CULTURAL PHENOMENA AND THE SYNDEMIC FACTOR: SUBSTANCE ABUSE, VIOLENCE, HIV, AND DEPRESSION AMONG HISPANIC WOMEN
CULTURAL PHENOMENA AND THE SYNDEMIC FACTOR: SUBSTANCE ABUSE, VIOLENCE, HIV, AND DEPRESSION AMONG HISPANIC WOMEN
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DOI：
10.1111/napa.12001
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发表时间：
2012-11-01
影响因子：
0.7
通讯作者：
Peragallo, Nilda
中科院分区：
文献类型：
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作者：
Gonzalez-Guarda, Rosa M.;McCabe, Brian E.;Peragallo, Nilda
研究人员利用定性和定量研究方法相结合，探索南佛罗里达西班牙裔人的健康状况，发现药物滥用、暴力、危险性行为和抑郁症不仅被概念化为密切相关的健康和社会问题，而且在测量模型中结合在一起，以代表一种潜在的现象（即，Syndemic Factor）。本研究的目的是测试假设之间的关系，文化现象和社区居住的西班牙裔妇女的综合因素。标准化问卷评估文化适应，西班牙裔压力，家庭主义，和Syndemic因素进行了管理的横断面样本548西班牙裔妇女从南佛罗里达。结构方程模型被用来分析关系。该模型解释了症状因素中61%的方差。有一个大的正相关关系的症状因子和西班牙裔压力，和一个小的负相关关系的症状因子和家族主义。西班牙裔文化适应度高和美国文化适应度低的女性在综合/双文化女性的综合因素上得分较低。家族主义缓冲了西班牙裔压力和综合因素之间的关系。必须制定和正式评估结构、社区、家庭和个人预防策略，以解决与综合因素相关的潜在条件。
Researchers exploring the health of Hispanics in South Florida utilizing a combination of qualitative and quantitative research methods have identified that substance abuse, violence, risky sexual behavior, and depression are not only conceptualized as tightly interrelated health and social problems, but also hold together in a measurement model to represent an underlying phenomenon (i.e., the Syndemic Factor). The purpose of this study is to test hypothesized relationships between cultural phenomena and the Syndemic Factor among community-dwelling Hispanic women. Standardized questionnaires assessing Acculturation, Hispanic Stress, Familism, and the Syndemic Factor were administered to a cross-sectional sample of 548 Hispanic women from South Florida. Structural equation modeling was used to analyze relationships. The model explained 61 percent of the variance in the Syndemic Factor. There was a large positive relationship between the Syndemic Factor and Hispanic Stress, and a small inverse relationship between the Syndemic Factor and Familism. Women with high Hispanic Acculturation and low U.S. Acculturation scored lower on the Syndemic Factor than Integrated/Bicultural women. Familism buffered the relationship between Hispanic Stress and the Syndemic Factor. Structural, community, family, and individual prevention strategies that address underlying conditions associated with the Syndemic Factor must be developed and formally evaluated.