- Health disparities and outcomes
- Racial and Ethnic Identity Research
- Diabetes Management and Education
- Migration, Aging, and Tourism Studies
- Resilience and Mental Health
- Global Health Care Issues
- Geriatric Care and Nursing Homes
- Chronic Disease Management Strategies
- Healthcare Policy and Management
- Community Health and Development
- Long-Term Effects of COVID-19
- Health, psychology, and well-being
- Urban Transport and Accessibility
- Employment and Welfare Studies
- Cardiac Health and Mental Health
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Workforce Issues
- Aging and Gerontology Research
- Migration, Health and Trauma
- Dementia and Cognitive Impairment Research
- Urban, Neighborhood, and Segregation Studies
- Participatory Visual Research Methods
- Cardiovascular Health and Risk Factors
- COVID-19 and Mental Health
- Diversity and Career in Medicine
Western University of Health Sciences
2024-2025
Ohio University
2021-2024
Hospital Universitario de La Princesa
2020-2023
University of California, Los Angeles
2022
University of Southern California
2021
Institute on Aging
2021
Youngdong University
2020
Intensive Care Society
2020
Pascual Bravo Institution University
2020
San Diego State University
2019
Research highlights the independent roles of neighborhood and psychosocial risk protective factors for accelerated physiological aging. However, combined role allostatic load among Latinx adults in U.S. remains unclear. Informed by Health Disparities Framework, study aims are to: (1) examine direct associations between (cohesion disorder) (loneliness) factors, respectively, trajectories; (2) determine whether family social support moderates association loneliness trajectories. Data ages ≥50...
High allostatic load (AL), a measure of physiological dysregulation, has been linked with premature morbidity and mortality. There is paucity research assessing AL among non-Hispanic Black (NHB) White (NHW) American men various age groups. This study investigated racial differences in NHB NHW adult assessed whether varied by age. Data were drawn from ( n = 232) 246) the Nashville Stress Health Study. was based on sum 10 biomarkers that dichotomized as high (four or more high-risk biomarkers)...
Abstract Background U.S. Hispanics/Latinos experience high lifetime risk for Type 2 diabetes and concurrent psychological depression. This comorbidity is associated with poorer self-management, worse disease outcomes, higher mortality. Syndemic theory a novel social epidemiological framework that emphasizes the role of economic adversity in promoting health disparities. Purpose Informed by syndemic framework, this study explored associations socioeconomic psychosocial (low income/education,...
Latinx adults experience a high burden of dementia. Given that modifiable factors drive dementia disparities, engaging Latinxs in Alzheimer’s disease and related dementias (ADRD) education is critical to address among this aging population. Yet, no studies have documented the role COVID-19 pandemic on Latinxs. This study: (1) elucidates recruitment retention processes targeting for online educational events during pandemic; (2) describes facilitators/barriers participation; (3) offers...
To compare fitness of women with fibromyalgia syndrome (FMS) aged 50+ performance standards associated functional independence in late life.Data came from a longitudinal study tracking physical and cognitive function 93 FMS included the most recent symptoms, activity levels, assessments.Most performed below criterion-referenced for all measures. Nearly 90% percent those < 70 years scored standard lower body strength. Only ~20% respondents old met criteria aerobic endurance. A third over...
Prior research documents accelerated physiological aging among African Americans due to their greater lifetime exposure social and economic adversity. Yet, less is known about the mechanisms through which early life stressors, such as racial discrimination (ELRD), later psychosocial resources, centrality (i.e., importance of Black identity one's sense self), interact shape allostatic load (AL) in adulthood. We evaluate course processes linking ELRD, adult centrality, AL older Americans.
To evaluate the efficacy and safety of two-pill regimen bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) plus darunavir/cobicistat as a switching strategy in heavily treatment-experienced people living with HIV (PLWH).Multicentre, prospective, single-arm pilot clinical trial. Participants were virologically suppressed adults receiving stable antiretroviral at least three pills from drug families due to previous virological failures and/or toxicities no documented resistance...
Objective: To identify which mentoring domains influence publication productivity among early career researchers and trainees whether differs between underrepresented minority (URM) well-represented groups (WRGs). The aspects that promote publication remain unclear. Advancing health equity requires a diverse workforce, yet URM are less likely to publish investigators obtain federal research grants, relative WRG counterparts.Participants: Early biomedical from the National Research...
Substantial evidence documents the protective role of racial identity-or meaning and significance that individuals attribute to race-among Black Americans, yet impact identity on physical health outcomes beyond young adulthood is unclear. To clarify extent which remains influential for across life course, this study investigated (a) direct associations between discrimination, identity, hypertension, (b) whether buffered negative effects (c) these patterns varied among (21-35), middle-aged...
