- HIV/AIDS Research and Interventions
- HIV-related health complications and treatments
- Food Security and Health in Diverse Populations
- COVID-19 and Mental Health
- HIV Research and Treatment
- Child and Adolescent Psychosocial and Emotional Development
- Traumatic Brain Injury and Neurovascular Disturbances
- Vaccine Coverage and Hesitancy
- Health disparities and outcomes
- Health Policy Implementation Science
- Racial and Ethnic Identity Research
- HIV, Drug Use, Sexual Risk
- Migration, Health and Trauma
- Adolescent Sexual and Reproductive Health
- Psychological Well-being and Life Satisfaction
- Maternal Mental Health During Pregnancy and Postpartum
- Intergenerational Family Dynamics and Caregiving
- Public Health Policies and Education
- Social Media in Health Education
- Substance Abuse Treatment and Outcomes
- S100 Proteins and Annexins
- COVID-19 and healthcare impacts
- LGBTQ Health, Identity, and Policy
- Mobile Health and mHealth Applications
- Employment and Welfare Studies
University of Miami
2020-2025
North Downs Hospital
2024
This report introduces the COVID-19 Family Environment Scale (CHES), which aims to measure impact of social distancing due on household conflict and cohesion. Existing measures do not capture experiences relevant pandemic, in families are largely confined their homes while sharing a life-threatening situation. Using best practice guidelines, we developed pool items revised them with review by panel experts, cognitive interviewing community respondents. We administered CHES online survey...
Older Latino persons with HIV (OLPWH) experience early-onset cognitive decline due to specific factors associated accelerated aging as well more established risk like depression, anxiety, and sedentary behavior. Yet, few behavioral interventions improve OLPWH's psychological health have been assessed. Thus, this pilot study evaluated the feasibility, acceptability, preliminary intervention effects of Happy Latinos are Active (HOLA) physical activity promotion on cognition mental among...
Sexual minority adolescents (SMA) in general, and Hispanic sexual (HSMA) particular, report higher levels of substance use, HIV risk behaviors, mental health problems, compared to their non-Hispanic White heterosexual peers. These outcomes are more prominent for SMA HSMA who have parents that unaccepting youth’s orientation. A lack parental acceptance orientation has been positively associated with condomless sex, problems. Lack parent may initiate a process where families struggle come...
Abstract Background The Center for Latino Health Research Opportunities (CLaRO) supports and facilitates research addressing substance abuse, violence/trauma, HIV/AIDS among diverse underserved Latinx populations. CLaRO runs a pilot awards program early-stage investigators conducting health disparities research. This was impacted by the COVID-19 pandemic, necessitating innovative responses continuity. Purpose purpose of this commentary is to describe challenges methods developed in response...
Advance care planning (ACP) is used to prepare patients and caregivers for future "in the moment" decisions at end-of-life. Patients with cancer generally do not engage in all 3 components of ACP (documented living will, health-care surrogate, end-of-life discussions); however, little known about impact these varying levels engagement on postdeath.To examine relationship between caregivers' perceptions decedents' experiences.A secondary analysis 2002 2014 waves Health Retirement Study data...
The COVID-19 pandemic is a worldwide event that has exacerbated stress and caused significant disruptions in the day-to-day living of families. Of particular concern are socially vulnerable families, which have felt impacts most acutely. Because can alter family dynamics, it important to understand stressors impact families most, what resources be leveraged strengthen functioning. current study examined on conflict cohesion households with children compared without children. Additionally, we...
BACKGROUND: Patients with traumatic brain injury (TBI) experience a variety of physical, cognitive, and affective symptoms. However, the evolution symptoms, especially during 3- to 12-month convalescence period (when recovery function is still possible), understudied. OBJECTIVE: This study aims identify symptoms relationships functional outcomes that occur after TBI. METHODS: Participants who were 3 12 months post-TBI recruited from South Florida TBI clinic May 2022 June 2023. Clinical data...
