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Journal Information
Vol. 20. Issue 1.
Pages 63-73 (April 2011)
Vol. 20. Issue 1.
Pages 63-73 (April 2011)
Open Access
Reducing Substance Use and HIV Health Disparities among Hispanic Youth in the USA: The Familias Unidas Program of Research
Reduciendo las Desigualdades en Salud por Consumo de Drogas y VIH en los Jóvenes Hispanos de EEUU: El Programa de Investigación Familias Unidas
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4186
Guillermo Prado
, Hilda Pantin**
University of Miami, USA
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Under a Creative Commons license
Article information
Abstract

Preventing/reducing substance use and HIV among Hispanic youth is essential to eliminating the health disparities that exist between Hispanics and other segments of the population. The objective of this article is to describe a program of research involving Familias Unidas, a Hispanic-specific, parent-centered intervention, aimed at reducing substance use and HIV health disparities among Hispanic youth. This article will focus on the theoretical foundation of the intervention, the empirical research supporting the theoretical model, the intervention model itself, the findings of the program of research, and the translation of this intervention into community practice.

Keywords:
drugs
family
health disparities
hispanic
HIV
smoking
Resumen

Prevenir/reducir el uso de drogas y la incidencia de VIH entre los jóvenes hispanos es imprescindible para eliminar las desigualdades existentes en materia de salud entre los hispanos y otros sectores de la población. El objetivo de este artículo es describir el programa de investigación Familias Unidas (un programa de intervención diseñado específicamente para hispanos y que se centra en el papel de los padres). El programa pretende reducir el consumo de drogas y minimizar las disparidades relativas al VIH entre los jóvenes hispanos. El artículo se centra en las bases teóricas de la intervención, en la investigación empírica que respalda este modelo teórico, en el modelo mismo, en los resultados obtenidos por el programa de investigación, y en su puesta en práctica en la comunidad.

Palabras clave:
desigualdad de salud
drogas
familia
fumar
hispano
VIH
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References
[Bailey et al., 1999]
S.L. Bailey, N.K. Pollock, C.S. Martin, K.G. Lynch.
Risky sexual behaviors among adolescents with alcohol use disorders.
The Journal of Adolescent Health, 25 (1999), pp. 179-181
[Barnes et al., 1994]
G.M. Barnes, M.P. Farrell, S. Banerjee.
Family influences on alcohol abuse and other problem behaviors among Black and White adolescents in a general population sample.
Journal of Research on Adolescence, 4 (1994), pp. 183-201
[Bogenschneider et al., 1998]
K. Bogenschneider, M.Y. Wu, M. Raffaelli, J.C. Tsay.
Parent influences on adolescent peer orientation and substance use: The interface of parenting practices and values.
Child Development, 69 (1998), pp. 1672-1688
[Boyer et al., 1999]
C.B. Boyer, J.M. Tschann, M.A. Shafer.
Predictors of risk for sexually transmitted diseases in ninth grade urban high school students.
Journal of Adolescent Research, 14 (1999), pp. 448-465
[Bronfenbrenner, 1979]
U. Bronfenbrenner.
The ecology of human development: Experiments by nature and design.
Cambridge University Press, (1979),
[Bronfenbrenner, 1986]
U. Bronfenbrenner.
Ecology of the family as a context for human development.
The American Psychologist, 32 (1986), pp. 513-531
[Brown et al., 2008]
C.H. Brown, W. Wang, S.G. Kellman, B.O. Muthen, H. Petras, P. Toyinbo, et al.
Methods for testing theory and evaluating impact in randomized field trials: Intent-to-treat analyses for integrating the perspectives of person, place, and time.
Drug and Alcohol Dependence, 95S (2008), pp. S74-S104
[Brown et al., inpress]
Brown, C.H., Wang, W., Kellam, S.G., Muthen, B.O., Petras, H., Toyinbo, P., et al. (in press). Methods for testing theory and evaluating impace in randomized field trials: intent-to-treat analysis for integrating the perspectives of person, place and time. Journal of Drug and Alcohol Dependence.
[Bry et al., 1982]
B.H. Bry, P. McKeon, R.J. Pandina.
Extent of drug use as a function of number of risk factors.
Journal of Abnormal Psychology, 91 (1982), pp. 273-279
[Centers for Disease Control, 2010]
Centers for Disease Control and Prevention (2010). HIV Surveillance Report 2008; vol. 20. http://www.cdc.gov/hiv/topics/surveillance/resources/reports/. Published June 2010. Accessed Janaury 13, 2011.
