WWW.BOOK.DISLIB.INFO
FREE ELECTRONIC LIBRARY - Books, dissertations, abstract
 
<< HOME
CONTACTS



Pages:   || 2 | 3 | 4 | 5 |   ...   | 21 |

«SUBSTANCE ABUSE, INTIMATE PARTNER VIOLENCE AND RISK FOR HIV AMONG A COMMUNITY SAMPLE OF HISPANIC WOMEN By Rosa Maria González-Guarda A DISSERTATION ...»

-- [ Page 1 ] --

UNIVERSITY OF MIAMI

SUBSTANCE ABUSE, INTIMATE PARTNER VIOLENCE AND RISK FOR HIV

AMONG A COMMUNITY SAMPLE OF HISPANIC WOMEN

By

Rosa Maria González-Guarda

A DISSERTATION

Submitted to the Faculty

of the University of Miami

in partial fulfillment of the requirements for

the degree of Doctor of Philosophy Coral Gables, Florida May 2008

UNIVERSITY OF MIAMI

A thesis submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy

SUBSTANCE ABUSE, INTIMATE PARTNER VIOLENCE AND RISK FOR HIV

AMONG A COMMUNITY SAMPLE OF HISPANIC WOMEN

Rosa Maria González-Guarda

Approved:

________________ _________________

Dr. Victoria B. Mitrani Dr. Terri A. Scandura Professor of Nursing Dean of the Graduate School and Health Studies ________________ _________________

Dr. Etiony Aldarondo Dr. Clyde B. McCoy Associate Dean for Research Professor of Epidemiology Associate Professor of Education and Public Health and Psychological Studies ________________ _________________

Dr. Elias P. Vasquez Dr. JoAnn Trybulski Associate Professor of Nursing Assistant Professor of Nursing and Health Studies and Health Studies GONZALEZ-GUARDA, ROSA MARIA (Ph.D., Interdepartmental) Substance Abuse, Intimate Partner Violence and (May 2008) Risk for HIV among a Community Sample of Hispanic Women

Abstract

of a dissertation at the University of Miami.

Dissertation supervised by Professor Victoria B. Mitrani.

No. of pages in text. (164) Among the health disparities affecting the U.S. Hispanic population today are those relating to risky behaviors such as substance abuse, intimate partner violence (IPV) and HIV/AIDS. However, few studies have examined how these conditions may impact this population. The purpose of this dissertation was to explore the experiences that Hispanic women in South Florida have with regard to substance abuse, IPV and risks for HIV/AIDS, to describe how these conditions may be related, and to develop a model that can be used to guide research and interventions targeting this population. This dissertation uses data collected in Project DYVA (Drogas y Violencia en las AmericasDrugs and Violence in the Americas), a pilot research study that utilized both qualitative (Phase I) and quantitative (Phase II) research methods to describe the experiences of Hispanic women in South Florida between the ages of 18 and 60 with regard to substance abuse, violence and risky sexual behaviors.

Three studies were conducted as part of this dissertation. The first study utilizes data collected during the qualitative phase of Project DYVA. During this phase eight focus groups were conducted and analyzed using qualitative content analysis (N = 81).

The second and third studies utilize data collected during the second phase of Project DYVA. In this phase cross-sectional questionnaires collecting information regarding demographics, acculturation, self-esteem, depression, substance abuse, IPV and risks for HIV, were administered to 82 Hispanic women. Univariate and multivariate statistics were used to explore the relationships between substance abuse, IPV and risk for HIV (study 2) and between resource availability, IPV and depression (study 3). The findings from this dissertation suggest that substance abuse, IPV and risk for HIV are closely related intersecting health issues. IPV, the condition that emerged as the most salient of the three, also appears to be closely associated with resource availability (i.e., self-esteem and income) and depression. Additional individual, cultural, relationship and socioenvironmental factors that may play a significant role in shaping the experiences that Hispanic women have with regards to these intersecting conditions were also identified

–  –  –

The author wishes to acknowledge several individuals and organizations for their continued support.

