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Latino Digital Health

Mitzi M Gonzales, Ramon A Durazo-Arvizu, Shruti Sachdeva, Terry G Unterman, Matthew J O'Brien, Linda C Gallo, Gregory A Talavera, Robert C Kaplan, Jianwen Cai, Neil Schneiderman, Rebeca A Espinoza Giacinto, Hector M González, Martha L Daviglus, Melissa Lamar
AIMS: Insulin resistance (IR) adversely impacts memory and executive functioning in non-Hispanic whites without diabetes. Less is known in Hispanics/Latinos, despite the fact that Hispanics/Latinos have higher rates of insulin resistance than non-Hispanic whites. We investigated the association between IR and cognition and its variation by age. METHODS: Data from 5,987 participants 45-74 years old without diabetes from the Hispanic Community Health Study/Study of Latinos...
February 16, 2019: Diabetes Research and Clinical Practice
Nita Vangeepuram, Victoria Mayer, Kezhen Fei, Emily Hanlen-Rosado, Cesar Andrade, Shari Wright, Carol Horowitz
Background: Individuals from low-income and racial/ethnic minority backgrounds have traditionally had less access to mobile health (mHealth) technologies, but there is evidence that this gap has been rapidly narrowing. Given the increase in access to mobile technologies recently seen in vulnerable populations, mHealth has been championed as a strategy for improving population health and reducing health disparities. However, members of low-income and racial/ethnic minority populations have had a limited role in the development and implementation of mHealth interventions designed to impact them...
2018: MHealth
Antonia M Villarruel, Nelson Varas-Díaz, Alexandra Hanlon, Elba Betancourt, Alicia J Lozano, Lucia DiNapoli
BACKGROUND: Despite positive attitudes of Latinos using the Internet and the increased availability of health information resources, few studies have been conducted that examine actual use and barriers to web-based health information. OBJECTIVE: The aim of this study was to examine whether select sociodemographic factors and technology factors (e.g., computer and Internet access) predicted use of a web-based, parent-adolescent sexual communication program or a physical activity program, entitled Cuídalos, among Puerto Rican parents...
November 2018: Nursing Research
Elliott C Fox, Kairuo Wang, Melissa Aquino, Michael A Grandner, Dawei Xie, Charles C Branas, Nalaka S Gooneratne
OBJECTIVES: Insufficient sleep has become recognized as a pervasive problem in modern society. Sleep debt is a novel measure of sleep adequacy that may be useful in describing those at risk for inadequate sleep. Our objective was to investigate factors that may be associated with sleep debt at the population level, as well as build upon previous data that showed that minority groups may be more likely to have sleep debt. DESIGN: A cross-sectional population phone survey included questions regarding amount of sleep required and amount of sleep achieved...
August 2018: Sleep Health
Hyunwoo Yoon, Yuri Jang, Phillip W Vaughan, Michael Garcia
Building upon literature suggesting low Internet use among racial/ethnic minorities and socioeconomically disadvantaged groups, this study examined how race/ethnicity and socioeconomic status (SES) influence the Internet use for health information, addressing both independent and interactive effects. Using data from 17,704 older adults in the California Health Interview Survey, logistic regression models were estimated with race/ethnicity (Whites, African Americans, Latinos, and Asians), SES index, and the interaction between race/ethnicity and SES index...
April 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
Nancy P Gordon, Mark C Hornbrook
BACKGROUND: This study examined access to digital technologies, skills and experience, and preferences for using web-based and other digital technologies to obtain health information and advice among older adults in a large health plan. A primary aim was to assess the extent to which digital divides by race/ethnicity and age group might affect the ability of a large percentage of seniors, and especially those in vulnerable groups, to engage with online health information and advice modalities (eHIA) and mobile health (mHealth) monitoring tools...
March 27, 2018: BMC Health Services Research
E L Andrade, W D Evans, N D Barrett, S D Cleary, M C Edberg, R D Alvayero, E C Kierstead, A Beltran
Immigrant Latino youth represent a high-risk subgroup that should be targeted with health promotion efforts. However, there are considerable barriers to engagement in health-related programming. Little is known about the engagement possibilities of social marketing campaigns and digital strategies for traditionally 'hard-to-reach' immigrants, underscoring the importance of testing these techniques with immigrant Latino adolescents. We developed and piloted a place-based social marketing campaign in coordination with the branded, Positive Youth Development-based (PYD) Adelante intervention targeting risk factors for co-occurring youth substance abuse, sexual risk and violence...
