IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v75y2012i4p699-708.html
   My bibliography  Save this article

Contextualization of HIV and HPV risk and prevention among Pacific Islander young adults in Southern California

Author

Listed:
  • DiStefano, Anthony S.
  • Hui, Brian
  • Barrera-Ng, Angelica
  • Quitugua, Lourdes F.
  • Peters, Ruth
  • Dimaculangan, Jeany
  • Vunileva, Isileli
  • Tui'one, Vanessa
  • Takahashi, Lois M.
  • Tanjasiri, Sora Park

Abstract

HIV and sexually transmitted human papillomavirus (HPV) are associated with each other and with the development of comorbid cancer. Current epidemiology indicates that among Pacific Islanders in the United States, young adults are at highest risk of HIV and HPV. In our inductive community based participatory research study, we used focus groups and key informant interviews (March–August 2010) with young adults, parents, community leaders, and providers (n = 95) to identify and contextualize factors that shape HIV and HPV risk and prevention among young adults in Chamorro and Tongan communities in Southern California. We identified nine themes that incorporated the following principal factors: misinformation and otherization; dominant concerns regarding premarital pregnancy; restricted intergenerational communication; family shame and privacy; gendered manifestations of religio-cultural norms; barriers impeding access to sexual health resources; parents' role in prevention; community vs. individual responsibility; and family and ethnic pride. Our thematic findings fit well with Rhodes' “risk and enabling environment” heuristic (2009), which we used to contextualize risk and prevention at micro and macro levels of physical, social, economic, and policy environments. We propose the addition of a separate cultural environment to the heuristic and conclude that a focus on applying individual and community agency at the micro-level would be an approachable starting point for intervention for our local Pacific Islander communities and groups in similar ecological contexts globally. Enhanced community-led education programs and engagement of religious and other community leaders to facilitate intergenerational communication could counteract taboos that obstruct prevention.

