A5045515138- Migration, Health and Trauma
- Racial and Ethnic Identity Research
- Child Abuse and Trauma
- Child and Adolescent Health
- HIV/AIDS Research and Interventions
- Food Security and Health in Diverse Populations
- Child and Adolescent Psychosocial and Emotional Development
- Health disparities and outcomes
- Adolescent Sexual and Reproductive Health
- Primary Care and Health Outcomes
- Musculoskeletal pain and rehabilitation
- Opioid Use Disorder Treatment
- HIV, Drug Use, Sexual Risk
- Complementary and Alternative Medicine Studies
- Global Cancer Incidence and Screening
- Mental Health Treatment and Access
- Indigenous Health, Education, and Rights
- Homelessness and Social Issues
- Youth Substance Use and School Attendance
- Pediatric Pain Management Techniques
- Community Health and Development
- Prenatal Substance Exposure Effects
- Obesity and Health Practices
- Child Nutrition and Water Access
- Public Health Policies and Education
RAND Corporation
2021-2025
Loma Linda University
2017-2021
Community Partners
2017-2019
University of Michigan
2015
Background: Use of complementary and integrative health care (CIH) varies across racial ethnic groups in the United States. Lack diversity among CIH providers may hinder access to for underrepresented groups. This study aimed (1) document representation licensed professions (chiropractic, acupuncture, traditional East Asian medicine, naturopathic direct-entry midwifery, massage therapy), non-licensed professions, conventional care; (2) compare these with U.S. population; (3) examine changes...
The study investigated associations between social network characteristics and alcohol cannabis (AC) use among non-reservation-living American Indian/Alaska Native (AI/AN) emerging adults (18-25 years old), with a focus on the potential protective influence of AI/AN traditional practices (e.g., dancing, storytelling, beading). used multi-level, multivariable dyadic approach to analyze personal composition connectivity (centrality density) from 470 living in non-reservation areas across...
Objectives.-Assess associations between social networks and urban American Indian/Alaska Native emerging adults' alcohol, cannabis, opioid use intentions.Methods.-AI/AN participants ages 18-25 (N=150; 86% female) were recruited across the U.S. from 12/20 to 10/21 via media.Participants named up 15 people whom they talked with most over past three months reported who 1) used alcohol cannabis heavily or other drugs (e.g., use), 2) engaged in traditional practices, 3) provided support.They also...
HIV prevention advocacy empowers persons living with (PLWH) to act as advocates and encourage members of their social networks engage in protective behaviors such testing, condom use, antiretroviral therapy (ART) adherence. We examined correlates among PLWH Uganda.
In North America, there is a notable underutilization of complementary and integrative health approaches (CIH) among non-White marginalized communities.
ABSTRACT BACKGROUND Low‐income and racial/ethnic minority students often face distinct challenges in attending school eading to lower academic performance, low graduation rates, overall, an indicator of diminished long‐term social financial stability. Chronic absenteeism is a national problem address this, better understanding risks points intervention for the most at risk needed. This cross‐sectional study sought assess protective factors associated with chronic predominantly low‐income...
To understand clinician and clinical staff perspectives on the implementation of routine Adverse Childhood Experience (ACE) screening in pediatric primary care.We conducted a qualitative evaluation 5 clinics Los Angeles County, California, using 2 rounds focus group discussions: during an early phase initiative, 7 months later. In first round, we 14 discussions with 67 participants. second 12 58 Participants comprised clinic involved ACE screening, including frontline that administer medical...
Emerging adulthood shapes personal, professional, and overall well-being through identity exploration. This study addresses a gap in the minority literature by investigating how urban AI/AN emerging adults think about their discussing challenges protective factors associated with exploring holistically. mixed-methods created sampling framework based on discrimination experiences, cultural identity, social network support, mental health, problematic substance use. We recruited 20 for...
Mental health services provide essential supports to people living with psychiatric disorders. However, in the United States as a whole and New York City particular, use of mental is low care not equitably distributed. To advance policy strategy for addressing gaps system, RAND researchers investigate availability accessibility City.
This study examined the prevalence and social-ecological correlates of male-to-female intimate partner violence (IPV) in Afghanistan. Using data from 2015 Afghanistan Demographic Health Survey, which included 20,793 currently married women, we found that past-year physical IPV was highest (46%), followed by emotional (34%) sexual forms (6%). Results also showed risk general associated with an array community societal-, family relationship-, person-level factors. Our findings point to...
Prostate cancer (PCa) is the second leading cause of cancer-related death among Black men who present with higher incidence, mortality, and survival compared to other racial groups. African immigrant men, however, are underrepresented in PCa research thus this sought address that gap. This study applied a social determinants health framework understand knowledge, perceptions, behavioral tendencies regarding immigrants. women residing different parts country (California, Texas, Colorado,...
Abstract Background Although it is well established that healthy sleep promotes positive mental health, little known about how operates in children and adolescents who experience a range of psychosocial stressors. This study examined the association between duration serious illness (SMI) this pathway moderated by stressors (discrimination, bullying, perceived school neighborhood safety). Methods A cross‐sectional was conducted among students California district serving low‐income community...
The metropolitan area of Lima, Peru has a third the nation's population living in slum dwellings that are hypothesized to contribute inefficient household hygienic practices. purpose this study was quantitatively assess which conditions have greatest impact on handwashing A cross-sectional epidemiological design participants ≥16 y age from San Juan de Miraflores, outskirts Peru, used. Poisson regression applied We could not demonstrate relationship between (home structure, overcrowding,...
Adverse childhood experiences (ACEs) are strongly correlated with many of the most common causes preventable illness, death, and health disparities. In January 2020, California launched first statewide initiative to integrate ACE screening throughout its Medicaid system. A key element was ACEs Learning Quality Improvement Collaborative, a 48-clinic, 16-month learning collaborative. This evaluation aimed determine whether developing trauma-informed environment care associated uptake screening.
American Indian/Alaska Native (AI/AN) people have high rates of physical pain. Pain is understudied in urban-dwelling, AI/AN emerging adults, a group with unique sociocultural risk and protective factors. We explore associations between socioeconomic disadvantage, additional factors, pain among urban adults.
Abstract Peer advocacy can promote HIV protective behaviors, but little is known about the concordance on prevention advocacy(PA) reports between people living with HIV(PLWH) and their social network members. We examined prevalence correlates of such concordance, its association targeted behavior member. Data were analyzed from 193 PLWH(index participants) 599 members(alters). Kappa statistics measured index alter PA in past 3 months. Logistic multinomial regressions evaluated relationship...