Article
Oncology
Carl S. Winkler, John C. Hardaway, M. Erkan Ceyhan, N. Joseph Espat, Abdul Saied Calvino
Summary: This study evaluated colonoscopy utilization among Hispanic patients with a culturally tailored patient navigation program, showing an 85% completion rate of colonoscopy with no difference between males and females. Implementation of a CTPNP is an effective intervention to improve the CC rate and eliminate the historical gender gap in utilization among Hispanic patients.
Article
Urology & Nephrology
Helen Y. Hougen, Oleksii A. Iakymenko, Sanoj Punnen, Chad R. Ritch, Bruno Nahar, Dipen J. Parekh, Oleksandr N. Kryvenko, Mark L. Gonzalgo
Summary: This study investigated the outcomes of radical prostatectomy in Hispanic men with prostate cancer. The results showed that Hispanic men had similar rates of upgrading and adverse pathology outcomes as non-Hispanic white men. Race/ethnicity was not found to predict upgrading or worse oncologic outcomes after prostatectomy.
WORLD JOURNAL OF UROLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Josep Iglesies-Grau, Rodrigo Fernandez-Jimenez, Raquel Diaz-Munoz, Risa Jaslow, Amaya de Cos-Gandoy, Gloria Santos-Beneit, Christopher A. Hill, Alexandra Turco, Daniella Kadian-Dodov, Jason C. Kovacic, Zahi A. Fayad, Valentin Fuster
Summary: Non-Hispanic Black individuals are at greater risk of cardiovascular events compared to other racial/ethnic groups, and they appear to be more vulnerable to early subclinical atherosclerosis in young adults, even after adjusting for traditional cardiovascular risk factors and lifestyle factors.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Public, Environmental & Occupational Health
Lindsay Fernandez-Rhodes, Nicole M. Butera, Evans K. Lodge, Nora Franceschini, Maria M. Llabre, Elva M. Arredondo, Linda C. Gallo, William Arguelles, Frank J. Penedo, Martha L. Daviglus, Carmen R. Isasi, Paul Smokowski, Penny Gordon-Larsen, Allison E. Aiello, Krista M. Perreira, Daniela Sotres-Alvarez, Kari E. North
Summary: The study found that demographic and sociocultural factors were associated with the pattern of adulthood weight gain in a diverse sample of US Hispanic/Latinos. The rate of weight gain was nearly 10 kg per decade in early adulthood, but slowed to less than 5 kg per decade among individuals aged 60 and above.
Article
Oncology
Susana Echeverri-Herrera, Molly A. Nowels, Bo Qin, Irina B. Grafova, Nur Zeinomar, Dhanya Chanumolu, Paul R. Duberstein, Elisa Bandera
Summary: This study investigates the association between spirituality and financial toxicity in Hispanic breast cancer survivors. The results show that spirituality scores are inversely associated with financial toxicity, suggesting that spirituality may play a positive role in alleviating the detrimental effects of financial toxicity.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Public, Environmental & Occupational Health
Erik J. Rodriquez, Saida Coreas, Linda C. Gallo, Carmen R. Isasi, Christian R. Salazar, Frank C. Bandiera, Shakira F. Suglia, Krista M. Perreira, Rosalba Hernandez, Frank Penedo, Gregory A. Talavera, Martha L. Daviglus, Eliseo J. Perez-Stable
Summary: Unhealthy behaviors partially moderated the relationship between chronic stress and future elevated depressive symptoms among Hispanic/Latino participants.
SSM-POPULATION HEALTH
(2021)
Editorial Material
Oncology
Carl H. Rush, Denise Octavia Smith, Durrell J. Fox, Ashley Wennerstrom
Summary: The roles of patient navigators (PNs) and community health workers (CHWs) have different origins and developmental paths in the United States. Despite evidence of CHWs’ effectiveness since the 1960s, their professional identity and national representation have lagged behind that of PNs. Challenges such as limited funding and support have hindered the progress of CHWs. The establishment of the National Association of Community Health Workers (NACHW) provides new opportunities and a platform for CHWs to advance their profession and elevate their status. NACHW plays a crucial role in improving federal funding, sustaining resources for CHWs and their organizations, and driving equity in the rebuilding of public health infrastructure and health systems.
