Hortensia Amaro
Datos Biográficos
| ID | 846419 |
|---|---|
| NOMBRE | Hortensia Amaro |
| NOMBRES | Hortensia |
| APELLIDO | Amaro |
| FIRMA | AMARO H |
| AFILIACIONES | Northeastern University |
| ORCID | 0000-0002-6366-7756 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 62 |
| TOTAL DE CITAS | 456 |
| TOTAL COMO AUTOR | 62 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1986 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2024 |
| ÍNDICE H | 13 |
Characterizing Multisystem Barriers to Women’s Residential SUD Treatment
Identifying gender differences in risk profiles and in opioid treatment outcomes in Los Angeles County
Policies and programs that aim to minimize wait time to enter opioid use disorder (OUD) treatment and maximize retention respond to potential differences in female and male clients' risk profiles. We conducted multigroup latent class analysis using significant individual risk factors. Our sample included 13,453 opioid treatment episodes from 135 unique substance use disorder treatment programs in Los Angeles County, California, in four waves: 201…
Social vulnerabilities for substance use
Applying a social determinants of health framework, this review brings attention to evidence from social sciences and neuroscience on the role of selected social factors in individual and population-level vulnerability to substance use and substance use disorders (SUDs). The understanding that social vulnerability to substance use and SUDs is multifaceted and occurs across different levels of influence (individual, interpersonal, community, and s…
Mindfulness-Based Intervention Effects on Substance Use and Relapse Among Women in Residential Treatment
OBJECTIVE: We tested the efficacy of Moment-by-Moment in Women's Recovery (MMWR), a mindfulness training program adapted for ethnoculturally diverse women with complex social and clinical histories in residential treatment for substance use disorder, on substance use and relapse outcomes. METHODS: Participants were randomized to MMWR (n = 100; 60% Hispanic/Latina, 18% non-Hispanic Black) or the attention control condition, Neurobiology of Addicti…
Then and Now
Latina/o Sexualities
Latina/os are currently the largest minority population in the United States. They are also one of the fastest growing. Yet, we have very limited research and understanding of their sexualities. Instead, stereotypical images flourish even though scholars have challenged the validity and narrowness of these images and the lack of attention to the larger social context. Gathering the latest empirical work in the social and behavioral sciences, this…
Depressive Symptoms and Resilience among Hispanic Emerging Adults
Emerging adulthood has been described as a difficult stage in life and may be particularly stressful for Hispanic emerging adults who are disproportionately exposed to adversity and chronic sociocultural stressors. To better prevent and treat depressive disorders among Hispanic emerging adults, more research is needed to identify and understand modifiable determinants that can help this population enhance their capacity to offset and recover from…
Longitudinal Predictors of Intimate Partner Violence Perpetration and Victimization in Latino Emerging Adults
Four Priorities to Guide a Public Health of Consequence
Video-Based Grocery Shopping Intervention Effect on Purchasing Behaviors Among Latina Shoppers
Objectives. To compare changes in food-purchasing knowledge, self-efficacy, and behavior after viewing nutrition education videos among Los Angeles, California Latinas responsible for household grocery shopping. Methods. From February to May 2015, a convenience sample of 113 Latinas watched 1 video (El Carrito Saludable) featuring MyPlate guidelines applied to grocery shopping (1-video intervention) and another convenience sample of 105 Latinas w…
Advancing the Science and Practice of Place-Based Intervention
Love, Trust, and HIV Risk Among Female Sex Workers and Their Intimate Male Partners
Objectives. We examined correlates of love and trust among female sex workers and their noncommercial male partners along the Mexico–US border. Methods. From 2011 to 2012, 322 partners in Tijuana and Ciudad Juárez, Mexico, completed assessments of love and trust. Cross-sectional dyadic regression analyses identified associations of relationship characteristics and HIV risk behaviors with love and trust. Results. Within 161 couples, love and trust…
Clinical Needs of In-treatment Pregnant Women with Co-occurring Disorders
Amar te Duele” (“Love Hurts”)
Prevalence and Correlates of Client-Perpetrated Abuse Among Female Sex Workers in Two Mexico–U.S. Border Cities
History of abuse has been associated with greater HIV risk among women. This study examined client-perpetrated abuse among female sex workers (FSWs) in two Mexico-U.S. border cities where HIV prevalence is rising. Among 924 FSWs, prevalence of client-perpetrated abuse was 31%. In multivariate logistic regression models, intimate partner violence (IPV), psychological distress, and having drug-using clients were associated with experiencing client-…
