Developing culturally competent marriage and family therapists: guidelines for working with Hispanic families

As the Hispanic population of the United States continues to grow, so will the need for therapists who have been trained to work with Hispanic families. This content analysis of the available treatment literature generated several specific guidelines that can be used in training and evaluating culturally competent therapists. Guidelines included: Use family therapy, act as advocate for the family, assess immigration experience, assess acculturation, respect father, interview family subsystems separately, do not force changes, provide concrete suggestions, and warmly engage the family. Empirical and conceptual support for each guideline is discussed and several conclusions are made regarding culturally competent therapy with Hispanic families.     

The Economic Organization of Extended Family Households by Race or Ethnicity and Socioeconomic Status

This study examines differences in the amount of economic support or mutual benefit derived from extended family living arrangements by studying differences in monetary contributions to essential household expenditures across family units in extended family households. Using the 2008 Survey of Income and Program Participation, multivariate regression and selection models are estimated to assess racial differences in family contributions toward household expenses in extended family households. Extended family households have very unequal monetary contributions toward household rent and utilities, although Hispanics have less unequal monetary contributions when compared with other racial groups. Hispanic and Asian extended family households experience decreasing inequality in financial contributions as the income of each family increases, whereas no relationship between financial contributions and income is found for Whites or Blacks. This suggests a different cultural orientation to extended family living arrangements for Asians and Hispanics when compared with non‐Hispanic Whites.     

Testing the Parent–Adolescent Acculturation Discrepancy Hypothesis: A Five‐Wave Longitudinal Study

This 2½‐year, 5‐wave longitudinal study tests the hypothesis that acculturation discrepancies between Hispanic immigrant parents and adolescents would lead to compromised family functioning, which would then lead to problematic adolescent outcomes. Recent‐immigrant Hispanic parent–adolescent dyads (N = 302) completed measures of acculturation and family functioning. Adolescents completed measures of positive youth development, depressive symptoms, problem behavior, and substance use. Results indicated that Time 1 discrepancies in Hispanic culture retention, and linear trajectories in some of these discrepancies, negatively predicted adolescent positive youth development, and positively predicted adolescent depressive symptoms and binge drinking, indirectly through adolescent‐reported family functioning. The vast majority of effects were mediated rather than direct, supporting the acculturation discrepancy hypothesis. Implications for further research and intervention are discussed.     

Family environment in Hispanic college females with a history of childhood sexual abuse

This study sought to examine the family environments of a sample of Hispanic women who reported childhood sexual abuse. Eighteen women, taken from a larger college sample, were individually interviewed and administered the Family Environment Scale (FES; Moos & Moos, 1994). Cultural values and the relationship of family characteristics to the individual's experience of sexual abuse were explored. The abused women obtained significantly higher scores on the Achievement-Orientation subscale of the FES than the normative group. Qualitative data revealed some patterns in these families regarding sexual discussions and poor conflict resolution skills. Implications for treatment of Hispanic victims are discussed.     

Ethnic and Marital Differences in Family Structure,Risk Behaviors,and Service Requests Among Young Minority Fathers

The purpose of this study was to examine ethnic and marital status differences in family structure, risk behaviors and service requests among African American and Hispanic adolescent fathers participating in a community-based fatherhood program. Demographic factors, risk behaviors, and service requests were gathered at program entry. The results indicated that each group demonstrated distinct patterns associated with family structure, sexual risk behaviors, substance use, and criminal behavior. In comparison to African American fathers, Hispanic fathers were younger and were more likely to be married and present at the delivery of their child. African American fathers reported having more children than Hispanic fathers. Disparities in school-related measures were also found, with African American fathers having higher high school graduation rates than Hispanic fathers. The impact of marriage on risk behaviors had mixed results. Services requests were similar for both groups. The finding that different ethnic groups have specific patterns of risk behaviors highlights the importance of considering the ethnic composition of a population when developing future research and interventions.     

Differences in childhood sexual abuse experience between adult Hispanic and Anglo women in a primary care setting

The literature on racial and ethnic factors in childhood sexual abuse is limited. The purpose of this exploratory study was to document Hispanic-Anglo differences in childhood sexual abuse experiences and assess whether these differences may be explained by socio-demographic and family environmental differences. Adult Hispanic (n = 69) and Anglo (n = 19) women from a family medicine clinic waiting room reporting a history of childhood sexual abuse completed an in-depth survey concerning the sexual abuse experience and their childhood environment. In this study, Hispanics were more likely to report a family member as the perpetrator and to experience more self-blame as a result of the abuse. Hispanics were also more likely to take action in response to the abuse, especially those who were more acculturated to U.S. culture. However, most of the observed differences in this study could be explained by socio-demographic or family environment variables, not by ethnic background. Qualitative research on the family environments of Hispanic victims of child sexual abuse may further explicate the dynamics and risk factors for abuse by family members.     

