Diane Santa Maria
Biographic Data
| ID | 149793 |
|---|---|
| NAME | Diane Santa Maria |
| GIVEN NAMES | Diane Santa |
| FAMILY NAME | Maria |
| SIGNATURE | SANTA MARIA D |
| AFFILIATIONS | The University of Texas Health Science Center at Houston |
| ORCID | 0000-0001-8202-226X |
| VERIFIED | Yes |
| TOTAL WORKS | 42 |
| TOTAL CITATIONS | 18 |
| AUTHOR COUNT | 42 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2014 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Barreras y Facilitadores Estructurales en la Atención Sanitaria para Migrantes Víctimas y Sobrevivientes de la Trata de Personas
Migrants during their transit, passage, or reception face multiple risks that make them vulnerable to being victims of trafficking and subsequently survivors. This article seeks to understand the structural barriers and facilitating conditions in health care for this population, which affect their well-being. To this end, a qualitative examination was conducted of the experiences of 17 interviewed individuals involved in issues of trafficking and…
Covid-19 Impact on the Lives of Youth Experiencing Homelessness: A Concurrent Mixed Methods Study
This study examines the impact of COVID-19 on the lives of youth experiencing homelessness (YEH) using a concurrent mixed-methods approach. We recruited individuals aged 18–25 ( n = 314) who were homeless and unstably housed (e.g., living in the streets with friends, hotels, or shelters). We measured COVID-19 fear and impact quantitatively and analyzed it using descriptive statistics. Concurrently, we conducted in-person or phone interviews to ex…
International Migration and Sex Trafficking: A Scoping Review
Mental Health and ART Adherence in a Multisite International Study: The Mediating Roles of Social Support and Substance Use in People with HIV
ART adherence, essential to preventing disease progression for people living with HIV (PLHIV), remains challenged by factors like poor mental health condition, insufficient social support, and substance use. This study investigates the roles of social support and substance use as mediators in the relationship between mental health and antiretroviral therapy (ART) adherence among PLHIV in a multisite, international context. Cross-sectional data fr…
Information and communication technologies use among youth experiencing homelessness: Associations with online health information seeking behavior
Given reported high rates of transience and service disengagement among youth experiencing homelessness (YEH), new forms of information and communication technologies (ICT) may represent a novel avenue for intervention. Although studies suggest that ICT use is surprisingly high among YEH, less is known about the factors associated with ICT use and the association between ICT use and online health information seeking behavior (OHISB) among YEH. Us…
Examining the characteristics of pregnant and parenting, and non-parenting young adults experiencing homelessness living with and without their children
Pregnant and parenting young adults experiencing homelessness (YAEH) face many challenges related to complex circumstances that lead to parent-child separation. This can be emotionally taxing on YAEH who are already disproportionately burdened by mental health disorders. Little is known about the parenting and mental health support needs among YAEH, particularly surrounding parent-child separation. To fill this gap, cross-sectional data from the …
Examining Perceptions Among Healthcare Providers on Their Awareness of and Experience with Prescribing and/or Referring Pre-Exposure Prophylaxis to Eligible Cisgender Black Female Patients: A Qualitat…
Prescriptions for and use of pre-exposure prophylaxis (PrEP), an available and accessible HIV prevention strategy, remain low among cisgender Black women (CBW). Given PrEP is only available through a prescription from a licensed healthcare provider (HCP), there is a need to identify factors associated with HCP's prescribing and/or referring PrEP to CBW. Qualitative methods (in-depth interviews) were used to examine factors shaping beliefs and beh…
Impact of Covid-19 Pandemic on Quality of Life, Anxiety, Connections to Friends, and Access to Resources Among People with HIV: Using the Social Ecological Model
The purpose of this study was to understand the impact of the coronavirus disease 2019 (COVID-19) pandemic and mitigation efforts on health and social outcomes for people with HIV at the individual, social, and structural levels of the Social Ecological Model. The International Nursing Network for HIV collected data for a cross-sectional survey of people with HIV in Botswana, Canada, Colombia, Hong Kong, Kenya, Nigeria, South Africa, Thailand, an…
Labor trafficking among migrant populations: A scoping review and qualitative interview study with stakeholders
Introduction Labor trafficking is a widespread yet underreported form of exploitation that disproportionately affects migrant populations. Migrants often face coercion, deception, and abuse across various labor sectors, and these circumstances are often exacerbated by structural inequalities and legal protections. There is a pressing need to synthesize existing knowledge and integrate stakeholders’ perspectives to inform future prevention and pol…
Global Measures of HIV Care Accessibility Across Urban, Suburban, and Rural Areas
Despite advances in HIV treatment, disparities in healthcare access remain across low-income (LIC), middle-income (MIC), and high-income (HIC) countries, limiting access to clinical care, antiretroviral therapy, and viral load testing. This study developed the HIV Care Access Index (HIV-CAI) to measure and compare HIV care service access across countries and within geographic regions and examined associations with economic and health indicators. …
