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U.S. Hispanic adolescents are at risk for negative health outcomes due to risk-taking behaviors involving sex, drugs, and alcohol. Mother-daughter communication can reduce these risk-taking behaviors and reinforce parents' expectations. The purpose of this study was to explore mothers' descriptions of their communication about risk-taking behaviors with their early adolescent Hispanic daughters. This qualitative descriptive study involved focus groups with 21 Hispanic mothers of 7th grade (12–14 years old) girls. Conventional content analysis was conducted to identify the strategies they used during these conversations. Strategies mothers used included warning, focusing on negative consequences, creating opportunities to express maternal expectations, and stressing the importance of positive influences. Communication was also influenced by daughters' physical development and social media. The mothers were concerned about their daughters' exposure to risk-taking behaviors but were unsure about how to talk to their daughters about how to avoid them, particularly regarding topics related to sex. Our study results have implications on how to facilitate parent-child conversations about risk-taking behaviors and to equip mothers and parents to teach their children how to avoid engaging in these behaviors. [ABSTRACT FROM AUTHOR]

Suicide is a public health problem that disproportionately affects bisexual youth more than heterosexual, lesbian/gay, and other sexual minority youth. Teen dating violence (TDV) consists of physically, emotionally, and/or psychologically aggressive behavior in adolescent relationships and has been linked to increased suicidality among sexual minority youth. Although biological sex differences in suicide and TDV have been noted, limited research currently exists regarding the importance of these differences in bisexual youth. This study employed a cross-sectional descriptive design to investigate the relationship between biological sex, TDV, and suicide risk among bisexual youth in grades 9–12. This study used structural equation modeling to conduct a secondary analysis of pooled 2015 and 2017 national Youth Risk Behavior Surveillance Survey data that examined whether TDV mediated the relationship between biological sex and suicide risk among bisexual youth. Results indicated that TDV did not mediate the relationship between biological sex and suicide risk among bisexual youth. Biological sex was a significant predictor of suicide risk with male youth reporting lower suicide risk than female youth, when controlling for dating history, TDV, age, and race. TDV predicted suicide risk, with youth reporting TDV having higher suicide risk, when controlling for dating history, biological sex, age, and race. In addition, black and Hispanic youth reported lower suicide risk compared to white youth. There is a dire need for research that addresses issues of TDV and suicide among bisexual youth. Understanding factors influencing suicide risk following TDV experiences among bisexual youth will inform interventions to mitigate negative mental health outcomes. [ABSTRACT FROM AUTHOR]

Abstract: The purpose of this study was to determine the prevalence of, and clinical-epidemiological and demographic predictive factors for, birth transition success of late preterm infants. A retrospective, case-control chart review was used to compare the characteristics of successful and unsuccessful birth transition of late-preterm infants delivered in a large tertiary-care center. Categorical and numeric variables related to maternal, birth, and physiologic constructs were analyzed. Four predictor variables were associated with birth transition failure: labor (OR = .42, P = .014), 5-minute Apgar score (OR = 1.79, P = .003), gender (OR = .47, P =.043) and respiratory rate (OR = 2.08, P < .001). The overall classification rate for the model was 70.3%. Transition success and failure were accurately assigned at a rate of 66.7% and 74%, respectively. The primary implication of this research is that the absence of labor, male gender, low Apgar scoring, and tachypnea (>60) were identified as a risk factors for transition failure of late preterm infants. [Copyright &y& Elsevier]

In contrast to adolescents attending traditional universities, adolescents attending community colleges represent a large but relatively unstudied population with respect to stress and mental health issues. The purpose of this study was to determine what factors increase and decrease stress in a sample of adolescent community college students (N = 166). Findings from a self-administered questionnaire indicated that students had moderate levels of stress and resilience. Contrary to predictions, males demonstrated statistically significant higher levels of stress than females, but as expected, resilience had a significant negative effect on stress (p < .05). Practice and research implications are discussed for nurses in pediatric settings. [Copyright &y& Elsevier]

