Hispanic/Latinx Health Archives - Health Behavior and Policy Review

Provider Trust in a Sample of Transgender Latinas in the US South

A Fast Track Open Access article published in the Health Behavior and Policy Review Journal.

Authors:

Chyanne Thompson-Quartey, BA
Thomas P. McCoy, PhD, PStat
Lilli Mann-Jackson, MPH
Jorge Alonzo, JD
Sandy K. Aguilar-Palma, MHR, LLM
Amanda E. Tanner, PhD, MPH
Benjamin D. Smart, MD, MMSc
Scott D. Rhodes, PhD, MPH

Objective:

Low provider trust may further undermine care engagement, particularly in the United States (US) South where access to gender-affirming services remains uneven. Despite its importance, determinants of provider trust among transgender Latinas are understudied. This study examined factors associated with provider trust among transgender Latinas living in the US South.

Methods:

Using baseline data from an intervention trial conducted in North and South Carolina, we conducted mixed-effects regression analyses to assess associations between provider trust and demographic, behavioral, healthcare utilization, psychosocial, and structural factors, including acculturation, social support, discrimination, internalized transphobia, ethnic group pride, and patient activation (confidence in managing one’s overall health).

Results:

The sample included 144 Spanish-speaking transgender Latinas. Higher patient activation was positively associated with provider trust (p < .001), whereas higher internalized transphobia pride scores were negatively associated with trust (p = .001).

Conclusions:

Patient activation may be an important correlate of provider trust and represent a modifiable target for behavioral interventions. At the same time, higher transgender pride was associated with lower trust, underscoring the need for healthcare environments that affirm identity while addressing potential vigilance or skepticism shaped by lived experiences of stigma.

Source: Health Behavior and Policy Review
Publisher: Paris Scholar Publishing Ltd.
Article Link: https://doi.org/10.14485/HBPR.13.1.3

Steven Rowe2026-06-12T09:40:03-06:00June 12th, 2026|Hispanic/Latinx Health, LGBTQ|

Examining Auxiliary Verbs in a Salient Belief Elicitation

View Full Article

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Julie M. Maier, PhD
Kristen N. Jozkowski, PhD
María S. Montenegro, PhD
Malachi Willis, PhD
Ronna C. Turner, PhD
Brandon L. Crawford, PhD
Wen-Juo Lo, PhD

Objective:

Salient belief elicitations (SBEs) measure beliefs toward a health behavior through open-ended questions, with the purpose of developing close-ended survey questions. Auxiliary verbs used in SBE questions often differ (eg, What are the top 3 reasons you would/should decide to have an abortion?). We tested how 2 auxiliary verbs function in a SBE assessing abortion in English and Spanish: would/decidíra and should/debería.

Methods:

We administered a SBE survey online (N = 175) and in-person (N = 72); in-person participants also participated in cognitive interviews to assess question interpretation. Participants were assigned to survey versions that included identical SBE questions aside from auxiliary verbs— would/decidíra versus should/debería. Data analysis included: (1) content analysis of survey responses to assess differences in responses by version and (2) thematic analysis of interview data focused on interpretations of would/decidíra and should/debería.

Results:

Would/decidíra surveys generated more response categories. Similarly, cognitive interview findings suggest participants conceptualized would/decidíra as allowing for more options, while should/debería was thought to include only the most significant reasons/circumstances for abortion, potentially restricting participants’ responses.

Conclusions:

These findings have important measurement implications for researchers administering SBEs.

Source: Health Behavior and Policy Review, Volume 8, Number 4, July 2021, pp. 374-393(20)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.4.9

Steven Rowe2021-08-26T16:38:50-06:00August 26th, 2021|Hispanic/Latinx Health, Research Methods|

Perceptions and Barriers to Physical Activity in Childhood and Adulthood Among Latinas

View Full Article

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Rosenda Murillo, PhD
Mariana Vazquez, BA
Isabel Martinez Leal, PhD
Daphne C. Hernandez, PhD
Qian Lu, MD, PhD
Lorraine R. Reitzel, PhD

Objective:

The purpose of this qualitative study was to identify perceptions and barriers to physical activity in childhood and adulthood among Latina adults.

Methods:

We conducted 3 focus groups, 2 dyadic interviews, and an individual interview using semi-structured interview guides with 23 Latina women aged 21-35. A thematic analysis approach employing inductive and deductive coding was utilized to code, categorize, and summarize data into themes.

Results:

The themes that emerged focused on: (1) physical activity is enjoyable; (2) family influenced physical activity; (3) different lifestyle in the US influenced physical activity; (4) physical activity is important for health; and (5) responsibilities (eg, work, caregiving) as barriers to physical activity in adulthood.

Conclusions:

Perceptions and barriers to physical activity experienced in both childhood and adulthood should be considered in the promotion of physical activity among Latinas.

Source: Health Behavior and Policy Review, Volume 8, Number 4, July 2021, pp. 294-304(11)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.4.2

Steven Rowe2021-08-26T16:18:31-06:00August 26th, 2021|Hispanic/Latinx Health, Physical Activity|