Understanding Survival Sex Engagement Among Sexual and Gender Minority Young Adults Experiencing Homelessness: A Seven-City Study Using Individual and Social Network Perspectives
Translating Open-Ended Questions in Cross-Cultural Qualitative Research: A Comprehensive Framework
INTRODUCTION: Globalization has increased the importance of multicultural research to address health disparities and improve healthcare outcomes for underrepresented communities. The International Nursing Network for HIV Research (The Network) serves as a platform for researchers to collaborate on cross-cultural and cross-national HIV studies. This article discusses the Network's approach to overcoming barriers in multicultural and multinational …
Language Matters: Exploring Preferred Terms for Diverse Populations
This article explores the significance of employing preferred terms and inclusive language in research practices concerning diverse populations. It highlights how inappropriate terminology can lead to labeling, stereotyping, and stigma, particularly for equity-denied groups. The study aimed to identify and analyze terminology preferences for diverse communities by major international organizations. Through a systematic environmental scan methodol…
An Examination of Perceptions among Black Women on Their Awareness of and Access to Pre-Exposure Prophylaxis (PrEP)
Cisgender Black women (CBW) experience 67% of new HIV diagnoses among women in the South. Progress toward ending the HIV epidemic requires researchers to explore perceptions of factors related to the decision to initiate pre-exposure prophylaxis (PrEP) among CBW. Qualitative methods were used to explore how social and structural constructs influence individual decisions to use PrEP among 20 CBW through focus groups. The thematic data analysis ide…
Relationship between religiosity and HPV vaccine initiation and intention in urban black and hispanic parents
This study suggests that religiosity does not influence the HPV vaccine decision for urban, Black and Hispanic parents. Future studies using measures that capture the complexity of religion as a social construct are needed to confirm the findings. In addition, studies with representative sampling will enable us to make generalizations about the influence of religion on HPV vaccine decision-making for urban, racial/ethnic minority parents
Results of a Randomized Wait-List Controlled Trial of Caya: A Nurse Case Management HIV Prevention Intervention for Youth Experiencing Homelessness
Youth experiencing homelessness (YEH) face challenges that increase their susceptibility to HIV/STIs. Nurse case management is effective in managing the complex needs of populations experiencing homelessness and reducing HIV risk. A randomized wait-list control study conducted between September 2019 to May 2023 evaluated the CAYA "Come As You Are" intervention. This nurse-led HIV prevention for YEH aged 16-25 years focused on the uptake of HIV pr…
Experiences of pregnancy prevention among youth experiencing homelessness
Self-Identification of Mental Health Problems Among Young Adults Experiencing Homelessness
The association between place stayed and self-identification as homeless among unstably housed young adults in seven U.S. cities
Limited research has explored whether young adults that experience homelessness and housing instability (YAEH) self-identify as homeless. This study uses the Homeless Youth Risk and Resilience Survey (HYRRS) dataset, a seven-city sample of 1426 YAEH, to examine the relationship between the type of place a young adult stayed the night before their interview and whether they self-identified as homeless. While all participants were classified as hom…
Depression is associated with poor physical health through lower distress tolerance among adults experiencing homelessness
Research is limited on the association between depression and perceived health status and the underlying mechanisms linking these variables among adults experiencing homelessness. The purpose of the current study was to evaluate the association between probable major depressive disorder (MDD) and perceived health status among a sample of adults experiencing homelessness and to determine whether this association is indirectly linked through distre…
Exploring the Relationship Between Public Assistance Use and Depressive Symptoms Among Young Adults Experiencing Homelessness
Hidden champions: Exploring supportive family relationships of youth experiencing homelessness
The relationships that youth experiencing homelessness (YEH) have with supportive family members (i.e. those who provide them with social support) may be protective against risk behaviours and buffer adverse health outcomes. However, little is known about the nature of YEH's supportive family relationships and the type of social support that these family relationships offer them. Thus, we conducted in‐depth interviews with 30 YEH to examine the t…
Experiences of discrimination among young adults experiencing homelessness: Relationship to mental health outcomes
1,055) reported experiencing at least one of the five forms of everyday discrimination experiences at least a few times a year, with the most common reason attributed to their housing situation (46%). Sexual orientation, juvenile justice involvement, and having been homeless for 2 years or more were associated with increased odds of experiencing discrimination. Discrimination was a strong predictor of psychological distress but was significant on…
The intersection of housing and mental well-being: Examining the needs of formerly homeless young adults transitioning to stable housing
