Milagros C Rosal
Datos Biográficos
| ID | 195747 |
|---|---|
| NOMBRE | Milagros C Rosal |
| NOMBRES | Milagros C |
| APELLIDO | Rosal |
| FIRMA | ROSAL M C |
| AFILIACIONES | University of Massachusetts Chan Medical School |
| ORCID | 0000-0001-8497-5558 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 42 |
| TOTAL DE CITAS | 52 |
| TOTAL COMO AUTOR | 42 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2000 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 3 |
Narratives as mirrors and doors
Transgender and/or nonbinary (TNB) youth experience substantial stigma and discrimination in comparison to cisgender peers. While family support can buffer negative psychological effects of stigma and discrimination, TNB youth experience lower levels of family support. Family-level and narrative-based interventions are understudied strategies for addressing this challenge. We conducted a pilot test of the feasibility and acceptability of the Tran…
Lessons Learned in Developing a Model for Academic–Community Partnered Rapid Qualitative Research
We believe this model can be used by teams to conduct community-academic partnered research that will advance health equity by incorporating lived experience and professional expertise of community partners
Experiences of cisgender youth with a transgender and/or nonbinary sibling
While recent research has begun to address the effects of family support on transgender and/or nonbinary youth (TNY), almost no studies have directly examined how cisgender siblings in families with TNY navigate their sibling's gender disclosure and affirmation within both their families and their larger communities. We conducted an exploratory secondary analysis of in‐person, semi‐structured interviews with 15 adolescent and young adult siblings…
The Association between Food Insecurity and Insomnia Symptoms among Young Adults in Puerto Rico and the Mediating Role of Psychological Distress Symptoms
Residents of Puerto Rico face a high burden of food insecurity (FI), which has been associated with insomnia symptoms (IS). However, this association remains understudied in Puerto Rican young adults, a vulnerable group experiencing an elevated prevalence of FI and poor sleep. We evaluated the association between FI and IS and the mediating role of psychological distress symptoms among young adults in Puerto Rico. Data are derived from the PR-OUT…
The Impact of a Lifestyle Intervention on Cardiometabolic Risk Factors among Postpartum Hispanic Women with Overweight and Obesity in a Randomized Controlled Trial (Proyecto Mamá)
Monitoring Diversity in Faculty Using Applicant Flow Data
Rosal, Milagros C. PhD; Duncan, Marlina PhD; Hirabayashi, Natasja MS; Person, Sharina PhD Author Information
Examination of the Allostatic Load Construct and Its Longitudinal Association With Health Outcomes in the Boston Puerto Rican Health Study
OBJECTIVE: Despite evidence on allostatic load (AL) as a model explaining associations between stress and disease, there is no consensus on its operationalization. This study aimed to contrast various AL constructs and their longitudinal associations with disease and disability. METHODS: Baseline and 5-year follow-up data from 738 adults participating in the Boston Puerto Rican Health Study were used. Five AL scores were created by summing the pr…
Modifiable Resources and Resilience in Racially and Ethnically Diverse Older Women
Introduction : Resilience-which we define as the "ability to bounce back from stress"-can foster successful aging among older, racially and ethnically diverse women. This study investigated the association between psychological resilience in the Women's Health Initiative Extension Study (WHI-ES) and three constructs defined by Staudinger's 2015 model of resilience and aging: (1) perceived stress, (2) non-psychological resources, and (3) psycholog…
Factors Associated with Risk of Perinatal Depressive Symptoms Among Puerto Rican Women with Hyperglycemia
High Prevalence and Lack of Parental Awareness of Pediatric Hypertension Among a Low-income Sample in Worcester, MA
Discrimination and Sleep
Findings show that everyday discrimination and major lifetime discrimination are associated with different dimensions of sleep and suggest that coping with discrimination may require the use of different strategies depending on the type of discrimination experienced
Neighborhood characteristics and ataque de nervios
Ataque de nervios is a Latina/o idiom of distress that may occur as a culturally sanctioned response to acute stressful experiences, particularly relating to grief, threat, family conflict, and a breakdown in social networks. The contextual factors associated with ataque de nervios have received little attention in research. This study examined the association between neighborhood factors and the experience of ataque de nervios among a sample of …
Social support and strain and emotional distress among Latinos in the northeastern United States
Social support in all three network types (partner, family, and friend) was associated with a decrease in the odds of emotional distress, assessed as symptoms of depression, anxiety, and ataque de nervios
Dysfunctional Eating Behaviors and Dietary Intake in Puerto Rico
A youth empowerment intervention to prevent childhood obesity
ClinicalTrials.gov NCT04265794 . Registered 11 February 2020
Does Home Remedy Use Contribute to Medication Nonadherence Among Blacks with Hypertension
The use of HR and the number of HRs used may be associated with medication nonadherence, and higher systolic and diastolic blood pressure among Blacks with hypertension. Medication nonadherence is of critical importance for individuals with hypertension, and it is essential that health care providers be aware of health behaviors that may serve as barriers to medication adherence, such as use of home remedies
