Denise D Payán
Biographic Data
| ID | 1730849 |
|---|---|
| NAME | Denise D Payán |
| GIVEN NAMES | Denise D |
| FAMILY NAME | Payán |
| SIGNATURE | PAYÁN D D |
| AFFILIATIONS | University of California, Irvine |
| ORCID | 0000-0003-3236-862X |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 13 |
| AUTHOR COUNT | 22 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2017 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Food pantry organizational features, nutrition environments, and partnerships
Charitable food organizations are critical community hubs for promoting food security and nutrition. Few studies have examined whether food pantry organizational features (e.g., setting and size) are associated with the use of health promotion strategies. This cross-sectional study used a validated survey instrument (Nutrition Environment Food Pantry Assessment Tool+, NEFPAT+) in partnership with a southern California regional food bank to examin…
Multi-level Factors Influencing College Campus Basic Needs Service Utilization
Immigration-impacted college students face unique challenges that increase their risk of experiencing basic needs insecurity. This study examined multi-level factors influencing the use of campus basic needs centers among Latino immigration-impacted students attending the University of California (UC). We analyzed three Latino undergraduate student populations: (1) undocumented immigrants, (2) U.S. citizens with undocumented immigrant parents, an…
Low-Income and Legally Vulnerable
Immigration-impacted college students, including undocumented students and U.S. citizens with undocumented parents, struggle with food and essential needs insecurity. Drawing on focus groups with 38 immigration-impacted undergraduates, we examine barriers to campus essential needs resource use and investigate the extent to which self or parental immigration status influences use. Findings reveal structural, psychological, and operational barriers…
Longitudinal policy surveillance of state obesity legislation in California, 1999–2020
This database can be leveraged to advance our knowledge of effective and equitable policy instruments to prevent and reduce obesity. Results reveal important policy elements that may impact legislative success, including policy topic, and contribute to a nascent evidence base for public health law research, legal epidemiology, and practice. Future work should investigate the role of policy effectiveness research and evidence on legislative policy…
Mental health among rural Latino immigrants during the Covid-19 pandemic
The mental health of the United States' Latino population significantly deteriorated during the SARS-CoV-2 (COVID-19) pandemic, and Latino immigrants living in rural areas faced unique vulnerabilities. However, few studies have specifically examined the mental health burden and experiences of rural Latino immigrants during the COVID pandemic. To understand the mental health experiences of first- and second-generation Latinos in rural areas, we co…
Impact of the Covid‐19 pandemic on infant feeding practices in the United States
The coronavirus disease 2019 (COVID-19) pandemic increased food insecurity among US households, however, little is known about how infants, who rely primarily on human milk and/or infant formula, were impacted. We conducted an online survey with US caregivers of infants under 2 years of age (N = 319) to assess how the COVID-19 pandemic impacted breastfeeding, formula-feeding and household ability to obtain infant-feeding supplies and lactation su…
Variation in adults’ use of flavored tobacco products by sales restrictions in California jurisdictions
Telehealth Use, Care Continuity, and Quality
BACKGROUND: Community health centers (CHCs) pivoted to using telehealth to deliver chronic care during the coronavirus COVID-19 pandemic. While care continuity can improve care quality and patients' experiences, it is unclear whether telehealth supported this relationship. OBJECTIVE: We examine the association of care continuity with diabetes and hypertension care quality in CHCs before and during COVID-19 and the mediating effect of telehealth. …
The structural impacts of enforcement policy on Latino immigrant health
As evidence of the negative health impact of immigration enforcement policy continues to mount, public health research has focused primarily on the psychosocial health mechanisms, such as fear and stress, by which immigration enforcement may harm health. We build on this research using structural vulnerability theory to investigate the structural processes by which enforcement policy may shape Latino immigrants' health. We conducted qualitative a…
News coverage of Mexico’s front-of-package food label policy
OBJECTIVES: To examine news coverage of Mexico's front-of-package food labelling policy. METHODS: We used Lexis Nexis to identify newspaper articles that mention the proposed law in four Mexican newspapers representing politically centre-left and centre-right perspectives. We coded for type and valence of arguments, sources and research evidence cited. RESULTS: We identified N=361 relevant articles. Coverage of the front-of-package food label pol…
Telemedicine implementation and use in community health centers during Covid-19
In March 2020, federal and state telehealth policy changes catalyzed telemedicine adoption and use in community health centers. There is a dearth of evidence on telemedicine implementation and use in these safety net settings and a lack of information reflecting the perspectives of patients with limited English proficiency. We conducted in-depth interviews with clinic personnel and patients during the pandemic in two federally qualified health ce…
United for health to improve urban food environments across five underserved communities
