A5004969112- Migration, Health and Trauma
- Child Abuse and Trauma
- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Child and Adolescent Health
- Smoking Behavior and Cessation
- Racial and Ethnic Identity Research
- Food Security and Health in Diverse Populations
- Global Health Workforce Issues
- Obesity, Physical Activity, Diet
- Homelessness and Social Issues
- Health Systems, Economic Evaluations, Quality of Life
- Cervical Cancer and HPV Research
- Cannabis and Cannabinoid Research
- Childhood Cancer Survivors' Quality of Life
- Global Maternal and Child Health
- Vaccine Coverage and Hesitancy
- Health disparities and outcomes
- Neuroscience of respiration and sleep
- Climate Change and Health Impacts
- Health Literacy and Information Accessibility
- Family Support in Illness
- Ethics and Legal Issues in Pediatric Healthcare
- Neonatal Respiratory Health Research
- Child Abuse and Related Trauma
University of Maryland, College Park
2017-2025
University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center
2022-2025
University of Maryland, Baltimore
2022-2025
New York Institute of Technology
2024
Stony Brook University
2017-2022
Stony Brook Medicine
2017-2021
Stony Brook School
2021
General Department of Preventive Medicine
2018-2020
Drexel University
2017-2020
University of Virginia
2016-2019
<h3>Importance</h3> The circumstances surrounding the 2016 US presidential election have been proposed as a significant stressor in lives of Latino population. Few studies to date, however, evaluated population health implications for Latina mothers and their children. <h3>Objective</h3> To determine whether preterm births (gestational age, <37 weeks) among women increased above expected levels after election. <h3>Design, Setting, Participants</h3> In this national population-based study,...
Abstract Purpose To document cancer‐related health disparities in Appalachia. Methods The current study investigated cancer incidence, mortality, and staging between rural Appalachians those living outside of accomplish this, mortality data for the United States from 1969 to 2011 were obtained National Center Health Statistics (NCHS) using SEER * Stat. These used compare trends Appalachians, urban non‐Appalachians, non‐Appalachians. Cancer incidence trends, staging, survivorship compared...
<h3>Introduction:</h3> In the United States, Latinos have poorer access to and utilization of health care than non-Latino whites. The Patient Protection Affordable Care Act (ACA) may reduce these disparities. ACA9s impact among Latino subgroups is unknown. <h3>Methods:</h3> Using 2011 2015 National Health Interview Survey, we examined by (18–64 years old). Subgroups were defined heritage group, citizenship status, language use. Measures included insurance delaying medical care, forgoing...
Adverse childhood experiences (ACEs) have been associated with a variety of negative health outcomes. However, the association between ACEs and access utilization care largely ignored. This study examined data from 2011 Behavioral Risk Factor Surveillance System (N = 101 527). We conducted logistic regression analyses, nine as independent variables, in relation to odds being insured, having personal provider receiving physician checkup past year. Unadjusted adjusted multivariable models were...
Millions of adults have gained insurance through the Affordable Care Act (ACA). However, disparities in access to care persist.This study examined differences primary and specialty among patients insured by private individual market plans (both on-exchange off-exchange) Medicaid compared with those employer-sponsored insurance.Using data from 2014 2015 California Health Interview Survey, logistic regression analyses were used calculate odds being unable providers, providers receive a needed...
To evaluate variations in the use of adjuvant endocrine therapy (AET) by race and geography, this research examined their influence on initiation adherence to AET female Medicare enrollees with breast cancer, diagnosed between 2007 2011. Using SEER (Surveillance, Epidemiology, End Results Program)-Medicare data from 2001, logistic regressions random intercept for county residence were used predict during 1st year assessed medication possession ratio (MPR) after a sample fee-for-service...
Adverse childhood experiences (ACEs) have been associated with an increased risk of a variety diseases, including cancer. However, research has largely ignored how ACEs impact cancer screening, potential intermediate outcome. As such, the present study examined association between and ever recent use Papanicolaou (Pap) test, among women aged 21 older.Analyses used 2009 Tennessee Behavioral Risk Factor Surveillance System (n = 1527) to model odds recently (within last 3 years) engaging in Pap...
Adverse childhood experiences (ACEs) have been associated with poor health and underuse of preventive services. However, less is known about how ACEs are quality care that children receive, like involves shared decision-making. Using data from the 2021-2022 National Survey Children's Health (n = 47 179) association between ACEs, both individual cumulative (1) needing medical decisions made in past 12 months (2) three different measures always receiving involved Logistic regression models...
Little research has examined the interactive effect of cancer status and race/ethnicity on mental health. As such, present study health adults, 18 over, diagnosed with cancer. This extent to which a diagnosis is related poorer because it erodes finances impact differs across racial/ethnic groups. Furthermore, this aimed test stress process model, posits that proliferation can lead illness differ
Cardiovascular disease (CVD) is the leading killer of Americans. CVD understudied among Latinos, who have high levels risk factors. This study aimed to determine whether access health care (ie, insurance status and having a usual source care) associated with 4 prevention factors utilization, screening, information received from providers, lifestyle factors) Latino adults evaluate associations depended on clinical risk/disease. Data were collected as part community-engaged food environment...
<h3>Introduction:</h3> Screening for adverse childhood experiences (ACEs) in the clinical setting is set to become more commonplace with continued efforts reimburse clinicians screening. However, an examination of disparities ACEs screening and related attitudes beliefs needed. <h3>Methods:</h3> Using 2021 California Health Interview Survey (CHIS), this study examined if several measures socioeconomic status, access care identities were associated 3 outcomes: 1) getting screened by a...
We use data from the 2011-2016 National Health Interview Survey to examine how Patient Protection and Affordable Care Act (ACA) has influenced disparities in health care-related financial strain, access care, utilization of services by categories Federal Poverty Level (FPL). multivariable regression analyses determine ACA's effects on these outcome measures, as well changes measures varied across different FPL levels. find that national implementation insurance expansion provisions 2014 was...
This study examined differences in access, utilization, and barriers to health care by nativity, language spoken at home, insurance status East Los Angeles Boyle Heights, California. Data from household interviews of neighborhood residents conducted as part a corner store intervention project were used. Binary multinomial logistic regression models fitted. Results showed that uninsured foreign-born individuals differentially affected lack access utilization care. While the Affordable Care...