The Action Is Upstream
"The Action Is Upstream: Place-Based Approaches for Achieving Population Health and Health Equity." , 104(6), p. 964
Discrimination and Substance Use Disorders Among Latinos
It is important to determine which subgroups among Latinos may be particularly vulnerable to the negative effects of discrimination to address their needs
Can't Buy My Love
Female sex workers (FSWs) experience elevated risk for HIV and sexually transmitted infections (STIs) through unprotected sex with male clients, yet the complexity of these commercial relationships remains understudied. From 2010 to 2011, we explored FSWs' conceptualizations of various client types and related risk behavior patterns using semistructured interviews with 46 FSWs in Tijuana and Ciudad Juarez, Mexico, where FSWs' HIV/STI prevalence i…
Getting Personal
As part of the Psychology of Women Quarterly’s (PWQ) retrospective on some of its most cited publications, I was invited to reflect on what had led me to write the paper, “Considerations for Prevention of HIV Infection Among Hispanic Women,” published in 1988 (Amaro, 1988), along with my thoughts on what has since changed in HIV prevention with Latinas and on the direction of my work since that publication. The purpose of this paper is not to pre…
Acceptability and Cultural Fit of Spiritual Self-Schema Therapy for Puerto Rican Women with Addiction Disorders
We present findings on the (1) acceptability of Spiritual Self-Schema (3-S) therapy with Puerto Rican women and (2) fit with women's cultural, gender, literacy, clinical, and religious backgrounds. 3-S is a well-documented efficacious intervention for substance use and HIV risk behaviors. Participants were 13 urban, low-income Puerto Rican women in a residential treatment program in a large Northeastern city. Findings from therapy session videota…
Intimate partner violence among female sex workers in two Mexico–U.S. Border cities
Intimate partner violence (IPV) has been associated with greater vulnerability to HIV infection among women. We examined prevalence and correlates of IPV among female sex workers (FSWs) in Tijuana and Ciudad Juarez, two large Mexico-U.S. border cities where HIV prevalence is rising. Participants were 300 FSWs with a current spouse or a steady partner. Participants' mean age was 33 years, and mean number of years as a sex worker was 6 years. The p…
An exploration of contextual factors that influence HIV risk in female sex workers in Mexico
The present study examined the applicability of the Social Ecological Model for explaining condom use in a sample of female sex workers (FSWs) (N=435) participating in a behavioral intervention to increase condom use in Tijuana, Mexico. Using a multigroup path analysis, we compared women who work in bar settings (n=233) to those who worked on the street (n=202) with regard to an individual factor (self-efficacy), an interpersonal factor (client f…
Adaptation of mindfulness-based stress reduction program for addiction relapse prevention
The Mindfulness-Based Stress Reduction program (MBSR) was offered in a community-based addiction treatment setting to provide skills training for relapse prevention. The population consisted of highly marginalized and poor African American and Latina women with histories of trauma. Through an iterative feedback process, the more systematized MBSR practices were adapted to meet the specific needs of this population. Adaptations focused on the role…
Injection Drug Use as a Mediator Between Client-perpetrated Abuse and HIV Status Among Female Sex Workers in Two Mexico-US Border Cities
We examined relationships between client-perpetrated emotional, physical, and sexual abuse, injection drug use, and HIV-serostatus among 924 female sex workers (FSWs) in Tijuana and Ciudad Juarez, two large Mexico-US border cities. We hypothesized that FSWs' injection drug use would mediate the relationship between client-perpetrated abuse and HIV-seropositivity. The prevalence of client-perpetrated emotional, physical, and sexual abuse in the pa…
Maternal HIV/Aids and adolescent depression
The current study assessed the efficacy of selected variables from the Parents and children Coping Together (PACT) model, which was designed to predict maternal HIV effects on child/adolescent outcomes. Data from two longitudinal studies applying PACT measures were utilized, encompassing a seven-year assessment timespan for HIV-infected mothers and their children. Both maternal and child-based measures were evaluated, and a sequential longitudina…
On the Margin
Acculturation and marijuana and cocaine use
