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Heather H. McClure, Ph.D.

Research Associate, Oregon Social Learning Center (OSLC)
Courtesy Research Associate, Department of Anthropology, University of Oregon

Oregon Social Learning Center
10 Shelton McMurphey Blvd
Eugene, OR 97401
Phone: 541-485-2711 x222
Fax: 541-485-7087
E-mail: hmcclure@uoregon.edu

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Since 1996, I have conducted community-partnered basic and policy research focused on health, human rights, social networks, and cultural assets in Guatemala and with Latino communities in the U.S. In my current role with OSLC’s Latino Research Team (LRT), I am engaged in research that investigates the effects of Latino immigrants’ processes of adaptation to U.S. society (acculturation) on behavioral, emotional, and physical health outcomes. This work draws on my previous human rights work and anthropological research into the effects of environmental factors (e.g., sociocultural, political, economic) and social networks on immigrant acculturation and health within and outside of established Latino communities in Chicago, Washington DC, and Los Angeles.

CURRENT RESEARCH PROJECTS

Latino Immigrant Stress and Health in Oregon

Since 2007, my LRT colleagues and I have collaborated with the Farmworker Housing Development Corporation, Josh Snodgrass of the University of Oregon, and Thom McDade of Northwestern University on studies of psychosocial stress and health among Latino immigrants. Our investigation of stress is informed by Bruce McEwen’s work that distinguishes between stressors and stress; “stressors” refer to the circumstances to which individuals are exposed, with “stress” reflecting the extent to which an individual is challenged to maintain function. In addition to a focus on acculturative stressors, our research pays particular attention to stressors related to discrimination, socioeconomic status, and social support/isolation in relation to physiological markers of stress and health measures. Self-report measures of stress are complimented by measures of neurophysiological function (cortisol), immune function (Epstein-Barr Virus Antibodies [EBV] and high sensitivity C-Reactive Protein [CRP]), and blood pressure. These measures of stress together provide a nuanced picture of how stress gets “under the skin” to affect Latino immigrants’ emotional, behavioral, and physical health.

irb oregon farmworker project

The consent process in a study of stress and health among Latino immigrant farmworkers.

This collaborative research was followed in spring 2009 by the pilot Stress and Acculturation Project involving Latina immigrant mothers and their young children (in the 1st to 3rd grades). This study incorporated similar measures to those described above to investigate parenting as a potential protective factor and buffer against the effects of psychosocial stress on the health of children of immigrants.

These studies were conducted with financial support from the National Institutes of Health, Oregon Social Learning Center, and the Center for Latino/a and Latin American Studies and Department of Anthropology at the University of Oregon.

Latino Family Acculturation and Youth Emotional and Behavioral Outcomes

Since 2005, I have worked closely with Charles Martinez (PI) and Mark Eddy (Co-I) on the Adolescent Latino Acculturation Study (ALAS) and Latino Youth and Family Empowerment Study-II (LYFE-II). These studies are designed to learn more about how Latino families who have immigrated to the United States adapt to life in this country. Both studies examine the effects on families when children adapt or “acculturate” much more quickly than their parents. Key questions involve whether differences in parent and youth acculturation rates place children at higher risk for behaviors such as substance use, gang involvement, and poor performance in school. ALAS is a prospective longitudinal study involving 219 Latino immigrant adolescents (6th to 10th grades) and their parents. LYFE-II is an intervention study involving 238

Latino adolescents (50% foreign-born; 50% U.S. born) and their parents that is designed to test a culturally adapted parenting skills curriculum, Nuestras Families: Andando Entre Culturas (Our Families: Moving Between Cultures) to learn whether greater support for parenting can reduce substance use likelihood, boost youth academic achievement, and bolster other positive youth outcomes.

CLA State of Latino Health

Policy report on Latino Health in Washington, DC based on collaborative research between the Council of Latino Agencies, the DC Department of Health, and the George Washington University Center for Global Health

Adolescent Behavioral Predictors of Elevated Adult Body Mass Index

I also work closely with Mark Eddy (PI) and Charles Martinez (co-I) on the Linking the Interests of Families and Teachers Prevention Program for Youth Antisocial Behavior (LIFT), a longitudinal study initiated in 1991 (n = 671 families). Our recent work focuses on adolescent behavioral predictors of increased adult body mass index (BMI). Obesity is a leading cause of morbidity and mortality throughout the world. Researchers increasingly emphasize obesity as a developmental condition, and recent studies indicate that behavioral distress in childhood may be linked to elevated BMI in adulthood. Findings from LIFT suggest that childhood and adolescent ADHD, depression, and conduct disorder may influence adult BMI through direct impacts on childhood and adolescent overweight, a condition which then persists into adulthood.