Association between food insecurity and emotional eating in Latinos and the mediating role of perceived stress
Objective: To examine the association between food insecurity and emotional eating (EE) in US Latinxs and explore the mediating role of perceived stress. Design: Cross-sectional analysis. Food insecurity was measured with the six-item US Department of Agriculture Household Food Security Scale; EE with the Three-Factor Eating Questionnaire R18-V2; and perceived stress with Cohen’s Perceived Stress Scale-10. Covariates included age, sex, education,…
Using family and ecological systems approaches to conceptualize family- and community-based experiences of transgender and/or nonbinary youth from the trans teen and family narratives project
The current study used family and ecological systems approaches to understand transgender and/or nonbinary (TNB) youths' experiences of their gender identity within family and community contexts. A sample of 33 TNB youth, ages 13-17 years ( M = 15.18, SD = 1.24), were recruited from community-based venues in the New England region of the United States to participate in the Trans Teen and Family Narratives Project, a longitudinal community-based m…
Association Between Obstetric Provider’s Advice and Gestational Weight Gain
Impact of training primary care physicians in behavioral counseling to reduce cardiovascular disease risk factors in Ecuador
Training PCPs in a patient-centered behavioral intervention for CVD risk factor reduction is feasible and efficacious for reducing CVD risk factors in Ecuador. Developed and developing countries alike could benefit from such an intervention
Lessons from a community-based participatory research study with transgender and gender nonconforming youth and their families
Community-based participatory research (CBPR) involves community members collaborating with academic investigators in each step of the research process. CBPR may be especially useful for research involving marginalized populations with unique perspectives and needs. In this paper, we discuss successes and challenges of using a CBPR approach for the Trans Teen and Family Narratives Project, a longitudinal mixed-methods study to examine how the fam…
Cinco Minutos Solamente
Declining social capital is one explanation for lower response to household surveys. By intentionally developing an awareness of social capital among its interviewers, the Por Ahí Dicen research study encouraged the use of interviewer social capital as a mechanism to achieve a response rate of 65.2 percent for baseline and post-intervention household studies of Puerto Rican mothers ( n = 413). These surveys were conducted in a “hard-to-count” urb…
Spirituality and Physical Activity and Sedentary Behavior among Latino Men and Women in Massachusetts
This study found that individuals who are more spiritual are also less sedentary, and this association was stronger in men than women. Findings provide insight for developing future interventions to promote activity in this high-risk population, which has been greatly understudied. Future research endeavors should consider investigating the impact of spirituality-based messages to reduce sedentary behavior among Latinos
Psychometric Development of the Research and Knowledge Scale
BACKGROUND: Many research participants are misinformed about research terms, procedures, and goals; however, no validated instruments exist to assess individual's comprehension of health-related research information. We propose research literacy as a concept that incorporates understanding about the purpose and nature of research. OBJECTIVES: We developed the Research and Knowledge Scale (RaKS) to measure research literacy in a culturally, litera…
Comparison of Dietary Quality Among Puerto Ricans Living in Massachusetts and Puerto Rico
Reported Racial Discrimination, Trust in Physicians, and Medication Adherence Among Inner-City African Americans With Hypertension
Within our sample of inner city African Americans with hypertension, racial discrimination was associated with lower medication adherence, and this association was partially mediated by trust in physicians. Patient, physician and system approaches to increase "earned" trust may enhance existing interventions for promoting medication adherence
Everyday Discrimination, Family Context, and Psychological Distress Among Latino Adults in the United States
Research suggests that experiences of discrimination can threaten the viabilities of families, which may subsequently affect an individual's mental health. Our study tests the hypotheses that (a) everyday discrimination will be indirectly associated with psychological distress through family cultural conflict and lower family cohesion among Latinos and (b) gender will moderate these relations. The sample included Latinos ( N = 2,554) from the Nat…
Lessons from a community-based participatory research study with transgender and gender nonconforming youth and their families
Community-based participatory research (CBPR) involves community members collaborating with academic investigators in each step of the research process. CBPR may be especially useful for research involving marginalized populations with unique perspectives and needs. In this paper, we discuss successes and challenges of using a CBPR approach for the Trans Teen and Family Narratives Project, a longitudinal mixed-methods study to examine how the fam…
Developing Research and Community Literacies to Recruit Latino Researchers and Practitioners to Address Health Disparities
Using family and ecological systems approaches to conceptualize family- and community-based experiences of transgender and/or nonbinary youth from the trans teen and family narratives project