We examined the relation between acculturation and illicit drug use among Hispanics in the United States employing data from the 1982-84 Hispanic Health and Nutrition Evaluation Survey (HHANES). Across all Hispanic groups, acculturation into US society, as reflected in English language use, was associated with higher rates of illicit drug use even after sociodemographic variables such as gender, age, income, and education were considered. Signifi…
Avoiding heterosexist bias in psychological research
Foreign-born and US-born black women
We studied health behaviors and birth outcome among 201 foreign-born and 616 US-born Black women receiving prenatal care at Boston City Hospital. Foreign-born women had better pre-pregnancy nutritional status and prenatal health behaviors, and their infants had greater intrauterine growth. Black women are not a homogeneous group; culture and ethnicity, in addition to other variables, must be considered in the study of their birth outcomes
Violence during pregnancy and substance use
Violent incidents were assessed as part of a prospective study of 1,243 pregnant women. Participants were predominantly poor, urban, minority group women. Seven percent (n = 92) of women reported physical or sexual violence during pregnancy. Most of the women (94 percent) knew their assailant. Victims of violence were at greater risk of having a history of depression and attempted suicide, having more current depressive symptoms, reporting less h…
Women's Sexual Health
Women's sexual health is directly affected by women's low status in society. This low status, and subsequent lack of sexual autonomy not only increases risk for sexual health problems, it also decreases ability to obtain treatment and support when a sexual health concern arises. This has clearly been demonstrated in the HIV epidemic within the U.S. Earlier in the epidemic, women were simply ignored by public health research and practice. Once the…
Developing Theory-Based Substance Abuse Prevention Programs for Young Adolescent Girls
Considerable progress has been made in prevention science, and since reaching a high in the late 1970s and early 1980s, overall substance use has declined in the United States. However, for some populations and substances, smaller declines or even increased use has been observed. Notably, the traditional gender gap in substance use has decreased substantially, and it has disappeared completely for some substances, especially among younger cohorts…
Considerations for Prevention of HIV Infection Among Hispanic Women
Data on the characteristics of individuals diagnosed with AIDS show that Hispanic women, men, and children are overrepresented. In order to effectively reduce the risk of HIV infection in Hispanic communities, prevention programs must take into account characteristics of Hispanic populations that differentiate them from the general population and that reflect the social and economic contexts that shape the realities of Hispanic women's lives
Discrimination and Substance Use Disorders Among Latinos
It is important to determine which subgroups among Latinos may be particularly vulnerable to the negative effects of discrimination to address their needs
Public Health Needs and Scientific Opportunities in Research on Latinas
Much of the research on women's health has not deepened our understanding of health issues affecting Latinas. Yet integration of research on Latinas into the women's health agenda is important for at least 2 reasons. First, critical public health issues facing Latinas must be better understood if effective interventions designed to eliminate racial and ethnic disparities in health are to be developed and implemented. Second, studies on the health…
Hispanic Women and Mental Health
Perpetration of Intimate Partner Violence Associated With Sexual Risk Behaviors Among Young Adult Men
Objective. We assessed the association between intimate partner violence (IPV) perpetration and sexual risk behaviors and fatherhood (having fathered children) among young men. Methods. Sexually active men aged 18 to 35 years who visited an urban community health center and who reported having sexual intercourse with a steady female partner during the past 3 months (N = 283) completed a brief self-administered survey about sexual risk behaviors, …
Family and Work Predictors of Psychological Well-Being Among Hispanic Women Professionals
This study examines the relative contributions of job- and gender-related variables to the mental health of Hispanic women professionals. Hispanic women professionals, managers and business owners ( n = 303) were surveyed using the mailing list of a Hispanic professional women's organization. Results of multiple regression analyses indicate that income and Hispanic group were consistently related to mental health measures. Spouse support and ethn…
Can't Buy My Love
