{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T15:22:37Z","timestamp":1779204157806,"version":"3.51.4"},"reference-count":31,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T00:00:00Z","timestamp":1553731200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["P20MD002288"],"award-info":[{"award-number":["P20MD002288"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K99DA046311"],"award-info":[{"award-number":["K99DA046311"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Latinas are often more affected by HIV due to their socio-economic and demographic profiles and are also less likely to receive proper mental health care. Latina immigrants are often even more vulnerable due to socio-economic and cultural factors that place them at higher risk. The current study seeks to examine the association between depression and risky sexual behaviors among adult Latina immigrants from a farm working community in South Miami-Dade County, (Florida, USA). Cross-sectional secondary data analysis was used for responses from a community-based participatory research (CBPR) study. Out of 234 Latina immigrants, 15% reported being depressed and 80% were reported as having engaged in risky sexual behavior. Although no association was found between depression and high-risk sexual behavior, significant secondary findings present associations between risky sexual behavior and low sexual relationship power, interpersonal violence, and relationship status. Implications for future research on depression and risky sexual behaviors among this population are discussed.<\/jats:p>","DOI":"10.3390\/ijerph16071120","type":"journal-article","created":{"date-parts":[[2019,3,29]],"date-time":"2019-03-29T03:38:52Z","timestamp":1553830732000},"page":"1120","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Analyzing the Association Between Depression and High-Risk Sexual Behavior Among Adult Latina Immigrant Farm Workers in Miami-Dade County"],"prefix":"10.3390","volume":"16","author":[{"given":"Hyunjean","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Medical and Population Health Sciences Research, Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingxin","family":"He","sequence":"additional","affiliation":[{"name":"Department of Medical and Population Health Sciences Research, Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Pham","sequence":"additional","affiliation":[{"name":"Department of Medical and Population Health Sciences Research, Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gira J.","family":"Ravelo","sequence":"additional","affiliation":[{"name":"Center for Research on US Latino HIV\/AIDS and Drug Abuse, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patria","family":"Rojas","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work. Center for Research on US Latino HIV\/AIDS and Drug Abuse, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pura","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Medical and Population Health Sciences Research, Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grettel","family":"Castro","sequence":"additional","affiliation":[{"name":"Department of Medical and Population Health Sciences Research, Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0660-3091","authenticated-orcid":false,"given":"No\u00ebl C.","family":"Barengo","sequence":"additional","affiliation":[{"name":"Department of Medical and Population Health Sciences Research, Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan M.","family":"Acu\u00f1a","sequence":"additional","affiliation":[{"name":"Department of Medical and Population Health Sciences Research, Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4449-1449","authenticated-orcid":false,"given":"Elena","family":"Cyrus","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Robert Stempel College of Public Health and Social Work. Center for Research on US Latino HIV\/AIDS and Drug Abuse, Florida International University, Miami, FL 33199, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2019,3,28]]},"reference":[{"key":"ref_1","unstructured":"Flores, A. (2019, January 13). How the U.S. Hispanic Population is Changing. Available online: http:\/\/www.pewresearch.org\/fact-tank\/2017\/09\/18\/how-the-u-s-hispanic-population-is-changing\/."},{"key":"ref_2","unstructured":"CDC (2018). HIV and Hispanics\/Latinos."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1023\/B:JOFV.0000019841.58748.51","article-title":"Domestic Violence in Hispanics in the Southeastern United States: A Survey and Needs Analysis","volume":"19","author":"Murdaugh","year":"2004","journal-title":"J. Fam. Violence"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1177\/1524839914532651","article-title":"Intimate partner violence and sexual health: Voices and images of Latina immigrant survivors in southwestern United States","volume":"15","author":"Moya","year":"2014","journal-title":"Health. Promot. Pract."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1177\/1043659610387079","article-title":"Hispanic women\u2019s experiences with substance abuse, intimate partner violence, and risk for HIV","volume":"22","author":"Vasquez","year":"2011","journal-title":"J. Transcult. Nurs."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1111\/j.1525-1446.2010.00928.x","article-title":"A syndemic model of substance abuse, intimate partner violence, HIV infection, and mental health among Hispanics","volume":"28","author":"Thomas","year":"2011","journal-title":"Public Health Nurs."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1300\/J056v17n01_03","article-title":"The Connections of Mental Health Problems, Violent Life Experiences, and the Social Milieu of the \u201cStroll\u201d with the HIV Risk Behaviors of Female Street Sex Workers","volume":"17","author":"Surratt","year":"2005","journal-title":"J. Psychol. Hum. Sex."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.jadohealth.2006.02.004","article-title":"Depression, stress, and social support as predictors of high-risk sexual behaviors and STIs in young women","volume":"39","author":"Mazzaferro","year":"2006","journal-title":"J. Adolesc. Health"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Vu, T.M.T., Boggiano, V.L., Tran, B.X., Nguyen, L.H., Tran, T.T., Latkin, C.A., Ho, C.S.H., and Ho, R.C.M. (2018). Sexual Risk Behaviors of Patients with HIV\/AIDS over the Course of Antiretroviral Treatment in Northern Vietnam. