- Migration, Health and Trauma
- Racial and Ethnic Identity Research
- Child and Adolescent Psychosocial and Emotional Development
- Employment and Welfare Studies
- Resilience and Mental Health
- Social and Intergroup Psychology
- Early Childhood Education and Development
- Maternal Mental Health During Pregnancy and Postpartum
- HIV, Drug Use, Sexual Risk
- Migration and Labor Dynamics
- HIV/AIDS Research and Interventions
- Maternal and Perinatal Health Interventions
- Attachment and Relationship Dynamics
- Sleep and related disorders
- Terrorism, Counterterrorism, and Political Violence
- Disaster Management and Resilience
- Infant Development and Preterm Care
- Climate Change, Adaptation, Migration
- Food Security and Health in Diverse Populations
- Child Nutrition and Feeding Issues
- Mental Health Treatment and Access
- Global Health Workforce Issues
- Disaster Response and Management
- Posttraumatic Stress Disorder Research
- Obesity and Health Practices
University of Miami
2018-2024
ABSTRACT Objectives The aim of this study was to compare the effect Hurricane Maria on internalizing and posttraumatic stress disorders (PTSD) among Puerto Ricans who moved Florida after storm versus those stayed island. Methods In March through April 2018 (6 months Maria), an online survey used assess effects mental health. A sample 213 displaced living in urban rural/suburban areas Florida, as well rural Rico, participated study. Results Rates PTSD were high both sites (Florida, 65.7%;...
Crisis migration refers to displacement of large numbers individuals and families from their home countries due wars, dictatorial governments, other critical hazards (e.g., hurricanes). Although crisis can adversely influence direct indirect effects on the mental health adults children collectively as families, there is a deficiency in theory that addresses family level processes this context. We propose Family Migration Stress Framework, which consolidates what known about multiple factors...
Hurricane Maria (2017) caused great damage to Puerto Rico, undermining people's quality of life and forcing thousands migrate the U.S. mainland. Identifying individuals at elevated risk suffering mental health problems as a function being exposed hurricane cultural stress is crucial reducing burden such outcomes. The present study was conducted in 2020-2021 (3-4 years postdisaster) with 319 adult survivors on We aimed (a) identify latent subgroups, defined by stress, (b) map these subgroups...
Climate change-related shocks and stresses are prompting the movement of hundreds thousands. The purpose this study is to understand experiences climate change migrants, people displaced from these crises initial impacts hazard their recent arrivals in a new location. To do so we draw on focus group discussions with Puerto Ricans South Central Florida by 2017 hurricane Maria. We document factors leading up that shaped preparedness, relocation decisions, post-relocation seven months following...
Blood-borne viral infections, such as HIV and hepatitis C (HCV), are common infections among people who inject drugs (PWID). This study aims to determine the prevalence of HCV infection PWID accessing first legal syringe services program (SSP) in state Florida, along with examining baseline correlates infection.Baseline behavioral enrollment assessments 837 participants an SSP for time were analyzed. Patients self-reporting or testing positive at visit included. Socio-demographic, drug use,...
Abstract The present article proposes an extension of the concept adverse childhood experiences (ACEs) to apply crisis migration – where youth and families are fleeing armed conflicts, natural disasters, community violence, government repression, other large-scale emergencies. We propose that events occurring prior to, during, following can be classified as crisis-migration-related ACEs, developmental logic underlying ACEs extended new class ACEs. Specifically, greater numbers, severity,...
Abstract Background Tele-harm reduction (THR) is a telehealth-enhanced, peer-led, harm intervention delivered within trusted syringe services program (SSP) venue. The primary goal of THR to facilitate linkage care and rapid, enduring virologic suppression among people who inject drugs (PWID) with HIV. An SSP in Miami, Florida, developed circumvent pervasive stigma the traditional healthcare system. Methods During development, we conducted in-depth interviews PWID HIV ( n = 25) identify...
