The development of the Cultural Health Attributions Questionnaire (CHAQ)

Current general health belief measures that are used to assess health behaviors do not capture the full range of health beliefs present among Latinos. The purpose of this study was to develop a reliable and valid measure of Latino health beliefs, the Cultural Health Attributions Questionnaire (CHAQ). Three hundred forty participants were recruited in 2 metropolitan areas with large Latino populations. Exploratory factor analysis revealed 2 highly interpretable 12-item subscales: the Equity Attribution and the Behavioral-Environmental Attribution scales. Examination of the relationships between the subscales and measures of acculturation provided evidence of construct validity. Moreover, the prediction of health care behavior by the CHAQ also indicated initial criterion validity.     

Predictors of disclosure of human immunovirus-positive serostatus among Latino gay men

To test a theoretical approach to disclosure of human immunovirus (HIV) status, 301 HIV-positive Latino gay men were interviewed using Audio-CASI (Computer Assisted Self-Interview technology with Audio enhancement). Consequence theory and social influence theory were combined to create a model of antecedents of disclosure. Results provided support for both theories. Perceived positive consequences were associated with greater disclosure to casual partners, families, and friends, whereas perceived negative consequences were associated with less disclosure to friends and family members. Social influence of peer behavioral norms was predictive of disclosure to all three target groups. Gay community social influence produced different effects on disclosure of HIV-positive status: a negative association for casual partners, a positive association for close friends, and no relationship for family members. Time since diagnosis was also predictive of disclosure.     

Disclosure of HIV-Positive Status to Latino Gay Men's Social Networks

This study explored disclosure of serostatus in a sample of 155 HIV-positive Latino gay men from New York City and Washington, DC. We examined rates of disclosure to different members of the social network: mothers, fathers, close friends, and primary sexual partners. There were high rates of disclosure of HIV-positive serostatus to main partners and closest friends and lower rates to fathers and mothers. We examined the role of 3 contextual target-dependent factors (emotional closeness to target, anticipated reactions from target, and target's knowledge of sexual orientation), as well as acculturation and time since diagnosis. Three separate logistic regression models were performed to predict disclosure of HIV-positive status to 3 targets: mothers, fathers, and closest friends. We found that disclosure was not a generalized tendency, but rather different factors were influential depending on the target. Whether the target was aware of participant's sexual orientation was associated with disclosure in all 3 models. Greater emotional closeness also predicted disclosure to mother and father; greater U.S. acculturation was associated with disclosure to father and marginally to mother. A longer time since diagnosis was associated with disclosure to the closest friend. These findings highlight the importance of taking into account roles and relationships, and their effect on disclosure.     

Gender role identity among adolescent Muslim girls living in the U.S.

Gender role identity is acquired through exposure to societal expectations and beliefs about behaviors and characteristics appropriate for males and females. This study examined influences on gender identity among ninety-six Muslim adolescent girls living in the U.S. and attending an Islamic high school. Over three-quarters of the sample characterized themselves as Middle-Eastern or Arab-American. Participants completed a survey in English or Arabic containing background questions, the Bern Sex Role Inventory (Bern, 1974), the Multigroup Ethnic Identity Measure (Phinney, 1992), and a religiosity scale. These young women had comparable femininity scores, but higher masculinity scores than Bern's normative female samples. Results also indicated that those girls who had lived in the U.S. for longer periods reported more masculine attributes. Greater sense of belonging to one's ethnic group and greater religiosity were associated with greater femininity. Thus, identification with one's own culture, adherence to religious practices, and exposure to foreign cultural values were related to gender role identity.     

Gender role identity among adolescent Muslim girls living in the U.S.

Gender role identity is acquired through exposure to societal expectations and beliefs about behaviors and characteristics appropriate for males and females. This study examined influences on gender identity among ninety-six Muslim adolescent girls living in the U.S. and attending an Islamic high school. Over three-quarters of the sample characterized themselves as Middle-Eastern or Arab-American. Participants completed a survey in English or Arabic containing background questions, the Bern Sex Role Inventory (Bern, 1974), the Multigroup Ethnic Identity Measure (Phinney, 1992), and a religiosity scale. These young women had comparable femininity scores, but higher masculinity scores than Bern's normative female samples. Results also indicated that those girls who had lived in the U.S. for longer periods reported more masculine attributes. Greater sense of belonging to one's ethnic group and greater religiosity were associated with greater femininity. Thus, identification with one's own culture, adherence to religious practices, and exposure to foreign cultural values were related to gender role identity.     

College Women and Condom Use: Importance of Partner Relationship

Because women who want to use condoms as protection against STDs must gain compliance from their male partners, women's use of condoms was examined within the context of their relationships with their sexual partners. Sexual history, condom attitudes, and relationship information were gathered from a sample of 272 heterosexual college women. For the 121 women with a current sexual partner, logistic regression analyses revealed that both regular condom use and completely consistent condom use were more likely in shorter relationships and for women who perceived lower barriers to use. Regular condom use was also greater in relationships described as high in trust, whereas consistent condom use was greater for women in their first sexual relationships. In addition, many women reported using condoms early in their relationships, but changing to lower levels of use later. Implications of the current findings for safer-sex interventions are discussed.     

Coping as a mediator of the impact of sociocultural factors on health behavior among HIV-positive latino gay men

In a sample of 140 HIV-positive immigrant Latino gay men, we tested a mediational model of the impact of sociocultural factors (i.e., poverty, discrimination, and U.S. acculturation) on active engagement of health-promoting behaviors (i.e., practicing good health habits). The role of coping as a mediator was examined. We proposed that the experience of social discrimination, together with acculturation, has a negative influence on active coping, which in turn would impact health behaviors. Regression analyses supported the role of coping as a mediator between sociocultural factors (specifically discrimination based on race or ethnicity and acculturation to the U.S.) and health-promoting behaviors. Findings from this study contribute to explaining the way in which sociocultural factors impact health among those who are HIV-positive and most vulnerable in our society.     

Gender Roles,Power Strategies,and Precautionary Sexual Self-Efficacy: Implications for Black and Latina Women's HIV/AIDS Protective Behaviors

This cross-sectional study tested a conceptual model of women's HIV/AIDS protective behaviors using gender roles, relationship power strategies, and precautionary sexual self-efficacy as predictors in a predominantly Black and Latina community sample of heterosexual women (N = 125). Results revealed no support for the full model, but partial confirmation for several components of the model. Education significantly predicted gender roles, and gender roles and use of direct power strategies were significant predictors of sexual self-efficacy. Most of the participants were married or partnered and were unconcerned about contracting HIV, suggesting that if women perceive that they are at low or no risk, their gender roles, power strategies, and precautionary sexual self-efficacy will be inconsequential to their HIV/AIDS risk reduction practices.     

Partner-Specific Risk Perception: A New Conceptualization of Perceived Vulnerability to STDs

Two studies were conducted to test a new conceptualization of risk perception, focusing on the risk posed by a specific sexual partner at a specific time rather than a generalized perception of vulnerability to HIV or sexually transmitted diseases. Study 1 used a cross-sectional design and found support for a model with the following domains as antecedents of partner-specific risk perception (PSRP): generalized perception of HIV risk, partner's sexual history, and characteristics of relationship with the partner. However, PSRP was not associated with condom use in Study 1. Study 2, which used a longitudinal design, replicated the domains predictive of PSRP and also demonstrated the influence of PSRP on condom use 4 weeks later while controlling for past condom use. The findings support the utility of this conceptualization of risk perception.