We examine the challenges formerly homeless young adults (FHYAs) face after they transition out of homelessness. Considering the adversities FHYAs face, it is unclear how transitioning to stable housing may affect their mental well-being or what types of stressors they may experience once housed. This study investigates the social environment young adults encounter in their transition to stable housing and examines trauma and social coping predic…
Human Papillomavirus Vaccination Status and Parental Endorsement Intentions among Undergraduate Student Nurses
We identified factors associated with student nurses' Human Papillomavirus Vaccine (HPV) vaccination status and their intention to counsel parents on HPV vaccination. Undergraduate student nurses ( N = 153) from a large university in the south participated. Descriptive statistics, chi-squared tests, and independent t-tests ( p ≤ 0.05) were used to characterize the students' vaccination status. Logistic regression was used to identify factors asso…
System involvement among young adults experiencing homelessness: Characteristics of four system-involved subgroups and relationship to risk outcomes
Access to healthcare among youth experiencing homelessness: Perspectives from healthcare and social service providers
Risk and resilience among young adults experiencing homelessness: A typology for service planning
Understanding Survival Sex Engagement Among Sexual and Gender Minority Young Adults Experiencing Homelessness: A Seven-City Study Using Individual and Social Network Perspectives
Self-Identification of Mental Health Problems Among Young Adults Experiencing Homelessness
Educational attainment among young adults experiencing homelessness in seven cities across the United States
Correlates of shelter use among young adults experiencing homelessness
Does parental monitoring moderate the relation between parent–child communication and pre-coital sexual behaviours among urban, minority early adolescents
This study examined parental monitoring (PM) as a potential moderator of the relation between parent–child communication (PCC) and pre-coital sexual behaviours (PCSB) in an urban, minority, early adolescent population. Seventh-grade students (n = 1609) reported PCC, PM and PCSB. Multivariable logistic regression was conducted to assess for moderation. PM moderated the association between PCC and PCSB. Specifically, young people reporting both hig…
Parent‐Based Adolescent Sexual Health Interventions And Effect on Communication Outcomes: A Systematic Review and Meta‐Analyses
Mental Illness and Substance Use Problems in Relation to Homelessness Onset
Serious mental illness and sedative problems may characterize homeless youth who are vulnerable to adulthood homelessness, although longitudinal cohort studies are needed to explicate temporal relations between variables
Exploring Contextual Factors of Youth Homelessness And Sexual Risk Behaviors: A Qualitative Study
HIV prevention methods that target stress and stigma while respecting youths' self-reliance may help reduce sexual risk behaviors. Further research is needed to determine suitable behavioral change techniques to address these potentially modifiable factors
Representations of homelessness, home environments, and authority in the context of runaway behaviors reported by foster care youth residing in an emergency shelter
Between 31 and 46% of youth with histories of foster care placement were homeless at least once. Studies of the incidence of runaway behavior have identified a host of risk factors associated with running away from foster care placement, but less is known about the internalized processes of these individuals at risk for running away or the contextual experience surrounding it. This study is designed to investigate the representations made by indi…
Current Age, Age at First Sex, Age at First Homelessness, and HIV Risk Perceptions Predict Sexual Risk Behaviors among Sexually Active Homeless Adults
While HIV disproportionately impacts homeless individuals, little is known about the prevalence of HIV risk behaviors in the southwest and how age factors and HIV risk perceptions influence sexual risk behaviors. We conducted a secondary data analysis ( n = 460) on sexually active homeless adults from a cross-sectional study of participants ( n = 610) recruited from homeless service locations, such as shelters and drop-in centers, in an understud…
Risk and resilience among young adults experiencing homelessness: A typology for service planning
Correlates of shelter use among young adults experiencing homelessness
Identifying Sexual and Labor Exploitation among Sheltered Youth Experiencing Homelessness: A Comparison of Screening Methods
Human trafficking is a significant and growing public health concern. Subgroups of adolescents and young adults are particularly vulnerable to human trafficking, especially youth who are unstably housed or homeless. While youth experiencing trafficking come into contact with the healthcare system, they are often not identified during routine assessment due to lack of specific inquiry and low disclosure. Therefore, we utilized a mixed-methods stud…
Modifiable Risk Factors and Readiness to Change among Homeless Adults
Objectives: In this study, we examined the prevalence of modifiable health risk factors (eg, smoking, unsafe sexual practices, at-risk drinking, low fruit/vegetable consumption, inadequate physical activity, and overweight/obesity) and readiness to change among homeless adults in Oklahoma City, OK. A secondary aim was to examine the relationship between self-rated health and readiness to change. Methods: We examined readiness to change using "lad…
Predicting Daily Sheltering Arrangements among Youth Experiencing Homelessness Using Diary Measurements Collected by Ecological Momentary Assessment
