Browsing by Author "Iriarte Parra, Evelyn Scarlett"
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- ItemArea Deprivation Index and Frailty Among Older People With HIV(2024) Iriarte Parra, Evelyn Scarlett; Cooley, Sarah; Wisch, Julie; Erlandson, Kristine M.; Ances, Beau M.; Jankowski, CatherineWe evaluated the relationship between neighborhood disadvantage (measured by the Area Deprivation Index [ADI]) and frailty. We performed a secondary analysis, pooling cross-sectional data collected from 209 people with HIV (PWH) aged ≥50 years enrolled in studies in Colorado (CO) and Missouri (MO). MO participants (N = 137) had a higher ADI (µ= 70, ơ2 = 25) compared to CO (µ= 32, ơ2 = 15; p < .001). No significant differences in ADI were observed between frailty categories when cohorts were examined either separately or combined; however, when comparing individual frailty criteria, the most apparent differences by neighborhood disadvantage were seen among those with limited physical activity (μ = 67, ơ2 = 28) compared to those without (μ = 55, ơ2 = 29, p = .03). Neighborhood disadvantage was associated with low physical activity but not with overall frailty status. Future research should examine how access to physical activity spaces varies based on ADI, as this could be crucial in preventing frailty.
- ItemContribution of guarding to quality of life among chilean people living with HIV(Social Medicine Publishing Group, 2020) Araya, Alejandra; Iriarte Parra, Evelyn ScarlettBackground: Guarding is a self-care process that individuals use to manage chronic illness; it refers to the process of maintaining vigilance over a person’s self and network. This study evaluates the relationship between quality of life and guarding among people living with Human immunodeficiency virus/Acquired immunodeficiency syndrome (PLHA). Method: A cross-sectional study of 209 people living with Human immunodeficiency virus/Acquired immunodeficiency syndrome was conducted in Santiago, Chile. PLHA completed a questionnaire about characteristics of quality of life, human immunodeficiency virus symptoms status, social network, demographics, and guarding. Illness characteristics were obtained from medical records. Results: Hierarchical multiple regression revealed that having more close friends/relatives, fewer Human immunodeficiency virus symptom status, and less guarding behavior was significantly related to a higher quality of life. No relationship was found between quality of life and demographic and illness characteristics. Conclusion: Together, study variables explained 58.8% of the variation in the quality of life.
- ItemHIV-Related Stigma and Multidimensional Frailty Among Older Latinos With HIV(Sage publications, 2023) Iriarte Parra, Evelyn Scarlett; Cianelli Acosta, Rosina Del Carmen; De Santis, Joseph P.; Villegas, Natalia; Irarrázabal Vargas, Lisette Paola; Jankowski, Catherine; Provencio-Vásquez, ElíasIntroduction: Frailty is a geriatric syndrome of increased vulnerability to stressors marked by a higher risk for poor health outcomes. HIV-related stigma is a stressor for Latino people with HIV (PWH) and an important barrier to HIV care. This study examines the association between HIV-related stigma and multidimensional frailty among older Latino PWH. Methods: A cross-sectional design with 120 Latino PWH aged 50 and older was used. Self-reported questionnaires were administered to assess multidimensional frailty (Tilburg Frailty Indicator) and HIV-related stigma (HIV stigma scale). Results: Participants were 59.1 ± 7.0 years old, primarily White-Hispanic (85.00%, n = 102), single (48.33%, n = 58), and male (73.30%, n = 88). Nearly half of the participants were frail (45.85%, n = 55). Compared to non-frail, frail individuals had significantly higher scores in the total HIV-related stigma (M = 98.5 ± 24.7 vs. M = 85.3 ± 25.6, p = .020) and all subscales. The odds of multidimensional frailty were 1.021 times higher for people with higher HIV-related stigma scores (p = .007). This association remained significant after adjustment for income and comorbidities (p = .049). Conclusions: HIV-related stigma among older Latino PWH was significantly associated with their odds of being frail. Efforts to prevent multidimensional frailty should consider addressing HIV-related stigma through age-appropriate and culturally tailored resources for this group.