Article
Behavioral Sciences
Madison N. LeCroy, Yasmin Mossavar-Rahmani, Xiaonan Xue, Tao Wang, Linda C. Gallo, Krista M. Perreira, Melawhy L. Garcia, Taylor L. Clark, Martha L. Daviglus, Linda Van Horn, Franklyn Gonzalez, Carmen R. Isasi
Summary: This study aimed to determine the correlation of diet quality between Hispanic/Latino siblings and whether social and environmental factors explained potential differences. The results showed a slight correlation in overall diet quality scores among Hispanic/Latino siblings, with stronger correlations observed among siblings closer in age. Differences in peer support and consumption of food outside the home may contribute to the variations in siblings' diet quality.
Article
Oncology
Ken Batai, Yuliang Chen, Brenna A. Rheinheimer, Amit Arora, Ritu Pandey, Ronald L. Heimark, Erika R. Bracamonte, Nathan A. Ellis, Benjamin R. Lee
Summary: This study examined molecular variations in clear cell renal cell carcinoma (ccRCC) in non-Hispanic White (NHW) and Hispanic patients and their effect on gene expression and overall mortality. The results showed that NHWs had higher frequency of VHL gene mutations, while Hispanics had higher frequency of the ccA subtype. Additionally, differential gene expression was observed between high- and low-grade tumors, and patients with the ccB subtype had significantly increased risk of mortality.
Article
Oncology
Beth Savage, Peter D. Cole, Haiqun Lin, Charlotte Thomas-Hawkins
Summary: This study examined the relationship between race/ethnicity and pancreatitis in children hospitalized with acute lymphoblastic leukemia in the United States in 2016. Hispanic children were found to be at greater risk of pancreatitis compared to white children, while no significant differences were observed among black, Asian, or other-race children.
Article
Public, Environmental & Occupational Health
Nachiket Mor, Bindu Ananth, Viraj Ambalam, Aquinas Edassery, Ajay Meher, Pearl Tiwari, Vinayak Sonawane, Anagha Mahajani, Krisha Mathur, Amishi Parekh, Raghu Dharmaraju
Summary: Comprehensive primary care is crucial for a good healthcare system. A new approach is needed for developing countries as the traditional British GP model is not feasible. The evolution of the community health worker model may offer a solution.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Public, Environmental & Occupational Health
Chikosa Ngwira, Susannah H. Mayhew, Eleanor Hutchinson
Summary: This study examines the agency of Health Surveillance Assistants in Malawi, finding that their decision-making space is shaped by both health system structures and informal community structures. The flexibility and coping mechanisms of HSAs allow them to provide integrated maternal and child health services effectively. It is argued that HSAs should be fully involved in the design of community-level integrated health programmes to enhance their ability to deliver essential health services.
SOCIAL SCIENCE & MEDICINE
(2021)
Article
Oncology
Patricia A. Valverde, Lisa Kennedy Sheldon, Sharon Gentry, Andrea J. Dwyer, Elba L. Saavedra Ferrer, Patrick D. Wightman
Summary: The impact of COVID-19 on cancer care was significant, but patient navigators demonstrated resilience and adaptability, playing a crucial role during the pandemic. Patient navigators provided supportive services and built trust by helping economically and socially marginalized patient populations.