The current study used family and ecological systems approaches to understand transgender and/or nonbinary (TNB) youths' experiences of their gender identity within family and community contexts. A sample of 33 TNB youth, ages 13-17 years ( M = 15.18, SD = 1.24), were recruited from community-based venues in the New England region of the United States to participate in the Trans Teen and Family Narratives Project, a longitudinal community-based m…
Racial/ethnic disparities in association between dietary quality and incident diabetes in postmenopausal women in the United States
These findings support a protective role of healthful eating choices in reducing the risk of developing diabetes, after adjusting for other lifestyle factors, in White and Hispanic postmenopausal women. Future studies are needed to investigate the relationship between dietary quality and risk of diabetes among Blacks and Asians in relationship to other lifestyle factors
Discrimination and Sleep
Findings show that everyday discrimination and major lifetime discrimination are associated with different dimensions of sleep and suggest that coping with discrimination may require the use of different strategies depending on the type of discrimination experienced
Neighborhood characteristics and ataque de nervios
Ataque de nervios is a Latina/o idiom of distress that may occur as a culturally sanctioned response to acute stressful experiences, particularly relating to grief, threat, family conflict, and a breakdown in social networks. The contextual factors associated with ataque de nervios have received little attention in research. This study examined the association between neighborhood factors and the experience of ataque de nervios among a sample of …
Outcomes of a Latino Community-Based Intervention for the Prevention of Diabetes
Objectives. We tested the effectiveness of a community-based, literacy-sensitive, and culturally tailored lifestyle intervention on weight loss and diabetes risk reduction among low-income, Spanish-speaking Latinos at increased diabetes risk. Methods. Three hundred twelve participants from Lawrence, Massachusetts, were randomly assigned to lifestyle intervention care (IC) or usual care (UC) between 2004 and 2007. The intervention was implemented …
Sequence and Seasonal Effects of Salivary Cortisol
Assessments of cortisol levels in saliva have been widely used by both researchers and clinicians as an index of adrenal functioning. Quarterly measurements of morning and evening cortisol levels were determined in a longitudinal study of 147 participants (72 women and 75 men) followed for 1 year each. The analysis of salivary cortisol revealed no significant gender or age differences in the sample. There was a sequence effect in quarterly cortis…
Influences on Older Women’s Adherence to a Low-Fat Diet in the Women’s Health Initiative
OBJECTIVE: Most studies of dietary change during aging have focused on maintaining adequate intake by impaired elderly, and little is known about factors affecting dietary change for preventive purposes in older individuals. The purpose of this exploratory study was to determine the major behavioral influences on older women's adherence to a dietary fat reduction intervention. METHOD: A diverse sample of 92 women aged 55 to 80 was recruited from …
Stress, Social Support, and Cortisol
An association between stress and health has been hypothesized. However, the association pathways are unclear. In this article, the authors examined the associations between stress, social support, and cortisol and the mediating effect of several psychosocial variables. Adult men and women (n = 146) completed psychosocial surveys and provided saliva samples for cortisol assessments, quarterly, for 1 year Cross-sectional analysis results showed an…
Eating Patterns in a Free-Living Healthy U. S. Adult Population
The primary objective of this study was to describe eating patterns (e.g., breakfast, lunch, dinner, snacking, number of eating episodes, temporal patterns of eating across the 24-hour day, and the frequency of eating out) in a healthy U.S. population in order to provide a basis for future studies on the association between eating patterns and disease. Twenty-four hour dietary recalls were used to assess eating patterns, and cross-sectional analy…
Predictors of Adherence in the Women's Health Initiative Calcium and Vitamin D Trial
The authors analyzed data from the Women's Health Initiative (WHI) Calcium and Vitamin D Supplementation Trial (CaD) to learn more about factors affecting adherence to clinical trial study pills (both active and placebo). Most participants (36,282 postmenopausal women aged 50-79 years) enrolled in CaD 1 year after joining either a hormone trial or the dietary modification trial of WHI. The WHI researchers measured adherence to study pills by weig…
Measuring quality of life in low-income, Spanish-speaking Puerto Ricans with type 2 diabetes residing in the mainland U.S
Outcomes of a Latino Community-Based Intervention for the Prevention of Diabetes
Objectives. We tested the effectiveness of a community-based, literacy-sensitive, and culturally tailored lifestyle intervention on weight loss and diabetes risk reduction among low-income, Spanish-speaking Latinos at increased diabetes risk. Methods. Three hundred twelve participants from Lawrence, Massachusetts, were randomly assigned to lifestyle intervention care (IC) or usual care (UC) between 2004 and 2007. The intervention was implemented …
Racial/ethnic disparities in association between dietary quality and incident diabetes in postmenopausal women in the United States
These findings support a protective role of healthful eating choices in reducing the risk of developing diabetes, after adjusting for other lifestyle factors, in White and Hispanic postmenopausal women. Future studies are needed to investigate the relationship between dietary quality and risk of diabetes among Blacks and Asians in relationship to other lifestyle factors