April 1, 2018: Health Education Research
Mary A Garza, Sandra Crouse Quinn, Yan Li, Luciana Assini-Meytin, Erica T Casper, Craig S Fryer, James Butler, Natasha A Brown, Kevin H Kim, Stephen B Thomas
INRODUCTION: The purpose of this study was to explore factors associated with willingness of African Americans and Latinos to participate in biomedical and public health research and to delineate factors that influences the decision to become a human subject. METHODS: We present results from a 2010 random digit-dial telephone survey of 2,455 African American (N= 1,191) and Latino (N= 1,264) adults. We used standard measures to assess knowledge of research, terminology, informed consent procedures, previous participation in research, health care experiences, social support, risk perception, religiousness, and trust...
September 2017: Contemporary Clinical Trials Communications
Mark B Lockwood, Karen Dunn-Lopez, Larisa Burke, Yolanda T Becker, Milda Saunders
Background: As health-related communications become digitized, strategies to increase adoption of these Web-based platforms are needed. The purpose of this study was to assess facilitators and barriers to in-home Internet use among prekidney and postkidney transplant patients. Methods: A single center, cross-sectional survey of 240 consecutive patients of all levels of technological proficiency who presented to an urban transplant center in the United States. The Patient Information and Technology Assessment consists of 6 demographic questions, 3 disease-related questions, and 8 technology-related questions...
November 2017: Transplantation Direct
Siyon Rhee, Sei-Young Lee, Sook-Hee Jung
This study examines ethnic differences in the prevalence of bullying victimization by peers as well as the associations between bullying victimization and psychological distress with relevant ecological factors including parental supervision, school support, and community safety. The study utilized the 2011-2012 California Health Interview Survey (CHIS) Adolescents Data, which was collected in the United States using a multi-stage stratified sampling design with a Random Digit-Dial method. The final study sample contained a total of 2367 adolescents, comprised of 48...
October 2017: Journal of Adolescence
Elizabeth Vásquez, Garrett Strizich, Carmen R Isasi, Sandra E Echeverria, Daniela Sotres-Alvarez, Kelly R Evenson, Marc D Gellman, Priya Palta, Qibin Qi, Melissa Lamar, Wassim Tarraf, Hector M González, Robert Kaplan
Normative changes in cognitive function are expected with increasing age. Research on the relationship between normative cognitive decline and moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SED) needs further investigation in Hispanic/Latinos adults. We assessed the cross-sectional association between accelerometer assessed MVPA and SED with cognitive function in 7,478 adults aged 45-74years from the Hispanic Community Health Study/Study of Latinos. At baseline, cognitive tests included two executive function tests (Digit Symbol Substitution Test (DSST), a test of language (Word Fluency), and a test of memory (Spanish English Verbal Learning Test)...
October 2017: Preventive Medicine
Alvaro Camacho, Wassim Tarraf, Daniel E Jimenez, Linda C Gallo, Patricia Gonzalez, Robert C Kaplan, Melissa Lamar, Tasneem Khambaty, Bharat Thyagarajan, Krista M Perreira, Rosalba Hernandez, Jianwen Cai, Martha L Daviglus, Sylvia Wassertheil-Smoller, Hector M González
OBJECTIVE: The purpose of this study is to examine the association between verbal learning, fluency, and processing speed with anxious depression symptomatology (ADS) among diverse Hispanics. We hypothesized an inverse association of anxious depression with neurocognition among Hispanics of different heritage. DESIGN: Data are from the Hispanic Community Health Study/Study of Latinos. The sample included 9,311participants aged 45-74 years (mean: 56.5 years). A latent class analysis of items from the Center for Epidemiological Studies for Depression scale and the Spielberger Trait Anxiety Inventory was used to derive an anxious depression construct...
February 2018: American Journal of Geriatric Psychiatry
Sheba M George, Erin Moran Hayes, Allison Fish, Lauren Patty Daskivich, Omolola I Ogunyemi
Safety-net patients' socioeconomic barriers interact with limited digital and health literacies to produce a "knowledge gap" that impacts the delivery of healthcare via telehealth technologies. Six focus groups (2 African- American and 4 Latino) were conducted with patients who received teleretinal screening in a U.S. urban safety-net setting. Focus groups were analyzed using a modified grounded theory methodology. Findings indicate that patients' knowledge gap is primarily produced at three points during the delivery of care: (1) exacerbation of patients' pre-existing personal barriers in the clinical setting; (2) encounters with technology during screening; and (3) lack of follow up after the visit...
