PMID- 34941282
OWN - NLM
STAT- MEDLINE
DCOM- 20220704
LR  - 20230703
IS  - 1099-9809 (Print)
IS  - 1077-341X (Linking)
VI  - 28
IP  - 3
DP  - 2022 Jul
TI  - The Adelante project: Realities, challenges and successes in addressing health 
      disparities among central American immigrant youth.
PG  - 402-412
LID - 10.1037/cdp0000368 [doi]
AB  - OBJECTIVE: The Adelante intervention, implemented between 2013 and 2018, 
      addressed an important syndemic health disparity for Central American immigrant 
      youth approaching or in high school-the co-occurrence of substance abuse, sex 
      risk (pregnancy, sexually transmitted infections, HIV), and interpersonal 
      violence. Adelante was implemented and evaluated by the Avance Center for the 
      Advancement of Immigrant/Refugee Health, which built on a university-community 
      partnership that has been in place since 2005. Using a tailored, ecological 
      positive youth development (PYD) approach, Adelante employed intervention 
      strategies across ecological levels, including individual, family, peer, and 
      community levels, with the use of social marketing and digital media strategies 
      to link activities under one aspirational identity and support community 
      engagement. METHOD: Using a Community Based Participatory Research approach with 
      multiple community partners involved in the effort, the research assessed changes 
      in co-occurring behavioral outcomes and tested hypotheses concerning 
      relationships between PYD mediators and these outcomes. Multiple methods were 
      used in collaboration with partners to assess intervention inputs and 
      outcomes-detailed implementation process records; prepost surveys to assess 
      changes in PYD assets, risk behavior knowledge, and prevention skills; a 
      community survey in the intervention and comparison communities (total N = 3,600) 
      at baseline and two follow-up waves; surveys of a high risk cohort (n = 238) at 
      baseline and follow-up; and social marketing campaign surveys (n = 1,549) at 
      baseline with 2 follow-up waves. RESULTS: Analysis showed multiple improvements 
      in PYD mediators and risk behavior outcomes, including an overall 70% increase in 
      knowledge and a 15% increase in prevention skills. Preliminary analysis of risk 
      behavior outcomes demonstrated, for example, a significant, inverse effect on 
      reported sexual activity (past 3 months) for both Adelante intervention community 
      and cohort samples. In addition, self-reported exposure to the social marketing 
      campaign was associated with positive effects on multiple outcomes, including 
      drug use risk and violence attitudes, and improvement in violence/sexual risk 
      behavior outcomes in the intervention versus comparison community. CONCLUSION: 
      There are few models in the literature that provide a roadmap for how to address 
      multiple, related health conditions in marginalized, immigrant communities, even 
      as most health disparities are associated with complex social ecologies. The 
      Adelante intervention adds a useful model of this nature to the evidence base, 
      and provides support for the ecological approach to PYD with respect to such 
      communities. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
FAU - Edberg, Mark C
AU  - Edberg MC
AUID- ORCID: 0000-0001-9570-9706
AD  - Department of Prevention and Community Health.
FAU - Cleary, Sean D
AU  - Cleary SD
AUID- ORCID: 0000-0002-0789-2588
AD  - Department of Epidemiology.
FAU - Andrade, Elizabeth L
AU  - Andrade EL
AD  - Department of Prevention and Community Health.
FAU - Evans, W Douglas
AU  - Evans WD
AD  - Department of Prevention and Community Health.
FAU - Quinteros-Grady, Lupi
AU  - Quinteros-Grady L
AD  - Maryland Multicultural Youth Center.
FAU - Alvayero, Rosa Delmy
AU  - Alvayero RD
AD  - Maryland Multicultural Youth Center.
FAU - Gonzalez, Angela
AU  - Gonzalez A
AUID- ORCID: 0000-0003-2401-918X
AD  - Maryland Multicultural Youth Center.
LA  - eng
GR  - P20 MD006898/MD/NIMHD NIH HHS/United States
GR  - National Institute on Minority Health and Health Disparities (NIMHD)/
PT  - Journal Article
DEP - 20211223
PL  - United States
TA  - Cultur Divers Ethnic Minor Psychol
JT  - Cultural diversity & ethnic minority psychology
JID - 100956435
SB  - IM
MH  - Adolescent
MH  - Central America
MH  - *Emigrants and Immigrants
MH  - Female
MH  - Hispanic or Latino
MH  - Humans
MH  - Internet
MH  - Pregnancy
MH  - Sexual Behavior
MH  - *Substance-Related Disorders/prevention & control
PMC - PMC9218001
MID - NIHMS1712278
EDAT- 2021/12/24 06:00
MHDA- 2022/07/06 06:00
PMCR- 2023/07/01
CRDT- 2021/12/23 17:13
PHST- 2021/12/24 06:00 [pubmed]
PHST- 2022/07/06 06:00 [medline]
PHST- 2021/12/23 17:13 [entrez]
PHST- 2023/07/01 00:00 [pmc-release]
AID - 2022-16345-001 [pii]
AID - 10.1037/cdp0000368 [doi]
PST - ppublish
SO  - Cultur Divers Ethnic Minor Psychol. 2022 Jul;28(3):402-412. doi: 
      10.1037/cdp0000368. Epub 2021 Dec 23.