Steven E Gregorich
Biographic Data
| ID | 173148 |
|---|---|
| NAME | Steven E Gregorich |
| GIVEN NAMES | Steven E |
| FAMILY NAME | Gregorich |
| SIGNATURE | GREGORICH S E |
| AFFILIATIONS | University of California, San Francisco |
| VERIFIED | No |
| TOTAL WORKS | 46 |
| TOTAL CITATIONS | 162 |
| AUTHOR COUNT | 46 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 8 |
Which aspects of education are health protective? a life course examination of early education and adulthood cardiometabolic health in the 30-year study of early child care and Youth Development (Secc…
Findings point to the potential significance of early student social competence as a link to long-term health, possibly via the acquisition of resources needed for the maintenance of health, as well as through engagement in health behaviors supporting healthy eating. However, more research is needed to replicate these findings and to elaborate on the role of early student social competence and the pathways explaining its effects on cardiometaboli…
Development of a Tool to Assess Medical Oral Language Proficiency
Primary Care Physician Recognition and Documentation of Depressive Symptoms Among Chinese and Latinx Patients During Routine Visits
Purpose: Asian and Latinx individuals have a high burden of untreated depression. Under-recognition of depressive symptoms may contribute to existing disparities in depression treatment. The objective of this cross-sectional study was to determine whether physicians recognize and treat depressive symptoms for Chinese and Latinx patients during routine primary care visits. Methods: We analyzed data from 1171 Chinese and Latinx patients who were in…
Early life predictors of positive change during the coronavirus disease pandemic
Findings suggest that neighborhood disadvantage in childhood may shape prosocial responses to stress in adulthood, potentially through early life adaptions to stress that are protective when facing adversity. There are several notable implications of the study findings. Although adversity in early life has clear negative impacts, it is possible that adversity experiences may also provide opportunities to develop adaptive strategies that foster re…
Allostatic Load, Unhealthy Behaviors, and Depressive Symptoms by Birthplace Among Older Adults in the Sacramento Area Latino Study on Aging (Salsa)
Objective: To assess whether unhealthy behaviors moderated the relationship between allostatic load (AL) and future significant depressive symptoms (SDSs) among 1,789 older Latinos. Method: Longitudinal data included baseline AL, three unhealthy behaviors (UBs), and 2-year follow-up SDS. Multivariable logistic regression analyses, stratified by birthplace (U.S. vs. foreign born), modeled the effects of AL, UB count (range = 0-3), and their intera…
Youth working in tobacco farming
Youth who work in tobacco faming face a challenging burden of adversities that increase their vulnerability. Risk assessments should guide public policies to protect underage youth working in tobacco farming. (298 words)
Mentes Positivas en Acción
Purpose: Low-income Latino immigrants lack access to mental health providers. We explored the feasibility of training promotores to deliver a stress management program in community settings. Methods: We trained promotores to deliver an 8-week intervention program comprising evidence-based cognitive-behavioral stress management techniques. Trained promotores then delivered the program to Spanish-speaking Latino immigrants. Results: Promotores (n=1…
Methodological Approaches to Understanding Causes of Health Disparities
Understanding health disparity causes is an important first step toward developing policies or interventions to eliminate disparities, but their nature makes identifying and addressing their causes challenging. Potential causal factors are often correlated, making it difficult to distinguish their effects. These factors may exist at different organizational levels (e.g., individual, family, neighborhood), each of which needs to be appropriately c…
A Community Choir Intervention to Promote Well-Being Among Diverse Older Adults
NCT01869179 registered January 9, 2013
Racial and Ethnic Differences in Prostate Cancer Survivors' Perceived Engagement in Treatment Decision-Making
Fathers' feeding practices and children's weight status in Mexican American families
Convenient Access to Professional Interpreters in the Hospital Decreases Readmission Rates and Estimated Hospital Expenditures for Patients With Limited English Proficiency
BACKGROUND: Twenty-five million people in the United States have limited English proficiency (LEP); this growing and aging population experiences worse outcomes when hospitalized. Federal requirements that hospitals provide language access services are very challenging to implement in the fast-paced, 24-hour hospital environment. OBJECTIVE: To determine if increasing access to professional interpreters improves hospital outcomes for older patient…
