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Journal of Immigrant and Minority Health

, Volume 17, Issue 1, pp 239–247 | Cite as

Participatory Assessment of the Health of Latino Immigrant Men in a Community with a Growing Latino Population

  • Patricia I. Documėt
  • Andrea Kamouyerou
  • Amalia Pesantes
  • Laura Macia
  • Hernan Maldonado
  • Andrea Fox
  • Leslie Bachurski
  • Dawn Morgenstern
  • Miguel Gonzalez
  • Roberto Boyzo
  • Thomas Guadamuz
Original Paper

Abstract

Latino immigrant men are an understudied population in the US, especially in areas with small yet growing Latino populations. For this community-based participatory health assessment we conducted four focus groups and 66 structured surveys with Latino immigrant men, and 10 openended interviews with service providers. We analyzed transcripts using content analysis and survey data using Pearson Chi-square tests. Overall, 53 % of participating men had not completed high school. Our findings suggest that their social circumstances precluded men from behaving in a way they believe would protect their health. Loneliness, fear and lack of connections prompted stress among men, who had difficulty locating healthcare services. Newly immigrated men were significantly more likely to experience depression symptoms. Latino immigrant men face social isolation resulting in negative health consequences, which are amplified by the new growth community context. Men can benefit from interventions aimed at building their social connections.

Keywords

Immigrants Latinos Men’s health Loneliness Emerging communities 

Notes

Acknowledgments

The following LEGS members were instrumental in the design of this study: Enrique Avila, Isidro Avilez, Alfonso Barquera, Jose Bernardo, Sarah Bowen-Salio, Jose Covarrubias, Patricia Galetto, Juventino Gomez, Marcela Horvitz-Lennon, Jose Nova, Francisco Solis, Kenneth Thompson, Omar Valencia, AnDria Verde, Pedro Verde, Vicky Yacht, Charlie Yhap, and Freddy Yuman. We thank Dr. Steven Albert for his feedback. This study was supported by the Clinical and Transnational Science Institute (CTSI), University of Pittsburgh, Grant Number UL1 RR024153, National Center for Research Resources (NCRR).