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15061106"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1016\/j.jana.2018.05.006","article-title":"Why Do Young Hispanic Women Take Sexual Risks? Psychological and Cultural Factors for HIV Prevention","volume":"29","author":"Castaneiras","year":"2018","journal-title":"J. Assoc. Nurses AIDS Care"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1016\/j.socscimed.2012.01.016","article-title":"A role for depression in sexual risk reduction for women? A meta-analysis of HIV prevention trials with depression outcomes","volume":"75","author":"Lennon","year":"2012","journal-title":"Soc. Sci. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"444.e1","DOI":"10.1016\/j.jadohealth.2006.01.015","article-title":"Depressive symptoms as a predictor of sexual risk among African American adolescents and young adults","volume":"39","author":"Brown","year":"2006","journal-title":"J. Adolesc. Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.1007\/s10964-012-9809-0","article-title":"Gender-specific relationships between depressive symptoms, marijuana use, parental communication and risky sexual behavior in adolescence","volume":"42","author":"Schuster","year":"2013","journal-title":"J. Youth Adolesc."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1715","DOI":"10.1016\/j.addbeh.2012.09.005","article-title":"Depression, substance use and HIV risk in a probability sample of men who have sex with men","volume":"38","author":"Fendrich","year":"2013","journal-title":"Addict. Behav."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1080\/13548506.2011.554562","article-title":"The impact of depressive symptomatology on risky sexual behavior and sexual communication among African American female adolescents","volume":"16","author":"Seth","year":"2011","journal-title":"Psychol. Health. Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1002\/wmh3.193","article-title":"Evaluating a Culturally Tailored HIV Risk Reduction Intervention Among Latina Immigrants in the Farmworker Community","volume":"8","author":"Sanchez","year":"2016","journal-title":"World Med. Health Policy"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.1007\/s10461-011-0052-6","article-title":"The Efficacy of an HIV Risk Reduction Intervention for Hispanic Women","volume":"16","author":"Peragallo","year":"2012","journal-title":"AIDS Behav."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1737","DOI":"10.1001\/jama.282.18.1737","article-title":"Validation and Utility of a Self-report Version of PRIME-MD: The PHQ Primary Care Study","volume":"282","author":"Spitzer","year":"1999","journal-title":"JAMA"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/s10194-015-0552-2","article-title":"Validation of the Patient Health Questionnaire-9 (PHQ-9) and PHQ-2 in patients with migraine","volume":"16","author":"Seo","year":"2015","journal-title":"J Headache Pain"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.jadohealth.2009.05.002","article-title":"Longitudinal Predictors of Change in Number of Sexual Partners across Adolescence and Early Adulthood","volume":"46","author":"Kan","year":"2010","journal-title":"J. Adolesc. Health"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1891\/vivi.19.5.507.63686","article-title":"A Short Form of the Revised Conflict Tactics Scales, and Typologies for Severity and Mutuality","volume":"19","author":"Straus","year":"2004","journal-title":"Violence Vict."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1007\/s10896-010-9308-6","article-title":"Internal consistency and factor structure of the Revised Conflict Tactics Scales in a sample of deaf female college students","volume":"25","author":"Anderson","year":"2010","journal-title":"J. Fam. Violence"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/j.cbpra.2012.04.003","article-title":"Acceptance and Commitment Therapy","volume":"19","author":"Twohig","year":"2012","journal-title":"Cogn. Behav. Pract."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1089\/jwh.1995.4.397","article-title":"HIV Risk Characteristics of Young Adult, Adult, and Older Adult Women Who Live in Inner-City Housing Developments: Implications for Prevention","volume":"4","author":"Heckman","year":"1995","journal-title":"J. Women\u2019s Health"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1023\/A:1007051506972","article-title":"Measuring Sexual Relationship Power in HIV\/STD Research","volume":"42","author":"Pulerwitz","year":"2000","journal-title":"Sex Roles"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1111\/j.1471-6402.1992.tb00242.x","article-title":"The Silencing the Self Scale: Schemas of Intimacy Associated with Depression in Women","volume":"16","author":"Jack","year":"1992","journal-title":"Psychol. Women Q."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1080\/09515071003776036","article-title":"Construction and initial validation of the Marianismo Beliefs Scale","volume":"23","author":"Castillo","year":"2010","journal-title":"Couns. Psychol. Q."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Foo, S.Q., Tam, W.W., Ho, C.S., Tran, B.X., Nguyen, L.H., McIntyre, R.S., and Ho, R.C. (2018). Prevalence of Depression among Migrants: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15091986"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Le, T.V., Vu, T.T.M., Dang, A.K., Vu, G.T., Nguyen, L.H., Nguyen, B.C., Tran, T.H., Tran, B.X., Latkin, C.A., and Ho, C.S.H. (2019). Understanding Risk Behaviors of Vietnamese Adults with Chronic Hepatitis B in an Urban Setting. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16040570"},{"key":"ref_30","unstructured":"Center for Disease Control and Prevention (2018, December 06). Diagnoses of HIV infection among adults and adolescents in metropolitan statistical areas\u2014United States and Puerto Rico, 2016, Available online: http:\/\/www.cdc.gov\/hiv\/library\/reports\/hiv-surveillance.html."},{"key":"ref_31","unstructured":"Moore, E. (2016). Responding to High Rates of Sexually-Transmitted Diseases in Miami-Dade County, Florida Health. Epi Monthly Report."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/7\/1120\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T12:41:19Z","timestamp":1760186479000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/7\/1120"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,28]]},"references-count":31,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2019,4]]}},"alternative-id":["ijerph16071120"],"URL":"https:\/\/doi.org\/10.3390\/ijerph16071120","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,28]]}}}