Preferred Child Body Size and Parental Underestimation of Child Weight in Mexican-American Families
Retention strategies for health disparities preventive trials
Findings from this case series study may help to guide the design of future RCTs to maximize retention of study participants and yield needed data on effective interventions to reduce oral health disparities
Coping With Chronic Stress by Unhealthy Behaviors
Unhealthy behaviors were not effective coping mechanisms for chronic stress in terms of preventing significant depressive symptoms. Instead, they strengthened the relationship between chronic stress and significant depressive symptoms among Latinos
Sexual Stigma, Coping Styles, and Psychological Distress
Study protocol for a cluster randomized trial of the Community of Voices choir intervention to promote the health and well-being of diverse older adults
ClinicalTrials.gov NCT01869179 registered 9 January 2013
Development of the Stress of Immigration Survey
The Stress of Immigration Survey (SOIS) is a screening tool used to assess immigration-related stress. The mixed methods approach included concept development, pretesting, field testing, and psychometric evaluation in a sample of 131 low-income women of Mexican descent. The 21-item SOIS screens for stress related to language, immigrant status, work issues, yearning for family and home country, and cultural dissonance. Mean scores ranged from 3.6 …
Nuevo Amanecer
Objectives. We evaluated a community-based, translational stress management program to improve health-related quality of life in Spanish-speaking Latinas with breast cancer. Methods. We adapted a cognitive–behavioral stress management program integrating evidence-based and community best practices to address the needs of Latinas with breast cancer. Spanish-speaking Latinas with breast cancer were randomly assigned to an intervention or usual-care…
Inaccurate Language Interpretation and Its Clinical Significance in the Medical Encounters of Spanish-speaking Latinos
BACKGROUND: Limited English-proficient patients suffer poorer quality of care and outcomes. Interpreters can ameliorate these disparities; however, evidence is lacking on the quality of different interpretation modes. OBJECTIVE: Compare accuracy of interpretation for in-person (IP) professional, professional videoconferencing (VC), and ad hoc (AH) interpretation. DESIGN: A cross-sectional study of transcribed audiotaped primary care visits. SUBJE…
Stress and Coping with Racism and Their Role in Sexual Risk for HIV Among African American, Asian/Pacific Islander, and Latino Men Who Have Sex with Men
What Type of Social Support Influences Self-Reported Physical and Mental Health Among Older Women
For clinicians, assessing individuals' emotional support is important for maintaining or increasing physical and mental health. Clinicians can also assess Asian women's stress, providing informational support accordingly as too much information could be detrimental to their health. For researchers, the inclusion of emotional support items is the most important
Diabetes Risk in Older Mexican Americans
Experiences of Discrimination and Their Impact on the Mental Health Among African American, Asian and Pacific Islander, and Latino Men Who Have Sex With Men
Objectives. We examined the associations between specific types and sources of discrimination and mental health outcomes among US racial/ethnic minority men who have sex with men (MSM) and how these associations varied by race/ethnicity. Methods. A chain-referral sample of 403 African American, 393 Asian and Pacific Islander (API), and 400 Latino MSM recruited in Los Angeles County, California completed a standardized questionnaire. Data were obt…
Risk Adjustment for Health Care Financing in Chronic Disease
BACKGROUND: Adjustment for differing risks among patients is usually incorporated into newer payment approaches, and current risk models rely on age, sex, and diagnosis codes. It is unknown the extent to which controlling additionally for disease severity improves cost prediction. Failure to adjust for within-disease variation may create incentives to avoid sicker patients. We address this issue among patients with chronic obstructive pulmonary d…
Socioeconomic status, health behavior, and leukocyte telomere length in the National Health and Nutrition Examination Survey, 1999-2002
Disaffiliation to Entrenchment
The diversity of homeless people and the complexity of their problems challenge our understanding of how best to serve them. This article argues that disaffiliation and reaffiliation processes are keys to understanding entrenchment in homelessness and developing remediation strategies. Survey data collected from 166 homeless persons in Austin, Texas, identified four clusters: (1) the Recently Dislocated have small social networks and mild mental …