Suggested Citation

  • DiStefano, Anthony S. & Hui, Brian & Barrera-Ng, Angelica & Quitugua, Lourdes F. & Peters, Ruth & Dimaculangan, Jeany & Vunileva, Isileli & Tui'one, Vanessa & Takahashi, Lois M. & Tanjasiri, Sora Park, 2012. "Contextualization of HIV and HPV risk and prevention among Pacific Islander young adults in Southern California," Social Science & Medicine, Elsevier, vol. 75(4), pages 699-708.
  • Handle: RePEc:eee:socmed:v:75:y:2012:i:4:p:699-708
    DOI: 10.1016/j.socscimed.2012.04.011
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S027795361200353X
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2012.04.011?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Moore, David, 2004. "Governing street-based injecting drug users: a critique of heroin overdose prevention in Australia," Social Science & Medicine, Elsevier, vol. 59(7), pages 1547-1557, October.
    2. Singer, Merrill C. & Erickson, Pamela I. & Badiane, Louise & Diaz, Rosemary & Ortiz, Dugeidy & Abraham, Traci & Nicolaysen, Anna Marie, 2006. "Syndemics, sex and the city: Understanding sexually transmitted diseases in social and cultural context," Social Science & Medicine, Elsevier, vol. 63(8), pages 2010-2021, October.
    3. Goldenberg, Shira M. & Strathdee, Steffanie A. & Gallardo, Manuel & Rhodes, Tim & Wagner, Karla D. & Patterson, Thomas L., 2011. ""Over here, it's just drugs, women and all the madness": The HIV risk environment of clients of female sex workers in Tijuana, Mexico," Social Science & Medicine, Elsevier, vol. 72(7), pages 1185-1192, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Lahijani, Ariana Y. & King, Adrian R. & Gullatte, Mary M. & Hennink, Monique & Bednarczyk, Robert A., 2021. "HPV Vaccine Promotion: The church as an agent of change," Social Science & Medicine, Elsevier, vol. 268(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Eric P F Chow & Joseph D Tucker & Frank Y Wong & Eric J Nehl & Yanjie Wang & Xun Zhuang & Lei Zhang, 2014. "Disparities and Risks of Sexually Transmissible Infections among Men Who Have Sex with Men in China: A Meta-Analysis and Data Synthesis," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-13, February.
    2. Sangaramoorthy, Thurka & Benton, Adia, 2022. "Intersectionality and syndemics: A commentary," Social Science & Medicine, Elsevier, vol. 295(C).
    3. Watt, Melissa H. & Aunon, Frances M. & Skinner, Donald & Sikkema, Kathleen J. & Kalichman, Seth C. & Pieterse, Desiree, 2012. "“Because he has bought for her, he wants to sleep with her”: Alcohol as a currency for sexual exchange in South African drinking venues," Social Science & Medicine, Elsevier, vol. 74(7), pages 1005-1012.
    4. Shannon, Kate & Kerr, Thomas & Allinott, Shari & Chettiar, Jill & Shoveller, Jean & Tyndall, Mark W., 2008. "Social and structural violence and power relations in mitigating HIV risk of drug-using women in survival sex work," Social Science & Medicine, Elsevier, vol. 66(4), pages 911-921, February.
    5. Braun, Virginia, 2008. ""She'll be right"? National identity explanations for poor sexual health statistics in Aotearoa/New Zealand," Social Science & Medicine, Elsevier, vol. 67(11), pages 1817-1825, December.
    6. McNeil, Ryan & Small, Will, 2014. "‘Safer environment interventions’: A qualitative synthesis of the experiences and perceptions of people who inject drugs," Social Science & Medicine, Elsevier, vol. 106(C), pages 151-158.
    7. Christina J. Diaz & Liwen Zeng & Ana P. Martinez-Donate, 2018. "Investigating Health Selection Within Mexico and Across the US Border," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 37(2), pages 181-204, April.
    8. Lazarus, L. & Chettiar, J. & Deering, K. & Nabess, R. & Shannon, K., 2011. "Risky health environments: Women sex workers’ struggles to find safe, secure and non-exploitative housing in Canada’s poorest postal code," Social Science & Medicine, Elsevier, vol. 73(11), pages 1600-1607.
    9. Moore, David & Fraser, Suzanne, 2006. "Putting at risk what we know: Reflecting on the drug-using subject in harm reduction and its political implications," Social Science & Medicine, Elsevier, vol. 62(12), pages 3035-3047, June.
    10. Small, Will & Maher, Lisa & Kerr, Thomas, 2014. "Institutional ethical review and ethnographic research involving injection drug users: A case study," Social Science & Medicine, Elsevier, vol. 104(C), pages 157-162.
    11. Shira M Goldenberg & Andrea Krüsi & Emma Zhang & Jill Chettiar & Kate Shannon, 2017. "Structural Determinants of Health among Im/Migrants in the Indoor Sex Industry: Experiences of Workers and Managers/Owners in Metropolitan Vancouver," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-18, January.
    12. Littleton, Judith & Park, Julie, 2009. "Tuberculosis and syndemics: Implications for Pacific health in New Zealand," Social Science & Medicine, Elsevier, vol. 69(11), pages 1674-1680, December.
    13. Sarah J. Miller & Sayward E. Harrison & Kamla Sanasi-Bhola, 2021. "A Scoping Review Investigating Relationships between Depression, Anxiety, and the PrEP Care Continuum in the United States," IJERPH, MDPI, vol. 18(21), pages 1-28, October.
    14. Calderón-Villarreal, Alhelí & Terry, Brendan & Friedman, Joseph & González-Olachea, Sara Alejandra & Chavez, Alfonso & Díaz López, Margarita & Pacheco Bufanda, Lilia & Martinez, Carlos & Medina Ponce,, 2022. "Deported, homeless, and into the canal: Environmental structural violence in the binational Tijuana River," Social Science & Medicine, Elsevier, vol. 305(C).
    15. Faulkner-Gurstein, Rachel, 2017. "The social logic of naloxone: Peer administration, harm reduction, and the transformation of social policy," Social Science & Medicine, Elsevier, vol. 180(C), pages 20-27.
    16. Moses Okumu & Youn Kyoung Kim & Jane E Sanders & Timothy Makubuya & Eusebius Small & Jun Sung Hong, 2020. "Gender-Specific Pathways between Face-to-Face and Cyber Bullying Victimization, Depressive Symptoms, and Academic Performance among U.S. Adolescents," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 13(6), pages 2205-2223, December.
    17. Collins, Alexandra B. & Boyd, Jade & Cooper, Hannah L.F. & McNeil, Ryan, 2019. "The intersectional risk environment of people who use drugs," Social Science & Medicine, Elsevier, vol. 234(C), pages 1-1.
    18. Rock, Melanie & Buntain, Bonnie J. & Hatfield, Jennifer M. & Hallgrímsson, Benedikt, 2009. "Animal-human connections, "one health," and the syndemic approach to prevention," Social Science & Medicine, Elsevier, vol. 68(6), pages 991-995, March.
    19. Mendenhall, Emily & Omondi, Gregory Barnabas & Bosire, Edna & Isaiah, Gitonga & Musau, Abednego & Ndetei, David & Mutiso, Victoria, 2015. "Stress, diabetes, and infection: Syndemic suffering at an urban Kenyan hospital," Social Science & Medicine, Elsevier, vol. 146(C), pages 11-20.
    20. Zeev Hille & Hannes Ulrich & Vera Maren Straßburger & Pichit Buspavanich, 2024. "Social networks of men who have sex with men engaging in chemsex in Germany: differences in social resources and sexual health," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-13, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:75:y:2012:i:4:p:699-708. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.