School of Public Health

Permanent URI for this communityhttp://hdl.handle.net/1903/1633

The collections in this community comprise faculty research works, as well as graduate theses and dissertations.

Note: Prior to July 1, 2007, the School of Public Health was named the College of Health & Human Performance.

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    Association of Life Events with Depressive Symptoms among Puerto Rican Youth
    (2014) Jaschek, Graciela; Carter-Pokras, Olivia D.; Epidemiology and Biostatistics; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    BACKGROUND: Early onset depressive symptoms have amplifying effects on the course of later depression, and serious personal, social and economic consequences throughout the life course. Little has been published regarding socio-demographic determinants of depression and possible mechanisms for the development of depressive symptoms among Puerto Rican youth. This study aims to examine the extent to which life events are associated with the development of depressive symptoms, and how place of residence, parental support, youth self-esteem and youth coping modify that association. METHODS: Secondary analyses were performed of data from the longitudinal Boricua Youth Study (three annual waves between 2000-2004). The sample consisted of 10-13 year old Puerto Rican youth living in New York and Puerto Rico with no depressive symptoms at wave 1, and complete information on depressive symptoms (DISC Predictive Scale which includes 9 significant predictors of depression)at waves 2 and/or 3. RESULTS: Depressive symptoms increase across waves with an increase in total, negative, or positive life events in general; and social adversity, death, and family environment life events specifically. Youth with low coping consistently had a higher number of depressive symptoms than youth with high coping regardless of number of total, negative or positive life events. Youth support from parents was found to be a significant confounder for all types of life events. Parent coping was a significant confounder for social adversity events. DISCUSSION: This study identifies various kinds of life events as risk factors that contribute to the development of depressive symptoms. Early onset depressive symptoms have amplifying effects on the course of later depression, and serious personal, social and economic consequences throughout the life course. Preventing the development of depressive symptoms at an early age should be a priority if we want to optimize the mental health and well-being of youth so that they can reach their full potential. Our findings could inform the development of a first-stage screening tool for youth at risk of developing depressive symptoms in community settings.
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    Emergency Preparedness: Knowledge and Perceptions of Latin American Immigrants
    (1999) Carter-Pokras, Olivia; Zambrana, Ruth E.; Mora, Sonia E.; Aaby, Katherine A.
    This paper describes the level of public emergency knowledge and perceptions of risks among Latin American immigrants, and their preferred and actual sources of emergency preparedness information (including warning signals). Five Latino community member focus groups, and one focus group of community health workers, were conducted in a suburban county of Washington D.C. (N51). Participants came from 13 Latin American countries, and 64.7% immigrated during the previous five years. Participants had difficulty defining emergency and reported a wide range of perceived personal emergency risks: immigration problems; crime, personal insecurity, gangs; home/traffic accidents; home fires; environmental problems; and snipers. As in previous studies, few participants had received information on emergency preparedness, and most did not have an emergency plan. Findings regarding key messages and motivating factors can be used to develop clear, prioritized messages for communication regarding emergencies and emergency preparedness for Latin American immigrant communities in the U.S.
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    Assessing Health Concerns and Barriers in a Heterogeneous Latino Community
    (The Johns Hopkins University Press, 2006) Martinez, Iveris L.; Carter-Pokras, Olivia
    Introduction. Major health issues and barriers to health services for Latino immigrants were identified through community-based participatory research in Baltimore city. Methods. In collaboration with community partners, five focus groups were conducted among Latino adults from 10 countries and health service providers. Findings. Priorities across groups included chronic diseases, HIV/AIDS and STDs, mental health, and the need for ancillary services. Community members and providers did not always agree on what health matters were of primary concern. Participants expected to receive health information at the point of service. Barriers to receiving health services and information span linguistic, financial, logistical, legal, and cultural matters. Conclusions. This formative research illustrates the complexity and interrelatedness of health priorities and barriers created by social issues such as employment, legal status, and related stressors.