[Coatsworth et al., 2002]
J.D. Coatsworth, H. Pantin, J. Szapocznik.
Familias Unidas: A family-centered ecodevelopmental intervention to reduce risk for problem behavior among Hispanic adolescents.
Clinical Child and Family Psychology Review, 5 (2002), pp. 113-132
[Dishion et al., 1999]
T.J. Dishion, D.M. Capaldi, K. Yoerger.
Middle childhood antecedents to progressions in male adolescent substance use: An ecological analysis of risk and protection.
Journal of Adolescent Research, 14 (1999), pp. 175-205
[Dishion et al., 2002]
T.J. Dishion, K. Kavanagh, A. Schneiger, S. Nelson, N.K. Kaufman.
Preventing early adolescent substance use: A family-centered strategy for the public middle school.
Prevention Science, 3 (2002), pp. 191-201
[Eaton et al., 2006]
D.K. Eaton, L. Kann, S. Kinchen, J. Ross, J. Hawkins, W.A. Harris, H. Wechsler.
Youth Risk Behavior Surveillance-United States 2005.
Morbidity and Mortality Weekly Report. Surveillance Summary, 55 (2006), pp. 1-108
[Flay, 1986]
B.R. Flay.
Efficacy and effectiveness trials (and other phases of research) in the development of health promotion programs.
Preventive Medicine, 15 (1986), pp. 451-474
[Ford and Norris, 1993]
K. Ford, A.E. Norris.
Knowledge of AIDS transmission, risk behavior and perceptions of risk among urban, low-income, African-American and Hispanic youth.
American Journal of Preventive Medicine, 9 (1993), pp. 297-306
[Friedman et al., 1998]
L.M. Friedman, C.D. Furberg, D.L. DeMets.
Fundamentals of clinical trials.
3rd, Springer-Verlag, (1998),
[Garbarino and Abramowitz, 1992]
J. Garbarino, R.H. Abramowitz.
The ecology of human development.
Children and Families in the Social Environment, 2 (1992), pp. 11-33
[Gil et al., 2004]
A.G. Gil, E.F. Wagner, J.G. Tubman.
Culturally sensitive substance abuse intervention for Hispanic and African American adolescents: Empirical examples from the Alcohol Treatment Targeting Adolescents in Need (ATTAIN) Project.
[Greene and Forster, 2003]
J.P. Greene, G. Forster.
Public high school graduation and college readiness rates in the United States.
Manhattan Institute, (2003),
[Guo et al., 2002]
J. Guo, I.J. Chung, K.G. Hill, J.D. Hawkins, R.F. Catalano, R.D. Abbott.
Developmental relationships between adolescent substance use and risky sexual behavior in young adulthood.
The Journal of Adolescent Health, 31 (2002), pp. 354-362
[Hawkins et al., 1992]
J.D. Hawkins, R.F. Catalano, J.Y. Miller.
Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention.
Psychological Bulletin, 112 (1992), pp. 64-105
[Hovell et al., 1994]
M. Hovell, C. Sipan, E. Blumberg, C. Atkins, C.R. Hofstetter, S. Kreitner.
Family influences on Latino and Anglo adolescents’ sexual behavior.
Journal of Marriage and the Family, 56 (1994), pp. 973-986
[Ialongo et al., 1999]
N.S. Ialongo, L. Werthamer, S.G. Kellam, C.H. Brown, S. Wang, Y. Lin.
Proximal impact of two firstgrade preventive interventions on the early risk behaviors for later substance abuse, depression and antisocial behavior.
American Journal of Community Psychology, 27 (1999), pp. 599-641
[Johnston et al., 2009]
L.D. Johnston, P.M. O’Malley, J.G. Bachman, J.E. Schulenberg.
Monitoring the future national results on adolescent drug use: Overview of key findings, 2008.
National Institute on Drug Abuse, (2009),
[Kotchick et al., 2001]
B.A. Kotchick, A. Shaffer, R. Forehand, K.S. Miller.
Adolescent sexual risk behavior: A multi-system perspective.
Clinical Psychology Review, 21 (2001), pp. 493-519
[Krauss et al., 2000]
B.J. Krauss, C. Godfrey, D. Yee, L. Goldsamt, J. Tiffany, L. Almeyda, et al.
Saving our children from a silent epidemic: The PATH program for parents and preadolescents.
Working with families in the era of HIV/AIDS, pp. 89-112
[Kulis et al., 2005]
S. Kulis, F.F. Marsiglia, E. Elek, P. Dustman, D.A. Wagstaff, M.L. Hecht.
Mexican/Mexican American adolescents and Keepin’ it REAL: An evidence-based substance abuse prevention program.
