A5017460583- Maternal Mental Health During Pregnancy and Postpartum
- Global Maternal and Child Health
- Vaccine Coverage and Hesitancy
- Migration, Health and Trauma
- Misinformation and Its Impacts
- Disaster Management and Resilience
- Mobile Health and mHealth Applications
- Genomics and Rare Diseases
- Global Health Workforce Issues
- Mosquito-borne diseases and control
- Public Health Policies and Education
- AI in Service Interactions
- Disaster Response and Management
- Racial and Ethnic Identity Research
- Smoking Behavior and Cessation
- Climate Change and Health Impacts
- Global Public Health Policies and Epidemiology
- Telemedicine and Telehealth Implementation
- Family and Disability Support Research
- COVID-19 Impact on Reproduction
- Health and Medical Research Impacts
- Healthcare Operations and Scheduling Optimization
- Data-Driven Disease Surveillance
- Autism Spectrum Disorder Research
- Risk Perception and Management
University of Rochester Medical Center
2016-2024
University of Rochester
2016-2024
University of Miami
2024
New York University
2024
Universidad de Las Palmas de Gran Canaria
2014
Objectives: Parents of children with autism spectrum disorder (ASD) report high levels stress that can interfere important child and family treatments. Limited past research considers how the caregiving experience social determinants health may contribute to treatment engagement outcomes, particularly in underrepresented families, who already service disparities. We aimed assess experiences caring for an individual ASD, specific emphasis on perceptions stress.Methods: Three key informant...
Puerto Rico is experiencing a public health crisis driven by effects and processes of US colonialism in the archipelago, such as exclusionary application federal policy, an exodus care professionals, long-term unequal distribution funding unincorporated territories. Compound multiple disasters, including Hurricane María, repeated earthquakes, COVID-19 pandemic, well relentless privatization fragmentation system, have led to very poor outcomes. Rico's case clearly shows negative on health....
Over the last decade European Union has been coordinating actions addressing various aspects of rare diseases and funded several cross-border research projects. Recently initiated biggest disease international collaborative effort by launching International Rare Diseases Research Consortium (IRDiRC). RARE-Bestpractices is one more than 100 projects on under Seventh Framework Programme for Technological Development (FP7; 2007-2013) (1). As a wide, open inclusive network, will build knowledge...
Background: In low and middle income countries (LMICs), other areas with resources unreliable access to the Internet, understanding emerging best practices for implementation of new mobile health (mHealth) technologies is needed efficient secure data management informing public researchers. Innovations in mHealth technology can improve on previous methods, dissemination project development details lessons learned during are provide stakeholders both United States LMIC settings. Objective:...
Determinants of COVID-19 vaccine acceptance are complex; how perceptions the effectiveness science, healthcare and government impact personal is unclear, despite all three domains providing critical roles in development, funding provision, distribution vaccine.To estimate perception systems, along with sociodemographic, psychosocial, cultural characteristics on acceptance.We conducted a global nested analytical cross-sectional study healthcare, science systems have impacted acceptance.Global...
The purpose of this pilot study was to assess the feasibility and acceptability a mobile smoking cessation intervention in Puerto Rico. This single-arm with 26 smokers Rico who were enrolled Decídetexto, intervention. Decídetexto incorporates three integrated components: (1) tablet-based software that collects smoking-related information develop an individualized quit plan, (2) 24-week text messaging counseling program interactive capabilities, (3) pharmacotherapy support. Outcome measures...
Information and communication technologies, including mobile health (mHealth), can help isolated communities address environmental challenges. The Puerto Rican island of Culebra has faced multiple sociopolitical economic factors that have distressed the island's environment health. Culebrenses are technologically engaged demonstrated a use technology transcends socioeconomic barriers. As result, technological interventions could potentially manage risks on island.This study aims to test...
Abstract Background Two devastating sequential hurricanes impacted Puerto Rico during September of 2017. The were traumatic and created social ecological upheaval throughout Rico, subsequently in communities Central Florida where affected Ricans migrated. 2017 hurricane season exposed exacerbated previous long-standing socio-political, economic, environmental, health crises, generating a humanitarian emergency the country. consequences these human-ecological disasters destroyed much Rico’s...
Disparities in COVID-19 information and vaccine access have emerged during the pandemic. Individuals from historically excluded communities (eg, Black Latin American) experience disproportionately negative health outcomes related to COVID-19. Community gaps education, social, care services (including vaccines) should be prioritized as a critical effort end Misinformation created by politicization of public measures has magnified pandemic's challenges, including care, vaccination testing...
