The Immigrant Paradox in Sexual Risk Behavior Among Latino Adolescents: Impact of Immigrant Generation and Gender

Guarini, Tristan E.; Marks, Amy K.; Patton, Flannery; Coll, Cynthia García

doi:10.1080/10888691.2011.618100

Cited by 42 publications

(39 citation statements)

References 28 publications

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“…Two of these (McDonald et al, 2009; Rafaelli et al, 2012), in line with Guarini et al (2011) seem to suggest that second-generation adolescents may experience higher levels of sexual risk taking. However, it is possible that sexual risk and acculturation may not be linearly related to one another.…”

Section: Discussionmentioning

confidence: 86%

Correlates and predictors of sexual health among adolescent Latinas in the United States: A systematic review of the literature, 2004–2015

Morales-Alemán

Scarinci

2016

Preventive Medicine

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Adolescent Latinas in the United States (US) are disproportionately affected by early pregnancy, sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) in comparison to their non-Hispanic white counterparts. However, only a few studies have sought to understand the multi-level factors associated with sexual health in adolescent Latinas. Adhering to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines, we conducted a systematic literature review to better understand the correlates and predictors of sexual health among adolescent Latinas in the US, identify gaps in the research, and suggest future directions for empirical studies and intervention efforts. Eleven studies were identified: five examined onset of sexual intercourse, nine examined determinants of sexual health/risk behaviors (e.g., number of sexual partners, condom use etc.), and three examined determinants of a biological sexual health outcome (i.e., STIs or pregnancy). Two types of variables/factors emerged as important influences on sexual health outcomes: proximal context-level variables (i.e., variables pertaining to the individual's family, sexual/romantic partner or peer group) and individual-level variables (i.e., characteristics of the individual). A majority of the studies reviewed (n=9) examined some aspect of acculturation or Latino/a cultural values in relation to sexual health. Results varied widely between studies suggesting that the relationship between individual and proximal contextual variables (including acculturation) and sexual health may be more complex than previously conceived. This review integrates the findings on correlates and predictors of sexual health among adolescent Latinas, and supports the need for strengths-based theoretically guided research on the mechanisms driving these associations.

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Section: Discussionmentioning

confidence: 86%

Correlates and predictors of sexual health among adolescent Latinas in the United States: A systematic review of the literature, 2004–2015

Morales-Alemán

Scarinci

2016

Preventive Medicine

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“…We examined acculturation groups adjusted for demographics in association with selected behavioral and health care access outcomes identified from previous research [3,5,6,8,9]. SAS-callable SUDAAN 11.0.0 (Research Triangle Institute, Research Triangle Park, NC) was used for analyses.…”

Section: Methodsmentioning

confidence: 99%

Acculturation, Sexual Behaviors, and Health Care Access Among Hispanic and Non-Hispanic White Adolescents and Young Adults in the United States, 2006–2010

Haderxhanaj¹,

Dittus²,

Loosier³

et al. 2014

Journal of Adolescent Health

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Purpose To examine national estimates of sexual behaviors and health care access by acculturation among adolescents. Methods Using the 2006–2010 National Survey of Family Growth, four acculturation groups of Hispanic and non-Hispanic whites aged 15–24 years were analyzed by sexual behaviors and health care access. Results In analyses adjusted for demographics, English-speaking immigrants, Hispanic natives, and non-Hispanic white youth were less likely to have a partner age difference of ≥6 years (adjusted odds ratio [AOR], .28; 95% confidence interval [CI], .13–.60; AOR, .13; 95% CI, .07–.26; AOR, .16; 95% CI, .08–.32, respectively) and more likely to use a condom at the first vaginal sex (AOR, 1.99; 95% CI, 1.10–3.61; AOR, 2.10; 95% CI, 1.33–3.31; AOR, 2.39; 95% CI, 1.53–3.74, respectively) than Spanish-speaking immigrants. Non-Hispanic white youth and Hispanic natives were more likely to have a regular place for medical care (AOR, 2.07; 95% CI, 1.36–3.16; AOR, 3.66; 95% CI, 2.36–5.68, respectively) and a chlamydia test in the past 12 months (AOR, 3.62; 95% CI, 1.52–8.60; AOR, 2.94; 95% CI, 1.32–6.54) than Spanish-speaking immigrants. Conclusions Interventions to reduce risk and increase health care access are needed for immigrant Hispanic youth, particularly Spanish-speaking immigrants.

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“…(Guarini, Marks, Patton, & Coll, 2011). Other studies have found that among Hispanic youths, being a second-generation immigrant is protective, but Hispanics that are thirdgeneration fall into a higher risk category (Spence & Brewster, 2010 The other predictor variable that remained in the best-fit model was whether the adolescent reported living with both natural parents in the previous year.…”

Section: Parenting Factors (Add Health) Composite Scores Were Calculmentioning

confidence: 90%

Predictors of Adolescent Sexual Intentions and Behavior: Attitudes, Parenting, and Neighborhood Risk

Frankel¹

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Study findings indicate that more research on adolescent sexual behavior is warranted, specifically examining the differentials between variables that affect intentions and those that affect behavior. A focus on gender and age differences during intervention development may allow for better targeting and more efficacious interventions. Adding peer and media influences to the framework of attitudes, parenting, and neighborhood may offer more insight into patterns of adolescent sexual behavior risk.

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The Immigrant Paradox in Sexual Risk Behavior Among Latino Adolescents: Impact of Immigrant Generation and Gender

Cited by 42 publications

References 28 publications

Correlates and predictors of sexual health among adolescent Latinas in the United States: A systematic review of the literature, 2004–2015

Correlates and predictors of sexual health among adolescent Latinas in the United States: A systematic review of the literature, 2004–2015

Acculturation, Sexual Behaviors, and Health Care Access Among Hispanic and Non-Hispanic White Adolescents and Young Adults in the United States, 2006–2010

Predictors of Adolescent Sexual Intentions and Behavior: Attitudes, Parenting, and Neighborhood Risk

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