The personal and social costs of HIV are well documented. What remains unknown is the effect of public disclosure of HIV status on the individual who is doing the disclosing. This study describes the experience of four African American women living with HIV who participated in the development of an intergenerational education intervention for African American adolescent girls. These women suggested that they be filmed discussing the "dark side" of HIV in an effort to create an intergenerational education intervention that would alter the risk-taking behavior that they observed in young women in their community. After a rough cut of the film was completed, these women viewed the film and participated in a focus group during which they discussed what it was like to reveal and revisit their own painful experiences associated with becoming infected and then living with HIV. Findings from content analysis of transcribed dialogue included the following positive themes: (a) self-acceptance by telling one's own story and hearing the stories of the other women, (b) a sense of liberation by disclosing publicly one's image and message and letting go of others' judgments, (c) feeling supported by meeting other women who share the same experience, (d) value of using the film to impact or save young people from the pain one has experienced. A negative theme emerged related to personal pain in reliving the individual's history with HIV. [ABSTRACT FROM AUTHOR]

OBJECTIVES: The purpose of this paper is to discuss how issues of recruitment, informed consent, and research incentives are viewed by Haitian Americans in a historical and cultural context and to identify implications for the ethical conduct of research. METHOD: The impact that Haitian history, culture, and experience with HIV has on current cultural attitudes regarding research participation are critically analyzed. Case illustrations from an HJV prevention research project involving Haitian adolescent girls are provided. Examples of how key informants and personal knowledge of both Haitian and research cultures were used to meet challenges of conducting ethical research with Haitian minors will be presented and discussed. DISCUSSION: Conducting culturally competent research may require nurse and health researchers to act as cultural brokers between members of the Institutional Review Board and members of minority and immigrant communities. [ABSTRACT FROM AUTHOR]

OBJECTIVE: The purpose of this study was to examine ethnic differences in predictors of condom use with casual sex partners in foreign ports by U.S. male enlisted Naval personnel. METHODS: U.S. male enlisted Navy personnel completed an anonymous survey toward the end of deployment on aircraft carriers during 2002-2003. Response rates varied by carrier from 49% to 65%. Analyses were conducted for the largest ethnic subgroups: Anglo (n = 826), African American (n = 236), Latino (n = 224), hi- and multi-racial (n = 132), and Asian (n = 55). RESULTS: Condom self-efficacy and partner norms were significantly related to consistent condom use in all subgroups. The effect of other variables (e.g., marital status, alcohol use) varied with ethnicity. CONCLUSIONS: Ethnic subgroups were more similar than different across psychological variables related to condom use. Findings underscore the importance of social context in understanding the effects of culture and ethnicity on health behaviors. [ABSTRACT FROM AUTHOR]

This longitudinal study of 253 ever-depressed former Soviet immigrants (1) examined the life circumstances, demographic characteristics, and immigration demands of individuals whose depression lifted, or who remained or became depressed over a 2-year period; and (2) investigated whether immigration demands, local relatives, age at immigration, gender, education, employment, and marital status differed among the three groups. Depression was determined based on depression scores at baseline and at 2-year follow-up. Forty-three percent of the sample remained depressed, 26% became depressed, and 30% had their depression lift over the course of 2 years. The three groups did not differ with regard to demographic characteristics or loss of employment or a negative change in marital status over the 2-year study period. They did differ with respect to the presence of local family and immigration demands (P < .05). Those who remained depressed were less likely to have family in the area and had the highest immigration demand score at both time points. However, the effect for presence of local family was not significant when immigration demands were included in the analysis (P = .32). Analysis of variance (ANOVA) for repeated measures revealed that the group whose depression lifted experienced the greatest change in immigration demand scores over the 2-year study period. Our findings argue that clinicians should not expect immigrants' depression to always decrease over time and should assess depression by asking about immigration demands, even if depression was not present during an earlier clinical encounter. [ABSTRACT FROM AUTHOR]

This article focuses on the condom beliefs of low income, urban African American and Hispanic youth living in the Midwest. The condom beliefs under investigation were derived from prior research with members of this population and through consultation with African American and Hispanic youth and service providers. Significant gender, ethnic, and acculturation differences were found among beliefs related to frequency of condom use in the past year (p < .05). These differences indicated that women, African American respondents, and Hispanic respondents high in acculturation tended to have more neutral or more positive views about condoms than other types of respondents. [ABSTRACT FROM PUBLISHER]

Focuses on beliefs in condom usage by urban Afro-American and Hispanic youth living in the Midwestern States. Variation of gender, ethnic and acculturation differences of condom use; Neutrality of women, Afro American and Hispanic respondents for condom use; Implication of findings.