Dionne P. Stephens

Effects of Language of Assessment on the Measurement of Acculturation: Measurement Equivalence and Cultural Frame Switching

The present study used a randomized design, with fully bilingual Hispanic participants from the Miami area, to investigate 2 sets of research questions. First, we sought to ascertain the extent to which measures of acculturation (Hispanic and U.S. practices, values, and identifications) satisfied criteria for linguistic measurement equivalence. Second, we sought to examine whether cultural frame switching would emerge--that is, whether latent acculturation mean scores for U.S. acculturation would be higher among participants randomized to complete measures in English and whether latent acculturation mean scores for Hispanic acculturation would be higher among participants randomized to complete measures in Spanish. A sample of 722 Hispanic students from a Hispanic-serving university participated in the study. Participants were first asked to complete translation tasks to verify that they were fully bilingual. Based on ratings from 2 independent coders, 574 participants (79.5% of the sample) qualified as fully bilingual and were randomized to complete the acculturation measures in either English or Spanish. Theoretically relevant criterion measures--self-esteem, depressive symptoms, and personal identity--were also administered in the randomized language. Measurement equivalence analyses indicated that all of the acculturation measures--Hispanic and U.S. practices, values, and identifications-met criteria for configural, weak/metric, strong/scalar, and convergent validity equivalence. These findings indicate that data generated using acculturation measures can, at least under some conditions, be combined or compared across languages of administration. Few latent mean differences emerged. These results are discussed in terms of the measurement of acculturation in linguistically diverse populations.

Cultural Values Influencing Immigrant Haitian Mothers' Attitudes Toward Human Papillomavirus Vaccination for Daughters.

Although research has shown that mothers significantly influence daughters’ willingness to be vaccinated against the human papillomavirus (HPV), cultural factors influencing immigrant Haitian mothers’ willingness to have adolescent daughters to be vaccinated are unknown. This is of concern as this population experiences disproportionately higher rates of HPV infection and related cervical cancers. This study identifies cultural beliefs influencing 31 immigrant Haitian mothers’ willingness to vaccinate their daughters against HPV using semistructured interviews. Mothers had low levels of HPV and HPV vaccine knowledge, and desired more information. Concerns centered on cultural values regarding adolescent sexuality and HIV/AIDS stigmas specific to Haitian communities. If vaccination were recommended by a physician, mothers are more likely to have their daughters vaccinated. HPV vaccination uptake efforts targeting Haitian months should emphasize physician involvement and incorporate culturally relevant health concerns.

Young Hispanic Men and Human Papillomavirus Vaccination Choices

This exploratory descriptive study examined perceived vulnerabilities to human papillomavirus (HPV) and the correlation to factors influencing vaccine beliefs and vaccine decision making in young Hispanic males attending a large public urban university. Only 24% of participants believed that the HPV vaccine could prevent future problems, and 53% said they would not be vaccinated. The best predictors of HPV vaccination in young Hispanic men were agreement with doctor recommendations and belief in the vaccine’s efficacy. Machismo cultural norms influence young Hispanic men’s HPV-related decision making, their perceptions of the vaccine, and how they attitudinally act on what little HPV information they have access to. This study provides culturally relevant information for the development of targeted health education strategies aimed at increasing HPV vaccination in young Hispanic men.

Hispanic Women's Expectations of Campus-Based Health Clinics Addressing Sexual Health Concerns

Although the number of Hispanic women attending postsecondary institutions has significantly increased in the past decade, knowledge about their use of campus health services to address sexuality-related issues remains low. Increased information about this population is crucial given that sexual health indicators have shown Hispanic women in college to be at a greater risk for negative sexual health outcomes compared with their white counterparts. In this study, we conducted individual interviews with Hispanic women to explore their sexual health concerns and identify the roles they see campus-based health clinics playing in addressing these issues. Study findings suggest a need for health providers to provide sexual health skills that empower Hispanic women, the importance of creating a sense of comfort and trust with the health provider, and illustrating respect for cultural values. Campus health centers can play an important role in providing culturally appropriate sexual health information to Hispanic and other ethnic/racial minority students.

The Role of Skin Color on Hispanic Women’s Perceptions of Attractiveness

This study relies on qualitative methods to investigate Hispanic women’s skin color perceptions. The primary goal is to identify the relevance of these perceptions on their beliefs about their own physical attractiveness. Thirty-four self-identified White-Hispanic women attending a large Hispanic Serving Institution in the southeastern United States were interviewed for this study. Unlike previous research findings on Hispanic women’s skin color preferences, findings identified a “tan” skin color as preferred; pale skin was viewed as “plain” and unattractive. This preference was associated with four themes about physical attractiveness: (1) desirability among their peer groups, (2) increased value in dating contexts, (3) sexual appeal to men, and (4) marker of Hispanic identity in social contexts. Findings from this study are important for those researchers addressing identity development and relationship issues among Hispanic populations in the United States.