Article
Health Care Sciences & Services
Rogerio Meireles Pinto, Rahbel Rahman, Margareth Santos Zanchetta, W. Galhego-Garcia
Summary: The study found that community health workers in Brazil's Family Health Strategy apply narrative medicine concepts by providing health education to patients through compassion, patience, trust, and attentiveness. However, they lack credibility in colleague relationships with physicians, impacting their effectiveness negatively. They also mobilize patients civically and politically to address emerging health care and prevention needs in society, while possibly experiencing low self-esteem and the need for self-care practices in their personal relationships.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
Sharon Attipoe-Dorcoo, Sajal K. Chattopadhyay, Jacob Verughese, Donatus U. Ekwueme, Susan A. Sabatino, Yinan Peng
Summary: The Community Preventive Services Task Force recommends engaging community health workers to increase breast, cervical, and colorectal cancer screenings due to evidence of cost effectiveness. Specifically, studies have shown significant benefits in terms of cost savings and increased quality-adjusted life years saved for cervical and colorectal cancer screenings.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2021)
Article
Medicine, Research & Experimental
Barcey T. Levy, Jeanette M. Daly, Yinghui Xu, Seth D. Crockett, Richard M. Hoffman, Jeffrey D. Dawson, Kim Parang, Navkiran K. Shokar, Daniel S. Reuland, Marc J. Zuckerman, Avraham Levin
Summary: This study aims to evaluate the effectiveness of FITs in detecting ACN, using colonoscopy as the gold standard. A total of 3600 individuals aged 50 to 85 with diverse racial and ethnic backgrounds were recruited, with complete data from 2990 individuals. Results will be presented upon study completion.
CONTEMPORARY CLINICAL TRIALS
(2021)
Article
Multidisciplinary Sciences
Bhaskar Thakur, Pallavi Dubey, Joseph Benitez, Joshua P. Torres, Sireesha Reddy, Navkiran Shokar, Koko Aung, Debabrata Mukherjee, Alok Kumar Dwivedi
Summary: COVID-19 patients commonly have comorbidities such as hypertension, obesity, diabetes, and cardiovascular disease, with chronic kidney or other renal diseases, cerebrovascular accident, and cardiovascular disease associated with higher severity and mortality rates. There is considerable variation in comorbidity prevalence, severity, and mortality across different geographic regions, with the highest mortality observed in Latin American and European patients, particularly older adults and males. Risk stratification and control strategies for COVID-19 should consider comorbidities, age, and gender differences specific to geographical location.
SCIENTIFIC REPORTS
(2021)
Editorial Material
Primary Health Care
Peter Seidenberg, Navkiran Shokar, Jessie Vera, Amanda Weidner, Julie Sutter
ANNALS OF FAMILY MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
Jessica Calderon-Mora, Adam Alomari, Theresa L. Byrd, Navkiran K. Shokar
Summary: This study evaluated the impact of an online-delivered, theory-based narrative video on cervical cancer screening knowledge, attitudes, and beliefs in a predominantly Latino community. The culturally appropriate narrative video was found to effectively improve knowledge and psychosocial variables among Latinas, indicating that health promotion interventions online could be effective for improving desired health behavior through educational dissemination on websites and social media.
HEALTH PROMOTION PRACTICE
(2022)
Article
Public, Environmental & Occupational Health
Stella Winters, Adam Alomari, Gurjeet Shokar, Charmaine Martin, Alok Dwivedi, Navkiran K. Shokar
Summary: Breast cancer incidence and mortality rates among Hispanic women in the USA are lower overall, but rising faster and declining less than other ethnic groups. A study of economically disadvantaged Hispanic women found that Mexican-origin women had higher recall rates, but similar biopsy and cancer rates to the general screening population, indicating that the expected rise in breast cancer burden due to aging and acculturation may occur sooner than anticipated.
PREVENTIVE MEDICINE REPORTS
(2021)
Article
Oncology
Navkiran K. Shokar, Jennifer Salinas, Alok Dwivedi
Summary: This study utilized structural equation modeling to identify factors influencing participation in colorectal cancer screening among uninsured Hispanic individuals. The findings indicate that self-efficacy, perceived benefits, and fatalism significantly affect the effectiveness of screening interventions.
Article
Medical Informatics
Jennifer J. Salinas, Jon Sheen, Navkiran Shokar, Justin Wright, Gerardo Vazquez, Ogechika Alozie
Summary: This study determined the feasibility of using electronic medical record (EMR) data to determine obesity prevalence at the census tract level in El Paso County, Texas. Findings indicated substantial obesity prevalence variation between census tracts within El Paso County that may be associated with population distributions related to socioeconomics.