Experiences of Discrimination and Their Impact on the Mental Health Among African American, Asian and Pacific Islander, and Latino Men Who Have Sex With Men
Objectives. We examined the associations between specific types and sources of discrimination and mental health outcomes among US racial/ethnic minority men who have sex with men (MSM) and how these associations varied by race/ethnicity. Methods. A chain-referral sample of 403 African American, 393 Asian and Pacific Islander (API), and 400 Latino MSM recruited in Los Angeles County, California completed a standardized questionnaire. Data were obt…
Stress and Coping with Racism and Their Role in Sexual Risk for HIV Among African American, Asian/Pacific Islander, and Latino Men Who Have Sex with Men
Methodological Approaches to Understanding Causes of Health Disparities
Understanding health disparity causes is an important first step toward developing policies or interventions to eliminate disparities, but their nature makes identifying and addressing their causes challenging. Potential causal factors are often correlated, making it difficult to distinguish their effects. These factors may exist at different organizational levels (e.g., individual, family, neighborhood), each of which needs to be appropriately c…
Fathers' feeding practices and children's weight status in Mexican American families
Sexual Stigma, Coping Styles, and Psychological Distress
A Community Choir Intervention to Promote Well-Being Among Diverse Older Adults
NCT01869179 registered January 9, 2013
Race/Ethnicity, Socioeconomic Status and the Health of Pregnant Women
We examined how traditional (income, education) and nontraditional (public assistance, material deprivation, subjective social standing) socioeconomic status (SES) indicators were associated with self-rated health, physical functioning, and depression in ethnically diverse pregnant women. Using multiple regression, we estimated the association of race/ethnicity (African American, Latino, Asian/Pacific Islander (PI) and white) and sets of SES meas…
Draw the Line/Respect the Line
Objectives. This study evaluated the long-term effectiveness of Draw the Line/Respect the Line, a theoretically based curriculum designed to reduce sexual risk behaviors among middle school adolescents. Methods. The randomized controlled trial involved 19 schools in northern California. A cohort of 2829 sixth graders was tracked for 36 months. Results. The intervention delayed sexual initiation among boys, but not girls. Boys in the intervention …
HIV Infection and Pregnancy Status Among Adults Attending Voluntary Counseling and Testing in 2 Developing Countries
Objectives. This study investigated the impact of HIV voluntary counseling and testing (VCT) on reproduction planning among 1634 adults in 2 sub-Saharan countries. Methods. Data were obtained from a multisite randomized controlled trial. Results. At 6 months post-VCT, the women more likely to be pregnant were younger (odds ratio [OR] = 2.5; 95% confidence interval [CI] = 1.0, 6.5), not using contraceptives (OR = 0.1; 95% CI = 0.1, 0.3), and HIV i…
Diabetes Risk in Older Mexican Americans
Coping With Chronic Stress by Unhealthy Behaviors
Unhealthy behaviors were not effective coping mechanisms for chronic stress in terms of preventing significant depressive symptoms. Instead, they strengthened the relationship between chronic stress and significant depressive symptoms among Latinos
What Type of Social Support Influences Self-Reported Physical and Mental Health Among Older Women
For clinicians, assessing individuals' emotional support is important for maintaining or increasing physical and mental health. Clinicians can also assess Asian women's stress, providing informational support accordingly as too much information could be detrimental to their health. For researchers, the inclusion of emotional support items is the most important
Measurement of Social Support Across Women from Four Ethnic Groups
To examine whether a multidimensional social support instrument can be used for comparative research in four diverse ethnic groups of women (African American, Latina, Chinese, non-Latina White). The social support instrument was administered as part of a larger survey to 1,137 women. We tested the reliability and validity of this instrument. A confirmatory factor analytic (CFA) framework was used to test for the invariance of the instrument's psy…
Factor Structure of the Spanish Version of the Ways of Coping Questionnaire
A Spanish translation of the Ways of Coping (WOC‐S) questionnaire was administered to three samples of Latinos sampled from Mexico City, Puerto Rico, and the San Francisco Peninsula, respectively. The factor structure of the WOC‐S was assessed with both exploratory and confirmatory factor analyses. The factor structure that emerged was found to have important similarities and differences compared to that previously reported for members of the pre…
