A5082122010- Categorization, perception, and language
- Migration, Health and Trauma
- Food Security and Health in Diverse Populations
- Obesity, Physical Activity, Diet
- Global Maternal and Child Health
- Indigenous Studies and Ecology
- Obesity and Health Practices
- Global Cancer Incidence and Screening
- Child Nutrition and Water Access
- Culinary Culture and Tourism
- Poverty, Education, and Child Welfare
- Water resources management and optimization
- Global Health Workforce Issues
- Mental Health Treatment and Access
- Vaccine Coverage and Hesitancy
- Cervical Cancer and HPV Research
- Wastewater Treatment and Reuse
- Eating Disorders and Behaviors
- Psychology of Moral and Emotional Judgment
- Healthcare Systems and Reforms
- Cultural Competency in Health Care
- Global Public Health Policies and Epidemiology
- Environmental Education and Sustainability
- Community Health and Development
- Racial and Ethnic Identity Research
Arizona State University
2014-2023
Universidad Andina del Cusco
2016
Vanderbilt University
2008-2009
Midwifery practice and identity in Guatemala is constantly being transformed because midwives must negotiate their practices response to changing international national health care agendas processes. Recently, the Guatemalan government implemented Sistema Integral de Atención en Salud (SIAS). Framed by neoliberal processes global reproductive paradigms, SIAS designed attain goals outlined 1996 Peace Accords reducing maternal infant mortality rates. As primary birthing specialists rural...
Abstract Water security requires not only sufficient availability of and access to safe acceptable quality for domestic uses, but also fair distribution within across populations. However, a key research gap remains in understanding water inequality its dynamics, which turn creates an impediment tracking progress towards sustainable development. Therefore, we analyse the using data from 7603 households 28 sites 22 low- middle-income countries, measured Household Insecurity Experiences Scale....
This study explores behavioral health professionals’ perceptions of granular data. Semi-structured in-person interviews 20 professionals were conducted at two different sites. Qualitative and quantitative analysis was performed. While most agreed that patients should control who accesses their personal medical record (70%), there are certain types information never be restricted (65%). Emergent themes, including perceived reasons might share or withhold (65%), care coordination (12%),...
Abstract Household survey data from 27 sites in 22 countries were collected 2017–2018 order to construct and validate a cross-cultural household-level water insecurity scale. The resultant Water Insecurity Experiences (HWISE) scale presents useful tool for monitoring evaluating interventions as complement traditional metrics used by the development community. It can also help track progress toward achievement of Sustainable Development Goal 6 ‘clean sanitation all’. We present HWISE scores...
The cultural consensus model (CCM) is a frequently used of diversity, which predicts how individuals from common background would share knowledge in specific domain. Cultural competence, or the degree to an individual agrees with local truth, central concept CCM, and many uses competence estimates rest on assumption that they reflect real variation among their truth. However, Weller has shown even situations where there are no differences underlying competences, CCM will still estimate...
Peru is characterized by high cervical cancer incidence and mortality rates. The country also experiences significant gaps in quality screening coverage for the population.This descriptive mixed methods study conducted Cusco, Peru, aimed to assess attitudes perceptions of medical staff, health care workers, patients toward a program that included both clinic-based community outreach services nongovernmental organization clinic (CerviCusco). explored patient knowledge around about human...
ABSTRACT The predominant hypothesis regarding the ecology of body image suggests that contexts food insecurity foster positive evaluations and preferences for fat bodies as they symbolize wealth, social reproductive success, strength, beauty, fertility. Yet, there are few studies empirically test this relationship or examine how experiences influence perceptions thin bodies. In study, we norms among a group primary schoolchildren in semirural community Central Highlands Guatemala....
Validation studies of self-reported BMI are limited to populations in high-income countries or urban settings. Here, we assess the accuracy two proxy measures measured height, weight and - values Stunkard figure scale a semi-rural population Guatemala.Self-reported selection were elicited prior biometric measurements from total 175 non-pregnant women recruited based on stratified random sample households, with 92 providing full data for validation across measures.86.3% participants 62.3%...
Community Health Workers (CHWs) are central to Primary Care initiatives, serving the essential function of extending access health services in rural communities. In 1997, Guatemalan government implemented Sistema Integral de Atencion en Salud (Integrated System) (SIAS). Central SIAS is guardian salud (health guardian), a CHW whose role refer individuals their communities higher levels care. highly effective recruiting guardianes (guardians), with over 25,000 2003. Yet, there several types...
Abstract As water scarcity increases, we must turn to underutilized sources such as treated wastewater. While work has been done on barriers public acceptance, less undertaken explore motivations that may incentivize adoption of this potential source. Using data collected from respondents in four global sites (in Guatemala, Fiji, New Zealand, and Spain), (1) analyzed how motivators (cost, current future shortages, ecological conservation) influenced respondents' willingness use wastewater...
Water is in a constant state of circulation and reuse. Most reuse unplanned, suggesting significant potential for planned Yet, attempts to implement potable wastewater have often been countered by public resistance. Based mostly on analyses from high-income countries, scholars argued that educating people the technical processes will lead increased acceptance. Our research explores relationship between knowledge treatment technology acceptance direct examines perspectives residents lower...
Cultural competency has increasingly become a central concept in medical education and practice, focusing on recognizing the variation patients' health-related beliefs practices order to improve cross-cultural communication health outcomes. While numerous anthropologists critique cultural concepts, approaches, instruments, there is little research regarding question of how biomedical providers perceive patients from different backgrounds, these perceptions compare with own stated beliefs,...
Guatemala is one of the first countries in Americas to establish community health worker (CHW) programs, and CHWs have served a central role both large‐scale national programs small‐scale nongovernmental organization (NGO) projects. The CHWs, including their training, responsibilities, idealized identities, has never been uniform, fluctuated over time response changing international paradigms, socioeconomic political processes, local‐level power structures expectations position. In this...
We explore potential conceptual and cultural change in folk‐medical models within a Mexican community that may have taken place over the past 30 years. Building on study from 1970s, we effects government‐supported biomedical clinic had content distribution of concepts. Surprisingly, find despite dramatic increase access to biomedicine host socioeconomic shifts opening new medical ideas, knowledge Pichátaro, Michoacán, Mexico has remained largely unchanged with respect its content. Curers...
Objective: Using the draw-and-write methodology, this study examined cross-cultural similarities and differences in children’s perceptions of health. Design: Cross-sectional design. Setting: One public elementary school USA Guatemala. Method: The total sample included 161 children 9–10 years age, 80 81 Children each setting were asked to responses two prompts regarding things that make someone healthy/unhealthy. Responses coded for presence themes topic, statistical tests performed test...
Abstract Causal models are a key element for examining cross‐cultural as well expertise variation in explanatory of illness. Yet, anthropological studies comparing causal often focus on the content these and fail to examine structure role individual features disease. In this article, I analyze diabetes among sample registered nurses lay community members United States Guatemala. Utilizing cause‐by‐cause questionnaire, measure patterns agreement direct interactions between features....
Reproductive preferences and the spread of low fertility norms occupy a key position in debates regarding causal mechanisms underlying sustained declines. Most literature on reproductive focuses stability variability adult preferences, their relationship with behavioural outcomes. Little work has focused developmental origins these particularly populations undergoing rapid social demographic change. This study explores utility integrating ontogeny into accounts We analyse data child...