- HIV, Drug Use, Sexual Risk
- Substance Abuse Treatment and Outcomes
- Opioid Use Disorder Treatment
- HIV/AIDS Research and Interventions
- Mental Health Treatment and Access
- Child and Adolescent Psychosocial and Emotional Development
- Health Policy Implementation Science
- Hepatitis C virus research
- Posttraumatic Stress Disorder Research
- Criminal Justice and Corrections Analysis
- Prenatal Substance Exposure Effects
- HIV Research and Treatment
- Attention Deficit Hyperactivity Disorder
- Child Abuse and Trauma
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Pharmaceutical Practices and Patient Outcomes
- COVID-19 and Mental Health
- Community Health and Development
- Global Public Health Policies and Epidemiology
- Adolescent Sexual and Reproductive Health
- Migration, Health and Trauma
- Spectroscopy and Chemometric Analyses
- Healthcare Decision-Making and Restraints
- Cognitive Functions and Memory
- Maternal and Neonatal Healthcare
University of Puerto Rico, Medical Sciences Campus
2009-2024
University of Puerto Rico System
2001-2022
San Francisco General Hospital
2022
Yale University
2022
University of California, San Francisco
2022
LaGuardia Community College
2014
National Development and Research Institutes
2014
New York University
2014
Providence College
2013
The University of Texas MD Anderson Cancer Center
2012
High levels of HIV risk behaviors and prevalence have been reported among Puerto Rican people who inject drugs (PRPWID) since early in the epidemic. Advances prevention treatment reduced (PWID) United States. We examined HIV-related data for PRPWID Rico US Northeast to assess whether disparities continue. Injection drug use as a is still overrepresented Ricans. Lower availability syringe exchanges, abuse treatment, antiretroviral PWID contribute higher incidence. These should be addressed by...
Hepatitis C virus (HCV) is the most common blood-borne chronic viral infection in United States and it over represented incarcerated populations. This study estimates if prison tattooing associated with self reported HCV a probabilistic sample of 1,331 sentenced inmates Puerto Rico prisons anonymously surveyed 2004, who had previously been tested for HCV. Analysis were carried out total among non-injectors (n=796) to control injection drug use (IDU) other confounders. Nearly 60% acquired...
Objective: This study aimed to explore retrospective childhood ADHD symptomatology, psychiatric comorbidity, rates of substance-use disorders (SUD), as well their association with high-risk health behaviors in prison and adverse outcomes. Method: A randomly selected representative sample inmates the Puerto Rico correctional system ( N = 1,179) was assessed Spanish-language Wender Utah Rating Scale (WURS); Composite International Diagnostic Interview (CIDI) modules for lifetime/current major...
Substance use disorders are highly prevalent in community correctional populations, yet these settings frequently ill-equipped to identify and refer offenders community-based treatment services. In particular, corrections staff often opposed the of medication addiction because inadequate knowledge, resources, organizational structures facilitate client linkages evidence-based services.Each NIDA-funded Research Centers recruited 2 criminal justice agencies participate study. Eligibility rules...
Abstract Background It is unclear whether adult offenders with a history of attention deficit hyperactivity disorder (ADHD) are more likely to re‐offend, and if so, in any specific offences. Aim This study aimed examine correlates childhood ADHD symptoms among prisoners. Methods A randomly selected sample 1179 participants from the sentenced population Puerto Rico (USA) reported their violent non‐violent offences, age first arrest re‐offending. Participants completed retrospective measures...
Individuals with a history of heroin dependence are overrepresented in American correctional facilities and 75% inmates drug use disorder do not receive treatment during incarceration or after release. Medication-assisted (MAT) opiate agonists, such as methadone buprenorphine, constitutes standard care; to guide planning for an expansion services facilities, needs assessment was conducted at the Department Correction Rehabilitation (DCR) Puerto Rico (PR). The authors report on research...
HIV/AIDS related stigma remains a major global health issue with detrimental consequences for the treatment and of people (PWHA), especially when manifested by professionals. Research on has successfully documented negative attitudes towards PWHA among However, fewer studies have examined how is behaviorally professionals during clinical interactions. Therefore, this study aimed to: (1) examine behavioral manifestations physicians in training interactions, (2) document interrelation between...
The purpose of this paper is to assess the reliability and validity Spanish version Davidson trauma scale (DTS-S) determine prevalence correlates post-traumatic stress disorder (PTSD) symptoms in a non-clinical random sample prison inmates.Probabilistic samples 1,179 inmates from 26 penal institutions Puerto Rico were selected using multistage sampling design. Population estimates correlations obtained for PTSD, generalized anxiety depression. reliability, factor structure, convergent DTS-S...
Although prevention of opiate overdose has been gaining attention as a harm reduction measure with community drug users, there is scarce information about in prison. In correctional institutions without free environment, awareness events an important public health concern. This study explores the frequency which inmates state penitentiary system report having witnessed It also whether participants who have prison and know someone died from significantly differ those that do not selected...
Objective: The objective of this study was to describe the opinion a group postpartum women about compliance with Ten Steps in hospital intention be certified as Baby Friendly Hospital. Methods: Two hundred (200) age 20 or greater who had delivered healthy full-term baby (37 weeks gestation) participated study. Data were gathered by means semi-structured questionnaire Spanish language. Descriptive and inferential statistics (Chi-square) used for data analysis. Results: Thirty percent (30%)...
The COVID-19 pandemic has created an unprecedented natural experiment in drug policy, treatment delivery, and harm reduction strategies by exposing wide variation public health infrastructures social safety nets around the world. Using qualitative data including ethnographic methods, questionnaires, semi-structured interviews with people who use drugs (PWUD) Delphi-method experts from field sites spanning 13 different countries, this paper compares national responses to substance during...
The prevalence of HIV among U.S. inmates is much greater than in the general population, creating public health concerns and cost issues for criminal justice system. Services Treatment Implementation Corrections protocol NIDA funded Criminal Justice Drug Abuse Studies cooperative tested efficacy an organizational process improvement strategy on improving services correctional facilities. For this paper, we analyzed inmate awareness perceptions services. study used a multi-site (n=28)...
AffiliationsSherry Deren is with the Center for Drug Use and HIV Research, College of Nursing, New York University, York, NY. Camila Gelpí-Acosta LaGuardia Community College, CUNY, York. Carmen E. Albizu-García Graduate School Public Health, University Puerto Rico, San Juan. At time writing, Ángel González Salvador Santiago-Negrón were Administración de Servicios Salud Mental y Contra la Adicción (ASSMCA; Health Anti-addiction Services Administration), Don C. Des Jarlais Mount Sinai Beth Israel,