PREVIOUS RESEARCH PROJECTS

Latino Policy Research in Washington, D.C.: The State of Latino Health in the Nation’s Capital

From 2002-2004, I served as Director of Research and Policy for the Council of Latino Agencies (CLA), and was involved in the collaborative design and implementation of research projects with CLA’s 40 Latino-serving member agencies. In 2003-2004, I served as co-Principal Investigator for a Centers for Medicare & Medicaid Hispanic-Serving Institutions grant to support the two-year Latino Health Care Collaborative (LHCC) Project to conduct the first-ever household survey of Latino health status and access to health care in the District of Columbia (DC). The LHCC brought together CLA, the DC Department of Health, the George Washington University Center for Global Health, and three prominent Latino community health clinics, including Mary’s Center, Andromeda, and La Clínica del Pueblo. LHCC study findings informed the DC Department of Health’s Latino health priorities as part of their long-range planning process. The final report, The State of Latino Health in the District of Columbia, can be found here.

Cultural Assets and Social Networking among Mexican Immigrants in Chicago

Creative Networks

Creative Networks: Mexican Immigrant Assets in Chicago, a research project conducted by the Center for Cultural Understanding and Change (The Field Museum, Chicago) and the Team Engineering Collaboratory (TECLab; The University of Illinois)

In 2004-2005, I collaborated on Creative Networks: Mexican Immigrant Assets in Chicago, a joint research project of The Field Museum’s Center for Cultural Understanding and Change (CCUC) in Chicago, Illinois, and the Team Engineering Collaboratory (TECLab) at the University of Illinois at Urbana-Champaign. This study investigated the cultural, artistic and social networking assets of recent Mexican immigrants in the Chicago region, and was funded by The Rockefeller Foundation. This project documented the ways cultural and artistic practices contributed to identity formation, stronger collaborative bonds, renewed economic activity, and extended social networks for Mexican immigrants—all critical components of civic engagement. Ultimately, this research revealed that Mexican immigrants in Chicago possess a wealth of artistic and networking assets that contribute to the social, cultural and economic well-being of individuals, neighborhoods, organizations, and institutions in the Chicagoland area. The study website and our final report can be found here.

Asylum Based on Sexual Orientation

Within the last several decades, countries around the world began to recognize gay and lesbian refugees, and offered them protection from persecution in their countries of origin. Since 1994, the U.S. has offered protection to asylum-seekers claiming well-founded fear of persecution based on sexual orientation. The recognition by the United States and other countries that gays and lesbians (and, increasingly, transgendered people) may be eligible for asylum as members of a “particular social group” is a simultaneous acknowledgment of established principles of international refugee law.

In 1996 and 1997, I conducted human rights fact-finding related to conditions for sexual minorities and people living with HIV/AIDS in Guatemala. Between 1996 and 2005, I provided expert witness testimony for 25 asylum based on sexual orientation cases in the U.S. In addition, I provided consultation for U.S. government agency trainings. In collaboration with Amnesty International experts, I co-trained U.S. Immigration and Customs Enforcement asylum officers on human rights conditions in Latin America. In collaboration with Harvard University researchers, I co-organized a health and human rights training for U.S. Agency for International Development core and mission staff.

Preparing Sexual Orientation-Based Asylum Claims: A Handbook for Advocates and Asylum Seekers can be found here. The updated handbook, Winning Asylum, Withholding and CAT Cases Based on Sexual Orientation, Transgender Identity and/or HIV-Positive Status can be
found here.

SELECTED PUBLICATIONS

2011. Martinez, C.R., Jr., McClure, H.H., Eddy, J.M., & Wilson, D.M. Time in U.S. Residency and the Social, Behavioral, and Emotional Adjustment of Latino Immigrant Families. Hispanic Journal of Behavioral Sciences. In press.

2011. Martinez, C.R., Jr., McClure, H.H., Eddy, J.M., Ruth, B., & Hyers, M. Recruitment and Retention of Latino Immigrant Parents in Prevention Research. Prevention Science. In press.

