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Objectives: Ethnic discrimination and acculturative stress play an important role in sexual risk behaviors for Latinx emerging adults, who are at disproportionate risk for sexually transmitted infections. Factors such as familism support and ethnic identity may be protective, yet research is limited. This study is guided by a culturally adapted stress and coping framework to examine associations of ethnic discrimination and acculturative stress with sexual risk behaviors (i.e., multiple sex partners, alcohol or drug use before sex, and condomless sex with a primary or casual partner), and examine the moderating roles of familism support and ethnic identity among Latinx emerging adults. Method: Participants were recruited from Arizona and Florida and were primarily female (51.3%) with a mean age of 21.48 years (SD = 2.06). Using cross-sectional data from 158 sexually active Latinx emerging adults, this study employed multiple logistic regression and moderation analyses. Results: Higher levels of ethnic discrimination and pressure to acculturate were associated with fewer sex partners, and higher levels of pressure against acculturation were associated with increased condomless sex with a casual partner. The moderation effect of higher levels of familism support on pressure to acculturate was associated with fewer sex partners, and the moderation effect of higher levels of ethnic identity on pressure against acculturation was associated with decreased condomless sex with casual partners. Conclusions: Examining the results within a culturally informed theoretical framework supports that protective factors may help mitigate sexual risk factors among Latinx emerging adults experiencing acculturative stress. Public Significance Statement: Ethnic discrimination and acculturative stress can be linked with sexual risk behaviors among Latinx emerging adults. This study found that while ethnic discrimination and pressure to acculturate were linked with fewer sex partners, pressure against acculturation was linked to increased condomless sex with a casual partner. Family support and ethnic identity can be protective in the prevention of sexual risk behaviors among Latinx emerging adults who experience acculturative stress. [ABSTRACT FROM AUTHOR]

Poetry is an ideal tool to convey participant voices in social research as it compresses the meaning and essence of participant narratives through using evocative sensory words that illuminate nuances of lived experience. Expressive poetics is an emerging arts-based research method that facilitates a multi-sensory and relational analytical process. In this article, the authors describe and illustrate an adapted expressive poetics research method through highlighting the experiences of Two Spirit, lesbian, gay, transgender, or queer (2SLGBTQ) Indigenous youth that participated in a culture-centered HIV prevention curriculum. It is our hope that through creating dialogic poems, we deepen and nuance the salient experiences of participant youth, acknowledge our relationship through adding our creative response to their calls for care, and create a model for others to engage in a similar process. In a time when 2SLGBTQ bodies are increasingly targeted and policed, it is more important than ever to center and amplify these voices. [ABSTRACT FROM AUTHOR]

National reports of diabetes and mental health for Native Hawaiian and Pacific Islanders (NHPI) are high, yet mental health professional access is low. We used multiple logistic regression to analyze data from the 2014 NHPI National Health Interview Survey. We evaluated the association between diabetes and serious psychological distress, and the interaction effect of mental health professional utilization among 2,587 adults. Self-reported diabetes was positively associated with serious psychological distress, but mental health professional utilization did not affect this association. Stigma and measurement gaps may influence self-report and measurement of mental health symptomatology, suggesting the need for culturally grounded approaches. [ABSTRACT FROM AUTHOR]

Relationship to place is integral to Indigenous health. A qualitative, secondary phenomenological analysis of in-depth interviews with four non-Choctaw Indigenous women participating in an outdoor, experiential tribally specific Choctaw health leadership study uncovered culturally grounded narratives using thematic analysis as an analytic approach. Results revealed that physically being in historical trauma sites of other Indigenous groups involved a multi-faceted process that facilitated embodied stress by connecting participants with their own historical and contemporary traumas. Participants also experienced embodied resilience through connectedness to place and collective resistance. Implications point to the role of place in developing collective resistance and resilience through culturally and methodologically innovative approaches. [ABSTRACT FROM AUTHOR]

