- Cervical Cancer and HPV Research
- Vaccine Coverage and Hesitancy
- Global Cancer Incidence and Screening
- Obesity, Physical Activity, Diet
- Hepatitis B Virus Studies
- Cultural Competency in Health Care
- Academic Publishing and Open Access
- Participatory Visual Research Methods
- Community Health and Development
- Physical Activity and Health
- Health Policy Implementation Science
- Racial and Ethnic Identity Research
- Children's Physical and Motor Development
- Genital Health and Disease
- Interpreting and Communication in Healthcare
- HIV/AIDS Research and Interventions
- Body Composition Measurement Techniques
- Conflict of Laws and Jurisdiction
- Child Abuse and Trauma
- Youth Development and Social Support
- Health Literacy and Information Accessibility
- Food Security and Health in Diverse Populations
- Psychosocial Factors Impacting Youth
- Public Health Policies and Education
- Homelessness and Social Issues
The University of Texas at Austin
2018-2024
The University of Texas Health Science Center at San Antonio
2012-2017
Cancer Prevention and Research Institute of Texas
2017
Audie L. Murphy Memorial VA Hospital
2016
The University of Texas Health Science Center at Houston
2008-2009
Houston Medical Center
2009
Research on core cultural values has been central to behavioral and clinical research in ethnic groups. Familismo is one such construct, theorized as the strong identification attachment of Hispanic persons with their nuclear extended families. Our anthropological this concept among Mexicans Mexican immigrants United States elaborates concept, promotes greater complementarity between quantitative qualitative data topic. Ethnographic work spanning 3 sites over four years reveal that familismo...
Background. US Hispanic women have higher cervical cancer incidence rates than non-Hispanic White and African-American lower of screening. Knowledge, attitudes, cultural beliefs may play a role in infection human papillomavirus (HPV) decisions about subsequent diagnosis treatment cancer. Study aim. To explore the level HPV knowledge, among men on Texas–Mexico border. Methodological approach. Informed by feminist ethnography, authors used an interpretive approach to understand local...
Cervical cancer incidence and mortality are higher for Hispanic women than in other population groups. However, the could be reduced if teenaged girls received human papillomavirus (HPV) vaccine before they become sexually active. Unfortunately, few receive this vaccine, which prevents cervical cancer. This study assessed mothers' girls' perceptions about cancer, HPV, HPV vaccine. Results show factors that affect whether high school vaccine.Twenty-four mothers 28 from an urban district...
Abstract Background Despite the availability of highly effective HPV vaccines that can reduce HPV-associated cancer mortality, vaccination rates in Texas rank 48th nationwide. Although evidence shows Latino parents are more accepting than non-Hispanic parents, this disparity underscores importance understanding parental vaccine hesitancy. Latinos/as typically receive healthcare at Federally Qualified Health Centers (FQHCs), which often need support implementing and improving access to based...
Now that cancer has surpassed heart disease as the top cause of death for Hispanics in United States, it is even more critical to focus on early detection this population. We report results a theory-driven education-plus-navigation pilot intervention delivered by bilingual, bicultural community health workers (CHWs) with goal increasing screening rates and knowledge among low-income Latinas. CHWs enrolled 691 eligible women, ages 18 75 years, considered rarely or never screened breast,...
Abstract Although self-efficacy, a construct from social cognitive theory, has been shown to influence other screening behaviors, few measures currently exist for measuring Papanicolaou test self-efficacy. This article describes the development and psychometric testing of such measure Mexican American women. Data two separate samples women ages ≥50 years, obtained as part study develop evaluate breast cervical cancer educational program, were used in current study. Exploratory factor...
There is widespread recognition of the cultural and linguistic appropriateness (a Spanish term for community health workers [CHW]) in education outreach among Hispanic communities. Yet, there are significant gaps literature regarding preparation, implementation, evaluation ' engagement research. To address this gap, we examine research-related training, roles, responsibilities, contributions a community-based participatory research project involving multisite randomized controlled trial...
Background: Gendered perspectives may be particularly important in shaping norms and values around HPV vaccination, as previous research suggests that sexuality taboos (e.g. promiscuity) contribute to low perceived risk among adolescent young adult Hispanic females. However, date focuses primarily on mothers, females, women of vaccine-eligible age. father's are relatively unknown despite role for their female children.Objective: To close this gap, study examines gendered knowledge, beliefs,...