Children & Schools, 27 (2005), pp. 133-145
[Kumpfer et al., 1996]
K.L. Kumpfer, V. Molgaard, R. Spoth.
The Strengthening Families Program for the prevention of delinquency and drug use.
Preventing childhood problems, substance abuse and delinquency, pp. 241-267
[Leon and Dziegielewski, 2000]
A.M. Leon, S.F. Dziegielewski.
Engaging Hispanic immigrant mothers: Revisiting the time-limited psycho-educational group model.
Crisis Intervention, 6 (2000), pp. 13-27
[Luster and Small, 1994]
T. Luster, S.A. Small.
Factors associated with sexual risk-taking behaviors among adolescents.
Journal of Marriage and the Family, 56 (1994), pp. 622-632
[Marotta and Garcia, 2003]
S.A. Marotta, J.G. Garcia.
Latinos in the United States in 2000.
Hispanic Journal of Behavioral Sciences, 25 (2003), pp. 13-34
[Martinez, 2006]
C.R. Martinez.
Effects of differential family acculturation on Latino adolescent substance use.
Family Relation, 55 (2006), pp. 306-317
[Miller et al., 1998]
K.S. Miller, M.L. Levin, D.J. Whitaker, X. Xu.
Patterns of condom use among adolescents: the impact of mother-adolescent communication.
American Journal Of Public Health, 88 (1998), pp. 1542-1544
[Mokdad et al., 2004]
A.H. Mokdad, J.S. Marks, D.F. Stroup, J.L. Gerberding.
Actual causes of death in the United States, 2000.
The Journal of the American Medical Association, 291 (2004), pp. 1238-1245
[O’Connell et al., 2009]
M.E. O’Connell, T. Boat, K.E. Warner.
Preventing mental, emotional and behavioral disorders among young people.
Progress and possibilities. Committee on Prevention of Mental Disorders and Substance Abuse among Children, Youth and Young Adults: Research Advances and Promising Interventions, The National Academies Press, (2009),
[Pabon, 1998]
E. Pabon.
Hispanic adolescent delinquency and the family: A discussion of sociocultural influences.
Adolescence, 33 (1998), pp. 941-955
[Pantin et al., 2003]
H. Pantin, J.D. Coatsworth, D.J. Feaster, F.L. Newman, E. Briones, G. Prado, J. Szapocznik.
Familias Unidas: The efficacy of an intervention to promote parental investment in Hispanic immigrant families.
Prevention Science, 4 (2003), pp. 189-201
[Pantin et al., 2009]
H. Pantin, G. Prado, S. Huang, B. López, M. Tapia, E. Sabillon, J. Branchini.
A randomized controlled trial of Familias Unidas for Hispanic beahavior-problem adolescents.
Psychosomatic Medicine, 71 (2009), pp. 987-995
[Pantin et al., 2004]
H. Pantin, S.J. Schwartz, S. Sullivan, G. Prado, J. Szapocznik.
Ecodevelopmental HIV prevention programs for Hispanic adolescents.
The American Journal of Orthopsychiatry, 74 (2004), pp. 545-558
[Pentz, 1995]
M.A. Pentz.
Prevention research in multiethnic communities: Developing community support and collaboration and adapting research methods.
Drug abuse prevention in multi-ethnic youth p, pp. 193-214
[Pentz et al., 1989]
M.A. Pentz, J.H. Dwyer, D.P. MacKinnon, B.R. Flay, W.B. Hansen, E.Y. Wang, C.A. Johnson.
A multicommunity trial for primary prevention of adolescent drug abuse. Effects on drug use prevalence.
Journal of the American Medical Association, 261 (1989), pp. 3259-3266
[Perkins and Luster, 1999]
D.F. Perkins, T. Luster.
The relationship between sexual abuse and purging: Findings from communitywide surveys of female adolescents.
Child Abuse & Neglect, 23 (1999), pp. 371-382
[Prado et al., 2010]
G. Prado, S. Huang, M. Maldonado-Molina, F. Bandiera, S.J. Schwartz, P. de la Vega, H. Pantin.
An empirical test of ecodevelopmental theory in predicting HIV risk behaviors among Hispanic youth.
Health Education and Behavior, 37 (2010), pp. 97-114
[Prado et al., 2007]
G. Prado, H. Pantin, E. Briones, S.J. Schwartz, D. Feaster, S. Huang, J. Szapocznik.
A randomized controlled trial of a parent-centered intervention in preventing substance use and HIV risk behaviors in Hispanic adolescents.