Examining coalition function and maturation in a real-world context reveals important lessons for scholars and practitioners committed to addressing nutrition-related health disparities in marginalized and historically underserved communities. Future work should investigate the sustainability of externally funded cross-sector coalitions after funding ceases
Public support for policies to regulate flavoured tobacco and e-cigarette products in rural California
Findings add to mounting evidence of support for policies to regulate flavoured tobacco and e-cigarette products. Results on attitudes and beliefs elucidate how these factors influence support
Implementation of two policies to extend maternity leave and further restrict marketing of breast milk substitutes in Vietnam
Policy research can reveal gaps and opportunities to enhance policy impact and implementation. In this study, we use a theoretically informed qualitative approach to investigate the implementation of two policies to promote breastfeeding in Vietnam. We conducted semi-structured interviews with national and local policy stakeholders (n = 26) in 2017. Interviews were audio-recorded, transcribed verbatim and then translated to English by certified t…
Working around safety net exclusions during the Covid-19 pandemic
Rural Latinx immigrants experienced disproportionately negative health and economic impacts during the COVID-19 pandemic. They contended with the pandemic at the intersection of legal status exclusions from the safety net and long-standing barriers to health care in rural regions. Yet, little is known about how rural Latinx immigrants navigated such exclusions. In this qualitative study, we examined how legal status stratification in rural contex…
Perceptions and determinants of healthy eating for people with HIV in the Dominican Republic who experience food insecurity
Objective: The current study aimed to understand how moderate and severe food-insecure people living with HIV (PLHIV) in the Dominican Republic perceive a healthy diet and explore facilitators and barriers to engaging in healthy dietary behaviours as a means of HIV self-management. Design: We conducted semi-structured interviews with PLHIV. We generated codes on food insecurity among PLHIV and used content analysis to organise codes for constant …
Taking Care of Yourself and Your Risk for Breast Cancer (Cuidarse)
Latinas in the United States are more likely to be diagnosed with late-stage breast cancer (BC) compared to non-Latinas. Literacy-appropriate and culturally sensitive cancer communication interventions can help address existing racial/ethnic BC disparities. We formatively developed a new BC prevention brochure for Spanish-speaking Latinas (≥35 years). Eligible women ( n = 240) from a large public hospital in California were randomly assigned to o…
Can complex programs be sustained? A mixed methods sustainability evaluation of a national infant and young child feeding program in Bangladesh and Vietnam
The inclusion of multiple activities in A&T and efforts to integrate the program into existing institutions were seen as crucial to its success but also made it difficult to sustain, particularly given unstable financial support and human resource constraints. Future complex programs should carefully plan for institutionalization in advance of the program by cultivating champions across the health system, and designing unique and complementary ro…
Severe food insecurity is associated with overweight and increased body fat among people living with HIV in the Dominican Republic
Food insecurity is an important risk factor for overweight and obesity among low-income populations in high income countries, but has not been well-studied among people living with HIV (PLHIV), particularly in resource-poor settings. To explore the association between food insecurity and overweight and obesity among PLHIV in the Dominican Republic, we conducted a cross-sectional study of 160 HIV-infected adults between March-December 2012 in four…
Process Evaluation of a Peer-Driven, HIV Stigma Reduction and HIV Testing Intervention in Latino and African American Churches
Purpose: Faith-based organizations may be effective in addressing HIV-related disparities, but few interventions have been implemented across diverse churches. The Facilitating Awareness to Increase Testing for HIV (FAITH) intervention harnessed peer leadership to decrease HIV stigma and promote HIV testing in African American and Latino congregations. A pilot study found more consistent effects among Latino congregations. This process evaluation…
Perceived Barriers and Facilitators to Healthy Eating and School Lunch Meals among Adolescents
Our findings suggest the need to measure perceived and actual barriers to healthy eating among adolescents and to examine the effect of these barriers on dietary behavior. We provide programmatic and policy recommendations
Advocacy coalitions involved in California's menu labeling policy debate
Advocacy coalitions often play an important role in the state health policymaking process, yet little is known about their structure, composition, and behavior. In 2008, California became the first state to enact a menu labeling law. Using the advocacy coalition framework, we examine different facets of the coalitions involved in California's menu labeling policy debate. We use a qualitative research approach to identify coalition members and exp…
Working around safety net exclusions during the Covid-19 pandemic
Rural Latinx immigrants experienced disproportionately negative health and economic impacts during the COVID-19 pandemic. They contended with the pandemic at the intersection of legal status exclusions from the safety net and long-standing barriers to health care in rural regions. Yet, little is known about how rural Latinx immigrants navigated such exclusions. In this qualitative study, we examined how legal status stratification in rural contex…
Advocacy coalitions involved in California's menu labeling policy debate