Social Networks Influencing Black Girls’ Interpretations of Chris Brown’s Violence Against Rihanna

This study identifies the social networks used by urban Black girls to interpret a highly publicized episode of dating violence and ensuing conflicts between hip-hop stars Chris Brown and Rihanna. Forty-three adolescent Black girls (age 11-17 years) were asked how they heard about the relationship conflicts and what they thought about them. The media, school peers, friends, and family members emerged as the key social networks participants relied on when gathering information about and interpreting reported incidents. The mainstream media was seen as portraying Brown, the perpetrator, negatively, whereas school peers, friends, and family were seen as portraying Brown in more mixed or positive ways. The degree to which participants viewed each source as influential depended on whether the source was seen as generally trustworthy and knowledgeable about hip-hop. While the media was a frequently cited source of information, participants did not trust the mainstream media’s analyses. In contrast, hip-hop media was viewed as the most unbiased and accurate information source. The importance of these networks in supporting healthy relationships for Black girls is discussed.

Impact of Louisiana’s HPV Vaccine Awareness Policy on HPV Vaccination Among 13- to 17-Year-Old Females

The Advisory Committee on Immunization Practices recommends routine human papillomavirus (HPV) immunization for 11- to 12-year-old adolescents. In 2008, Louisiana required the school boards to distribute HPV vaccine information to parents or guardian of students in Grades 6 to 12. This article investigates the impact of this policy on HPV vaccination among 13- to 17-year-old female adolescents using National Immunization Survey-Teen (NIS-Teen) data. Drawing on the data from the 2008 to 2012 NIS-Teen, we compared the difference in proportions of females who have been vaccinated before and after the policy. Using difference-indifference estimation, we explored the change in vaccination rates before and after the policy implementation in Louisiana compared with Alabama and Mississippi, two states that did not have such a policy in place. The difference-in-differences estimates for HPV vaccination were not significant. Physician recommendation for HPV vaccination was significantly associated with vaccination among females in Louisiana and Alabama (adjusted odds ratio [aOR] = 7.74; 95% confidence interval [CI; 5.22, 11.5]), and for those in Louisiana and Mississippi (aOR = 7.05; 95% CI [4.6, 10.5]). Compared to the proportion of female adolescents who had received physician recommendation in Alabama or Mississippi, the proportion in Louisiana did not increase significantly in the postpolicy period. HPV vaccination rates did not increase significantly in Louisiana compared to Alabama or Mississippi following the implementation of the policy. Despite Louisiana’s policy, physician recommendation remains the key determinant of HPV vaccination. HPV vaccine awareness does not necessarily result in HPV vaccination.

Using the Theory of Planned Behavior to Examine Beliefs About Verbal Sexual Coercion Among Urban Black Adolescents

This study used the theory of planned behavior to identify urban Black adolescents’ beliefs about male-to-female verbal sexual coercion. Interviews were conducted with 91 urban, Black adolescents (53 boys and 38 girls) to identify their behavioral, normative, and control beliefs about verbal sexual coercion perpetration (for males) and resistance (for females). Boys reported that perpetrating verbal sexual coercion could result in negative relationship outcomes, and the main benefit of using this tactic was to obtain sex. Unsupportive peers and some male family members were seen as encouraging boys to use verbal sexual coercion, whereas parents were seen as opposed to the use of coercion. Being in a private context with a girl and having persuasive skill were seen as facilitating the use of coercion, whereas being with an experienced or skilled girl was a barrier. For girls, positive relationship outcomes and sexual health risks were the benefits and pitfalls of resisting verbal sexual coercion. “Real” friends and family were described as supporting girls’ resistance to coercion, while “fake” friends, promiscuous girls, and male peers were seen as not supporting resistance. Girls believed being in a safe, public context would make it easier to resist coercion, while being in a stable relationship with an attractive and persistent partner would make it more difficult to resist. Knowing urban, Black adolescents’ beliefs about verbal sexual coercion is the first step toward predicting and intervening on their perpetration and resistance behaviors.

The Influence of Skin Color on Heterosexual Black College Women's Dating Beliefs

Black womens skin color perceptions were identified utilizing qualitative methods. The primary goal was to identify the relevance of these perceptions on their understandings about dating preferences and related beliefs about appropriate scripts using a black feminist thought framework. Twenty-eight self-identified black women attending a large university in the Southeastern United States were interviewed for this study. Lighter skin was perceived as being more attractive and associated with three themes about dating: (a) positive personality traits, (b) increased value in dating contexts, and (c) sexual appeal to men. Therapeutic considerations for addressing skin color concerns with black female clients, including addressing within-group differences and validation of skin color values, were addressed.

Factors Motivating HPV Vaccine Uptake Among Vaccinated and Nonvaccinated Hispanic Young Adult Women

Introduction: To identify factors influencing human papillomavirus (HPV) vaccination up taking decision making among vaccinated and nonvaccinated Hispanic college women. Participants: Hispanic young women between the ages of 18 and 24 years (N = 49). In total, 26 had not received the HPV vaccine, and 23 had started/completed the vaccine series. Method: Participants registered for the study via a psychology research pool at a large public university in the southeast United States after institutional review board approval. After completing a demographic information and HPV knowledge Web-based survey, participants were individually interviewed. Results: Differences in HPV vaccine knowledge emerged between vaccinated and nonvaccinated women. Fear of side effects, perceptions of risk, and sources of encouragement influenced willingness to be vaccinated against HPV. Health care providers played a central role in addressing concerns and promoting vaccination. Conclusions: Health care providers must address and integrate unique decision-making processes influencing Hispanic young adult women’s perceptions of HPV vaccination.