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Allison Stafford

Assistant Professor in the School of Nursing
School of Nursing
DUMC 3322, 307 Trent Drive, Durham, NC 27710

Selected Publications


Acculturative Stress, Resilience, and a Syndemic Factor Among Latinx Immigrants.

Journal Article Nursing research · July 2023 BackgroundThe process of immigration and subsequent adaptation can expose Latinx immigrants to chronic and compounding challenges (i.e., acculturative stress), but little is known about how resilience factors and these stressors interact to influe ... Full text Cite

Documentation Status and Self-Rated Physical Health Among Latinx Young Adult Immigrants: the Mediating Roles of Immigration and Healthcare Stress.

Journal Article J Racial Ethn Health Disparities · April 2023 Previous research has demonstrated that undocumented Latinx immigrants in the USA report worse physical health outcomes than documented immigrants. Some studies suggest that immigration-related stress and healthcare related-stress may explain this relation ... Full text Link to item Cite

Age of Immigration and Depressive Symptoms Among Young Adult Latinx Immigrants: A Test of Explanatory Models.

Journal Article Hispanic health care international : the official journal of the National Association of Hispanic Nurses · March 2023 Introduction: Latinx immigrants who migrate to the United States (US) as young children are more likely to experience depression than those who migrate later in life. Our purpose is to test three models that may explain the relationship between age ... Full text Cite

Racial Identity and Health Outcomes in an Emerging Latinx Immigrant Community

Journal Article Race and Social Problems · January 1, 2023 Self-reported and street race have been associated with health in the U.S. Race is a social construction based on phenotypical classifications rooted in colonialism. Yet, perceptions of race are different in the U.S. than in Latin America. We investigated ... Full text Cite

Adverse Childhood Experiences and Depressive Symptoms among Young Adult Hispanic Immigrants: Moderating and Mediating Effects of Distinct Facets of Acculturation Stress.

Journal Article Issues in mental health nursing · March 2022 Hispanic immigrants experience more adverse childhood experiences (ACEs) and depressive symptom chronicity/severity than non-Hispanic peers. Acculturation stress relates to both depressive symptoms and ACEs, but the mechanism is not well-understood. We con ... Full text Cite

A Systematic Review of Physical Health Consequences and Acculturation Stress Among Latinx Individuals in the United States.

Journal Article Biological research for nursing · July 2021 The health of Latinx immigrants decays over time and across generations. Acculturation stress influences decays in behavioral and mental health in this population, but the effect on physical health outcomes is less understood. This systematic review synthe ... Full text Cite

Race/Ethnicity, Parental Support, and Youth Depressive Symptoms: A Moderated Longitudinal Mediation Analysis.

Journal Article Journal of youth and adolescence · July 2021 Racial/ethnic disparities in depression exist among youth in the United States. The purpose of this study was to determine if parental support trajectories in adolescence explain the relationship between race/ethnicity and depressive symptom trajectories i ... Full text Cite

Cultural and linguistic adaptation of psychosocial measurements for latinx participants-Leveraging community-engaged research methods.

Journal Article Research in nursing & health · June 2021 Predominantly Spanish-speaking Latinx individuals are underrepresented in research, and one primary barrier is the lack of infrastructure to effectively engage, among them, adequate cultural and linguistic adaptation of research measures. Capitalizing on e ... Full text Cite

The Influence of Peer Relationships on Latina Adolescents' Experiences with Depressive Symptoms.

Conference Journal of pediatric nursing · November 2020 PurposePrevious research has demonstrated that peers may play an integral role in the development of depressive symptoms among Latina adolescents; however, little is known about the function of peers in the ongoing management of depressive symptom ... Full text Cite

Barriers to and Facilitators of Mental Health Treatment Engagement Among Latina Adolescents.

Journal Article Community mental health journal · May 2020 Latina adolescents are more likely to experience depressive symptoms and less likely to receive mental health treatment than White peers. The purpose of this study is to describe barriers to and facilitators of engagement in depression treatment among Lati ... Full text Cite

The Natural Course of Adolescent Depression Treatment in the Primary Care Setting.

Journal Article Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners · January 2020 IntroductionLittle is known about how adolescents receive depression follow-up in primary care. The purpose of this study was to describe the rates of symptom assessment and depression treatment over time in a group of adolescents screening positi ... Full text Cite

Cultural stressors experienced by young Latinas with depressive symptoms living in a tumultuous sociopolitical climate in the United States.

Journal Article Archives of psychiatric nursing · October 2019 The purpose of this study is to describe the cultural stressors experienced by Latina young women with depressive symptoms from 2016 to 2018 in the United States. Twenty-four Latina young women (mean age = 16.7 years) participated in this qualitative descr ... Full text Cite

Getting a Grip on My Depression: How Latina Adolescents Experience, Self-Manage, and Seek Treatment for Depressive Symptoms.

Journal Article Qualitative health research · October 2019 Latina (female) adolescents are more likely to experience depressive symptoms and less likely to receive mental health services than their non-Latina White peers. We aimed to develop a framework that explains how Latina adolescents experience, self-manage, ... Full text Cite

Emerging Adult Women's Views-of-Self in Intimate Partner Relationships That Are Troubled.

Journal Article Issues in mental health nursing · April 2019 The purpose of this study is to describe how emerging adult (EA) women describe their views-of-self in troubled relationships. Fourteen EA women (ages 18-25 years) wrote four stories about their troubled relationships during a guided-writing intervention. ... Full text Cite

A feasibility test of an online intervention to prevention dating violence in emerging adults.

Journal Article Archives of psychiatric nursing · February 2019 Dating violence in emerging adults is a significant problem and few prevention programs based on the developmental needs of this age group have been developed. Our research team developed an online dating violence prevention program called WISER (Writing t ... Full text Cite

Cultural Stressors and Depressive Symptoms in Latino/a Adolescents: An Integrative Review.

Journal Article Journal of the American Psychiatric Nurses Association · January 2019 BackgroundLatino/a adolescents experience higher levels of depressive symptoms than Caucasian and African American adolescents. Many studies found that cultural stressors contribute to this disparity, but these findings have not been integrated in ... Full text Cite

Characteristics Associated with Confidential Consultation for Adolescents in Primary Care.

Journal Article The Journal of pediatrics · August 2018 ObjectiveTo examine how provider report of confidential consultation in the electronic health record is associated with adolescent characteristics, health risk factors, and provider training.Study designThis prospective cohort study was c ... Full text Cite

Suicide Screening in Primary Care: Use of an Electronic Screener to Assess Suicidality and Improve Provider Follow-Up for Adolescents.

Journal Article The Journal of adolescent health : official publication of the Society for Adolescent Medicine · February 2018 PurposeThe purpose of this study was to assess the feasibility of using an existing computer decision support system to screen adolescent patients for suicidality and provide follow-up guidance to clinicians in a primary care setting. Predictors o ... Full text Cite

Designing an Internet Intervention for Emerging Adults Who Experience Troubled Relationships.

Journal Article Archives of psychiatric nursing · June 2017 This article describes how the Internet Intervention Model (IIM) was used as an organizing framework to design a theoretically based Internet intervention for emerging adults who experience troubled intimate partner relationships. In the design process, th ... Full text Cite

Ethical considerations for involving Latina adolescents in mental health research.

Journal Article Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · February 2017 TopicUS Latina adolescents experience significant mental health disparities, such as depressive symptoms and suicidal ideation and, therefore, should be involved in research studies focused on minimizing these health disparities. However, research ... Full text Cite