2010. McClure, H.H., Martinez, C.R., Jr., Snodgrass, J.J., Eddy, J.M., Jiménez, R., Isiordia,
L.E., & McDade, T.W. Discrimination-related stress, blood pressure, and Epstein Barr Virus antibodies among Latin American immigrants in Oregon. Journal of Biosocial Science. DOI:10.1017/S0021932010000039

2010. McClure, H.H., Snodgrass, J.J., Martinez, C.R., Eddy, J.M., Jiménez, R.A., & Isiordia, L.E. Discrimination, psychosocial stress, and health among Latin American immigrants in Oregon. American Journal of Human Biology. DOI 10.1002/ajhb.21002.

2009. Mendoza, M., & McClure, H. Centro LatinoAmericano: Contributing to the Integration of Latino Families in Lane County. A report for the Department of Health and Human Services, Lane County. Eugene, Oregon: Centro LatinoAmericano.

2009. Cheriel, C., Huguet, N., Gupta, S., McClure, H., Leman, R.F., & Ngo, D.L. Arthritic pain among Latinos: Results from a community-based survey. Arthritis Care & Research. 61(11), 1491-1496.

2009. Martinez, C.R., McClure, H.H., & Eddy, J.M. Language brokering contexts and behavioral and emotional adjustment among Latino parents and adolescents. Journal of Early Adolescence, 29(1), 71-98.

2008. Martinez, C.R., Jr., McClure, H.H., & Eddy, J.M. Latino immigrant children and families: Demographics, challenges, and promise. In B. Bussell (Ed.) Understanding the Immigrant Experience in Oregon: Research, Analysis, and Recommendations from University of Oregon Scholars. Eugene, Oregon; University of Oregon Press.

2006. Green, H.D. & McClure, H.H. Creative Networks: Mexican Immigrant Assets in Chicago. Chicago, IL: The Center for Cultural Understanding and Change (CCUC), The Field Museum; Team Engineering Collaboratory, University of Illinois (TEClab), Urbana-Champaign Science of Networks in Communities Research Group (SONIC), University of Illinois, Urbana-Champaign. (http://www.fieldmuseum.org/creativenetworks/report.html)

2005. McClure, H.H. & Jerger, K. The State of Latino Health in the District of Columbia. Washington, DC: Council of Latino Agencies. (www.consejo.org)

2004. McClure, H.H. Child and family health. 2004 Issue Scan: An Annual Report Examining Changes in Neighborhood Conditions across the District of Columbia. Washington, DC: DC Agenda. (http://www.neighborhoodinfodc.org/resources.html)

2004. McClure, H.H. & Oliva, J.L. Guatemalans. In J. Grossman (Ed.) Encyclopedia of Chicago History. Chicago: University of Chicago Press. (www.encyclopedia.chicagohistory.org/pages/556.html)

2003. Roy, K. with McClure, H. The State of Latino KIDS in the District of Columbia. Washington, DC: Council of Latino Agencies. (www.consejo.org/publications.html)

PUBLISHED ABSTRACTS

2011. McClure H.H., Martinez C.R., Jr., Snodgrass J.J., Eddy J.M., Squires E.C., Ridgeway-Díaz J.G.. Feasibility of integrating biomarkers into research with Latino immigrant families: Findings from the Stress and Acculturation Project. American Journal of Human Biology. 23(2):243.

2010. McClure, H.H., Eddy, J.M., Snodgrass, J.J., Martinez, C.R., Kjellstrand, J.M., & Cearley, J.J. Adolescent behavioral predictors of increased adult body mass index. American Journal of Human Biology, 22(2), 262.

2010. Midttveit, E.C., McClure, H.H., Snodgrass, J.J., McDade, T.W., Martinez, C.R., Eddy, J.M., Jimenez, R.A., Isiordia, L.E. Body composition and lifestyle correlates of high sensitivity C-reactive protein among Latino immigrants in Oregon. American Journal of Human Biology, 22(2), 263.

2008. McClure, H.H., Martinez, C.R., Jr., Eddy, J.M., Jimenez, R., Isiordia, L.E., McDade, T.W. & Snodgrass, J.J. Stress and lifestyle change among recent Latino immigrants in Oregon.
American Journal of Human Biology, 20(2), 208.

Note: All articles are the sole copyright of the respective publishers. Materials are provided for educational use only.
Anth 410/510 Social Determinants of Health (Spring 2013) social_determinants_of_health