A5013608961- Public Health Policies and Education
- Primary Care and Health Outcomes
- Global Health Workforce Issues
- Migration, Health and Trauma
- Food Security and Health in Diverse Populations
- Health disparities and outcomes
- Innovations in Medical Education
- Critical Race Theory in Education
- Viral Infections and Outbreaks Research
- Diabetes Management and Education
- Emergency and Acute Care Studies
- Homelessness and Social Issues
- Community Health and Development
- Maternal Mental Health During Pregnancy and Postpartum
- Healthcare Policy and Management
- Health Policy Implementation Science
- Cardiovascular Health and Risk Factors
- Simulation-Based Education in Healthcare
- Urban, Neighborhood, and Segregation Studies
- Trauma and Emergency Care Studies
- Family and Patient Care in Intensive Care Units
- Diversity and Career in Medicine
- Prenatal Substance Exposure Effects
- Patient Safety and Medication Errors
- Child and Adolescent Health
University of New Mexico
2014-2023
Michigan State University
2022
University of Michigan
2022
Baylor University Medical Center
2020-2022
Baylor Medical Center at Garland
2022
Baylor Scott & White Health
2020
Andrew McDonough B+ Foundation
2018
Robert Wood Johnson Foundation
2014-2015
Foundation Center
2014-2015
National Institute on Minority Health and Health Disparities
2014
Hispanic Americans are often treated as a monolithic ethnic group with single pattern of healthcare utilization. However, there could be considerable differences within this population. We examine the association between use services and Americans'country ancestry or origin, language interview, length time lived in United States.Our data come from Medical Expenditure Panel Survey, nationally representative survey expenditures. Descriptive statistics logistic regression results...
Structural racism causes stark health inequities and operates at every level of society, including the academic governmental entities that support research practice. We argue institutions must invest in actively disrupts racial hierarchies, with leadership from racially marginalized communities scholars. highlight synergies between antiracist principles community-based participatory (CBPR), examine potential for CBPR to promote praxis, illustrate structural barriers offer examples actions...
Abstract Purpose In an era of the COVID‐19 pandemic, improving health outcomes for diverse rural communities requires collective and sustained actions across transdisciplinary researchers, intersectoral partners, multilevel government action, authentic engagement with those who carry burden—rural communities. Methods Drawing from analysis transcriptions documents a national workshop on “State Rural Health Disparities: Research Gaps Recommendations,” this brief report underscores gaps...
ABSTRACT Objective: Legal preparedness is a critical component of comprehensive public health for emergencies. The scope this study was to assess the usefulness combining didactic sessions with tabletop exercise as educational tools in legal preparedness, impact on participants’ level confidence about system, and identify issue areas need further improvement. Methods: scenario pre- postexercise evaluation were designed knowledge gained declaration emergencies, isolation quarantine,...
In this paper we compare health insurance coverage for U.S. citizen children in all-citizen and mixed families the fifteen states with largest share of families. Insurance is lower state variation higher vis-à-vis The main challenges are tackling uninsurance among all low-income addressing very low rates employer-sponsored families, regardless income. We discuss policy options to address needs
Hypertension is a growing public health problem for U.S.–Mexico border Latinos, who commonly experience low levels of awareness, treatment, and control. We report on process evaluation that assessed the delivery Corazón por la Vida, 9-week promotora de salud–led curriculum to help Latinos manage reduce hypertension risks in two rural/frontier counties New Mexico region. Ninety-six adults participated program, delivered three waves communities. program quality, adherence, exposure,...
Research demonstrates a causal link between increased exposure to racial discrimination and adverse health outcomes among diverse ethnic populations in the U.S. However, most research on Latinx communities overlooks how varies according individual accounts of their race is perceived by others. To address this gap, our study draws from critical theory analyze new multi-dimensional measure status – 'street race' its association with experiences. We analyzed data 2015 Latino National Health...
Academic health centers (AHCs) are at the forefront of delivering care to diverse medically underserved and uninsured populations in United States, as well training majority workforce, who professionally obligated serve all patients regardless race or immigration status. Despite AHCs’ central leadership role these endeavors, few consolidated efforts have emerged resolve potential conflicts between national, state, local policies that exclude certain classifications immigrants from receiving...
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Purpose. Historical trauma has been widely applied to American Indian/Alaska Native and other Indigenous populations includes dimensions of language, sociocultural, land losses associated physical mental disorders, as well economic hardships. Insufficient evidence remains on the experiences historical due waves colonization for mixed-race Mexican people with indigenous ancestry (el pueblo mestizo). Research Question. Drawing from our critical lenses epistemic advantages feminist scholars, we...
The emergence of the Latino population as largest and diverse minority group in U.S. presents challenges opportunities for health practitioners, leaders policy makers. Some evidence suggests that Latinos, immigrants particular, exhibit better outcomes than would be expected given their average socio-economic status. Yet, overshadowing this positive outlook are socio-economic, system barriers which disproportionately impact well-being. This paper briefly discusses paradox. It identifies...
This article examines the experience of a frontier-based community health center when it utilized Tool for Health and Resilience in Vulnerable Environments (THRIVE) assessing social determinants with local consortium. Community members (N = 357) rated safety, jobs, housing, education among top issues. leaders integrated these priorities countywide strategic planning process. example frontier county New Mexico demonstrates critical role that centers play engaging residents to assess needs...
Abstract The Clinical and Translational Science Award (CTSA) Program recognizes that advancing diversity, equity, inclusion, accessibility (DEIA) requires moving beyond statements of commitment to transformative actions. In 2021, the CTSA created a Task Force (TF) initiate work in support structural transformational initiatives advance DEIA for consortium its individual hubs. We describe process forming expertise-driven TF our activities date. 1) developed adopted Learning Systems Framework...
Background: Research indicates that up to 65% of emerging infectious diseases are zoonotic. This has contributed the "One World One HealthTM" paradigm which highlights interactions between humans, domestic and wild animals in a shrinking environment. Though OWOH theme gained support within scientific community, formal training integrating medical, veterinary public health practices addressing zoonotic disease is rare. The USAID-funded Stamping Out Pandemic Avian Influenza (STOP AI) global...
About 5% of women are pregnant at substance use disorder (SUD) treatment entry, and with SUD often belong to marginalized groups experiencing social, economic, health care barriers associated stigma from prenatal use. Pregnant in have high rates trauma posttraumatic stress (PTSD). This study sought (1) examine the lived experiences individuals PTSD symptoms (2) understand roles systematic or contextual pursuit abstinence. We draw upon in-depth semi-structured interviews relationships between...
While a growing body of research examines individual factors affecting the prevalence and management hypertension among Latinos, less is known about how socioecological operate to determine health affect implementation interventions in rural communities.We conducted eight focus groups assess perceived risks protective associated with managing Latino adults their family members living two rural/frontier counties U.S.-Mexico border region. This analysis part larger study, Corazon por la Vida...
This pilot study examined associations between prenatal individual and socioenvironmental determinants of health symptoms perinatal maternal distress (PMD) in women enrolled midwifery practice living a rural state. Pearson's correlations predictors PMD scores were calculated. Having experienced emotional abuse one's lifetime, total number past year stressors, everyday discrimination score all statistically significant at enrollment follow-up. Result suggest shifting to multi-symptom, life...