Female sex workers (FSWs) experience elevated risk for HIV and sexually transmitted infections (STIs) through unprotected sex with male clients, yet the complexity of these commercial relationships remains understudied. From 2010 to 2011, we explored FSWs' conceptualizations of various client types and related risk behavior patterns using semistructured interviews with 46 FSWs in Tijuana and Ciudad Juarez, Mexico, where FSWs' HIV/STI prevalence i…
Racial/ethnic differences in social vulnerability among women with co‐occurring mental health and substance abuse disorders
Little attention has been given to racial/ethnic differences in studies of co‐occurring disorders among women. In this article, we present findings from analyses conducted on the influence of racial/ethnic differences on the demographic and clinical profiles of 2,534 women in the Substance Abuse and Mental Health Services Administration‐sponsored Women, Co‐Occurring Disorders and Violence Study. Black and Hispanic women demonstrated more disadvan…
The Action Is Upstream
"The Action Is Upstream: Place-Based Approaches for Achieving Population Health and Health Equity." , 104(6), p. 964
Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment
Maternal HIV/Aids and adolescent depression
The current study assessed the efficacy of selected variables from the Parents and children Coping Together (PACT) model, which was designed to predict maternal HIV effects on child/adolescent outcomes. Data from two longitudinal studies applying PACT measures were utilized, encompassing a seven-year assessment timespan for HIV-infected mothers and their children. Both maternal and child-based measures were evaluated, and a sequential longitudina…
The Use of Inpatient Mental Health Services by Hispanic Women
Concern has been expressed about underrepresentation of Hispanics in mental health facilities, but little has been done to examine Hispanic gender differences in the use of such facilities. This descriptive study provides a broader and more detailed profile of Hispanic women's use of selected inpatient mental health facilities than is currently available. It presents gender differences in number, percent, and rate per 100,000 population for Hispa…
Substance Abuse Treatment
This article presents data on the profile and history of childhood abuse from a study of 66 Latinas enrolled in a residential substance abuse treatment program. Data were gathered through interviews conducted at program entry. A significant majority reported a childhood history of abuse (80%) and past year diagnosis of mental health problems (76%) and health (68%) problems. Compared to those with no reported history of childhood abuse, women with…
Longitudinal Predictors of Intimate Partner Violence Perpetration and Victimization in Latino Emerging Adults
Love, Trust, and HIV Risk Among Female Sex Workers and Their Intimate Male Partners
Objectives. We examined correlates of love and trust among female sex workers and their noncommercial male partners along the Mexico–US border. Methods. From 2011 to 2012, 322 partners in Tijuana and Ciudad Juárez, Mexico, completed assessments of love and trust. Cross-sectional dyadic regression analyses identified associations of relationship characteristics and HIV risk behaviors with love and trust. Results. Within 161 couples, love and trust…
Does integrated trauma‐informed substance abuse treatment increase treatment retention
This article presents findings from a quasi‐experimental, nonrandomized group design study that explored whether trauma‐enhanced substance abuse treatment results in longer residential treatment stays and improved outcomes compared with treatment‐as‐usual. We used a subsample (N = 461) of participants in the Women, Co‐Occurring Disorders and Violence Study, which was sponsored by the Substance Abuse and Mental Health Services Administration. The …
Effects of trauma intervention on HIV sexual risk behaviors among women with co‐occurring disorders in substance abuse treatment
Women in substance abuse treatment often have co‐occurring mental health disorders and a history of trauma; they are also at high risk for HIV infection and other sexually transmitted diseases via unprotected sex. A quasi‐experimental study evaluated the effectiveness of trauma‐enhanced substance abuse treatment combined with HIV/AIDS prevention (N = 122) on reducing sexual risk behaviors compared to treatment with services‐as‐usual (N = 110). Pa…
Heterosexual Behavioral Maintenance and Change Following HIV Counseling and Testing
This study investigated heterosexual HIV risk behaviors, changes in stage of change for safer sex and factors associated with such changes, among a diverse sample of 560 heterosexually active individuals presenting at publicly funded HIV C&T sites. Questionnaires were administrated before HIV C&T, and three months afterwards. Positive serostatus was the most significant predictor of safer behavior after C&T. Many seronegative participants stopped…
Maternal marijuana use and neonatal outcome
