238371 Understanding and improving sexual risk communication among Latina intergenerational immigrant and non immigrant family dyads

Wednesday, November 2, 2011

Britt Rios-Ellis, PhD, MS , NCLR/CSULB Center for Latino Community Health, California State University Long Beach, Long Beach, CA
Melawhy Garcia-Vega, MPH , NCLR/CSULB Center for Latino Community Health, California State University Long Beach, Long Beach, CA
Maricela Parga , NCLR/CSULB Center for Latino Community Health, Long Beach, CA
Natalia Gatdula, MPH (c), BS , NCLR/CSULB Center for Latino Community Health, Evaluation and Leadership Training, California State University Long Beach, Long Beach, CA
Lilia Espinoza, PhD, MPH , Keck School of Medicine/Pacific AIDS Education & Training Center, University of Southern California, Alhambra, CA
The effects of cultural and intergenerational dissonance between immigrant parents raising adolescents who have lived predominantly within the U.S. are not often considered when developing programs to reduce sexual risk among Latinos. In an effort to better understand the effects of adolescent acculturation and immigrant parent communication, age-specific focus groups were held with 66 Latina women and adolescents ranging from 12 to 91 years. Furthermore, a number of community health worker-led charlas or educational sessions have been held to administer an intervention involving over 200 Latina intergenerational female family dyads. Verbatim focus group transcripts and notes taken from the educational sessions have been combined with interviews of the community health workers to learn about the differences and similarities in communication styles and patterns within Latina family members of different generations. Qualitative content analyses were conducted to determine ways in which the following factors inhibit or promote sexual risk communication: cultural values, gender roles, cultural expectations, experiences in the home country and in the US, relationship histories, acculturation, and expectations regarding heterosexual relationships. These analyses will provide a greater understanding of how to work in a culturally congruent fashion with diverse Latino families wherein members have distinct life experiences and expectations. Moreover, participants will gain insight as to how to promote Latino cultural values within community health programming, and then use this understanding to mitigate sexual risk and enhance interfamilial relationships to promote sexual and reproductive health within Latino families and communities.

Learning Areas:
Assessment of individual and community needs for health education
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Identify the various factors that inhibit sexual risk communication between Latina immigrant parents and their daughters or other younger family members. Formulate culturally congruent methods with which to enhance sexual risk communication within Latino families.

Keywords: Latinas, Sexual Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be a presenter because I oversee the project and have implemented numerous HIV/AIDS projects within Latino communities throughout the US.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.