References

  1. 1.
    Cunningham P, Banker M, Artiga S, Tolbert J. Health coverage and access to care for Hispanics in “new growth communities” and “major Hispanic centers”. Washington, DC: Kaiser Commission on Medicaid and the Uninsured; 2006.Google Scholar
  2. 2.
    Cavazos-Rehg PA, Zayas LH, Spitznagel EL. Legal status, emotional well-being and subjective health status of Latino immigrants. J Natl Med Assoc. 2007;99(10):1126–31.PubMedCentralPubMedGoogle Scholar
  3. 3.
    Minkler M. Using participatory action research to build healthy communities. Public Health Rep. 2000;115(2–3):191–7.PubMedCentralPubMedCrossRefGoogle Scholar
  4. 4.
    Israel BA, et al. Critical issues in developing and following community based participatory research principles. In: Minkler M, Wallerstein N, editors. Community-based participatory research for health. San Francisco, CA: Josey-Bass; 2003.Google Scholar
  5. 5.
    Viswanathan M, et al. Community-based participatory research: assessing the evidence. Evid Rep Technol Assess (Summ). 2004;99:1–8.Google Scholar
  6. 6.
    Chavez LR. The Latino threat. Stanford, CA: Stanford University Press; 2008.Google Scholar
  7. 7.
    De Genova N. Race, space, and the reinvention of Latin America in Chicago. Latin Am Perspect. 1998;25(5):87–116.CrossRefGoogle Scholar
  8. 8.
    Walter N, Bourgois P, Margarita Loinaz H. Masculinity and undocumented labor migration: injured Latino day laborers in San Francisco. Soc Sci Med. 2004;59(6):1159–68.Google Scholar
  9. 9.
    Hirsch JS, et al. They “miss more than anything their normal life back home”: masculinity and extramarital sex among Mexican migrants in Atlanta. Perspect Sex Reprod Health. 2009;41(1):23–32.PubMedCentralPubMedCrossRefGoogle Scholar
  10. 10.
    Munoz-Laboy M, Hirsch JS, Quispe-Lazaro A. Loneliness as a sexual risk factor for male Mexican migrant workers. Am J Public Health. 2009;99(5):802–10.PubMedCentralPubMedCrossRefGoogle Scholar
  11. 11.
    Winett L, et al. Immigrant Latino men in rural communities in the Northwest: social environment and HIV/STI risk. Cult Health Sex. 2011;13(6):643–56.PubMedCrossRefGoogle Scholar
  12. 12.
    Hainmueller J, Hiscox MJ. Attitudes toward highly skilled and low-skilled immigration: evidence from a survey experiment. Am Political Sci Rev. 2010;104(1):1–24.CrossRefGoogle Scholar
  13. 13.
    Rhodes SD, et al. Exploring the health behavior disparities of gay men in the United States: comparing gay male university students to their heterosexual peers. J LGBT Health Res. 2007;3(1):15–23.PubMedCrossRefGoogle Scholar
  14. 14.
    Shinnar RS. Coping with negative social identity: the case of Mexican immigrants. J Soc Psychol. 2008;148(5):553–75.PubMedCrossRefGoogle Scholar
  15. 15.
    Tajfel H, Turner JC. The social identity theory of intergroup behavior. In: Austin SWW, editor. The social psychology of intergroup behavior. Chicago, IL: Nelson Hall; 1986.Google Scholar
  16. 16.
    Scheepers D. Turning social identity threat into challenge: status stability and cardiovascular reactivity during inter-group competition. J Exp Soc Psychol. 2010;45:228–33.CrossRefGoogle Scholar
  17. 17.
    Cole SW, Kemeny ME, Taylor SE. Social identity and physical health: accelerated HIV progression in rejection-sensitive gay men. J Pers Soc Psychol. 1997;72(2):320–35.PubMedCrossRefGoogle Scholar
  18. 18.
    Major B, O’Brien LT. The social psychology of stigma. Annu Rev Psychol. 2005;56:393–421.PubMedCrossRefGoogle Scholar
  19. 19.
    Lackey GF. “Feeling blue” in Spanish: a qualitative inquiry of depression among Mexican immigrants. Soc Sci Med. 2008;67(2):228–37.PubMedCrossRefGoogle Scholar
  20. 20.
    Organista KC, Kubo A. Pilot survey of HIV risk and contextual problems and issues in Mexican/Latino migrant day laborers. J Immigr Health. 2005;7(4):269–81.PubMedCrossRefGoogle Scholar
  21. 21.
    Shedlin MG, Decena CU, Oliver-Velez D. Initial acculturation and HIV risk among new Hispanic immigrants. J Natl Med Assoc. 2005;97(7 Suppl):32S–7S.PubMedCentralPubMedGoogle Scholar
  22. 22.