To assess the validity of self-reported marijuana use during pregnancy, this study randomly allocated pregnant women into a group who were told their urine would be tested for marijuana, alcohol, and other drugs and another group not so tested. Women told they would be tested reported more marijuana use during pregnancy than did untested women. Moreover, urine assays identified more women who used marijuana during pregnancy than were willing to a…
Family and Work Predictors of Psychological Well-Being Among Hispanic Women Professionals
This study examines the relative contributions of job- and gender-related variables to the mental health of Hispanic women professionals. Hispanic women professionals, managers and business owners ( n = 303) were surveyed using the mailing list of a Hispanic professional women's organization. Results of multiple regression analyses indicate that income and Hispanic group were consistently related to mental health measures. Spouse support and ethn…
Contemporary Research on Hispanic Women
One of the difficulties in developing a new area of research in any field is the lag time between the interest in the area on the part of researchers and the interest in publishing on the part of editors. Initial work may appear in books or publications outside the disciplinary mainstream and be overlooked in literature searches that focus on established journals. Further, work appearing in mainstream journals may be constrained by traditional pa…
The Use of Inpatient Mental Health Services by Hispanic Women
Concern has been expressed about underrepresentation of Hispanics in mental health facilities, but little has been done to examine Hispanic gender differences in the use of such facilities. This descriptive study provides a broader and more detailed profile of Hispanic women's use of selected inpatient mental health facilities than is currently available. It presents gender differences in number, percent, and rate per 100,000 population for Hispa…
Hispanic Women and Mental Health
Considerations for Prevention of HIV Infection Among Hispanic Women
Data on the characteristics of individuals diagnosed with AIDS show that Hispanic women, men, and children are overrepresented. In order to effectively reduce the risk of HIV infection in Hispanic communities, prevention programs must take into account characteristics of Hispanic populations that differentiate them from the general population and that reflect the social and economic contexts that shape the realities of Hispanic women's lives
Women in the Mexican-American community
The goals of this study were (a) to provide descriptive information on the reproductive attitudes and behavior of Mexican-American women and (b) to investigate the relationship of socioeconomic status, acculturation, and religiosity with these attitudes and experiences. Data were obtained in personal interviews with 137 Mexican-American women visiting a community health center. Women were asked questions about religion, motherhood and pregnancy, …
Foreign-born and US-born black women
We studied health behaviors and birth outcome among 201 foreign-born and 616 US-born Black women receiving prenatal care at Boston City Hospital. Foreign-born women had better pre-pregnancy nutritional status and prenatal health behaviors, and their infants had greater intrauterine growth. Black women are not a homogeneous group; culture and ethnicity, in addition to other variables, must be considered in the study of their birth outcomes
Violence during pregnancy and substance use
Violent incidents were assessed as part of a prospective study of 1,243 pregnant women. Participants were predominantly poor, urban, minority group women. Seven percent (n = 92) of women reported physical or sexual violence during pregnancy. Most of the women (94 percent) knew their assailant. Victims of violence were at greater risk of having a history of depression and attempted suicide, having more current depressive symptoms, reporting less h…
Acculturation and marijuana and cocaine use
We examined the relation between acculturation and illicit drug use among Hispanics in the United States employing data from the 1982-84 Hispanic Health and Nutrition Evaluation Survey (HHANES). Across all Hispanic groups, acculturation into US society, as reflected in English language use, was associated with higher rates of illicit drug use even after sociodemographic variables such as gender, age, income, and education were considered. Signifi…
Avoiding heterosexist bias in psychological research
Latino Outlook
In recent decades, there has been remarkable growth in scientific research examining the multiple ways in which racism can adversely affect health. This interest has been driven in part by the striking persistence of racial/ethnic inequities in health and ...Read More
Gender Relations in Addiction and Recovery