Nuevo Amanecer
Objectives. We evaluated a community-based, translational stress management program to improve health-related quality of life in Spanish-speaking Latinas with breast cancer. Methods. We adapted a cognitive–behavioral stress management program integrating evidence-based and community best practices to address the needs of Latinas with breast cancer. Spanish-speaking Latinas with breast cancer were randomly assigned to an intervention or usual-care…
The Efficacy of Female Condom Skills Training in HIV Risk Reduction Among Women
Objectives. We evaluated the efficacy of skills training designed to increase female condom use among women. Methods. We conducted a randomized controlled trial of 409 women, recruited from family planning clinics in northern California, who were randomly assigned to the experimental 4-session female condom skills training intervention or the comparison 4-session women's general health promotion intervention. Participants received condom use inst…
Disaffiliation to Entrenchment
The diversity of homeless people and the complexity of their problems challenge our understanding of how best to serve them. This article argues that disaffiliation and reaffiliation processes are keys to understanding entrenchment in homelessness and developing remediation strategies. Survey data collected from 166 homeless persons in Austin, Texas, identified four clusters: (1) the Recently Dislocated have small social networks and mild mental …
Difficulty and instrumentality of imminent behavior as determinants of goal attractiveness
Subjects were presented with an easy or moderately difficult memorization task and told they could earn either a very low or very high chance of obtaining a modest prize if they did well. A measure of goal attractiveness was taken during an interval immediately preceding the task performance period. As expected, anticipatory goal attractiveness ratings were higher in the moderately difficult condition than in the easy condition when the probabili…
Condom use in unmarried Latino men
The effects of cultural factors on condom use were assessed in a random digit-dialing household survey of 1,600 unmarried Latino adults in 10 states with large Latino populations. Measures of traditional gender-role beliefs, sexual coercion, sexual comfort, and self-efficacy in using condoms were developed specifically for this population. A multisample structural equation model analysis included 594 men who reported one or more heterosexual part…
HIV-Related Risk Factors in a Population-Based Probability Sample of North and Central Trinidad
Characteristics of Individuals and Couples Seeking HIV-1 Prevention Services in Nairobi, Kenya
Characteristics of Individuals and Couples Seeking HIV-1 Prevention Services in Dar Es Salaam, Tanzania
The Voluntary HIV-1 Counseling and Testing Efficacy Study
Positive and negative life events after counselling and testing
INTRODUCTION: The results of the Voluntary HIV-1 Counselling and Testing Efficacy Study support the efficacy and cost-effectiveness of HIV voluntary counselling and testing (VCT) for reducing risk behaviors in three developing countries. METHODS: This report explores the social consequences of HIV VCT by examining the incidence of positive and negative life events at the first follow-up (an average of 7.3 months after recruitment). The incidence …
HIV Infection and Pregnancy Status Among Adults Attending Voluntary Counseling and Testing in 2 Developing Countries
Objectives. This study investigated the impact of HIV voluntary counseling and testing (VCT) on reproduction planning among 1634 adults in 2 sub-Saharan countries. Methods. Data were obtained from a multisite randomized controlled trial. Results. At 6 months post-VCT, the women more likely to be pregnant were younger (odds ratio [OR] = 2.5; 95% confidence interval [CI] = 1.0, 6.5), not using contraceptives (OR = 0.1; 95% CI = 0.1, 0.3), and HIV i…
Factor Structure of the Spanish Version of the Ways of Coping Questionnaire
A Spanish translation of the Ways of Coping (WOC‐S) questionnaire was administered to three samples of Latinos sampled from Mexico City, Puerto Rico, and the San Francisco Peninsula, respectively. The factor structure of the WOC‐S was assessed with both exploratory and confirmatory factor analyses. The factor structure that emerged was found to have important similarities and differences compared to that previously reported for members of the pre…
Draw the Line/Respect the Line
Objectives. This study evaluated the long-term effectiveness of Draw the Line/Respect the Line, a theoretically based curriculum designed to reduce sexual risk behaviors among middle school adolescents. Methods. The randomized controlled trial involved 19 schools in northern California. A cohort of 2829 sixth graders was tracked for 36 months. Results. The intervention delayed sexual initiation among boys, but not girls. Boys in the intervention …