• Victoria B. Mitrani, PhD, committee chairperson and Etiony Aldarondo, PhD, Clyde B. McCoy, PhD, JoAnn Trybulski, PhD, NP and Elias, P. Vasquez, PhD, NP, FAAN members of my dissertation committee

• Dean Nilda Peragallo, DrPH, RN, FAAN, previous committee chairperson and mentor

• Faculty and Staff of The Graduate School and coordinators of the Interdepartmental PhD Program

• Faculty and Staff of The School of Education and Psychological Studies, The School of Epidemiology and Public Health and The School of Nursing & Health Studies

• Faye Gary, EdD, RN, FAAN, Ms. Janet Jackson and Hossein Yarandi, PhD from the Substance Abuse Mental Health Service Administration (SAMHSA), Minority Fellowship Program (MFP) at the American Nurses Association (ANA)

• The administration and staff at Hispanic Unity of Florida

• The Hispanic women who participated in Project DYVA (Drugs and Violence in the Americas)

• Luis E. Guarda, Margarita Gonzalez, Rolando Gonzalez, Carlos-Andres Gonzalez and the rest of my beloved family.

The author also wishes to acknowledge the financial support from various institutions.





–  –  –

• The Graduate School and The School of Nursing & Health Studies, University of Miami

• Inter-American Drug Abuse Control Commission (CICAD), Organization of American States (OAS) and Secretaria Nacional Antidrogas [National Antidrug Administration] (SENAD)

–  –  –

LIST OF FIGURES

LIST OF TABLES

Chapter

1 INTRODUCTION

Background

Epidemiology

Intersecting Health Conditions

Gaps in the Literature

Specific Aims & Abstracts

2 ROMPIENDO EL SILENCIO (BREAKING THE SILENCE):

HISPANIC WOMEN’S EXPERIENCES WITH SUBTANCE ABUSE,

INTIMATE PARTNER VIOLENCE AND SEXUAL RISK BEHAVIORS

Background

Epidemiology

Review of the Literature

Methodology

Findings

Discussion

Implications

3 HIV RISKS, SUBSTANCE ABUSE AND INTIMATE PARTNER

VIOLENCE AMONG HISPANIC FEMALES AND THEIR INTIMATE

PARTNERS

Background

Intersecting Health Conditions

Conceptual Framework

Methodology

Analysis

Results

Discussion

Implications for Research & Practice

v

4 INTIMATE PARTNER VIOLENCE, DEPRESSION AND RESOURCE

AVAILABILITY AMONG A COMMUNITY SAMPLE OF HISPANIC

WOMEN Background

Review of the Literature

The Vulnerable Populations Conceptual Framework

Aims & Hypothesis

Methodology

Measures

Analysis

Results

Discussion

Implications

5 DISCUSSION Major Dissertation Findings

Limitations

Implications

Model for Understanding Substance Abuse, IPV and HIV Risk

Future Directions

6 CONCLUSION

References……………………………………………………………………………. 118 Figures……………………………………………………………………………….. 130 Tables

Appendix A. Focus Group Questions

B. Sexual Health History

C. Partner Table

D. Violence Assessment

–  –  –

Figure 1. Categories and subcategories of theme # 1, “Transplantadas en otro mundo- Uprooted in another world”………………………………………………… 130 Figure 2.

Categories and subcategories of theme # 2, “Criadero de abusoThe breading ground for abuse”………………………………………………........... 131 Figure 3. Categories and subcategories of theme # 3, “Rompiendo el silenciobreaking the silence”………………………………………………………………… 132 Figure 4. Conceptual framework for HIV risk, substance abuse and intimate partner violence used in Project DYVA……………………………………….......... 133 Figure 5. Vulnerable populations conceptual model for IPV, depression and resource availability among Hispanic women………………………………………. 134 Figure 6. Comparison of the frequency of participants reporting the main conditions explored in Project DYVA………………………………………………. 135 Figure 7. Frequency of intimate partner violence by type of abuse and period of occurrence…………………………………………………………………............ 136 Figure 8. The intersection model for understanding substance abuse, intimate partner violence, risks for HIV/AIDS and comorbid mental health conditions among Hispanics…………………………………………………………………….. 137

–  –  –

Table 1. Steps for Conducting the Qualitative Content Analysis of the Focus Group Transcripts during the First Phase of Project DYVA……………………….