- ItemSalient Factors Among Hispanic Parents in South Florida Rural Communities for Vaccinating Their Children Against Human Papillomavirus(2020) Fernandez-Pineda, Madeline; Cianelli, Rosina; Villegas, Natalia; Matsuda, Yui; Iriarte Parra, Evelyn Scarlett; Montano, Nilda PeragalloPurpose: Few studies have tried to understand the factors related to HPV vaccination among Hispanics living in rural communities in the United States (US). Nationally, HPV vaccination among Hispanics is suboptimal (26.1%) compared to the HealthyPeople 2020 goal of 80% and even more suboptimal in rural communties. This study aimed to determine the salient factors among Hispanic parents for vaccinating their children against HPV and for designing a future HPV prevention intervention for Hispanics.
- ItemSources of Well-Being for Hispanic Women Who Have Experienced Intimate Partner Violence: A Scoping Review(2023) Baeza, María José; De Santis, Joseph P.; Cianelli A., Rosina; Metheny, Nicholas; Villegas, Natalia; Iriarte Parra, Evelyn ScarlettPurpose: This review sought to identify and integrate available evidence on various sources of Hispanic women's well-being following intimate partner violence (IPV). Methods: The review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Four peer-reviewed databases were reviewed for studies published between 2007 and 2022. The inclusion criteria include being an original research, quantitative and/or qualitative data, Hispanic women as a separate group for analysis, well-being as an outcome variable (quantitative) or phenomenon of interest (qualitative), and published in English or Spanish. Results: A total of 2,292 records were identified, and nine articles were included in the final review. Findings revealed that ensuring safety and opportunities for women's children, separating from violent partners, and obtaining a job were related to increased well-being. Other findings revealed that peer support, self-empowerment, and leadership skills were associated with interpersonal, psychological, and community well-being, respectively. Economic and occupational well-being was linked to education and financial independence. Conclusions: This scoping review advances the exploration of well-being among Hispanic women who have experienced IPV. This knowledge can be used to inform post-IPV support for Hispanic women and highlight areas for intervention development to promote well-being.
- ItemTelenovela (Spanish Soap Opera) Interventions on Latino Health: A Scoping Review(2024) Iriarte Parra, Evelyn Scarlett; Baeza, Maria J.; Villegas, Natalia; Cianelli Acosta, Rosina Del Carmen; Stonbraker, Samantha; Cook, Paul; Jankowski, CatherineIntroduction: The use of telenovelas shows promise as a mode of education that could enhance Latino people’s ability to prevent or manage different health conditions. This scoping review examined the available evidence about telenovela interventions on Latino health. Methods: A scoping review was conducted by searching five peer-reviewed databases for articles published on any date in English or Spanish. The methods of this review were guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews recommendations. Results: A total of 431 articles were identified, and 22 articles published between 1999 and 2022 were included in the final scoping review. Nineteen telenovela interventions were described in the literature. Most studies included telenovela interventions without other elements (n=15; 68%), and 91% were conducted in the U.S. (n=20). Studies were qualitative (n=8; 36%), quantitative (n=8; 36%), and mixed methods (n=6; 27%), and most telenovela interventions were developed and/or tested in Spanish (n=10; 53%). The most common topics for the telenovela interventions were substance use/risky sexual health behaviors, cardiovascular disease, and mental health. Conclusions: This scoping review may serve to continue empirical and theoretical work on telenovela-style entertainment interventions on Latino health and future implementation in real-life settings.
- ItemWhat Motivates Older Sedentary People Living With HIV in the United States to Participate in an Exercise Trial? A Qualitative Study(Lippincott Williams and Wilkins, 2024) Iriarte Parra, Evelyn Scarlett; Webel, Allison R.; Cook, Paul F.; Turner, Ashley; Ditzenberger, Grace L.; Erlandson, Kristine M.; Jankowski, CatherineAlthough exercise supports the physical function and health of older people living with HIV (PLWH), less than half of PLWH globally achieve recommended levels of activity. A qualitative descriptive design was used to determine what motivates sedentary PLWH, 50 years and older, to participate in an exercise trial. Interviews were conducted with PLWH who participated in an exercise trial (n = 30) and PLWH who declined enrollment in the same exercise trial (n = 4). The theory of planned behavior (TPB) guided a directed content analysis of the interviews. Data analysis identified four themes: (a) intention or motivation (perceived benefits, maintaining the exercise behavior over time), (b) attitudes (goals and preferences), (c) perceived behavioral control (barriers, facilitators, and self-efficacy), and (d) subjective norms (pressure from health care providers and social networks). Findings from our study contribute to informing the development of future exercise interventions or trials and to planning care to encourage a physically active lifestyle.