Pitpitan EV, Kalichman SC, Eaton LA, et al. Co-occurring psychosocial problems and HIV risk among women attending drinking venues in a South African township: a syndemic approach. Ann Behav Med. 2014;45(2):153–62.CrossRef
33.
Zurück zum Zitat Gilbert L, Primbetova S, Nikitin D, et al. Redressing the epidemics of opioid overdose and HIV among people who inject drugs in Central Asia: the need for a syndemic approach. Drug Alcohol Depend. 2013;132(s1):s56–60.CrossRefPubMedPubMedCentral Gilbert L, Primbetova S, Nikitin D, et al. Redressing the epidemics of opioid overdose and HIV among people who inject drugs in Central Asia: the need for a syndemic approach. Drug Alcohol Depend. 2013;132(s1):s56–60.CrossRefPubMedPubMedCentral
34.
Zurück zum Zitat Brennan J, Kuhns LM, Johnson AK, et al. Syndemic theory and HIV-related risk among young transgender women: the role of multiple, co-occurring health problems and social marginalization. Am J Public Health. 2012;102(9):1751–7.CrossRefPubMedPubMedCentral Brennan J, Kuhns LM, Johnson AK, et al. Syndemic theory and HIV-related risk among young transgender women: the role of multiple, co-occurring health problems and social marginalization. Am J Public Health. 2012;102(9):1751–7.CrossRefPubMedPubMedCentral
35.
Zurück zum Zitat Derlan CL, Umana-Taylor AJ, Toomey RB, Updegraff KA, Jahromi LB, et al. Perceived discrimination and ethnic affirmation: Anglo culture orientation as a moderator among Mexican-origin adolescent mothers. Am J Public Health. 2012;102(9):1751–7.CrossRef Derlan CL, Umana-Taylor AJ, Toomey RB, Updegraff KA, Jahromi LB, et al. Perceived discrimination and ethnic affirmation: Anglo culture orientation as a moderator among Mexican-origin adolescent mothers. Am J Public Health. 2012;102(9):1751–7.CrossRef
36.
Zurück zum Zitat Deutsch AR, Crockett LJ. Gender, generational status, and parent-adolescent sexual communication: implications for Latino/a adolescent sexual behavior. J Res Adolesc. 2015;. doi:10.1111/jora.12192.PubMed Deutsch AR, Crockett LJ. Gender, generational status, and parent-adolescent sexual communication: implications for Latino/a adolescent sexual behavior. J Res Adolesc. 2015;. doi:10.​1111/​jora.​12192.PubMed
37.
Zurück zum Zitat Leu J, Yen IH, Gansky SA, Walton E, Adler NE, et al. The association between subjective social status and mental health among Asian immigrants: investigating the influence of age at immigration. Soc Sci Med. 2008;66(1):1152–64.CrossRefPubMedPubMedCentral Leu J, Yen IH, Gansky SA, Walton E, Adler NE, et al. The association between subjective social status and mental health among Asian immigrants: investigating the influence of age at immigration. Soc Sci Med. 2008;66(1):1152–64.CrossRefPubMedPubMedCentral
38.
Zurück zum Zitat Meyer JP, Springer SA, Altice FL. Substance abuse, violence, and HIV in women: a literature review of the syndemic. J Womens Health. 2011;20(7):991–10006.CrossRef Meyer JP, Springer SA, Altice FL. Substance abuse, violence, and HIV in women: a literature review of the syndemic. J Womens Health. 2011;20(7):991–10006.CrossRef
39.
Zurück zum Zitat Padilla YC, Villalobos G. Cultural responses to health among Mexican American women and their families. Fam Community Health. 2007;30(15):s24–233.CrossRefPubMed Padilla YC, Villalobos G. Cultural responses to health among Mexican American women and their families. Fam Community Health. 2007;30(15):s24–233.CrossRefPubMed
40.
Zurück zum Zitat Smokowski PR, Rose R, Bacallao ML. Acculturation and Latino family processes: how cultural involvement, biculturalism, and acculturation gaps influence family dynamics. Fam Relat. 2008;57(1):295–308.CrossRef Smokowski PR, Rose R, Bacallao ML. Acculturation and Latino family processes: how cultural involvement, biculturalism, and acculturation gaps influence family dynamics. Fam Relat. 2008;57(1):295–308.CrossRef
41.
Zurück zum Zitat Derose KP, Escarce JJ, Lurie N. Immigrants and healthcare: sources of vulnerability. Health Aff. 2007;26(5):1258–68.CrossRef Derose KP, Escarce JJ, Lurie N. Immigrants and healthcare: sources of vulnerability. Health Aff. 2007;26(5):1258–68.CrossRef
42.
