A5031747240- Global Cancer Incidence and Screening
- Family Support in Illness
- Cancer survivorship and care
- Palliative Care and End-of-Life Issues
- Cultural Competency in Health Care
- Colorectal Cancer Screening and Detection
- Head and Neck Cancer Studies
- Health Literacy and Information Accessibility
- Patient-Provider Communication in Healthcare
- Smoking Behavior and Cessation
- Cervical Cancer and HPV Research
- Adolescent Sexual and Reproductive Health
- BRCA gene mutations in cancer
- Social Media in Health Education
- Health disparities and outcomes
- Childhood Cancer Survivors' Quality of Life
- Geriatric Care and Nursing Homes
- Media Influence and Health
- HIV/AIDS Research and Interventions
- Racial and Ethnic Identity Research
- Intergenerational Family Dynamics and Caregiving
- Health Policy Implementation Science
- Dementia and Cognitive Impairment Research
- Food Security and Health in Diverse Populations
- Ethics in Clinical Research
University of Colorado Denver
2009-2025
Colorado School of Public Health
2017-2025
University of Colorado Anschutz Medical Campus
2020-2025
University of Colorado Cancer Center
2022-2025
Colorado State University
2001-2017
This study presents an analysis of the influence consumers' predisposing, enabling, and need characteristics on utilization long-term care (LTC) services in nursing facilities (NFs), assisted living facilities, or home- community-based (HCBS).Data were gathered through a record review cross-sectional sample 1,968 consumers aged 60 years older receiving formal LTC services.Need contributes most to differential use. Those with are more likely be NF HCBS. Enabling such as Medicaid eligibility...
Background. The evidence is limited comparing the effects of entertainment-education (E-E) narrative versus nonnarrative interventions to educate and motivate Latinas engage in mammography screening. Aims. This study compared an E-E intervention two interventions’ among on breast cancer knowledge motivation, as measured by changes self-efficacy, behavioral norms, intentions Method. A sample 141 Spanish-speaking was randomly assigned one three arms: video, a educational printed materials....
The COVID-19 pandemic involved business closures (e.g., gyms), social distancing policies, and prolonged stressful situations that may have impacted engagement in health behaviors. Our study assessed changes cancer-related behaviors during the pandemic, specifically physical activity, fruit/vegetable intake, smoking/tobacco use, alcohol consumption. Eight cancer centers administered mailed/web-based/telephone surveys between June 2020 March 2021. Surveys demographics, perceptions on...
Nine National Cancer Institute (NCI)-Designated Centers received supplemental funding to expand community outreach and engagement (COE) activities through a partnership with for Disease Control Prevention (CDC)-funded comprehensive cancer control coalitions. This article reports on an evaluation of these awards focused organizational relationship synergies outcomes. NCI, COE, coalition representatives co-designed the evaluation, which involved document review 18 semi-structured interviews 16...
In this article, we examine perceived breast cancer screening barriers and facilitative conditions for immigrant women from Mexico, Puerto Rico, Cuba, El Salvador, South America ( N = 58). Focus groups conducted separately with of each ancestry were analyzed using grounded theory methods. Identified comprise secrecy, lack information, embarrassment, fear, distrust health care providers. Perceived include knowing the importance early detection noticing a symptom. We compare contrast findings...
Psychosocial and socioeconomic variables are often confounded. The authors combined quantitative with grounded theory analysis to investigate influences of acculturation, status (SES), cultural health beliefs on Mexican-descent women's preventive behaviors. In 5 focus group interviews sampling across levels acculturation SES, women expressing more traditional Mexican about breast cancer screening were lower SES less U.S. acculturated. However, uncorrelated Qualitative generated hypotheses...
Mexican-descent women are at particular risk of late-stage breast cancer diagnosis by being the least likely major U.S. Hispanic subgroups to undergo screening. This grounded theory study investigated how cultural health beliefs regarding causes and nature influence women’s decision participate in Thirty-four (age 49 81) were interviewed five focus groups using theoretical sampling across levels acculturation socioeconomic status. Analysis most prevalent led a discovery that core problem...