2016: AMIA ... Annual Symposium Proceedings
Jessica S Ancker, Elizabeth Mauer, Diane Hauser, Neil Calman
Medical records, which are increasingly directly accessible to patients, contain highly technical terms unfamiliar to many patients. A federally qualified health center (FQHC) sought to help patients interpret their records by embedding context-specific hyperlinks to plain-language patient education materials in its portal. We assessed the impact of this innovation through a 3-year retrospective cohort study. A total of 12,877 (10% of all patients) in this safety net population had used the MPC links. Black patients, Latino patients comfortable using English, and patients covered by Medicaid were more likely to use the informational hyperlinks than other patients...
2016: AMIA ... Annual Symposium Proceedings
Alberto R Ramos, Wassim Tarraf, Martha Daviglus, Sonia Davis, Linda C Gallo, Yasmin Mossavar-Rahmani, Frank J Penedo, Susan Redline, Tatjana Rundek, Ralph L Sacco, Daniela Sotres-Alvarez, Clinton B Wright, Phyllis C Zee, Hector M González
STUDY OBJECTIVES: To evaluate the association between sleep duration and neurocognitive function in a representative sample of middle-aged to older Hispanic/Latino adults in the US. We tested the hypothesis that sleep duration has a nonlinear, inverted U-shaped association with neurocognitive function. METHODS: We performed a cross-sectional analysis from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) participants ages 45-74 years (n = 8,676). HCHS/SOL is a community-based cohort from four US urban areas sampled using a probability design from 2008-2011...
October 1, 2016: Sleep
Ana C Talavera, Christina Buelna, Rebeca Espinoza Giacinto, Sheila F Castañeda, Aida Giachello, Madeline Crespo-Figueroa, Johanne B Hernández, Rosalinda Rodriguez, Maria de Los Angeles Abreu, Carlos M Sanchez, Krista Perreira
OBJECTIVE: This study examined perceived satisfaction among Hispanic/Latino individuals who participated in a baseline examination for the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), a large cohort study of 16,415 adults living in four selected communities. METHOD: An estimated 22% (n= 3,584) of participants completed a questionnaire regarding satisfaction with staff attention, the overall experience during the study examination, and the influence of the informed consent digital video disc (DVD)...
July 21, 2016: Ethnicity & Disease
Katherine J Briant, Amy Halter, Nathan Marchello, Monica Escareño, Beti Thompson
Digital storytelling is an emergent method in health promotion. It addresses health inequities by combining technology with the voices of members of vulnerable, often underrepresented populations. The overall goal of this pilot project was to explore if digital storytelling could be a culturally relevant health promotion tool for Hispanics/Latinos to share their experiences with cancer, or other diseases. Promotores participated in a train-the-trainer workshop. Community members worked with trained promotores to create digital stories through community workshops...
November 2016: Health Promotion Practice
Hector M González, Wassim Tarraf, Natalia Gouskova, Carlos J Rodríguez, Tatjana Rundek, Ellen Grober, Amber Pirzada, Patricia González, Pamela L Lutsey, Alvaro Camacho, Martha L Daviglus, Clinton Wright, Thomas H Mosley
BACKGROUND: Hispanics/Latinos are purportedly at increased risk for neurocognitive decline and dementias. Without dementia cures, low-cost, well-tolerated public health means for mitigating neurocognitive decline are needed. OBJECTIVE: We examined associations between neurocognition and cardiovascular health (CVH) metrics (Life's Simple 7; LS7) among diverse Hispanics/Latinos. We hypothesized that higher LS7 would be associated with healthier brain function (neurocognitive performance)...
June 18, 2016: Journal of Alzheimer's Disease: JAD
Garrett Strizich, Robert C Kaplan, Hector M González, Martha L Daviglus, Aida L Giachello, Yanping Teng, Richard B Lipton, Ellen Grober
AIMS: To examine among Hispanics in the U.S., a population with increased reliance on informal healthcare support structures, (1) the association between cognitive function and control of diabetes; and (2) whether this association is modified by family support. METHODS: The Digit Symbol Substitution Test (DSST), word fluency, and learning and delayed recall components of the Spanish English Verbal Learning Test were administered to 1794 Hispanic adults aged 45-76years with diagnosed diabetes...
July 2016: Diabetes Research and Clinical Practice
Ricardo F Muñoz, Eduardo L Bunge, Alinne Z Barrera, Robert E Wickham, Jessica Lee
BACKGROUND: The Institute for International Internet Interventions for Health at Palo Alto University proposes to develop digital tools specifically to help low-income English- and Spanish-speaking smokers to quit. Individuals from lower-income countries and those with lower social status quit at lower rates than those from high-income countries and those with higher social status. OBJECTIVE: We plan to launch a project designed to test whether a mobile-based digital intervention designed with systematic input from low-income English- and Spanish-speaking smokers from a public-sector health care system can significantly improve its acceptability, utilization, and effectiveness...
June 14, 2016: JMIR Research Protocols
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