- Migration, Health and Trauma
- Vaccine Coverage and Hesitancy
- Cervical Cancer and HPV Research
- Hepatitis B Virus Studies
- Child and Adolescent Health
- Homelessness and Social Issues
- Global Health Workforce Issues
- Food Security and Health in Diverse Populations
- Hepatitis Viruses Studies and Epidemiology
- Global Cancer Incidence and Screening
- SARS-CoV-2 and COVID-19 Research
- Childhood Cancer Survivors' Quality of Life
- Genital Health and Disease
- COVID-19 epidemiological studies
- Pancasila Values in Education
- Media, Gender, and Advertising
- Obesity, Physical Activity, Diet
- COVID-19 and healthcare impacts
- Gender, Feminism, and Media
- Comics and Graphic Narratives
- Viral gastroenteritis research and epidemiology
- Educational Research and Methods
- Disaster Response and Management
- Interpreting and Communication in Healthcare
- Ethics and Legal Issues in Pediatric Healthcare
Royal Albert Edward Infirmary
2025
University of Washington
2018-2024
Seattle Indian Health Board
2018-2024
Harborview Medical Center
2018-2024
Seattle University
2022
Amoud University
2021
Little is known about COVID-19 vaccination intentions among refugee communities in the United States. The objective of this study was to measure a sample refugees States and reasons for their vaccine acceptance or hesitancy.From December 2020 through January 2021, we emailed text messaged anonymous online surveys 12 bilingual leaders Afghan, Bhutanese, Somali, South Sudanese, Burmese We asked community complete survey share link with members who met inclusion criteria (arrived as refugees,...
HPV vaccine studies in East African communities are few and focus mainly on Somali women girls. We examined how perceptions uptake shaped among Somali, Ethiopian, Eritrean mothers. convened three groups Amharic, Tigrinya with mothers of 11–17 year old children. The Socio-Context Framework (social, cultural, religious factors) Andersen's Behavioral Model (predisposing, enabling, need for care informed question development. Negative perceptions, lack knowledge, concerns about side effects...
To develop and evaluate an online continuing education (CE) course designed to improve healthcare provider self-efficacy make strong adolescent HPV vaccine recommendations East African immigrant families. Focus groups with providers mothers informed development. Providers serving families were recruited view the complete pre-/post-test two-month follow-up surveys. Pre-/post differences compared paired t-tests. 202 completed pre-/post-test; 158 (78%) follow-up. Confidence increased from 68%...
Exploitation and labor sex trafficking of children adolescents is a major public health problem in the United States throughout world. Significant numbers US non-US–born (including unaccompanied immigrant minors) are affected by this growing concern may experience range serious physical mental problems associated with human exploitation (T/E). Despite these considerations, there limited information available for care providers regarding nature scope T/E how help recognize protect...
Human papillomavirus (HPV) self-collect shows promise to increase cervical cancer screening rates in underscreened populations, such as Somali patients, but little is known about how integrate an approach primary care. In this study, care providers and staff who provide services women were asked for their views on integrating HPV into routine address disparities. Thirty participated semi-structured interviews exploring anticipated needs or barriers implementing the clinic generally with...
BACKGROUND AND OBJECTIVES Ensuring equitable vaccination access for immigrant communities is critical guiding efforts to redress health disparities, but vaccine coverage data are limited. We evaluated childhood by parental birth country (PBC) through the linkage of Washington State Immunization Information System and records. METHODS conducted a retrospective cohort evaluation children born in from January 1, 2006 November 12, 2019. assessed up-to-date status measles, mumps, rubella (MMR),...
In our increasingly multicultural society, providing sensitive and respectful pediatric palliative care is vital.We held a one-day workshop conference with stakeholders clinicians to identify suggestions for navigating conflict when cultural differences are present informing standard delivery.Participants explored cases in one of four workshops focused on based race/ethnicity, economic disparity, religion/spirituality, or family values. Each was facilitated by two authors; separate...
Abstract Background Human Papillomavirus (HPV) vaccine uptake is low among East African adolescents in the US. Adolescents’ preferences influence HPV decisions, yet few interventions exist that address adolescents’ beliefs about vaccines. We describe a multi-step process on how to create theory-based comic book by integrating empirical findings, theory and focus group data from parents Methods Our multi-methods included conducting groups with Somali, Ethiopian, Eritrean mothers ( n = 30)...
<h3>Context:</h3> Despite it being the fourth most common cancer in women, many Somali American women do not receive routine screening for cervical cancer. HPV-only testing is effective and recommended by U.S. guidelines. Self-sampling (HPV self-collect) may be more acceptable than clinician-sampling, has potential to address disparities affecting women. <h3>Objective:</h3> Understand women's experiences of views on HPV self-sampling. <h3>Study Design Analysis:</h3> Focus group transcripts...
Background: Immigrant families arrive in the US from a variety of nutritional landscapes and educational experiences. Early childhood is key time to intervene set children on healthy path. Creating education programs tailored for immigrant may improve nutrition health outcomes.