The COVID-19 pandemic has dramatically altered the functioning of households. Because vulnerability high-risk groups, such as older adults and people with compromised immune systems, households caring for these vulnerable may be facing elevated levels caregiving-related stress burden. current study sought to examine impact on conflict cohesion in requiring caregiving versus noncaregiving
This article explores HIV awareness and prevention in a Latinx seasonal farmworker community of south Miami-Dade County the USA. The study took place as part larger assessment that aimed to determine needs resources related substance abuse, violence communities County, with particular focus on fathers' their male sons' relationships. collected data knowledge prevention, healthcare-seeking behaviours, cultural norms, communication barriers about between fathers sons. Data were through...
ABSTRACT IMPACT: Understanding the needs and barriers or facilitators to participation in research, especially among minority communities is critical not only for COVID-19 research but also future clinical translational health disparities studies. OBJECTIVES/GOALS: The overall goal of this project enhance education, awareness, access, inclusion underserved across Florida Black Hispanic groups that are disproportionately affected by COVID-19. METHODS/STUDY POPULATION: Through strategic...
Background: Mothering in the context of mental disorders presents with multiple challenges. However, this phenomenon is poorly understood: It not known how child caregiving affects health their mothers. Aims: The purpose study was to examine associations between load and indicators mothers receiving outpatient behavioral services for or substance use disorders. Method: A total 172 (80% Hispanic/Latina) completed surveys on physical health, children’s behaviors medical problems. Child...
During the Spring of 2021 in Miami-Dade County, four virtual focus groups were held with 31 participants from diverse local Latinx communities as part Florida Community Engagement Alliance (FL-CEAL) Against COVID-19 Disparities project. The main objective was to explore attitudes about information and prevention strategies among South Florida's populations, across a broad geographical area. study used semi-structured group qualitative design chose well established neighborhoods. Participants...
Background Older Latino adults with HIV are at increased risk for mild cognitive impairment and earlier onset of aging-related decline. Improvements in functioning outcomes possible among people who adopt health promotion behaviors. However, interventions older have not been extensively used or widely recognized as viable treatment options. Happy Latinos Active (HOLA) is a multicomponent, intervention that uniquely tailored HIV. Objective This study aims to (1) determine the feasibility...
Neuroinflammation is an important feature of traumatic brain injury (TBI) that remains poorly understood in the 3- to 12-month period post-TBI.
<title>Abstract</title> Background The ongoing humanitarian crisis in Venezuela has triggered a substantial migration exodus, with Peru emerging as primary destination for Venezuelan refugees. Since 2016, approximately 1.8 million Venezuelans have migrated to Peru, resulting significant challenges both the migrants and host country. Objectives This study, conducted 2020–2021, investigates interrelation between discrimination, mental health, access healthcare services among women residing...
Health risk behaviors continue to disproportionately affect Hispanic youth. Despite the existence of successful family and school-based interventions, there is a need for developing testing individually-based preventive interventions that are easily accessed widely disseminated. Therefore, this study aimed develop prototype (proof concept) an individual-level mobile application (app), informed by parents adolescents, prevent/reduce drug use sexual among An iterative user-centered approach...
Parenting stress is common and may lead to worsening health, particularly in the context of other risk factors such as mental disorders or a history abuse. This study investigated how parenting-related impacts effect abuse experiences on health among mothers with disorders. Survey data was analyzed from 172 predominantly Hispanic receiving outpatient behavioral services. Most (80.2%) had experienced Those reporting childhood 3.82 greater odds experiencing adulthood. Findings demonstrated...
The current cross-sectional study examined the effect of coronavirus disease 2019 (COVID-19) household isolation on conflict and cohesion in one-, two-, three-generation households with older adults (aged ≥65 years). Participants were 757 ≥18 years) at least one adult their household. Respondents from 51 countries. Study variables measured COVID-19 Household Environmental Scale. Non-parametric tests used to assess differences between groups. Most participants (n = 437, 57.7%) lived homes....