- Diabetes Management and Education
- Chronic Disease Management Strategies
- Blood Pressure and Hypertension Studies
- Nursing care and research
- Clinical practice guidelines implementation
- Mental Health Treatment and Access
- Community Health and Development
- Health disparities and outcomes
- Behavioral Health and Interventions
- Social and Cultural Dynamics
- Geriatric Care and Nursing Homes
- Primary Care and Health Outcomes
- Noise Effects and Management
- Employment and Welfare Studies
- Health Systems, Economic Evaluations, Quality of Life
- Cultural Differences and Values
- Obesity, Physical Activity, Diet
- Colorectal Cancer Screening and Detection
- Healthcare Policy and Management
- Healthcare cost, quality, practices
- Racial and Ethnic Identity Research
- Pancreatic and Hepatic Oncology Research
- Obesity and Health Practices
- Healthcare Quality and Management
- Psychological Well-being and Life Satisfaction
California State University, Sacramento
2021-2023
Baylor College of Medicine
1997-2021
Old Dominion University
2011-2016
The University of Texas MD Anderson Cancer Center
2000
Health Outcomes Solutions (United States)
2000
Health Services Research & Development
1997
To assess the impact of clinical pathways on practice head and neck oncologic surgery in an academic center.Cross-sectional study.Cancer treatment center.The study population consisted 3 groups patients who underwent unilateral dissection were treated Department Head Neck Surgery University Texas M. D. Anderson Cancer Center, Houston. Additional procedures which may have been performed direct laryngoscopy, rigid esophagoscopy, and/or dental extractions. Ninety-six during 1993-1994 prior to...
The purpose of this study was to determine whether perceived support, social norms, and their association with self-efficacy varied by gender language-based acculturation in Hispanic men women uncontrolled type 2 diabetes mellitus (T2DM).A cross-sectional, secondary analysis baseline survey data from a randomized control trial. Participants were 248 patients 4 community health centers who participated culturally targeted intervention for management. Quantitative statistical methods used,...
There is a great deal of recent interest and debate concerning the linkages between inequality health cross-nationally. The U.S. National Institutes Health recommended in 2001 that any new research on disparities should include social cultural systems as units analysis. Nevertheless, many public interventions policies continue to decontextualize risk factors from environment. Exposures inequalities probably vary consequence different contexts. To identify processes cause inequalities, it...
Purpose The purpose of this study is to examine the extent which perceived support and depressive symptoms might interfere with Hispanic patients’ ability manage their diabetes whether these effects vary by gender. Methods Data were collected from a cohort 232 men women type 2 mellitus (T2DM). Conditional process analysis was used test moderated mediation model time-lagged processes associating gender, support, reported self-efficacy after 3 months. Results Increased associated lower...
In a 2001 report, the U.S. National Institutes of Health called for more integration social sciences into health-related research, including research guided by theories and methods that take cultural systems consideration. Based on theoretical framework integrates Hofstede's dimensions with sociological theory, authors used multilevel modeling to explore association culture structural inequality health disparities. Their results support idea structure, along economic development, may account...
The Southeast CARE Coalition has been using community-based participatory research to examine environmental degradation in the Community, Newport News, Virginia. A survey was developed collect assessment data. Up 66% of respondents were concerned about problems their community. Those with health conditions significantly more likely identify specific problems. top 5 concerns included coal dust, air quality, crime, water and trash. process is building community capacity participation,...
The purpose of this study is to identify psychosocial factors associated with depressive symptoms in Hispanic patients diabetes and explore the extent which their effects may vary by gender acculturation.The authors completed a secondary analysis data from 247 adults type 2 diabetes. Gender language groups were compared using chi-square t tests. Hierarchical multiple regression was used examine associations perceived support, diabetes-related distress, social personal factors.Women reported...