Zurück zum Zitat Giguère B, Lalonde R, Lou E. Living at the crossroads of cultural worlds: the experience of normative conflicts by second generation immigrant youth. Soc Pers Psychol Compass. 2010;4(1):14–29.CrossRef Giguère B, Lalonde R, Lou E. Living at the crossroads of cultural worlds: the experience of normative conflicts by second generation immigrant youth. Soc Pers Psychol Compass. 2010;4(1):14–29.CrossRef
43.
Zurück zum Zitat Soriano FI, Rivera LM, Williams KJ, Daley SP, Reznik VM. Navigating between cultures: the role of culture in youth violence. J Adolesc Health. 2004;34(3):169–76.CrossRefPubMed Soriano FI, Rivera LM, Williams KJ, Daley SP, Reznik VM. Navigating between cultures: the role of culture in youth violence. J Adolesc Health. 2004;34(3):169–76.CrossRefPubMed
44.
Zurück zum Zitat Schwartz SJ, Unger JB, Des Rosiers SE, et al. Domains of acculturation and their effects on substance use and sexual behavior in recent hispanic immigrant adolescents. Prev Sci. 2014;15(1):385–96.CrossRefPubMedPubMedCentral Schwartz SJ, Unger JB, Des Rosiers SE, et al. Domains of acculturation and their effects on substance use and sexual behavior in recent hispanic immigrant adolescents. Prev Sci. 2014;15(1):385–96.CrossRefPubMedPubMedCentral
45.
Zurück zum Zitat Guarini TE, Marks AK, Patton F, García Coll C. The immigrant paradox in pregnancy: explaining the first-generation advantage for Latina adolescents. J Res Adolesc. 2013;25(1):14–9. doi:10.1111/jora.12096.CrossRef Guarini TE, Marks AK, Patton F, García Coll C. The immigrant paradox in pregnancy: explaining the first-generation advantage for Latina adolescents. J Res Adolesc. 2013;25(1):14–9. doi:10.​1111/​jora.​12096.CrossRef
46.
Zurück zum Zitat Felix-Ortiz M, Newcomb MD, Myers H. A multidimensional measure of cultural identity for Latino and Latina adolescents. Hisp J Behav Sci. 1994;16(2):99–115.CrossRef Felix-Ortiz M, Newcomb MD, Myers H. A multidimensional measure of cultural identity for Latino and Latina adolescents. Hisp J Behav Sci. 1994;16(2):99–115.CrossRef
47.
Zurück zum Zitat Wallace PM, Pomery EA, Latimer AE, Martinez JL, Salovey P. A review of acculturation measures and their utility in studies promoting Latino health. Hisp J Behav Sci. 2010;32(1):37–54.CrossRefPubMedPubMedCentral Wallace PM, Pomery EA, Latimer AE, Martinez JL, Salovey P. A review of acculturation measures and their utility in studies promoting Latino health. Hisp J Behav Sci. 2010;32(1):37–54.CrossRefPubMedPubMedCentral
48.
Zurück zum Zitat Waters MC, Jimenez TR. Assessing immigrant assimilation: new empirical and theoretical challenges. Annu Rev Sociol. 2005;31(1):105–25.CrossRef Waters MC, Jimenez TR. Assessing immigrant assimilation: new empirical and theoretical challenges. Annu Rev Sociol. 2005;31(1):105–25.CrossRef
49.
Zurück zum Zitat Kershaw TS, Magriples U, Westdahl C, Rising SS, Ickovics J. Pregnancy as a window of opportunity for HIV prevention: effects of an HIV intervention delivered within prenatal care. Am J Public Health. 2009;99(11):2079–86.CrossRefPubMedPubMedCentral Kershaw TS, Magriples U, Westdahl C, Rising SS, Ickovics J. Pregnancy as a window of opportunity for HIV prevention: effects of an HIV intervention delivered within prenatal care. Am J Public Health. 2009;99(11):2079–86.CrossRefPubMedPubMedCentral
50.
Zurück zum Zitat Straus MA. Measuring intrafamily conflict and violence: the Conflict tactics (CT) Scales. J Marriage Fam. 1979;41(1):75–8.CrossRef Straus MA. Measuring intrafamily conflict and violence: the Conflict tactics (CT) Scales. J Marriage Fam. 1979;41(1):75–8.CrossRef
51.
Zurück zum Zitat Radloff LS. The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRef Radloff LS. The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRef
52.
Zurück zum Zitat Austin SB, Roberts AL, Corliss HL, Molnar BE. Sexual violence victimization history and sexual risk indicators in a community-based urban cohort of “mostly heterosexual” and heterosexual young women. Am J Public Health. 2008;98(6):1015–20.CrossRefPubMedPubMedCentral Austin SB, Roberts AL, Corliss HL, Molnar BE. Sexual violence victimization history and sexual risk indicators in a community-based urban cohort of “mostly heterosexual” and heterosexual young women. Am J Public Health. 2008;98(6):1015–20.CrossRefPubMedPubMedCentral
53.