Reported Racial Discrimination, Trust in Physicians, and Medication Adherence Among Inner-City African Americans With Hypertension
Within our sample of inner city African Americans with hypertension, racial discrimination was associated with lower medication adherence, and this association was partially mediated by trust in physicians. Patient, physician and system approaches to increase "earned" trust may enhance existing interventions for promoting medication adherence
Social Determinants of Risk and Outcomes for Cardiovascular Disease
The American Heart
Comparison of Dietary Quality Among Puerto Ricans Living in Massachusetts and Puerto Rico
Neighborhood environment correlates of physical activity and sedentary behavior among Latino adults in Massachusetts
U.S. Latinos experience high rates of cardio-metabolic diseases and have high rates of physical inactivity and sedentary behavior. Understanding the environmental factors associated with physical activity and sedentary behaviors among Latinos could inform future interventions. The purpose of this study is to explore the neighborhood environment correlates of physical activity and sedentary behavior in a sample of U.S. Latino adults. Cross-section…
Fresh Start, a postpartum weight loss intervention for diverse low-income women
clinicaltrials.gov NCT02176915 . Registered 25 June 2014
Design and methods for a community-based intervention to reduce sugar-sweetened beverage consumption among youth
ClinicalTrials.gov NCT02890056 . Date of Registration: August 31, 2016
Sleep Duration and Diet Quality Among Women Within 5 Years of Childbirth in the United States
Influential Factors of Puerto Rican Mother–Child Communication About Sexual Health Topics
Everyday Discrimination, Family Context, and Psychological Distress Among Latino Adults in the United States
Research suggests that experiences of discrimination can threaten the viabilities of families, which may subsequently affect an individual's mental health. Our study tests the hypotheses that (a) everyday discrimination will be indirectly associated with psychological distress through family cultural conflict and lower family cohesion among Latinos and (b) gender will moderate these relations. The sample included Latinos ( N = 2,554) from the Nat…
Developing Research and Community Literacies to Recruit Latino Researchers and Practitioners to Address Health Disparities
Cinco Minutos Solamente
Declining social capital is one explanation for lower response to household surveys. By intentionally developing an awareness of social capital among its interviewers, the Por Ahí Dicen research study encouraged the use of interviewer social capital as a mechanism to achieve a response rate of 65.2 percent for baseline and post-intervention household studies of Puerto Rican mothers ( n = 413). These surveys were conducted in a “hard-to-count” urb…
Spirituality and Physical Activity and Sedentary Behavior among Latino Men and Women in Massachusetts
This study found that individuals who are more spiritual are also less sedentary, and this association was stronger in men than women. Findings provide insight for developing future interventions to promote activity in this high-risk population, which has been greatly understudied. Future research endeavors should consider investigating the impact of spirituality-based messages to reduce sedentary behavior among Latinos
Psychometric Development of the Research and Knowledge Scale
BACKGROUND: Many research participants are misinformed about research terms, procedures, and goals; however, no validated instruments exist to assess individual's comprehension of health-related research information. We propose research literacy as a concept that incorporates understanding about the purpose and nature of research. OBJECTIVES: We developed the Research and Knowledge Scale (RaKS) to measure research literacy in a culturally, litera…
Association Between Obstetric Provider’s Advice and Gestational Weight Gain
Impact of training primary care physicians in behavioral counseling to reduce cardiovascular disease risk factors in Ecuador
Training PCPs in a patient-centered behavioral intervention for CVD risk factor reduction is feasible and efficacious for reducing CVD risk factors in Ecuador. Developed and developing countries alike could benefit from such an intervention
Lessons from a community-based participatory research study with transgender and gender nonconforming youth and their families
Community-based participatory research (CBPR) involves community members collaborating with academic investigators in each step of the research process. CBPR may be especially useful for research involving marginalized populations with unique perspectives and needs. In this paper, we discuss successes and challenges of using a CBPR approach for the Trans Teen and Family Narratives Project, a longitudinal mixed-methods study to examine how the fam…
Does Home Remedy Use Contribute to Medication Nonadherence Among Blacks with Hypertension
The use of HR and the number of HRs used may be associated with medication nonadherence, and higher systolic and diastolic blood pressure among Blacks with hypertension. Medication nonadherence is of critical importance for individuals with hypertension, and it is essential that health care providers be aware of health behaviors that may serve as barriers to medication adherence, such as use of home remedies
Medicine (35 obras) · Psychology (22 obras) · Internal Medicine (20 obras) · Gerontology (17 obras) · Environmental health (13 obras) · Obesity, Physical Activity, Diet (12 obras) · Demography (11 obras) · Demography (10 obras) · Physical therapy (10 obras) · Population (10 obras)