Nativity and Self‐Assessed Health among Pre‐Retirement Age Hispanics and Non‐Hispanic Whites1

Economic, social and familial resources are known to influence subjective health assessments. We examine the salience of nativity in determining how these resources influence self‐assessed health using a large, nationwide sample of Hispanic and non‐Hispanic white adults. The results indicate that while education, accumulated assets and marital status benefit the physical and emotional health of the native and foreign‐born, family resources and income are significant only for the native‐born. English language proficiency is a significant protective factor for both groups and is especially protective for immigrants. These surprising findings call into question previous studies stressing the positive role of the family in maintaining immigrant health.     

Sexual Behaviors of Hispanic Emerging Adults: Examining the Immigrant Paradox

The current study examined the immigrant paradox regarding risky sexual behaviors of Hispanic emerging adults from a social learning perspective, theorizing that the immigrant paradox could partially be explained by the sexual lyrical content contained in music. Participants included 173 Hispanic emerging adults from South America, Puerto Rico, Cuba, Central America, and Mexico. The current study examined sexual lyrical content along with gender, generational status, family structure, economic hardship, and religiosity. Participant gender was associated with age at first date, with male participants engaging in unsupervised dating activities earlier than female participants, and number of dating partners, with female participants reporting more dating partners than male participants. Results from hierarchical regression analyses indicated that sexual lyrical content in music could partially explain the immigrant paradox regarding risky sexual behaviors of Hispanic emerging adults.     

Sociocultural Contexts of Time to First Sex Among Hispanic Adolescents

This investigation examines the sociocultural influences on risk of first sex among a representative sample of Hispanic (primarily of Mexican origin) teens living in Los Angeles County. Teen acculturation (measured as language of interview) moderates the effects of gender on risk of sex, with less acculturated teens exhibiting the greatest gender difference. Teens living with both biological parents have significantly lower risk of sex and the effect of family acculturation (measured as generational status) operates through teens' language of interview. Neither measure of parent‐youth relationship (socioemotional support, parental control) is significant. Hispanic teens living in low‐density Hispanic neighborhoods have significantly higher risk of sex than do teens living in neighborhoods with higher levels of ambient hazards. The results highlight the importance of characterizing sociocultural influences at multiple levels of aggregation.     

Evidence-based practice in family group decision-making for Anglo, African American and Hispanic families

This study addresses the need and gap in the literature on evidence-based practice in family group decision-making services by reporting on the Texas Department of Family and Protective Services' Family Group Decision-Making study, conducted between December 2003 and July 2005 with Anglo, African American and Hispanic families throughout Texas. These services are compared to standard practice by assessing satisfaction, child well-being and exits from care. Findings indicate that both parents and relatives are more satisfied with family group decision-making conferences than standard practice on a number of dimensions, with relatives reporting feeling more empowered than parents. Children are reported to be less anxious if their families participate in a conference, and they may be more adjusted when they are placed with relatives following a conference. Finally, exits from care are faster if families participate in family group decision-making conferences, and exits to reunification are increased; this may be especially true of African American and Hispanic children.     

Adolescent Sexual Debut: A Multi-System Perspective of Ethnic and Racial Differences

Data from the 1997 cohort of the National Longitudinal Survey of Youth were used to assess the association between family, self, proximate extra-familial, and distal extra-familial system factors and abstinence/virginity and age of first sexual intercourse by ethnicity and race (N = 1,854). Findings show how and in what circumstances measures associated with these four factors vary for Black, White, and Hispanic youth. Findings point to the robustness of class and gender for each ethnic-racial group on timing of sexual initiation and of delinquency and negative peer relations on abstinence among Black and White youth and of religious affiliation among Hispanic youth.     

The consequences of acculturation to service delivery and research with Hispanic families

The experience of working with Hispanic children and their parents is compared with the existing professional literature. Although the literature acknowledges partially the importance of acculturation, the consequences of acculturation to service delivery and working with Hispanics as research subjects are seldom addressed. These consequences are demonstrated in four areas: as a cause of family problems, in the attitudes of Hispanics toward speaking Spanish and English, in the status of folk healers in the Hispanic community, and in attitudes toward the delivery of human services. The failure to take into account the consequences of acculturation can contribute to the further underutilization of mental health services by Hispanic families.The research described in this article was funded by a grant from the Blowitz-Ridgeway Foundation.Special thanks to Laura L. Schmidt, M.A., Research Associate, and to Dora Maya, Ph.D., Program Director, VIVA Family Center, Children's Home and Aid Society of Illinois.     

