- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- Opioid Use Disorder Treatment
- HIV/AIDS Research and Interventions
- Migration, Health and Trauma
- Migration, Racism, and Human Rights
- Homelessness and Social Issues
- Migration and Labor Dynamics
- Adolescent Sexual and Reproductive Health
- Sexuality, Behavior, and Technology
- Crime, Illicit Activities, and Governance
- Migration, Education, Indigenous Social Dynamics
- Intimate Partner and Family Violence
- Forensic Toxicology and Drug Analysis
- Substance Abuse Treatment and Outcomes
- Racial and Ethnic Identity Research
- Cannabis and Cannabinoid Research
- Gun Ownership and Violence Research
- Youth, Drugs, and Violence
- Workplace Violence and Bullying
- Legal processes and jurisprudence
- Public Health and Social Inequalities
- Infection Control in Healthcare
- Social Issues and Sustainability
- Child and Adolescent Health
Universidad Mayor
2019-2025
University of Art and Social Sciences
2022-2024
Millennium Engineering and Integration (United States)
2024
University of California, San Diego
2014-2022
University of California System
2016-2021
San Diego State University
2017-2019
Open Society Foundations
2019
Fogarty International Center
2019
Northeastern University
2019
British Columbia Centre on Substance Use
2019
Tema (llenar solo si las ponencias estan agrupadas por tema) Salud con enfoque globalizado a temáticas emergentes (cambio climático, sindemia global, vacunas, disidencias sexuales, racismo, capacidades diferentes: motoras, cognitivas, salud mental, Inteligencia artificial) Introducción Las oportunidades de educación superior femenina han aumentado notablemente en Chile, principalmente la gratuidad. En 2019, el 24, 6% los 210.367 nuestros nacimientos, fueron mujeres 15 24 años, grupo etario...
Introduction Policing practices are key drivers of HIV among people who inject drugs (PWID). This paper describes the protocol for first study to prospectively examine impact a police education programme (PEP) align law enforcement and prevention. PEPs incorporating prevention (including harm reduction programmes like syringe exchange) have been successfully piloted in several countries but were limited brief pre–post assessments; on policing behaviours occupational safety is unknown....
Background Migrant women engaged in precarious employment, such as sex work, frequently face pronounced social isolation alongside other barriers to health and human rights. Although peer support has been identified a critical HIV violence prevention intervention for workers, little is known about access or its role shaping outcomes migrant workers. This article analyses the of vulnerability resilience related HIV/STI among international workers at Mexico-Guatemala border. Methods...
Mexico's 2009 "narcomenudeo reform" decriminalized small amounts of drugs, shifting some drug law enforcement to the states and mandating treatment diversion instead incarceration. Data from Tijuana suggested limited implementation this harm reduction-oriented policy. We studied whether a police education program (PEP) improved officers' syringe policy knowledge, aimed identify participant characteristics associated with improvement knowledge.Pre- post-training surveys were self-administered...
Background Migrant sex workers are often highly marginalized and disproportionately experience health social inequities, including high prevalence of HIV, sexually transmitted infections, human rights violations. In recent years, research involving migrant has increased, yet many knowledge gaps remain regarding how best to protect participant welfare. Our objective was identify key challenges opportunities related the responsible conduct HIV with workers. Methods Focus groups interviews...
Despite reports of high levels violence among women migrants in Central America, limited evidence exists regarding the health and safety migrant sex workers America. This study is based on 16 months field research (November 2012–February 2014), including ethnographic fieldwork, in-depth interviews, focus groups conducted with 52 internal international female Tecún Umán Quetzaltenango, Guatemala, key transit destination communities for both migrants. The analysis explored migration-related...
Police officers are at an elevated risk for needle-stick injuries (NSI), which pose a serious and costly occupational health HIV viral hepatitis. However, research on NSIs among police is limited, especially in low- middle-income countries. Despite the legality of syringe possession Mexico, half people who inject drugs (PWID) Tijuana report extrajudicial syringe-related arrests confiscation by police, has been associated with needle-sharing infection. We assessed prevalence correlates to...