BMC MEDICAL INFORMATICS AND DECISION MAKING
(2022)
Article
Public, Environmental & Occupational Health
Jessica Calderon-Mora, Adam Alomari, Navkiran Shokar
Summary: The study aimed to compare the effectiveness of a flipchart presentation facilitated by a community health worker and a narrative video with limited in-person interaction in increasing cervical cancer screening rates among Latinas along the U.S.-Mexico border. The results indicated that both educational delivery modes had no significant difference in screening completion.
HEALTH EDUCATION & BEHAVIOR
(2023)
Review
Public, Environmental & Occupational Health
Jessica Calderon-Mora, Luis Alvarado, Alok Dwivedi, Navkiran Shokar
Summary: This study aims to understand the colorectal cancer screening rates among different Hispanic subgroups. The research found that factors associated with higher screening rates include older age, female gender, higher education level, higher income, longer residency in the United States, having health insurance, and having a first-degree relative with colorectal cancer.
HISPANIC HEALTH CARE INTERNATIONAL
(2022)
Article
Public, Environmental & Occupational Health
Jennifer C. Molokwu, Alok Dwivedi, Adam Alomari, Jesus Guzman, Navkiran Shokar
Summary: Hispanic women in the U.S. have the highest rates of cervical cancer and are more likely to die from it compared to non-Hispanic Whites. This study aimed to assess the impact of text message reminders on cervical cancer screening attendance and completion. The results showed that participants who received text reminders were less likely to complete cervical screening compared to usual practice in a predominantly Hispanic population.
HISPANIC HEALTH CARE INTERNATIONAL
(2023)
Article
Public, Environmental & Occupational Health
Jennifer C. Molokwu, Alok Dwivedi, Adam Alomari, Navkiran Shokar
Summary: This study aimed to assess the effectiveness of a multicomponent community-based breast cancer screening intervention called the BEST program. The results showed that a multicomponent, bilingual, and culturally tailored intervention could effectively facilitate breast cancer screening completion in Hispanic women. The study has important implications for increasing breast cancer screening in poorly screened populations and highlights the impact of health beliefs on screening completion.
HEALTH PROMOTION PRACTICE
(2023)
Article
Oncology
Jennifer C. Spencer, Lailea Noel, Navkiran K. Shokar, Michael P. Pignone
Summary: Hispanic populations in the US face barriers to healthcare access, resulting in disparities in cancer screening compared to non-Hispanic White individuals. This study found that improving insurance coverage and access to regular healthcare could help mitigate the disparities in cancer screening rates between Hispanic and non-Hispanic White individuals.
Editorial Material
Public, Environmental & Occupational Health
F. Benjamin Zhan, Yanyan Liu, Mei Yang, Nicole Kluz, Todd A. Olmstead, Jenny Spencer, Navkiran K. Shokar, Roxana L. Cruz, Michael P. Pignone
PREVENTING CHRONIC DISEASE
(2023)
Article
Oncology
Navkiran K. Shokar, Alok Dwivedi, Jennifer C. Molokwu
Summary: This study aimed to determine the psychosocial profiles of a predominantly Hispanic population of primarily Mexican origin receiving a colorectal cancer screening intervention and whether a specific combination of psychosocial profiles modified the effect of colorectal cancer screening intervention on colorectal cancer screening uptake. Three psychosocial profiles were identified: low benefit and high susceptibility group, high benefit and low susceptibility group, and high barrier and high susceptibility group. The subgroup analysis suggests that colorectal cancer educational interventions should be tailored to improve the benefits and barriers among individuals with high susceptibility scores.
CANCER PREVENTION RESEARCH
(2023)
Article
Public, Environmental & Occupational Health
Navkiran K. Shokar, Jessica Calderon-Mora, Jennifer Molokwu, Theresa Byrd, Adam Alomari, Indika Mallawaarachchi, Alok Dwivedi
Summary: The study demonstrates that a multi-component screening intervention can effectively increase cervical cancer screening rates among Hispanic women, potentially reducing cervical cancer health disparities.
HEALTH PROMOTION PRACTICE
(2021)