.. 138 Table 2. Characteristics of a Community Sample of Hispanic Women Participating in Project DYVA – Continuous Variables…………………………..... 139 Table 3. Characteristics of a Community Sample of Hispanic Women Participating in Project DYVA – Categorical Variables…………………………..... 140 Table 4. Frequency of Reported HIV Risks, Substance Abuse and Intimate Partner Violence among a Community Sample of Hispanic Women and their Current or Most Recent Partners……………………………………………………. 141 Table 5. Differences in Demographic Variables and the Bidemensional Acculturation Scale (BAS) between High Risk and Lower Risks DYVA Participants in Regard to Consistent Condom Use, Participant’s Substance Abuse and Intimate Partner Violence……………………………………………….. 142 Table 6. The Relationship Between Being Under the Influence of Alcohol and/or Drugs During Sexual Intercourse (Participant’s Substance Abuse) and HIV Risks among a Community Sample of Hispanic Women…………………………… 143 Table 7. The Relationship between the Partner Being Under the Influence of Alcohol and/or Drugs during Sexual Intercourse (Partner Substance Abuse) and HIV Risks among a Community Sample of Hispanic Women……………………… 144 Table 8. The Relationship between Intimate Partner Violence, HIV Risks and Substance Abuse among a Community Sample of Hispanic Women………...... 145 Table 9. The Relationship between HIV Risks, the Participant’s and her Partner’s Substance Abuse Behaviors and Intimate Partner Violence among a Community Sample of Hispanic Women and their Intimate Partners………………. 146 Table 10. Logistic Regression Analyses Testing Hypothesis that Resource Availability Predicts Intimate Partner Violence among a Community Sample of Hispanic Women – Hypothesis # 1 ……………………………………… 147 Table 11. Multiple Linear Regression Testing Hypothesis that Intimate Partner Violence Predicts Depressive Symptoms among a Community Sample of Hispanic Women – Hypothesis # 2...……………………………………………….. 148 viii Table 12. Simple and Multiple Logistic Regression Model Testing Hypothesis that Depressive Symptoms Predicts Intimate Partner Violence among a Community Sample of Hispanic Women – Hypothesis # 3...………………………. 149 Table 13. Simple Linear and Logistic Regressions Testing Hypothesis that Depressive Symptoms Predicts Resource Availability among a Community Sample of Hispanic Women – Hypothesis # 4……………………………………… 150

–  –  –



Pages:   || 2 | 3 | 4 | 5 |   ...   | 21 |


Similar works:

«DETECTION OF KRAS SYNTHETIC LETHAL PARTNERS THROUGH INTEGRATION OF EXISTING RNAi SCREENS Dissertation zur Erlangung des akademischen Grades Doctor of Philosophy (PhD) vorgelegt an der Technischen Universit¨t Dresden a Fakult¨t Informatik a von ELENI G. CHRISTODOULOU geboren am 06 November 1982 in Athen/Griechenland Betreuender Hochschullehrer: Prof. Dr. Andreas Beyer Universit¨t zu K¨ln a o Prof. Dr. Michael Schroeder Technische Universit¨t Dresden a Dresden Tag der Verteidigung: 15. 12....»

«AN Abstract OF THE DISSERTATION OF Joshua S. Halofsky for the degree of Doctor of Philosophy in Forest Resources presented on April 19, 2007. Title: Evidence of a Trophic Cascade among Wolves, Elk, and Aspen in Yellowstone National Park, USA.Abstract approved: _ William J. Ripple According to general top-down trophic theory, in the presence of carnivores, herbivore behavior and/or densities could change and result in an overall decrease in herbivory on plant communities. In this dissertation, I...»

«FREEDOMNOT LICENSE A. S. Neill (A.S. Neill, the now-renowned headmaster of the Summerhill School in England, has received hundreds of letters from correspondents in the United States requesting advice about their specific problems in child rearing. With his uncommon wisdom and in his unique, forthright style, Neill proffers answers. There are chapters about sibling rivalry, homosexuality, eating habits, the fearful child, censorship, homework, nudity in the home, children of the divorced, and...»