Little is known about promotoras' professional experiences engaging in Latinx health promotion. In this promotora-led community-based participatory study, we purposively recruited and interviewed 30 Spanish-speaking promotoras who worked Los Angeles County had at least 5 years of experience as promotoras. Using a constructivist grounded theory approach, findings revealed self-identified professionals offered unique, insider perspectives. Challenges arose employers viewed volunteer lay...
There is a well-established link between psychosocial risks and psychological health among African American (AA) men. Yet, the sources physical consequences of resilience (i.e., ability to maintain good despite adversity) remain underexplored. Using data from 283 AA men in Nashville Stress Health Study, present study investigated links allostatic load (AL), biological indicator physiological dysregulation. Latent class analysis (LCA) identified distinct profiles comprising eight resources...
Objectives: To investigate the associations between three bodily pain dimensions (intensity, frequency, severity) and depressive symptoms among middle-aged older Latinxs ages 40-94 to determine whether loneliness conditioned pain-depressive associations. Methods: Data are from a community-based study of community-dwelling residents in Florida (N = 527). Multivariable linear regression models assessed impact each dimension on symptoms, controlling for sociodemographic factors. Interactions...
To investigate the availability of Alzheimer's Centers (ACs) in US hospitals.
This essay highlights the interplay between neighbourhood structural environment and perceptions on dementia by articulating how an individual’s perception of neighbourhood, with respect to their individual differences, may provide key insights understand link dementia.
<title>Abstract</title> Background Evidence about the association between global cognitive function and allostatic load, a measure of cumulative wear tear resulting from chronic stress life events, in older adults living rural areas Latin America is limited. This lack knowledge obscures current understanding potentially modifiable risk factors for poor function. Methods We used data 213 who participated EcuAging study, study inland Ecuador. Using blood biomarkers, we derived an index load...
The 2024 International Conference on Aging in the Americas (ICAA) explored cognitive aging, health policy, environmental factors, and migration among Hispanic/Latine populations. event aimed to identify social disparities, institutional roles dementia care, financial support mechanisms for caregivers. A redesigned consensus-building approach using Mentimeter enabled quicker, real-time feedback across four panels: (1) Cognitive Aging, (2) Health Policy Reform, (3) Environment, (4) Migration,...
Abstract Research documents geographic differences in healthcare costs among Latinés living the U.S. Yet by context and dementia status for Latiné subpopulations residing different countries, such as Mexicans México, have been overlooked. Utilizing pooled cross-sectional weighted data of ages 50+ from 2012-2015 Mexican Health Aging Study (n=15,723) 2012-2016 Retirement (n=5,136), we investigated: 1) Associations between costs; 2) Whether moderates context-healthcare relationship. We...
Abstract Allostatic load (AL) measures the cumulative wear and tear resulting from chronic stress life events. Hispanic populations report a higher risk for elevated AL. To diminish health inequities in socially disadvantaged populations, understanding antecedents of AL is essential. Using data Health Retirement Study, this study examines Big-5 personality traits as predictors among middle-aged older adults (age ≥ 50; n: 319). First, conditional growth model was tested where baseline Big...
Abstract There is a well-established link between psychosocial risks and psychological health among African American (AA) men. The sources physical consequences of resilience (i.e., the ability to maintain good despite adversity) remain underexplored. Using data from 283 AA men in Nashville Stress Health Study, present study investigated links allostatic load (AL), biological indicator physiological dysregulation. Latent class analysis (LCA) identified distinct profiles comprised eight...
Abstract Prior research highlights the independent roles of neighborhood and psychosocial risk protective factors for accelerated physiological aging. However, combined role on allostatic load (AL) among middle-aged older Latinx adults in U.S. remains unclear. Utilizing data from ages 50 (n = 319) Health Retirement Study (Time 1 2006/2008; Time 2 2010/2012; 3 2014/2016), this study aimed to examine (perceived physical disorder, social cohesion) (loneliness, support) shaping baseline AL...
Abstract Objective There is limited evidence about cognitive performance of older adults in Kazakhstan, a Central Asian nation that was formerly part the Soviet Union. Our study aims to fill gaps by assessing function and its determinants population Astana city surrounding rural areas. Methods Between 2012 2015, 954 aged 50–74 from urban areas Kazakhstan participated this (response rate: 59%). Trained practitioners administered four neuropsychological tests assess function, including verbal...