Advocacy coalitions often play an important role in the state health policymaking process, yet little is known about their structure, composition, and behavior. In 2008, California became the first state to enact a menu labeling law. Using the advocacy coalition framework, we examine different facets of the coalitions involved in California's menu labeling policy debate. We use a qualitative research approach to identify coalition members and exp…
Low-Income and Legally Vulnerable
Immigration-impacted college students, including undocumented students and U.S. citizens with undocumented parents, struggle with food and essential needs insecurity. Drawing on focus groups with 38 immigration-impacted undergraduates, we examine barriers to campus essential needs resource use and investigate the extent to which self or parental immigration status influences use. Findings reveal structural, psychological, and operational barriers…
Process Evaluation of a Peer-Driven, HIV Stigma Reduction and HIV Testing Intervention in Latino and African American Churches
Purpose: Faith-based organizations may be effective in addressing HIV-related disparities, but few interventions have been implemented across diverse churches. The Facilitating Awareness to Increase Testing for HIV (FAITH) intervention harnessed peer leadership to decrease HIV stigma and promote HIV testing in African American and Latino congregations. A pilot study found more consistent effects among Latino congregations. This process evaluation…
Perceived Barriers and Facilitators to Healthy Eating and School Lunch Meals among Adolescents
Our findings suggest the need to measure perceived and actual barriers to healthy eating among adolescents and to examine the effect of these barriers on dietary behavior. We provide programmatic and policy recommendations
Advocacy coalitions involved in California's menu labeling policy debate
Advocacy coalitions often play an important role in the state health policymaking process, yet little is known about their structure, composition, and behavior. In 2008, California became the first state to enact a menu labeling law. Using the advocacy coalition framework, we examine different facets of the coalitions involved in California's menu labeling policy debate. We use a qualitative research approach to identify coalition members and exp…
Severe food insecurity is associated with overweight and increased body fat among people living with HIV in the Dominican Republic
Food insecurity is an important risk factor for overweight and obesity among low-income populations in high income countries, but has not been well-studied among people living with HIV (PLHIV), particularly in resource-poor settings. To explore the association between food insecurity and overweight and obesity among PLHIV in the Dominican Republic, we conducted a cross-sectional study of 160 HIV-infected adults between March-December 2012 in four…
Taking Care of Yourself and Your Risk for Breast Cancer (Cuidarse)
Latinas in the United States are more likely to be diagnosed with late-stage breast cancer (BC) compared to non-Latinas. Literacy-appropriate and culturally sensitive cancer communication interventions can help address existing racial/ethnic BC disparities. We formatively developed a new BC prevention brochure for Spanish-speaking Latinas (≥35 years). Eligible women ( n = 240) from a large public hospital in California were randomly assigned to o…
Can complex programs be sustained? A mixed methods sustainability evaluation of a national infant and young child feeding program in Bangladesh and Vietnam
The inclusion of multiple activities in A&T and efforts to integrate the program into existing institutions were seen as crucial to its success but also made it difficult to sustain, particularly given unstable financial support and human resource constraints. Future complex programs should carefully plan for institutionalization in advance of the program by cultivating champions across the health system, and designing unique and complementary ro…
Perceptions and determinants of healthy eating for people with HIV in the Dominican Republic who experience food insecurity
Objective: The current study aimed to understand how moderate and severe food-insecure people living with HIV (PLHIV) in the Dominican Republic perceive a healthy diet and explore facilitators and barriers to engaging in healthy dietary behaviours as a means of HIV self-management. Design: We conducted semi-structured interviews with PLHIV. We generated codes on food insecurity among PLHIV and used content analysis to organise codes for constant …
The structural impacts of enforcement policy on Latino immigrant health
As evidence of the negative health impact of immigration enforcement policy continues to mount, public health research has focused primarily on the psychosocial health mechanisms, such as fear and stress, by which immigration enforcement may harm health. We build on this research using structural vulnerability theory to investigate the structural processes by which enforcement policy may shape Latino immigrants' health. We conducted qualitative a…
News coverage of Mexico’s front-of-package food label policy
OBJECTIVES: To examine news coverage of Mexico's front-of-package food labelling policy. METHODS: We used Lexis Nexis to identify newspaper articles that mention the proposed law in four Mexican newspapers representing politically centre-left and centre-right perspectives. We coded for type and valence of arguments, sources and research evidence cited. RESULTS: We identified N=361 relevant articles. Coverage of the front-of-package food label pol…
Telemedicine implementation and use in community health centers during Covid-19
In March 2020, federal and state telehealth policy changes catalyzed telemedicine adoption and use in community health centers. There is a dearth of evidence on telemedicine implementation and use in these safety net settings and a lack of information reflecting the perspectives of patients with limited English proficiency. We conducted in-depth interviews with clinic personnel and patients during the pandemic in two federally qualified health ce…