Background: Despite its enormous health and social burden, there are limited published studies describing the epidemiology of violent deaths in Chile. We described mortality rate trends Chile between 2001 2018, current spatial distribution ecological level correlates. Methods: A population-based study using publicly accessible data. calculated age-adjusted rates per 100,000 persons for sex, age, intention, mechanism death. Next, we used linear regression to estimate time sex intention. then...
In 2010, a political and social crisis pushed thousands of Venezuelans out their country; today, seven million live abroad. addition, during the COVID-19 pandemic, border closure increased affected specific vulnerable migration flows, such as trying to migrate Chile through Northern borders. this context, there is little evidence migrants' health status needs, access services, other basic needs (e.g., housing) from human rights perspective. Therefore, we qualitatively explored effects due...
The absence of the right to health migrants in transit has evolved into a significant global concern, particularly border regions thus, this study aims improve knowledge area by exploring effects spatio-temporal liminal characteristics at borders achievement moving across two most transited and dangerous Latin America: Colchane (Chile-Bolivia) Darién Gap (Colombia-Panamá). Through qualitative descriptive multi-case study, we implemented 50 semi-structured interviews (n=30 Chile n=20...
Although human trafficking is recognized as a major rights violation, there limited evidence regarding the vulnerabilities that contribute to female adolescents' risk of being forced or coerced into sex trade. Vulnerabilities such gender-based violence, economic and social inequalities have been shown shape sexual exploitation among adolescents. In-depth interviews (n=18) with current workers who reported deceived trade adolescents (<17 years old) were analysed explore their experiences...
Migrant women are over-represented in the sex industry, and migrant workers experience disproportionate health inequities, including those related to access, HIV sexually transmitted infections (STIs), violence. Despite calls for occupational work interventions situated labour rights frameworks, there remains a paucity of evidence pertaining workers' needs realities, particularly within Mexico Central America. This study investigated narratives regarding ways which structural features...
To assess how instructional techniques affect officers' intent to communicate syringe legality during searches in Tijuana, Mexico, where pervasive confiscation potentiates risk of HIV and HCV among people who inject drugs (PWID) occupational needle-stick injury police.
Mexican law permits syringe purchase and possession without prescription. Nonetheless, people who inject drugs (PWID) frequently report arrest for possession. Extrajudicial arrests not only violate human rights, but also significantly increase the risk of blood-borne infection transmission other health harms among PWID police personnel. To better understand how practices contribute to environment, prior research has primarily examined drug user perspectives experiences. This study focuses on...
Abstract Background Homeless people who use drugs (PWUD) are often displaced, detained, and/or forced into drug treatment during police crackdowns. Such operations follow a zero-tolerance approach to law enforcement and have deleterious impact on the health of PWUD. In Mexico, municipal officers (MPOs) conducted largest crackdown documented at Tijuana River Canal ( Mejora ) dismantle an open market. We analyzed active-duty MPOs’ attitudes rationale, implementation, outcomes crackdown. also...
This study explored perceived benefits and risks of participation in HIV research among 33 female sex workers Tecun Uman, Guatemala. Stigma associated with work was a critical barrier to participation. Key included access HIV/STI prevention testing, as well positive trusting relationships between teams. Control exerted by managers had mixed influences on benefits. Results underscore the need for investigators develop population-tailored procedures reduce stigma, engage managers, reinforce...
Engagement in the HIV care continuum among people living with is essential to prevent ongoing transmission. Although there evidence for need comprehensive approaches (e.g., peer navigation) improve continuum, limited knowledge of how navigation model might work low resource settings Latinx key populations persons who inject drugs, female sex workers, men have men, and transgender women). Therefore, this article aims qualitatively assess members populations' acceptability