Hispanic youths have high rates of sexually transmitted infections and pregnancies, yet little research has targeted multiple protective/risk factors for early sexual initiation in this group. This study examined two main factors--parenting practices acculturation--on among middle school students Texas.Using data from seventh graders (N = 655) 15 urban schools southeast Texas, we the association between parental monitoring/parent-child communication about health initiation.After controlling...
Hispanic girls are burdened with high levels of obesity and less active than the general adolescent population, highlighting need for creative strategies developed community input to improve physical activity behaviors. Involving girls, parents, in intervention planning process may uptake maintenance activity. The purpose this article was describe how we engaged as partners community-based research. We begin an overview research project then used Participatory Photo Mapping engage critical...
Objectives . To examine the relationship between English language proficiency (ELP), physical activity, and activity-related psychosocial measures (i.e., exercise self-efficacy, social support, perceptions of environmental supports) among Mexican-origin women in South Carolina Texas. Design Adjusted robust regression interaction modeling to evaluate baseline questionnaire data on self-reported ELP with CHAMPS leisure-time moderate-to-vigorous activity (MVPA), accelerometry data, Physical...
Few Texas Latino girls initiate and complete the human papillomavirus (HPV) vaccine series, but few studies have examined predictors of initiation completion in this group. Mothers are crucial to uptake. Using self-reported data from mothers unvaccinated (n = 317), we association between (HPV HPV knowledge, self-efficacy) outcomes (initiation completion). Despite an increase knowledge baseline follow-up 195), found no outcomes. Findings showed that health insurance status study group...
Abstract Background South Texas Latinas experience higher cervical cancer incidence and mortality compared to nationwide. Despite the availability of effective human papillomavirus vaccines, Latino/a adolescents sub-optimally complete series. Research shows provider recommendation strongly predicts vaccine uptake, but minority are less likely report that their recommended series completion. There is also scant information on HPV administration process in clinic practices providing...
Much of the research regarding Latino men’s health tends to focus on specific outcomes (e.g., HIV or diabetes). Few studies have examined how men perceive factors that influence their and/or health-related behaviors. This study explored rural experiences and attitudes toward health, using photovoice, in context a community-based participatory partnership. We recruited nine living small town Southeastern Iowa. Four attended four sessions led community forum. All were foreign-born, identified...
Purpose: To determine college students' intentions to be Human Papillomavirus (HPV) vaccinated. Methods: The study was comprised of students aged 18–45 years. A survey developed based on the Theory Planned Behavior (TPB). significance TPB constructs—attitude, subjective norms, and perceived behavioral control—and an additional construct—knowledge—in predicting intention were assessed. Results: regression model containing attitude, norms control accounted for 40% variance in intention....
Abstract Background: Cervical cancer incidence and mortality are higher for Hispanic women along the Texas-Mexico border than other female population groups. Incidence could be reduced if teenaged girls received HPV vaccine before they became sexually active. However, few compared to U.S. receive all three doses (31% vs 36%), which prevent cervical cancer. Mothers crucial success of uptake efforts, but studies have examined predictors initiation completion. The purpose this study is assess...
Meeting physical activity guidelines is associated with positive mental, physical, and social health. However, most adolescent girls do not meet the recommended level of activity, Latina even less likely than white to so. Partnership for Girls (PG) sought improve (PA) reduce sedentary behaviors prevent obesity obesity-related health disparities among low-income attending Westside San Antonio schools. This study utilizes mixed-methods data—qualitative formative assessments parents gain...
Abstract Background: Despite having guidelines recommending vaccination against the human papillomavirus (HPV) and widespread coverage for vaccine, HPV rates among U.S. Hispanic island Puerto Rican (PR) girls are low. In 2012, only 16% of PR aged 11–18 42% 13-17 were vaccinated with all three vaccine doses; far fewer than Healthy People 2020 goal 80%. Parents crucial to success uptake efforts. Few studies focusing on parents have examined possible differences in knowledge acceptability...
Abstract Background: Cervical cancer incidence and mortality are higher for Hispanic women along the Texas-Mexico border than other female population groups. Incidence could be reduced if teenaged girls received HPV vaccine before they became sexually active. However, few compared to U.S. receive all three doses (31% vs 36%), which prevent cervical cancer. Parents crucial success of uptake efforts. The purpose this study is examine correlates mothers' intention vaccinate their 11-17 year old...