Medicine and Health Sciences Commons^™

Evaluating The Dissemination And Implementation Of A Community Health Worker-Based Community Wide Campaign To Improve Fruit And Vegetable Intake And Physical Activity Among Latinos Along The U.S.-Mexico Border, Paul Gerardo Yeh, Belinda M. Reininger, Lisa A. Mitchell-Bennett, Minjae Lee, Tianlin Xu, Amanda C. Davé, Soo Kyung Park, Alma G. Ochoa-Del Toro

Physician Assistant Studies Faculty Publications and Presentations

This study evaluated the dissemination and implementation of a culturally tailored community-wide campaign (CWC), Tu Salud ¡Si Cuenta! (TSSC), to augment fruit and vegetable (FV) consumption and physical activity (PA) engagement among low-income Latinos of Mexican descent living along the U.S.-Mexico Border in Texas. TSSC used longitudinal community health worker (CHW) home visits as a core vehicle to enact positive change across all socioecological levels to induce behavioral change. TSSC’s reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) was examined. A dietary questionnaire and the Godin-Shepherd Exercise Questionnaire measured program effectiveness on mean daily FV consumption and weekly PA engagement, respectively. …

Cervical Cancer, Human Papillomavirus (Hpv), And Hpv Vaccination: Exploring Gendered Perspectives, Knowledge, Attitudes, And Cultural Taboos Among Mexican American Adults, Daisy Y. Morales-Campos, S. A. Snipes, Edna K. Villarreal, L. C. Crocker, A. Guerrero, M. E. Fernandez

Physician Assistant Studies Faculty Publications and Presentations

Background: Gendered perspectives may be particularly important in shaping norms and values around HPV and HPV vaccination, as previous research suggests that sexuality taboos (e.g. promiscuity) may contribute to low perceived risk among adolescent and young adult Hispanic females. However, research to date focuses primarily on Hispanic mothers, adolescent females, and women of HPV vaccine-eligible age. Hispanic father's perspectives are relatively unknown despite father's important role in shaping norms for their female children.

Objective: To close this gap, this study examines gendered perspectives in knowledge, beliefs, and attitudes about HPV and HPV vaccination from Hispanic parents (mothers and fathers), women …

Socioeconomic Context And The Food Landscape In Texas: Results From Hotspot Analysis And Border/Non-Border Comparison Of Unhealthy Food Environments, Jennifer J. Salinas, Bassent Abdelbary, Kelly Klaas, Beatriz Tapia, Ken Sexton

Physician Assistant Studies Faculty Publications and Presentations

Purpose: The purpose of this paper is to describe the food landscape of Texas using the CDC’s Modified Retail Food Environment (mRFEI) and to make comparisons by border/non-border. Methods: The Modified Retail Food Environment index (mRFEI (2008)) is an index developed by the CDC that measures what percent of the total food vendors in a census track sell healthy food. The range of values is 0 (unhealthy areas with limited access to fruits and vegetables) to (100—Healthy). These data were linked to 2010 US Census socioeconomic and ethnic concentration data. Spatial analysis and GIS techniques were applied to assess the …

Cardiovascular Disease Risk Among The Mexican American Population In The Texas-Mexico Border Region, By Age And Length Of Residence In United States, Jennifer J. Salinas, Bassent Abdelbary, Anne R. Rentfro, Susan P. Fisher-Hoch, Joseph B. Mccormick

Physician Assistant Studies Faculty Publications and Presentations

Introduction: Although the relationship between health behaviors and outcomes such as smoking and obesity with longer residence in the United States among Mexican American immigrants is established, the relationship between length of residency in the United States and risk for cardiovascular disease (CVD) is not fully understood. The objective of this study was to determine the relationship between immigrant status, length of residence in the United States, age, and CVD markers in a sample of Mexican American adults living in Brownsville, Texas.

Methods: We categorized participants in the Cameron County Hispanic Cohort study as immigrants in the United States for …

Application Of A Novel Method For Assessing Cumulative Risk Burden By County, Jennifer J. Salinas, Manasi Shah, Bassent Abdelbary, Jennifer L. Gay, Ken Sexton

Physician Assistant Studies Faculty Publications and Presentations

The purpose of this study is to apply the Human Security Index (HSI) as a tool to detect social and economic cumulative risk burden at a county-level in the state of Texas. The HSI is an index comprising a network of three sub-components or “fabrics”; the Economic, Environmental, and Social Fabrics. We hypothesized that the HSI will be a useful instrument for identifying and analyzing socioeconomic conditions that contribute to cumulative risk burden in vulnerable counties. We expected to identify statistical associations between cumulative risk burden and (a) ethnic concentration and (b) geographic proximity to the Texas-Mexico border. Findings from …

Using The Framingham Risk Score To Evaluate Immigrant Effect On Cardiovascular Disease Risk In Mexican Americans, Jennifer J. Salinas, Bassent Abdelbary, Jeffrey Wilson, Monir Hossain, Susan P. Fisher-Hoch, Joseph B. Mccormick

Physician Assistant Studies Faculty Publications and Presentations

Background—This study uses the Framingham Risk Score (FRS) for 10-year cardiovascular disease (CVD) to evaluate differences between Mexican American immigrants and the U.S.-born population. Methods and Results—Data from the Cameron County Hispanic Cohort (N=1,559). Average total risk scores were generated by age group for each gender. Regression analysis was conducted adjusting for covariates and interaction effects. Both women and men in the CCHC sample who were long-term immigrant residents (mean FRS scores women 4.2 with p<.001 vs. men 4.0 with p<.001) or born in the U.S. (mean FRS scores women 4.6 with p<.001 vs. men 3.3 with p<.001) had significantly higher risk scores than immigrants who had only been in this country for less than 10 years. The interaction model indicates that differences between immigrant and native-born Mexican Americans are most greatly felt at lowest levels of socioeconomic status for men in the CCHC. Conclusions—This study suggests that in terms of immigrant advantage in CVD risk, on whom, where, and how the comparisons are being made have important implications for the degree of difference observed.