United for health to improve urban food environments across five underserved communities
Examining coalition function and maturation in a real-world context reveals important lessons for scholars and practitioners committed to addressing nutrition-related health disparities in marginalized and historically underserved communities. Future work should investigate the sustainability of externally funded cross-sector coalitions after funding ceases
Public support for policies to regulate flavoured tobacco and e-cigarette products in rural California
Findings add to mounting evidence of support for policies to regulate flavoured tobacco and e-cigarette products. Results on attitudes and beliefs elucidate how these factors influence support
Implementation of two policies to extend maternity leave and further restrict marketing of breast milk substitutes in Vietnam
Policy research can reveal gaps and opportunities to enhance policy impact and implementation. In this study, we use a theoretically informed qualitative approach to investigate the implementation of two policies to promote breastfeeding in Vietnam. We conducted semi-structured interviews with national and local policy stakeholders (n = 26) in 2017. Interviews were audio-recorded, transcribed verbatim and then translated to English by certified t…
Working around safety net exclusions during the Covid-19 pandemic
Rural Latinx immigrants experienced disproportionately negative health and economic impacts during the COVID-19 pandemic. They contended with the pandemic at the intersection of legal status exclusions from the safety net and long-standing barriers to health care in rural regions. Yet, little is known about how rural Latinx immigrants navigated such exclusions. In this qualitative study, we examined how legal status stratification in rural contex…
Mental health among rural Latino immigrants during the Covid-19 pandemic
The mental health of the United States' Latino population significantly deteriorated during the SARS-CoV-2 (COVID-19) pandemic, and Latino immigrants living in rural areas faced unique vulnerabilities. However, few studies have specifically examined the mental health burden and experiences of rural Latino immigrants during the COVID pandemic. To understand the mental health experiences of first- and second-generation Latinos in rural areas, we co…
Impact of the Covid‐19 pandemic on infant feeding practices in the United States
The coronavirus disease 2019 (COVID-19) pandemic increased food insecurity among US households, however, little is known about how infants, who rely primarily on human milk and/or infant formula, were impacted. We conducted an online survey with US caregivers of infants under 2 years of age (N = 319) to assess how the COVID-19 pandemic impacted breastfeeding, formula-feeding and household ability to obtain infant-feeding supplies and lactation su…
Variation in adults’ use of flavored tobacco products by sales restrictions in California jurisdictions
Telehealth Use, Care Continuity, and Quality
BACKGROUND: Community health centers (CHCs) pivoted to using telehealth to deliver chronic care during the coronavirus COVID-19 pandemic. While care continuity can improve care quality and patients' experiences, it is unclear whether telehealth supported this relationship. OBJECTIVE: We examine the association of care continuity with diabetes and hypertension care quality in CHCs before and during COVID-19 and the mediating effect of telehealth. …
Longitudinal policy surveillance of state obesity legislation in California, 1999–2020
This database can be leveraged to advance our knowledge of effective and equitable policy instruments to prevent and reduce obesity. Results reveal important policy elements that may impact legislative success, including policy topic, and contribute to a nascent evidence base for public health law research, legal epidemiology, and practice. Future work should investigate the role of policy effectiveness research and evidence on legislative policy…
Low-Income and Legally Vulnerable
Immigration-impacted college students, including undocumented students and U.S. citizens with undocumented parents, struggle with food and essential needs insecurity. Drawing on focus groups with 38 immigration-impacted undergraduates, we examine barriers to campus essential needs resource use and investigate the extent to which self or parental immigration status influences use. Findings reveal structural, psychological, and operational barriers…
Food pantry organizational features, nutrition environments, and partnerships
Charitable food organizations are critical community hubs for promoting food security and nutrition. Few studies have examined whether food pantry organizational features (e.g., setting and size) are associated with the use of health promotion strategies. This cross-sectional study used a validated survey instrument (Nutrition Environment Food Pantry Assessment Tool+, NEFPAT+) in partnership with a southern California regional food bank to examin…
Multi-level Factors Influencing College Campus Basic Needs Service Utilization
Immigration-impacted college students face unique challenges that increase their risk of experiencing basic needs insecurity. This study examined multi-level factors influencing the use of campus basic needs centers among Latino immigration-impacted students attending the University of California (UC). We analyzed three Latino undergraduate student populations: (1) undocumented immigrants, (2) U.S. citizens with undocumented immigrant parents, an…
Medicine (16 works) · Food Security and Health in Diverse Populations (11 works) · Political science (11 works) · Environmental health (10 works) · Public health (9 works) · Nursing (8 works) · Psychology (7 works) · Gerontology (6 works) · Law (6 works) · Obesity, Physical Activity, Diet (6 works)