Zurück zum Zitat Silverman JG, Raj A, Clements K. Dating violence and associated sexual risk and pregnancy among adolescent girls in the United States. Pediatrics. 2004;114(2):e220–5.CrossRefPubMed Silverman JG, Raj A, Clements K. Dating violence and associated sexual risk and pregnancy among adolescent girls in the United States. Pediatrics. 2004;114(2):e220–5.CrossRefPubMed
54.
Zurück zum Zitat Eaton DK, Davis KS, Barrios L, Brener ND, Noonan RK. Associations of dating violence victimization with lifetime participation, co-occurrence, and early initiation of risk behaviors among U.S. high school students. J Interpers Violence. 2007;22(5):585–602.CrossRefPubMed Eaton DK, Davis KS, Barrios L, Brener ND, Noonan RK. Associations of dating violence victimization with lifetime participation, co-occurrence, and early initiation of risk behaviors among U.S. high school students. J Interpers Violence. 2007;22(5):585–602.CrossRefPubMed
55.
Zurück zum Zitat Unger JB, Gallaher P, Shakib S, et al. The AHIMSA Acculturation Scale: a new measure of acculturation for adolescents in a multicultural society. J Early Adolesc. 2002;22(1):225–51.CrossRef Unger JB, Gallaher P, Shakib S, et al. The AHIMSA Acculturation Scale: a new measure of acculturation for adolescents in a multicultural society. J Early Adolesc. 2002;22(1):225–51.CrossRef
56.
Zurück zum Zitat Kirk RE. Experimental design: procedures for the behavioral sciences. 3rd ed. Belmont: Duxbury Press; 1995. Kirk RE. Experimental design: procedures for the behavioral sciences. 3rd ed. Belmont: Duxbury Press; 1995.
57.
Zurück zum Zitat Kuehl RO. Statistical principles of research design and analysis. 2nd ed. Belmont: Duxbury Press; 2000. Kuehl RO. Statistical principles of research design and analysis. 2nd ed. Belmont: Duxbury Press; 2000.
58.
Zurück zum Zitat Schanbenberger O, Gregoire TG, Weyerhaeuse JP, Kong F. Collections of simple effects and their relationship to main effects and interactions in factorials. Am Stat. 2000;54(3):210–4. Schanbenberger O, Gregoire TG, Weyerhaeuse JP, Kong F. Collections of simple effects and their relationship to main effects and interactions in factorials. Am Stat. 2000;54(3):210–4.
59.
Zurück zum Zitat Unger JB. Acculturation and attitudes about contraceptive use among Latina women. Health Care Women Int. 2000;04(21):235–49.CrossRef Unger JB. Acculturation and attitudes about contraceptive use among Latina women. Health Care Women Int. 2000;04(21):235–49.CrossRef
60.
Zurück zum Zitat Villarruel AM, Jemmott JB, Jemmott LS, Ronis DL. Predictors of sexual intercourse and condom use intentions among Spanish-dominant Latino youth: a test of the planned behavior theory. Nurs Res. 2004;53(3):172–81.CrossRefPubMed Villarruel AM, Jemmott JB, Jemmott LS, Ronis DL. Predictors of sexual intercourse and condom use intentions among Spanish-dominant Latino youth: a test of the planned behavior theory. Nurs Res. 2004;53(3):172–81.CrossRefPubMed
61.
Zurück zum Zitat Zsembik BA, Fennell D. Ethnic variation in health and the determinants of health among Latinos. Soc Sci Med. 2005;61(1):53–63.CrossRefPubMed Zsembik BA, Fennell D. Ethnic variation in health and the determinants of health among Latinos. Soc Sci Med. 2005;61(1):53–63.CrossRefPubMed
62.
Zurück zum Zitat Jerant A, Arellanes R, Peter F. Health status among US Hispanics: ethnic variation, nativity, and language moderation. Med Care. 2008;46(7):709–17.CrossRefPubMed Jerant A, Arellanes R, Peter F. Health status among US Hispanics: ethnic variation, nativity, and language moderation. Med Care. 2008;46(7):709–17.CrossRefPubMed
Metadaten
Titel
Between Synergy and Travesty: A Sexual Risk Syndemic Among Pregnant Latina Immigrant and Non-immigrant Adolescents
verfasst von
Isabel Martinez
Trace S. Kershaw
Jessica B. Lewis
Emily C. Stasko
Jonathan N. Tobin
Jeannette R. Ickovics
Publikationsdatum
23.06.2016
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 3/2017
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1461-3

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