    Viadro CI, Earp JA. The sexual behavior of married Mexican immigrant men in North Carolina. Soc Sci Med. 2000;50(5):723–35.PubMedCrossRefGoogle Scholar
  23. 23.
    VanderWeele TJ, et al. A marginal structural model analysis for loneliness: implications for intervention trials and clinical practice. J Consult Clin Psychol. 2011;79(2):225–35.PubMedCentralPubMedCrossRefGoogle Scholar
  24. 24.
    Chang EC, et al. Loneliness and negative life events as predictors of hopelessness and suicidal behaviors in Hispanics: evidence for a diathesis-stress model. J Clin Psychol. 2010;66(12):1242–53.PubMedCrossRefGoogle Scholar
  25. 25.
    Paz-Bailey G, et al. Syphilis outbreak among Hispanic immigrants in Decatur, Alabama: association with commercial sex. Sex Transm Dis. 2004;31(1):20–5.PubMedCrossRefGoogle Scholar
  26. 26.
    Goldenberg SM, et al. “Over here, it’s just drugs, women and all the madness”: the HIV risk environment of clients of female sex workers in Tijuana, Mexico. Soc Sci Med. 2011;72(7):1185–92.PubMedCentralPubMedCrossRefGoogle Scholar
  27. 27.
    Centers for Disease Control and Prevention. HIV among Latinos. 2011. http://www.cdc.gov/hiv/resources/factsheets/pdf/latino.pdf.
  28. 28.
    Rhodes SD, et al. Exploring Latino men’s HIV risk using community-based participatory research. Am J Health Behav. 2007;31(2):146–58.PubMedCrossRefGoogle Scholar
  29. 29.
    Peak T, Gast J, Ahlstrom D. A needs assessment of Latino men’s health concerns. Am J Men’s Health. 2008;December:1–12.Google Scholar
  30. 30.
    McCoy HV, et al. Lessons from the fields: a migrant HIV prevention project. Public Health Rep. 2009;124(6):790–6.PubMedCentralPubMedGoogle Scholar
  31. 31.
    Krueger RA, editor. Focus groups: a practical guide for applied research. 3rd ed. Thousand Oaks: Sage Publications, Inc; 2000.Google Scholar
  32. 32.
    Russell D, Peplau LA, Cutrona CE. The revised UCLA loneliness scale: concurrent and discriminant validity evidence. J Pers Soc Psychol. 1980;39(3):472–80.PubMedCrossRefGoogle Scholar
  33. 33.
    Gjesfjeld CD, Greeno CG, Kim KH. A confirmatory factor analysis of an abbreviated social support instrument: the MOS-SSS. Research on Social Work Practice, 2007.Google Scholar
  34. 34.
    Huang FY, et al. Using the patient health questionnaire-9 to measure depression among racially and ethnically diverse primary care patients. J Gen Intern Med. 2006;21(6):547–52.PubMedCentralPubMedCrossRefGoogle Scholar
  35. 35.
    Centers for Disease Control and Prevention (CDC). Behavioral risk factor surveillance system survey questionnaire. cited 2010 March 6, 2010.Google Scholar
  36. 36.
    Bernard HR. Research methods in anthropology: qualitative and quantitative approaches. Lanham, MD: Altamira Press; 2005.Google Scholar
  37. 37.
    Rhodes SD, et al. Lay health advisor interventions among Hispanics/Latinos: a qualitative systematic review. Am J Prev Med. 2007;33(5):418–27.PubMedCrossRefGoogle Scholar
  38. 38.
    Documet PI, Sharma RK. Latinos’ health care access: financial and cultural barriers. J Immigr Health. 2004;6(1):5–13.PubMedCrossRefGoogle Scholar
  39. 39.
    Macia-Vergara L. Dealing with grievances: the Latino experience in Pittsburgh, PA. In Anthropology. Pittsburgh: University of Pittsburgh; 2011. p. 323.Google Scholar
  40. 40.
    Larkey LK, et al. Hispanic cultural norms for health-seeking behaviors in the face of symptoms. Health Educ Behav. 2001;28(1):65–80.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Patricia I. Documėt
    • 1
  • Andrea Kamouyerou
    • 1
  • Amalia Pesantes
    • 1
  • Laura Macia
    • 1
  • Hernan Maldonado
    • 4
  • Andrea Fox
    • 2
  • Leslie Bachurski
    • 3
  • Dawn Morgenstern
    • 4
  • Miguel Gonzalez
    • 4
  • Roberto Boyzo
    • 4
  • Thomas Guadamuz
    • 1
  1. 1.Behavioral and Community Health SciencesUniversity of PittsburghPittsburghUSA
  2. 2.Squirrel Hill Health Center and Department of Family MedicineUniversity of PittsburghPittsburghUSA
  3. 3.Consumer Health CoalitionPittsburghUSA
  4. 4.Latino Engagement Group for SaludPittsburghUSA

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