«Institut für Anglistik, Amerikanistik und Keltologie der Universität Bonn Reading the Game Anglo-American Perspectives on Football Fandom in the Age of Premier League Football INAUGURAL-DISSERTATION ZUR ERLANGUNG DER DOKTORWÜRDE DER PHILOSOPHISCHEN FAKULTÄT DER RHEINISCHEN FRIEDRICH-WILHELMS-UNIVERSITÄT ZU BONN VORGELEGT VON DOMINIK WOLF AUS BONN Bonn Gedruckt mit Genehmigung der Philosophischen Fakultät der Rheinischen Friedrich-Wilhelms-Universität Bonn Zusammensetzung der...»

«WILLIAM JAMES’S TRANSCENDENTAL THEOLOGICAL VOLUNTARISM: A READING OF “THE MORAL PHILOSOPHER AND THE MORAL LIFE”1 MICHAEL A. CANTRELL ABSTRACT William James has been charged with many transgressions, but being a divine command theorist is not yet one of them. This paper remedies that situation. “The Moral Philosopher and the Moral Life” contains all the essential elements of a contemporary metaethical divine command theory of moral obligation. James’s essay affirms that divine...»

«University of Alberta Dmitry Olegovich Gorodnichy A thesis submitted t o the Faculty of Graduate Studies and Research in partial fulfillment of t h e requirernents for the degree of Doctor of Philosophy. Department of Computing Science Edmonton, Alberta Fall 2000 National iibrary Bibliothèque nationale du Canada Acquisitions and Acquisitions et Bibliographie Setvices services bibliographiques 395.rue Wellington 395 Wellington Street Ottawa ON K IA ON4 Ottawa O N K1A O N 4 Canada Canada The...»

«Diplomarbeit Titel der Diplomarbeit: Politische Epistemologie. Konzeptionen wissenschaftlicher Erkenntnisproduktion aus herrschaftskritischer Perspektive.Verfasserin: Katherina Kinzel Angestrebter akademischer Grad: Magistra der Philosophie (Mag.phil) Wien, Mai 2009 Studienkennzahl lt. Studienblatt: A 296 Studienrichtung lt. Studienblatt: Philosophie Betreuerin: Ao. Univ.-Prof. Dr. Anna Monika Singer „Allein auch wenn ich wissenschaftlich etc. tätig bin, eine Tätigkeit, die ich selten in...»

«Eddies and Friction: Removal of Vorticity from the Wind-Driven Gyre by Baylor Fox-Kemper B.A., Reed College, 1996; M.A., Brandeis University, 1998 Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at the MASSACHUSETTS INSTITUTE OF TECHNOLOGY and the WOODS HOLE OCEANOGRAPHIC INSTITUTION June 2003 c Baylor Fox-Kemper, MMIII. All rights reserved. The author hereby grants to MIT and WHOI permission to reproduce and distribute publicly paper and electronic...»

«Published in: Endo and Exo-Concepts of Observation and Knowledge in Physics, Philosophy, and Cognitive Science. Ed. by H. Atmanspacher and G. Dalenoort. Springer-Verlag, Berlin, 1994. Pp. 163–193 Endoand exo-theories of matter HANS PRIMAS Laboratory of Physical Chemistry, ETH ETH-Zentrum, CH-8092 Zürich, Switzerland Abstract The endo/exo-dichotomy in the domain of the material world is analyzed from the standpoint of old-fashioned Cartesian dualism. The holistic structure of the quantum...»

«Contents Series Editors’ Foreword vi Preface vii Acknowledgements xiii 1 Edgar Allan Poe: The Domain of Artifice 1 2 Van Gogh and Hofmannsthal: Colours and Silence 46 3 Baudelaire, Haussmann, Fustel de Coulanges: The Modern Metropolis and the Ancient City 62 4 Trieste as Frontier: From Slataper to Bazlen and Del Giudice 80 5 Aldo Rossi: The White Walls of the City 96 6 Massimo Cacciari and the Philosophy of the City 108 7 Absence and Revelation: Photography as the Art of Nostalgia 150 8 The...»





 
<<  HOME   |    CONTACTS
2016 www.book.dislib.info - Free e-library - Books, dissertations, abstract

Materials of this site are available for review, all rights belong to their respective owners.
If you do not agree with the fact that your material is placed on this site, please, email us, we will within 1-2 business days delete him.