Journal of Consulting and Clinical Psychology, 75 (2007), pp. 914-926
[Prado et al., 2009]
G.J. Prado, S.J. Schwartz, M. Maldonado-Molina, S. Huang, H.M. Pantin, B. Lopez, J. Szapocznik.
Ecodevelopmental x intrapersonal risk: Substance use and sexual behavior in Hispanic adolescents.
Health Education & Behavior, 36 (2009), pp. 45-61
[Prado et al., 2006]
G. Prado, S.J. Schwartz, A. Pattatucci-Aragon, M. Clatts, H. Pantin, M.I. Fernandez, J. Szapocznik.
The prevention of HIV transmission in Hispanic adolescents.
Drug and Alcohol Dependence, 84 (2006), pp. S43-S53
[Ramirez and de la Cruz, 2003]
R.R. Ramirez, G.P. de la Cruz.
The Hispanic population in the United States: March 2002: Population characteristics. Current Population Reports.
US Census Bureau, (2003), pp. 20-545
[Simons et al., 1992]
R.L. Simons, F.O. Lorenz, R.D. Conger, C.I. Wu.
Support from spouse as mediator and moderator of the disruptive influence of economic strain on parenting.
Child Development, 63 (1992), pp. 1282-1301
[Storr et al., 2002]
C.L. Storr, N.S. Ialongo, S.G. Kellam, J.C. Anthony.
A randomized controlled trial of two primary school intervention strategies to prevent early onset tobacco smoking.
Drug and Alcohol Dependence, 66 (2002), pp. 51-60
[Swick and Broadway, 1997]
K.J. Swick, F. Broadway.
Parental efficacy and successful parent involvement.
Journal of Instructional Psychology, 24 (1997), pp. 69-75
[Szapocznik and Coatsworth, 1999]
J. Szapocznik, J.D. Coatsworth.
An ecodevelopmental framework for organizing the influences on drug abuse: A developmental model of risk and protection.
Drug abuse: Origins & interventions p, pp. 331-366
[Szapocznik and Kurtines, 1993]
J. Szapocznik, W.M. Kurtines.
Family psychology and cultural diversity: Opportunities for theory, research and application.
American Psychologist, 48 (1993), pp. 400-407
[Szapocznik and Prado, 2007]
J. Szapocznik, G. Prado.
Negative effects on family functioning from psychosocial treatments: A recommendation for expanded safety monitoring.
Journal of Family Psychology, 21 (2007), pp. 468-478
[Szapocznik et al., 2007]
J. Szapocznik, G. Prado, A.K. Burlew, R.A. Williams, D.A. Santisteban.
Drug abuse in African American and Hispanic adolescents: Culture, development and behavior.
Annual Review of Clinical Psychology, 3 (2007), pp. 77-105
[Szapocznik et al., 1978]
J. Szapocznik, M.A. Scopetta, O.E. King.
Theory and practice in matching treatment to the special characteristics and problems of Cuban immigrants.
Journal of Community Psychology, 6 (1978), pp. 112-122
[Szapocznik and Williams, 2000]
J. Szapocznik, R.A. Williams.
Brief Strategic Family Therapy: Twenty-five years of interplay among theory, research and practice in adolescent behavior problems and drug abuse.
Clinical Child and Family Psychology Review, 3 (2000), pp. 117-134
[Tobler et al., 2000]
N.S. Tobler, M.A. Roona, P. Ochshorn, D.G. Marshall, A.V. Streke, K.M. Stackpole.
School-based adulescent drug prevention programs: 1998 meta-analysis.
Journal of Primary Prevention, 20 (2000), pp. 275-335
[Census et al., 2009]
U. S. Census Bureau. (2008). U. S. Hispanic population surpasses 45 million now 15 percent of total. Retrieved March 9, 2009, from http://www.census.gov/Press-Release/www/releases/archives/population/011910.html.
[Villaruel et al., 2006]
A.M. Villaruel, J.B. Jemmott, L.S. Jemmott.
A randomized controlled trial testing an HIV prevention intervention for Latino youth.
Archives of Pediatrics and Adolescent Medicine, 160 (2006), pp. 772-777
[Whitbeck et al., 1993]
L.E. Whitbeck, R.D. Conger, M.Y. Kao.
The influence of parental support, depressed affect and peers on the sexual behaviors of adolescent girls.
Journal of Family Issues, 14 (1993), pp. 261-278

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