This paper presents findings from an alcohol and other drug use (AOD) and HIV risk needs assessment of 20 "Mexican American Indian" adults in two urban areas of the United States who currently or previously participated in Danza Mexica an Indigenous cultural/ceremonial dance form. Findings describe community perceptions of AOD and HIV knowledge, stigma, and risk. The majority of participants identified AOD and more than half perceived HIV to be significant health concerns. Importantly, the majority of the participants also described specific teachings and practices from Danza Mexica related to AOD and HIV prevention and response, emphasizing cultural identity, community support, and healing. [ABSTRACT FROM AUTHOR]

This article illuminates the main risks that American Indian/ Alaska Native women face for contracting the human immunodeficiency virus, and their challenges in living with HIV disease, by presenting a case study of one Native woman's experiences. The woman, a member of a Midwestern Indian tribe, was a participant in a larger in-depth qualitative longitudinal study of 55 women living with HIV. The findings about her path to healing provide insights for understanding and serving this neglected ethnic population, and her words eloquently articulate the struggles of women of color living in dignity with HIV. The article explores potential venues for reaching Native women with culturally relevant prevention and intervention methods, emphasizing the importance of Native culture and spirituality. [ABSTRACT FROM PUBLISHER]

Cardiovascular disease is the number one cause of death among American Indians and Alaska Natives (AI/AN). Utilizing narratives from members of a Pacific Northwest tribe, this paper explores perceptions about behaviors affecting cardiovascular health through tribal members' lived experiences related to place-based environmental historical trauma. Findings from narrative analysis indicate that ambivalence is an effect of historical trauma and complicates the adoption of protective cardiovascular health behaviors. Tribal narratives indicate a path to overcome this ambivalence stemming from historical environmental trauma through revitalization, adaptation, and re-integration of traditional cultural practices to contemporary contexts. By creating their own health promotion response, one that is not imposed or colonizing, tribal members are re-generating cultural practices and health behaviors associated with lowered risks of cardiovascular disease. [ABSTRACT FROM AUTHOR]

Introduction: "Mexican American Indian" (MAI) is a large and diverse population for which little empirical research on alcohol and other drug (AOD) use and HIV is available, yet for which there is a disproportionate risk. Indigenous health narratives and participation in place- and settings-based cultural practices can be protective in chronic and co-occurring disease prevention and health promotion for Indigenous people. This study explores the role of participation in cultural dance in generating narratives of prevention and health promotion among a sample of MAIs from an Urban Danza Mexica Community (UDMC), framed within a decolonizing narratives of health (DNOH) model., Methods: This secondary data analysis ( n = 9) is drawn from a qualitative AOD and HIV health needs assessment of UDMC living in the Pacific Northwest and the Rocky Mountain West ( n = 21). This study uses a community-based participatory research approach and employs narrative, Indigenized methods to analyze in-depth interviews from adult cisgender females ( n = 5) and males ( n = 4). The DNOH model is developed as a relational, analytic framework that contextualizes Indigenous stories in relationship to three distinct yet interconnected levels-the personal, the communal, and Indigeneity in the larger world. These levels of narrative analysis function as culturally grounded, relational pathways through which to articulate health education and promotion approaches., Results: Narratives delve into the complex and nuanced relationships within participants' internal worlds (personal), between themselves and their Danza community (communal), and between themselves and their complex, intersectional Indigenous identities within society (Indigeneity). Stories of ancestral teachings about health and prevention shared within the Danza circle create spaces wherein participants navigate complex conversations that resist oppressive colonial narratives, reconnect with and strengthen their Indigenous identities, and strive toward ancestral visions of health and well-being., Discussion: This study contributes to Indigenized theoretical and methodological expansion and the development of place/settings-based, narrative, cultural health interventions aimed at preventing chronic and co-occurring disease and promoting wellness among populations similar to the UDMC. Identifying cultural practices as Native Hubs (relational, socially constructed places) that foster decolonizing narratives helps increase understanding of their role in public health education and promotion through recognition of Indigenous knowledge systems and frameworks., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Fernandez and Beltrán.)