A5003728435- Cervical Cancer and HPV Research
- Vaccine Coverage and Hesitancy
- Global Cancer Incidence and Screening
- Colorectal and Anal Carcinomas
- HIV/AIDS Research and Interventions
- Hepatitis B Virus Studies
- HIV, Drug Use, Sexual Risk
- Public Health Policies and Education
- Genital Health and Disease
- Viral-associated cancers and disorders
- Adolescent Sexual and Reproductive Health
- Colorectal Cancer Screening and Detection
- COVID-19 and healthcare impacts
- Sex work and related issues
- SARS-CoV-2 and COVID-19 Research
- Hepatitis C virus research
- Hepatitis Viruses Studies and Epidemiology
- Mobile Health and mHealth Applications
- Misinformation and Its Impacts
- Viral Infections and Outbreaks Research
- Food Security and Health in Diverse Populations
- Influenza Virus Research Studies
- Disaster Response and Management
- Health disparities and outcomes
- HIV-related health complications and treatments
University of Puerto Rico System
2013-2025
Indiana University Melvin and Bren Simon Comprehensive Cancer Center
2024
University of Puerto Rico, Medical Sciences Campus
2013-2023
Sylvester Comprehensive Cancer Center
2020-2023
U-M Rogel Cancer Center
2017-2022
Puerto Rico Department of Health
2017-2020
Comprehensive Blood & Cancer Center
2020
GTx (United States)
2020
Albert Einstein College of Medicine
2017
University of Puerto Rico-Mayaguez
2016
Purpose People with HIV infection have an elevated risk of anal cancer. However, recent calendar trends are incompletely described, and which population subgroups might benefit from cancer screening is unknown. Methods We used linked data registries in nine US areas (1996 to 2012). calculated standardized incidence ratios compare people the general population, Poisson regression evaluate among assess temporal trends, estimated cumulative measure absolute risk. Results Among 447,953...
The incidence of human papillomavirus (HPV) infection and cervical cancer can be reduced by increasing vaccination for HPV. Yet uptake completion the 3-dose series remain low among Puerto Rican females. This study explored psychosocial factors associated with HPV decisions mothers daughters.
Abstract Background: The Center to Reduce Cancer Health Disparities (CRCHD), National Institute (NCI), launched Screen Save, NCI's Colorectal Outreach and Screening Initiative promote awareness knowledge of colorectal cancer in racial/ethnic rural populations. Methods: initiative was implemented through CRCHD's Network (NON) Comprehensive Partnerships Advance Equity (CPACHE) programs. NON is a national network Community Educators (CHEs), aligned with NCI-designated Centers (CCs). CPACHE are...
This cohort study examines rates of cervical cancer screening in Puerto Rico among women with Medicaid health coverage following the 2017 hurricanes, earthquakes late 2019-2020, and 2020 COVID-19 lockdown.
Zahed Shahmoradi, PhD; Haluk Damgacioglu, Megan A. Clarke, PhD, MHS; Nicolas Wentzensen, MD, Jane Montealegre, Kalyani Sonawane, Ashish Deshmukh, MPH
Genital Human papilloma virus (HPV) is one of the most commonly diagnosed Sexually Transmitted Infection (STIs) in men and women. Knowledge about HPV infection among limited. This study aims to determine correlates adequate knowledge who attend an STI clinic Puerto Rico. A cross-sectional 206 was conducted at San Juan, PR. Adequate defined as a score least 70% correct responses those reported having ever heard HPV. Variables that achieved statistical significance bivariate analysis (p<0.05)...
Background: Widespread vaccination against COVID-19 is essential to control the pandemic. Estimates of unwillingness and uncertainty toward factors associated with it remain unclear among adults in Puerto Rico (PR).Objective: To examine PR.Methods: The Health Belief Model was used develop an online survey. Analyses included adjusted logistic regressions (aOR). A total 1,911 completed survey from December 2020 February 2021.Results: Overall, 76.2% were females, 33.7% aged 50 or older, 82.7%...
Abstract The purpose of this study was to describe the psychosocial factors influencing participation in colorectal cancer screening (CRCS) among Puerto Rican men and women. We conducted seven focus groups metropolitan rural areas Rico (PR) with women (using gender specific groups) aged 50 80 years ( n = 51) who were non-adherent CRC guidelines. group guide included questions related (CRC) knowledge, attitudes, beliefs. analyzed data using a modified grounded theory approach identify...
