Jose G Perez-Ramos

Community Perceptions of Integrating Community Health Workers and Telehealth Services for Chronic Disease Management in a Rural Island Community: A Qualitative Study

Jose G Perez-Ramos, Scott McIntosh, Joselyn Wei Chen, Jessica Alicea-Vellon et autres

Background: Rural and isolated communities, such as Culebra, Puerto Rico, face significant health care challenges due to geographic isolation, limited medical resources, and socioeconomic disadvantages. Chronic diseases, particularly diabetes and hypertension, are highly prevalent and contribute to poor health outcomes. Telehealth services …

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“I prefer a doctor on camera than none at all”: Participants’ Perspectives on the Implementation of Integrated Telehealth and Community Health Workers Services to Improve Access to Healthcare in Rural Communities

Jose G Perez-Ramos, Scott E. McIntosh, Joselyn Wei Chen, Jessica Alicea-Vellon et autres

ABSTRACT Background Rural and isolated communities, such as Culebra, Puerto Rico, face significant healthcare challenges due to geographic isolation, limited medical resources, and socioeconomic disadvantages. Chronic diseases, particularly diabetes and hypertension, are prevalent and contribute to poor health outcomes. Telehealth services (THS) …

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Cultural Adaptation of Child Discipline Measures for Puerto Rican Mothers: Enhancing the Cultural Sensitivity of Parenting Assessments

Jahaira Capellán, Hugh F. Crean, Susan W. Groth, Maria M Quiñones-Cordero et autres

BACKGROUND/OBJECTIVES: Puerto Ricans (PRs) face significant challenges in accessing essential parenting resources and support due to language barriers and lack of culturally appropriate healthcare services, perpetuating health disparities. Cultural adaptation of psychosocial measurement tools is crucial for promoting health equity and improving …

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¿De Dónde Eres? Latine Identity and Representation in Health Statistics

Mary Louise Mitsdarffer, Anna-Michelle Marie McSorley, Elizabeth M. Rojo, Jose G Perez-Ramos

recent work reveals evidence to the contrary.Despite US-born and foreign-born Latines' long life spans, they suffer in disease states longer, with comparable health risks to the Black population.13 Empirical and theoretical approaches that support such generalizations mask the disparities experienced by the …

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Social Justice Is Overdue for Puerto Rican Mothers

Cynthia Nicole Lebron, Jose G Perez-Ramos, Nancy R. Cardona-Cordero, Vanessa Morales et autres

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COVID-19 Vaccine Equity and Access: Case Study for Health Care Chatbots

Jose G Perez-Ramos, Mariela León-Thomas, Sabrina L Smith, Laura Silverman et autres

BACKGROUND: Disparities in COVID-19 information and vaccine access have emerged during the pandemic. Individuals from historically excluded communities (eg, Black and Latin American) experience disproportionately negative health outcomes related to COVID-19. Community gaps in COVID-19 education, social, and health care services (including …

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COVID-19 Vaccine Equity and Access: Case Study for Health Care Chatbots (Preprint)

Jose G Perez-Ramos, Mariela León-Thomas, Sabrina L Smith, Laura Silverman et autres

BACKGROUND Disparities in COVID-19 information and vaccine access have emerged during the pandemic. Individuals from historically excluded communities (eg, Black and Latin American) experience disproportionately negative health outcomes related to COVID-19. Community gaps in COVID-19 education, social, and health care services (including …

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How Is Colonialism a Sociostructural Determinant of Health in Puerto Rico?

Jose G Perez-Ramos, Adriana María Garriga-López, Carlos E. Rodríguez-Díaz

Puerto Rico is experiencing a public health crisis driven by effects and processes of US colonialism in the archipelago, such as the exclusionary application of federal health policy, an exodus of health care professionals, and the long-term effects of unequal distribution of …

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Predictors of Secondhand Smoke Exposure During Pregnancy in Costa Rica, the Dominican Republic, and Honduras

Zahíra Quiñones Tavárez, Dongmei Li, Scott E. McIntosh, Esteban Avendaño et autres

INTRODUCTION: Secondhand smoke (SHS) exposure poses risks to pregnant women and children. Though smoking among pregnant women in many low- and middle-income countries is low, exposure to SHS might be higher. We examined the prevalence and predictors of SHS among pregnant women …

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Science, healthcare system, and government effectiveness perception and COVID-19 vaccination acceptance and hesitancy in a global sample: an analytical cross-sectional analysis

Timothy Dye, Monica Barbosu, Shazia Siddiqi, Jose G Perez-Ramos et autres

BACKGROUND: Determinants of COVID-19 vaccine acceptance are complex; how perceptions of the effectiveness of science, healthcare and government impact personal COVID-19 vaccine acceptance is unclear, despite all three domains providing critical roles in development, funding and provision, and distribution of COVID-19 vaccine. …

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“Y no quedó nada, nada de la casa, todo salió volando” (And there was nothing left, nothing of the house, everything flew away): a critical medical ecological perspective on the lived experience of hurricane María in Puerto Rico

Denisse Vega Ocasio, Jose G Perez-Ramos, Timothy Dye

BACKGROUND: Ecological disasters create dramatic changes as man-made and natural ecosystems adapt to their effects. In 2017, Hurricanes Irma and María devastated Puerto Rico. Public focus after such traumatic ecological events often neglects pre-existing community dynamics, heterogeneity of lived experience, and complexity …

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Participation in genetic research among Latinx populations by Latin America birth-residency concordance: a global study

Timothy Dye, Zahíra Quiñones Tavárez, Jose G Perez-Ramos, Isabel Diana Fernandez et autres

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