In September 2017, Hurricane Maria devastated Puerto Rico. Houses were destroyed, millions of people lost power and access to clean water, many roads flooded blocked. the years following storm, hundreds thousands have left Rico settled on U.S. mainland. The purpose this study is examine impact disaster trauma among Rican adults who moved mainland after Maria.
Anxiety is the most prevalent mental health disorder among adults worldwide. Given its increased prevalence migrants due to their marginalized position in societies where they reside, psychometric evaluations of anxiety measures such as Generalized Disorder-7 (GAD-7) are needed for use with migrants. The present study first attempt compare structure GAD-7 scores (a) different Latino groups same country and (b) group two countries. Using three samples Mexican Venezuelan (total
Millions of Venezuelans have left their country in search safety and stability the United States (U.S.) Colombia, two countries where recent increases anti-immigrant rhetoric sentiment occurred. The
The present study was designed to examine the extent which, in a sample of 873 Hispanic college students, daily levels of, and variability in, well-being would mediate predictive effects culturally related stressors (discrimination, negative context reception, bicultural stress) on internalizing externalizing symptoms 11 days later. A 12-day diary design utilized, where reports cultural were gathered Day 1, Days 2-11, outcomes measured 12 (with controls for 1 these same outcomes). Structural...
Background Perinatal mental health conditions affect 800,000 individuals annually in the United States and are a leading cause of complications pregnancy childbirth. However, impact these varies across racial ethnic groups. Portable digital solutions, such as mobile apps, have been developed for maternal health, but they often do not adequately cater to needs women color. To ensure effectiveness equity interventions, it is crucial consider unique experiences perinatal from diverse...
Executive Summary Millions of Venezuelans have fled their country in hopes for a better future outside the political and financial turmoil home country. This paper examines self-reported needs United States Colombia. Specifically, it looks at perceived discrimination each its effect on service Venezuelan immigrants. The authors used data from larger project conducted October to November 2017 perform qualitative content analysis specific services that participants others like them would need...
The primary aim of this study was to examine the association between perceived discrimination and posttraumatic stress disorder (PTSD) outcomes among recently arrived Venezuelan parents in Florida Colombia. secondary determine whether, given existence an PTSD, may have been moderated by gender or country relocation. This is first PTSD migrants. In October 2017, 647 migrant (62% female, average age 33) participated online survey United States (primarily Florida) Colombia (Bogotá)....
<sec> <title>Objetivo.</title> Presentar y analizar la respuesta que el sistema de salud peruano viene dando a las necesidades en sexual reproductiva mujeres venezolanas radican ciudad Lima, Perú e identificar algunas razones nos permite entender esta respuesta. </sec> <title>Métodos.</title> La información se recogió mediante entrevistas profundidad semiestructuradas por vía telefónica 30 venezolanas, 10 trabajadores 2 funcionarios del Ministerio Salud. <title>Resultados.</title> A partir...
Abstract Background Pre-Exposure Prophylaxis (PrEP) can reduce HIV incidence when implemented effectively for people who are at highest risk of infection. However, access to and uptake PrEP remains suboptimal among priority populations such as black Hispanic/Latino men have sex with (MSM). We established mobile prevention/PrEP services delivered cancer screening through the Sylvester Gamechanger vehicle. describe demographics, utilization, early retention in care this model. Methods selected...
This study examined the extent to which Negative Context of Reception Scale generates valid and reliable scores with Puerto Rican Hurricane Maria survivors. A sample 319 adult survivors completed measures negative context reception, discrimination, language stress, depressive anxiety symptoms, optimism, life satisfaction. Confirmatory factor analyses (CFAs) indicated that previously validated one-factor solution fit data adequately, multigroup invariance tests this largely equivalently...
Abstract Purpose: We examined the extent to which depressive symptomatology measures operate across different Latino subgroups as there is inconsistency regarding its performance Latinos, a large and rapidly growing cultural group in United States. Methods: evaluated reliability structural validity of scores generated by Center for Epidemiologic Studies Depression Boston Form (CES-D-B) using four distinct samples residing US: Mexicans, Venezuelans, Cubans, “other Latinos” (total N =1033). To...
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