Squamous cell carcinoma of the anus (SCCA) is common among persons living with HIV (PLWH). We described SCCA incidence and survival general population PLWH in Puerto Rico (PR), along mortality anal cancer.PR HIV/AIDS Surveillance Program PR Central Cancer Registry databases were linked (2000-2016). Incidence rates (IRs) trends (annual percent change [APC]) for cancer estimated. Relative relative excess risk (RER) death calculated.From 2000 to 2016, 991 individuals diagnosed cancer; 73% cases...
Abstract Background: This study explored experiences in cancer care and disruption after Hurricanes Irma Maria’s aftermath Puerto Rico (PR). Methods: A total of three focus groups were conducted among breast colorectal patients diagnosed six months before the disaster. Results: The most prevalent themes (a) barriers related to their treatment, (b) facilitators (c) treatment during hurricane. Participants discussed struggles regarding experience with access Maria how household limitations due...
The objective of this study was to estimate the incidence cancer and human papillomavirus (HPV)ârelated cancers risk death (by status) among people living with AIDS (PLWA) in Puerto Rico. We used data from Rico Surveillance Program Central Cancer Registry (1985â2005). Cancers highest were cervix (299.6/100,000) for women oral cavity/oropharynx men (150.0/100,000); greatest excess (standardized ratio, 86.8) 52.8) anal cancer. PLWA who developed a had decreased survival increased compared...
Recent studies in Puerto Rico have reported an increasing incidence of anal cancer Rican men. The objective this study was to determine the prevalence, genotype distribution and risk factors associated with HPV infection among men attending STI clinic Rico.We conducted a cross-sectional 205 18 years older. A comprehensive survey administered that included demographic behavioral assessment. Separate logistic regression models were performed any, high-risk (HR), multiple infection.The mean age...
Human papillomavirus (HPV) is associated to the pathogenesis of various cancers, such as oropharyngeal squamous cell carcinoma, which has a high incidence in Puerto Rican men. Despite burden oral cancer Rico, little known about epidemiology HPV infection, particularly high-risk Therefore, this study aimed at determining prevalence genotype distribution and correlates with infection men least 16 years age attending sexually transmitted (STI) clinic Rico. A cross-sectional consisting 205 was...
Religiosity may influence COVID-19 vaccination. However, it remains unclear how religiosity is associated with beliefs toward and vaccination against it, particularly amongst ethnic minorities. This study examined the association between religiosity, intent, beliefs, attitudes related to among adults in Puerto Rico. Data from an online survey conducted December 2020–February 2021 (≥18 yr; n = 1895) residing Rico were used. Rating of importance was used capture level (‘less important’,...
Health information correlates of fruit and vegetable intake knowledge the recommendations were examined using bivariate multivariate regressions with data from 2007–2008 U.S. National Cancer Institute's Information Trends Survey in United States Puerto Rico. Residents Rico had lowest reported recommended servings fruits vegetables to maintain good health, compared Hispanics, non-Hispanic Whites, Blacks. Sixty-seven percent Rican residents 62% Hispanics never seeking on health or medical...
The Human papillomavirus vaccine (HPV) is an essential tool for the prevention of HPV-related cancers. In Puerto Rico, Secretary Health established a school entry requirement at least one dose HPV vaccination in girls and boys aged 11 12 years, taking effect August 2018. Our study aimed to examine parents' guardians' views unvaccinated children about process implementation new policy Rico identify potential barriers facilitators related this requirement.During April through November 2019, we...
Purpose This study compares incidence and mortality of penile cancer in Puerto Rico (PR) with other racial/ethnic groups the United States (US) evaluates extent which socioeconomic position index (SEP) or its components influence PR. Materials Methods Age-standardized rates were calculated for based on data from PR Cancer Registry US National Institute's Surveillance, Epidemiology End Results program, using direct method. men had approximately 3-fold higher as compared to non-Hispanic white...
Background Human papillomavirus (HPV) causes 10% of cancers among human immunodeficiency virus (HIV)–infected people in the United States. Because Hispanics are disproportionally affected by HIV epidemic and infection‐related cancers, this study compared incidence rates for HPV‐related survival between non‐Hispanic whites (NHWs) blacks (NHBs) HIV‐infected US population. Methods Based on data from HIV/AIDS Cancer Match Study, standardized ratios (SIRs) were used to estimate cancer risk...