ABSTRACT Background The COVID-19 pandemic has led to widespread public health measures reduce transmission, morbidity, and mortality attributed the SARS-CoV-2 virus. While much research focus surrounds vaccine development, testing, supportive management, little is known about determinants of non-medical, personal impact prevention policies. We aimed understand non-medical account for its multileveled, intersectional nature associations. Methods This cross-sectional, multi-level, convergent...
MundoComm is a current NIH-funded project for sustainable public health capacity building in community engagement and technological advances aimed at improving maternal issues. Two to four teams are selected annually, each consisting of three healthcare professionals one technical person from specific low middle income countries (LMICs) including Costa Rica, Dominican Republic, Honduras, other LMICs. course with parts: in-person workshops, online modules, mentored development. annual 1-week...
Culebra, a geographically isolated island located 17 miles from the eastern coast of Puerto Rico's main island, suffers an amalgam significant environmental health risk and associated social determinants that are affecting community. In 2017, two major Hurricanes (Irma María) impacted resulting in increase preexisting risk. The present study's primary aim was to explore community attitudes, beliefs, perceptions risk, describe priorities Culebrenses relation these risks challenges....
Abstract Background Postpartum Care is a strategy to improve survival of women and newborns, especially in low- middle-income countries. Early post-partum care can promote healthy behaviors the identification risk factors associated with poorer pregnancy-related outcomes. The objective this study was assess association perceived social support attendance from three Latin-American Caribbean countries: Costa Rica, Dominican Republic Honduras. Methods Women aged 18+ who completed pregnancy past...
Secondhand smoke (SHS) exposure poses risks to pregnant women and children. Though smoking among in many low- middle-income countries is low, SHS might be higher. We examined the prevalence predictors of from Costa Rica, Dominican Republic, Honduras.
Puerto Ricans (PRs) face significant challenges in accessing essential parenting resources and support due to language barriers lack of culturally appropriate healthcare services, perpetuating health disparities. Cultural adaptation psychosocial measurement tools is crucial for promoting equity improving outcomes. This study describes the cultural two discipline assessment measures use with Spanish-speaking PR mothers 2-4-year-old children.
ABSTRACT Background Rural and isolated communities, such as Culebra, Puerto Rico, face significant healthcare challenges due to geographic isolation, limited medical resources, socioeconomic disadvantages. Chronic diseases, particularly diabetes hypertension, are prevalent contribute poor health outcomes. Telehealth services (THS) community workers (CHWs) have been identified effective interventions for improving access in underserved areas. This study aimed explore the perceptions attitudes...
Welcome to Annals of Global Health,Annals Health is a peer-reviewed, fully open access, online journal dedicated publishing high quality articles all aspects global health. The journal's mission advance health, promote research, and foster the prevention treatment disease worldwide. Its goals are improve health well-being people, equity, wise stewardship earth's environment. latest impact factor 3.64.Annals supported by Program for Public Common Good at Boston College. It was founded in 1934...
OBJECTIVES/SPECIFIC AIMS: The prevention, management, and treatment of HIV, STDs, HCV requires continuous training that reflects contemporary best-practice innovative care models. In order to improve the NYS AIDS Institute’s comprehensive web-enabled program, which enhances capacity a diverse healthcare workforce, needs assessment (NA) our community practice (CoP) is needed better understand their needs, circumstances, instructional modalities preferences. goal was CoP’s preferences online...
OBJECTIVES/SPECIFIC AIMS: The objective of this partnership was to create a global network clinical and public health researchers communities conducting technology-assisted research in noncommunicable disease. METHODS/STUDY POPULATION: University Rochester’s Clinical Translational Science Institute (CTSI) has successfully leveraged the informatics core’s capacity into an emerging organizations that focus on technology settings outside mainland United States. CTSI coordinated with another...
OBJECTIVES/SPECIFIC AIMS: Island communities face greater environmental risks creating challenges in their populations. A community and participatory qualitative research method aiming to understand perspectives regarding the ecology of island Culebra was performed develop a community-centered Information Communications Technology (ICT) intervention (an app). The Culebra, municipality from archipelago Puerto Rico is located 17 miles eastern coast Rico’s main island. This ICT—termed mZAP...