Assuntos
Refugiados/legislação & jurisprudência , Adolescente , América Central , Criança , Humanos , Estados UnidosAssuntos
Docentes de Enfermagem , Intercâmbio Educacional Internacional , Enfermagem Psiquiátrica/educação , Aculturação , Adolescente , Psiquiatria do Adolescente/educação , Criança , Psiquiatria Infantil/educação , Competência Cultural/educação , Competência Cultural/organização & administração , Competência Cultural/psicologia , Países em Desenvolvimento , Educação de Pós-Graduação em Enfermagem/organização & administração , Humanos , Jamaica , Profissionais de Enfermagem/educação , Enfermagem Psiquiátrica/organização & administração , Enfermagem Transcultural/educação , Enfermagem Transcultural/organização & administraçãoRESUMO
PROBLEM: In the Caribbean region, women and young girls are becoming infected with HIV at a 6:1 rate more than men. Our study investigated effective methods for reducing HIV/AIDS risks among adolescent girls in the Caribbean. METHODS: One hundred females, aged 15-21, were randomly assigned into a control or intervention group. Subjects were assessed at baseline and postintervention. FINDINGS: Analysis of variance revealed that items measuring feelings about self, perceived risk, and sexual attitudes had statistically significant postintervention increase. CONCLUSION: Sustainable HIV/AIDS prevention programs that address stigma, promote HIV testing, and reinforce safer sex practices are needed.
Assuntos
Infecções por HIV/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde , Sexo Seguro , Saúde da Mulher , Adolescente , Adulto , Análise de Variância , Feminino , Promoção da Saúde/métodos , Humanos , Trinidad e TobagoRESUMO
The number of youth immigrating to the United States from Latin America and the Caribbean has consistently and dramatically been increasing. However, little research or epidemiological data that capture the mental health status of these youth from their countries of origin or once they enter the United States exist. As a result of migration and the acculturation process, these youth are at risk for exacerbation of preexisting mood disorders or development of mood or other psychiatric symptoms. Pre-migration social and environmental stressors affecting this population include poverty, exposure to violence, sexual or physical victimization, and substance abuse. Post-migration stressors include loss (of friends, family, country, and lifestyle), changes in social support, negative experiences in the United States, language difficulties, and academic challenges. This review of the existing literature will describe the contextual experiences of immigrant Latin American and Caribbean youth from their country of origin and as new immigrants in the United States, discuss their risk for mood disorders, highlight relevant assessment data that should be obtained, and identify treatment implications for advanced practice psychiatric-mental health nurses working with this population.