This article adds to the growing but still limited literature on the role of gender relations in women's addiction and recovery. In-depth interviews were conducted with 35 women randomly drawn from a large study of drug-abusing pregnant women who were recruited into an HIV/AIDS prevention program. These interviews explored conditions surrounding initiation and continuation of drug use, past and current sexual/love relationships, and experiences i…
Love, sex, and power
Substance Abuse Treatment
This article presents data on the profile and history of childhood abuse from a study of 66 Latinas enrolled in a residential substance abuse treatment program. Data were gathered through interviews conducted at program entry. A significant majority reported a childhood history of abuse (80%) and past year diagnosis of mental health problems (76%) and health (68%) problems. Compared to those with no reported history of childhood abuse, women with…
The Relationship Between Sexual Abuse and Sexual Risk Among High School Students
On the Margin
A Review of Substance Abuse Prevention Interventions for Young Adolescent Girls
Consideration of the role of gender in alcohol, tobacco, and drug use, for the most part, has been omitted from studies of intervention effectiveness. Consequently, although scientists now can state with confidence that effective prevention approaches exist, it is not clear whether those programs are effective specifically for girls. Consequently, although great strides have been made in identifying substance use patterns, precursors to use, and …
Women's Sexual Health
Women's sexual health is directly affected by women's low status in society. This low status, and subsequent lack of sexual autonomy not only increases risk for sexual health problems, it also decreases ability to obtain treatment and support when a sexual health concern arises. This has clearly been demonstrated in the HIV epidemic within the U.S. Earlier in the epidemic, women were simply ignored by public health research and practice. Once the…
Developing Theory-Based Substance Abuse Prevention Programs for Young Adolescent Girls
Considerable progress has been made in prevention science, and since reaching a high in the late 1970s and early 1980s, overall substance use has declined in the United States. However, for some populations and substances, smaller declines or even increased use has been observed. Notably, the traditional gender gap in substance use has decreased substantially, and it has disappeared completely for some substances, especially among younger cohorts…
Relationship power, condom use and HIV risk among women in the USA
Women's ability to negotiate safer sexual practices, particularly condom use, is a vital component of HIV/STD prevention strategies. Gender-based power imbalances may constrain women's negotiation ability, yet few empirical studies have tested the hypothesis that sexual relationship power constitutes a key factor in condom use negotiation. In this investigation, a new measure - the Sexual Relationship Power Scale (SRPS) - was applied. Data were c…
Public Health Needs and Scientific Opportunities in Research on Latinas
Much of the research on women's health has not deepened our understanding of health issues affecting Latinas. Yet integration of research on Latinas into the women's health agenda is important for at least 2 reasons. First, critical public health issues facing Latinas must be better understood if effective interventions designed to eliminate racial and ethnic disparities in health are to be developed and implemented. Second, studies on the health…
Abused women report greater male partner risk and gender-based risk for HIV
The purpose of this study was to assess the relationship between intimate partner violence (IPV) and sexual risk in terms of safer sex behaviour and intent, individual and gender-based HIV risk factors, and male partner HIV risk, among a lower-income community-based sample of Hispanic women reporting a current male sexual partner. Baseline survey data on HIV-related behaviours and risk factors gathered from participants (N=170) of an HIV interven…
Factors Associated with Drug Treatment Entry Patterns Among Hispanic Women Injection Drug Users Seeking Treatment
This paper examines patterns of drug treatment entry and factors that are associated with these patterns among 1,849 Hispanic women injection drug users (IDUs). The data analyzed originates from a statewide drug-treatment database covering seven years, 1996–2002. Through the use of logistic regression analyses, the study identified significant differences in predisposing, need and enabling factors in the use of detoxification only, residential tr…
Bridging Data and Decision Making
Medicine (50 obras) · Psychology (45 obras) · Psychiatry (32 obras) · Environmental health (26 obras) · Clinical Psychology (25 obras) · Sociology (20 obras) · Adolescent Sexual and Reproductive Health (19 obras) · Clinical Psychology (17 obras) · Population (17 obras) · Demography (16 obras)