The literature on the experiences of Latino caregivers older adults with Alzheimer's disease and related disorders (ADRD) is scarce. Shedding light ethnocultural influences may facilitate providing more culturally appropriate services. purpose this study to explore caregivers' cultural explanatory models caring for an adult ADRD. Seven focus groups are conducted 33 Spanish-speaking in three U.S. states: Florida, Colorado, Minnesota. Standardized group interviews audiotaped, transcribed,...
This study explores whether certain population characteristics are associated with adherence to mammography screening guidelines among Hispanic and non-Hispanic white (NHW) women living in the southwestern United States.
Fifty-eight Latinas participated in focus group interviews to assess their perceptions about screening detect breast cancer (BC). Grounded theory methods helped uncover a cultural explanatory model that explained how and psychosocial dynamics influence BC decisions. According this model, generally perceived as risky behavior. Three themes emerged influenced the amount type of risks: feeling healthy (i.e., etiology illness its nature), indecent behaviors involved screening), threatened...
This grounded theory study investigated how Mexican-descent women's traditional cultural beliefs, values, and norms regarding the propriety of their behavior that health care providers influence decision to participate in breast cancer screening. Thirty-four women (aged 49-81 years old) were interviewed five focus groups using theoretical sampling across levels acculturation socioeconomic status. We discovered basic social-psychological problem is screening an insensitive procedure violates...
The high breast cancer (BC) mortality rates that exist among Hispanic women (Latinas) are a health disparity burden needs to be addressed. Prevention clinical trials burgeoning area of prevention efforts and may serve promote parity. Unfortunately, Latinas, along with other ethnic minority women, continue under-represented in this form research. Previous studies have examined individual barriers minorities' participation, but none assessed community factors contributing Latinas'...
An understanding of how missed class and work are influenced by psychosocial factors is important. The authors collected data from 303 college students through self‐report questionnaires. Moderation analysis indicated that with higher perceived stress, were more likely to miss if they less satisfied social support engaged in avoidant coping strategies. College counselors can provide skills enhance academic performance engagement life.
AbstractThe aim of this article is to illustrate how investigators can use a strength-based model, such as the Community Readiness Model (CRM), help overcome breast health disparities among Latinas living in United States. In effort, I describe CRM study conducted between years 2001 and 2002 four predominantly Latino communities Colorado. First, 19 key informants were interviewed assess their perceived level community readiness encourage participation cancer prevention control activities....
ABSTRACT Low cancer screening participation among medically underserved Latinas is largely due to lack of active referral procedures by health care providers. We explored how physicians' and instruction on parallel discriminates Latinas' cervical practices in the context relevant variables such as sociodemographic characteristics, insurance, history cancer, level acculturation. Of 153 women surveyed, 100 were compliant with yearly Pap smear while 53 not compliant. Discriminant function...
The Latina Breast Cancer Screening (LBCS) was developed to measure Latinas' culturally-shared health beliefs about breast cancer and screening. A 60-item LBCS scale tested with 288 participants reduced 35 items using principal components analyses. 35-item other measures were administered a second sample of 147 establish the scale's validity reliability. six-factor solution suggested six sub-scales. in its entirety displayed strong internal consistency (alpha =.93) adequate estimates...
The purpose of this study was to examine multiple psychosocial factors (social support, negative affect, coping skills, and perceived health status) as moderators stress on illness behavior. College students recruited from undergraduate psychology courses completed measures in an on-line survey. Hierarchical regression analyses indicated that commonly investigated such affectivity, coping, social support moderated the relationship between one behavior (report without visits doctor). However,...
Evidence is lacking to explain the reasons why treatment delayed among disadvantaged Hispanic patients diagnosed with lung and head neck cancers. Data indicate that delays beyond 46 days increase risk of death for individuals these cancers.A mixed-methods design was used explore determinants by analyzing data from medical records 40 interviews 29 patients, caregivers, health care professionals, patient navigators a safety-net hospital.Of 35% initiated or more after being diagnosed, but women...