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Women experiencing homelessness who are also survivors of violence require uniquely tailored programs to accommodate complex needs. To understand how violence shaped the lives of formerly homeless African American women, an instrumental case study design and community-based participatory research approach was utilized in this qualitative study. Focus group interviews with graduates (N = 40) from a long-term transitional housing program were conducted. Using thematic analysis, identified themes included: cycles of violence, violence in the community, relationships with children, and coping with violence. These themes illustrated survivors' growth through supportive programming and highlighted services dedicated to empowering women who have experienced violence. [ABSTRACT FROM AUTHOR]

Heart attacks cause significant preventable morbidity and mortality among Hispanics in the United States. We examined the relationship between immigration status, acculturative variables, and heart attack symptom knowledge among Hispanics. Using 2014 and 2017 National Health Interview Survey data, we examined the following heart attack symptoms as our dependent variables: 1) chest discomfort; 2) jaw, neck, and back pain, and 3) arm and or shoulder pain. These symptoms were then analyzed by immigration status: US-born, naturalized citizens, and noncitizens. We calculated descriptive statistics and adjusted rate ratios. Naturalized and non-citizens had a lower prevalence than US-born Hispanics of correctly identifying any heart attack symptoms. All groups had the lowest prevalence of correctly identifying jaw, neck, and back pain as heart attack symptoms. After adjusting for demographic and socioeconomic variables, naturalized and non-citizens had a lower rate of correctly identifying any of the heart attack symptoms compared to US-born Hispanics. Heart attack educational campaigns and providers need to emphasize all heart attack symptoms, among all three groups of Hispanics, particularly among naturalized and noncitizens. Jaw, back, and neck pain were the symptoms least correctly identified in this population. Heart attack symptom knowledge should be bolstered to improve the health of Hispanics regardless of immigration status. [ABSTRACT FROM AUTHOR]

There are numerous ethical and procedural challenges when conducting cross-language research, and there is a need to discuss the role of multilingual researchers, as much of the existing literature focuses on working with third-party interpreters or translators. In this article, we expand the recommendations for cross-language research for multilingual researchers and health studies, through an examination of literature and processes from a Community-Engaged Qualitative Photovoice project. We present adapted cross-language research methods for future cross-language research studies. These adapted methods include seven considerations: (i) What and why? Considerations for Study Design, (ii) When do we translate, and how many times? Question development, pilot testing, transcription, and translation, (iii) Who? The role of the translator/interpreter during the research process, (iv) Who again? Translator/interpreter credentials, (v) What are you really saying? Dynamic equivalence, (vi) Do your ears deceive you? Reflexive reflective reflexivity, and (vii) Triality, not just Duality, of the role of the Researcher. [ABSTRACT FROM AUTHOR]

The Westlawn Partnership for a Healthier Environment (WPHE) is a longstanding group of community stakeholders that was formed over a decade ago to identify, prioritize, and address environmental health (EH) concerns in a low‐income, predominantly African American, urban neighborhood, which faces a disproportionate burden of EH risks, particularly asthma. Launched by the University of Wisconsin‐Milwaukee College of Nursing, which established a nurse‐managed health center within the community 30 years ago, WPHE utilized the Protocol of Assessing Community Excellence in Environment Health methodology to develop, implement, and sustain the partnership. WPHE implemented programs for Healthy Homes, Healthy Day Cares, and bicycling, and made system and infrastructure changes within the community to address the top identified EH concerns: indoor and outdoor air pollution, mold exposure, access to safe and healthy food, and pesticide exposure. WPHE's efforts have resulted in significant local, state, and national policy impacts to promote environmental justice. This brief report shares how the partnership was formed, its priorities, major activities and accomplishments, and insights into sustaining a community‐based EH partnership, including recommendations for the key role that public health nurses can play to promote environmental justice. [ABSTRACT FROM AUTHOR]

The landscape surrounding reproductive health in Uganda is underpinned by layered interactions between a host of powerful factors, all of which contribute to grim health outcomes for Ugandan women. Yet, over the last two decades, several key interventions have demonstrated success in improving women's reproductive health, including the implementation of diagonal approaches to healthcare delivery and grassroots educational programs. This review synthesizes a diverse body of literature and elucidates the relationship between colonialism, neocolonialism, gender inequality, ethnolinguistic fractionalization, and women's health outcomes in Uganda. To clarify several key terms, gender inequality defined as, "allowing people different opportunities due to perceived differences based solely on issues of gender" (Parziale 978). Ethnolinguistic fractionalization involves considering how multiple languages and ethnic groups can create greater perceived distances between groups. Thus, this narrative literature review will explicate the socio-historical framework impacting women's health and describe several successful interventions in promoting women's health in Uganda. [ABSTRACT FROM AUTHOR]

Effective communication is integral to the patient–provider relationship. Yet, as a result of structural factors that ignore the unique health care needs of different populations of patients who identify as Black—both African American and African immigrants—are confronted with communication challenges during health care seeking encounters. Using cultural safety as a framework, in this article, we thematically review communication challenges specifically experienced by patients of African descent in the U.S. health care system. In our review, we focus on complications that might arise from discrimination, mistrust, health literacy, and impacts of culture and language barriers on health literacy. In conclusion, we offer recommendations for improving the health care experiences and potential health outcomes for this population, through nursing care and health care delivery. [ABSTRACT FROM AUTHOR]

Introduction: The prevalence of interpersonal violence among Hispanic youth is high and effective interventions are sparse yet needed to prevent and address interpersonal violence. Theory-based interventions are crucial for creating robust interventions for public health concerns, such as interpersonal violence. Methods: In our systematic literature review, we sought to examine social cognitive theory (SCT)-based Interventions addressing interpersonal violence among Hispanic youth. Searching in both English and Spanish, we used the search engines, PubMed, Google Scholar, CINAHL, Web of Science, and Lilacs, and restricted the years to 2010-2022. Results: Self-efficacy and normative beliefs were the two most commonly addressed SCT constructs in the interventions. SCT-based interventions were found to increase confidence in not engaging in negative behaviors and improve coping skills. Moreover, within the context of implementing SCT-based interventions, school-based interventions and Participatory Action Research, were foundational to the SCT-based interventions. Conclusion: Overall, SCT-based interventions were found to be effective in interpersonal violence mitigation and reduction among Hispanic youths. There was a synergistic effect between the number of SCT constructs incorporated in an intervention and the positive results of the intervention. Thus, future studies are both needed and should robustly incorporate SCT constructs to yield the best possible outcomes., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Women's experiences of sexual assault are rooted in and informed by a history that nurses need to understand in order to provide meaningful and effective care. In this article, we present a comprehensive literature review guided by intersectionality theory to deepen our understanding of the historical role that hegemonic masculinity plays in shaping ethnic minority women's experiences of sexual assault. Final sources included were analyzed using thematic analysis. On the basis of our analyses, we identified 4 themes: social order hierarchies, "othering" dynamics, economic labor divisions, and negative media/mass communication depiction. Our findings contribute to our understanding of these important histories that speak to the trauma of sexual violence inflicted upon the bodies of ethnic minority women, which we can incorporate into nursing education curricula. Incorporating this knowledge would equip nurses and allied health professionals with the necessary knowledge and skills that would enable them to help patients navigate multiple systems of oppression as they engage in help seeking following a sexual assault experience. This knowledge also acknowledges rather than dismisses the historically acceptable use of sexual violence against ethnic minority women. In addition, acknowledging these histories enables us to move forward as a society in engaging in an urgently needed cultural shift to address the hegemonic masculinities that perpetuate violence against women in the United States., (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)