Youths experiencing homelessness (YEH) often cycle between various sheltering locations including spending nights on the streets, in shelters and with others. Few studies have explored the patterns of daily sheltering over time. A total of 66 participants completed 724 ecological momentary assessments that assessed daily sleeping arrangements. Analyses applied a hypothesis-generating machine learning algorithm (component-wise gradient boosting) t…
Urban Stress Indirectly Influences Psychological Symptoms through Its Association with Distress Tolerance and Perceived Social Support among Adults Experiencing Homelessness
Traditionally, intrapersonal characteristics (distress tolerance) and interpersonal characteristics (social support) have been studied separately rather than simultaneously. In the current study, we address this gap by simultaneously examining these characteristics as potential indirect associations linking established urban stress-depression and urban stress-Post-Traumatic Stress Disorder (PTSD) relationships. Adults experiencing homelessness we…
Commentary: The Invisible and Forgotten
Iwundu, Chisom N. PhD; Santa Maria, Diane PhD; Hernandez, Daphne C. PhD Author Information
Educational attainment among young adults experiencing homelessness in seven cities across the United States
Access to healthcare among youth experiencing homelessness: Perspectives from healthcare and social service providers
System involvement among young adults experiencing homelessness: Characteristics of four system-involved subgroups and relationship to risk outcomes
The intersection of housing and mental well-being: Examining the needs of formerly homeless young adults transitioning to stable housing
We examine the challenges formerly homeless young adults (FHYAs) face after they transition out of homelessness. Considering the adversities FHYAs face, it is unclear how transitioning to stable housing may affect their mental well-being or what types of stressors they may experience once housed. This study investigates the social environment young adults encounter in their transition to stable housing and examines trauma and social coping predic…
Human Papillomavirus Vaccination Status and Parental Endorsement Intentions among Undergraduate Student Nurses
We identified factors associated with student nurses' Human Papillomavirus Vaccine (HPV) vaccination status and their intention to counsel parents on HPV vaccination. Undergraduate student nurses ( N = 153) from a large university in the south participated. Descriptive statistics, chi-squared tests, and independent t-tests ( p ≤ 0.05) were used to characterize the students' vaccination status. Logistic regression was used to identify factors asso…
Effects of a randomized controlled trial of a brief, student-nurse led, parent-based sexual health intervention on parental protective factors and HPV vaccination uptake
ClinicalTrials.gov Identifier: NCT02600884 . Prospectively registered September 1, 2015
The association between place stayed and self-identification as homeless among unstably housed young adults in seven U.S. cities
Limited research has explored whether young adults that experience homelessness and housing instability (YAEH) self-identify as homeless. This study uses the Homeless Youth Risk and Resilience Survey (HYRRS) dataset, a seven-city sample of 1426 YAEH, to examine the relationship between the type of place a young adult stayed the night before their interview and whether they self-identified as homeless. While all participants were classified as hom…
Depression is associated with poor physical health through lower distress tolerance among adults experiencing homelessness
Research is limited on the association between depression and perceived health status and the underlying mechanisms linking these variables among adults experiencing homelessness. The purpose of the current study was to evaluate the association between probable major depressive disorder (MDD) and perceived health status among a sample of adults experiencing homelessness and to determine whether this association is indirectly linked through distre…
Exploring the Relationship Between Public Assistance Use and Depressive Symptoms Among Young Adults Experiencing Homelessness
Hidden champions: Exploring supportive family relationships of youth experiencing homelessness
The relationships that youth experiencing homelessness (YEH) have with supportive family members (i.e. those who provide them with social support) may be protective against risk behaviours and buffer adverse health outcomes. However, little is known about the nature of YEH's supportive family relationships and the type of social support that these family relationships offer them. Thus, we conducted in‐depth interviews with 30 YEH to examine the t…
Experiences of discrimination among young adults experiencing homelessness: Relationship to mental health outcomes
1,055) reported experiencing at least one of the five forms of everyday discrimination experiences at least a few times a year, with the most common reason attributed to their housing situation (46%). Sexual orientation, juvenile justice involvement, and having been homeless for 2 years or more were associated with increased odds of experiencing discrimination. Discrimination was a strong predictor of psychological distress but was significant on…
Experiences of pregnancy prevention among youth experiencing homelessness
Psychology (31 works) · Homelessness and Social Issues (27 works) · Medicine (26 works) · Psychiatry (16 works) · Social Psychology (14 works) · Sociology (13 works) · Mental health (11 works) · Logistic regression (10 works) · Psychological intervention (10 works) · Urban, Neighborhood, and Segregation Studies (10 works)