Adolescent and Parent Alliances With Therapists in Brief Strategic Family TherapyTM With Drug-Using Hispanic Adolescents

This study examined the relationship between alliance and retention in family therapy. Alliance was examined at the individual (parent, adolescent) and family level (within-family differences) for families that either dropped out or completed family therapy. Participants were 31 Hispanic adolescents and their family members who received brief strategic family therapy for the treatment of adolescent drug use. Videotapes of first sessions were rated to identify parent and adolescent alliances with the therapist. Results demonstrated that Completer cases had significantly higher levels of alliance across all family members than Dropout cases, and Dropout cases had significantly higher unbalanced alliances than Completer cases. Clinical implications are discussed.     

Adolescent and parent alliances with therapists in Brief Strategic Family Therapy with drug-using Hispanic adolescents

This study examined the relationship between alliance and retention in family therapy. Alliance was examined at the individual (parent, adolescent) and family level (within-family differences) for families that either dropped out or completed family therapy. Participants were 31 Hispanic adolescents and their family members who received brief strategic family therapy for the treatment of adolescent drug use. Videotapes of first sessions were rated to identify parent and adolescent alliances with the therapist. Results demonstrated that Completer cases had significantly higher levels of alliance across all family members than Dropout cases, and Dropout cases had significantly higher unbalanced alliances than Completer cases. Clinical implications are discussed.     

Poverty and health: older minority women and the rise of the female-headed household

This analysis uses the 1984 Survey on Aging (SOA) supplement to the National Health Interview Survey (NHIS) to compare the relative impacts of poverty and health on the propensity of unmarried older black, Hispanic, and non-Hispanic white women to live with family. The results reveal that for blacks and Hispanics, economics are more significant than health in determining whether a woman lives with her children. Our findings also show that black unmarried elderly females are more likely than similar non-Hispanic white women to head their households. The literature and our findings suggest that black and Hispanic older women have fewer options in living arrangements than non-Hispanic older women in the event of diminished health.     

The impact of family assets and debt on college graduation

This study examines the influence of family financial assets and debt, both measured during the time of youth's college enrollment, on the chances of college graduation. Data come from the National Longitudinal Survey of Youth. Results from analyses controlling for a number of student, parental, and institutional characteristics indicate that family assets are positively related to the chances of college graduation among White and Black students; family debt is negatively associated with the odds of college graduation among Black students, but neither family assets nor family debt is related to the chances of college graduation among Hispanic students. Overall, results indicate that family assets and debt explain a small portion of racial/ethnic gaps in college graduation. Policy implications are considered.     

Hispanic Parental Experiences of Learning a Child Identifies as a Sexual Minority

Sexual minority youth (SMY) who do not feel loved and supported by their families face greater challenges and often experience various health disparities. The coming out process is often difficult for all SMY and their families. Although there is limited research on the impact of sexual orientation disclosure on families, there is even less that focuses exclusively on Hispanic families. This qualitative study explores the impact on a sample of Hispanic parents of having a child come out as lesbian, gay, or bisexual. The results demonstrate that although coming out is often challenging for SMY and their families, these challenges may be exacerbated for Hispanics due to cultural factors that contribute to children living at home longer and negative reactions to being gay. Parental reactions, impacts of disclosure on the family, and the impact of cultural factors are discussed. This study helps illuminate how cultural factors influence the coming out experience of Hispanic parents. These findings are important for understanding the experiences of these families to provide culturally appropriate resources for families navigating the coming out process.     

Center-based childcare use by Hispanic families: Reasons and predictors

This study explored the reasons and factors associated with childcare use for Hispanic children of preschool age with working and nonworking mothers. National Household Education Survey/Early Childhood Program Participation 2005 data were used. The data suggested that use of center-based childcare is more frequent than use of parental care, relative care, or nonrelative care. In general, family poverty status, mother's education, household composition, mother's work status, and acculturation are all significant predictors of center-based childcare use. The importance of the educational and pragmatic characteristics of childcare plays a significant role in childcare selection for parents of Hispanic preschool-age children. Mothers who put greater value on socialization are more likely and mothers who put greater value on location and reliability are less likely to use a center-based childcare. Nevertheless, the relationship between family characteristics and center-based childcare use, and the relationship between the importance of childcare characteristics and center-based childcare use, depends on the mother's working status.     

Assets and liabilities, race/ethnicity, and children's college education

This study examines the extent to which household assets and liabilities are related to disparities in children's college attendance and college graduation among White, Black, and Hispanic families. Results indicate that, after household assets are considered, a substantial portion of the Black-White gap in college attendance and college graduation disappears, and a small portion of the Hispanic-White gap in college graduation also disappears. Separate analyses of children from each racial/ethnic group further indicate that family income and financial assets are related to White children's college attendance and graduation, but nonfinancial assets and unsecured debt are associated with college attendance and graduation among Black and Hispanic children. Policy implications are considered.