Sexual Behavior Among Men Who have Sex with Women, Men, and Hijras in Mumbai, India—Multiple Sexual Risks
Do Self-Report Instruments Allow Meaningful Comparisons Across Diverse Population Groups
Comparative public health research makes wide use of self-report instruments. For example, research identifying and explaining health disparities across demographic strata may seek to understand the health effects of patient attitudes or private behaviors. Such personal attributes are difficult or impossible to observe directly and are often best measured by self-reports. Defensible use of self-reports in quantitative comparative research require…
Race/Ethnicity, Socioeconomic Status and the Health of Pregnant Women
We examined how traditional (income, education) and nontraditional (public assistance, material deprivation, subjective social standing) socioeconomic status (SES) indicators were associated with self-rated health, physical functioning, and depression in ethnically diverse pregnant women. Using multiple regression, we estimated the association of race/ethnicity (African American, Latino, Asian/Pacific Islander (PI) and white) and sets of SES meas…
Smoking Susceptibility and Attitudes Toward Smoking Among Chinese and Vietnamese American Adolescents
In California, 641 Chinese and 629 Vietnamese age 12-17 participated in a longitudinal telephone study from 1999 to 2001. Four attitude scales were constructed: acceptance of smokers, addictive nature of smoking, psychosocial reasons to smoke, and gender roles and smoking. Vietnamese American adolescents had more pro-smoking attitudes than Chinese American adolescents. Male gender, having friends who smoked, and baseline smoking were associated w…
The Efficacy of Female Condom Skills Training in HIV Risk Reduction Among Women
Objectives. We evaluated the efficacy of skills training designed to increase female condom use among women. Methods. We conducted a randomized controlled trial of 409 women, recruited from family planning clinics in northern California, who were randomly assigned to the experimental 4-session female condom skills training intervention or the comparison 4-session women's general health promotion intervention. Participants received condom use inst…
Measurement of Social Support Across Women from Four Ethnic Groups
To examine whether a multidimensional social support instrument can be used for comparative research in four diverse ethnic groups of women (African American, Latina, Chinese, non-Latina White). The social support instrument was administered as part of a larger survey to 1,137 women. We tested the reliability and validity of this instrument. A confirmatory factor analytic (CFA) framework was used to test for the invariance of the instrument's psy…
The patient‐reported Clinicians’ Cultural Sensitivity Survey
Background Patient‐reported measures of clinicians’ cultural sensitivity are important to assess comprehensively quality of care among ethnically diverse patients and may help address persistent health inequities. Objective Create a patient‐reported, multidimensional survey of clinicians’ cultural sensitivity to cultural factors affecting quality of care. Design Using a comprehensive conceptual framework, items were written and field‐tested in a …
Fertility Treatment Response
OBJECTIVE: To evaluate the prospective relation between dispositional traits of optimism and pessimism and in vitro fertilization (IVF) treatment failure among women seeking medical intervention for infertility. METHODS: Among 198 women (aged 24-45 years, mean [standard deviation] = 35.1 [4.1] years; white, 77%), the outcome of each participant's first IVF treatment cycle was examined. Treatment outcome was classified as being successful (versus …
The Live Well, Be Well Study
Objectives. We evaluated a community-based, translational lifestyle program to reduce diabetes risk in lower–socioeconomic status (SES) and ethnic minority adults. Methods. Through an academic–public health department partnership, community-dwelling adults at risk for diabetes were randomly assigned to individualized lifestyle counseling delivered primarily via telephone by health department counselors or a wait-list control group. Primary outcom…
Diabetes Risk in Older Mexican Americans
Experiences of Discrimination and Their Impact on the Mental Health Among African American, Asian and Pacific Islander, and Latino Men Who Have Sex With Men
Objectives. We examined the associations between specific types and sources of discrimination and mental health outcomes among US racial/ethnic minority men who have sex with men (MSM) and how these associations varied by race/ethnicity. Methods. A chain-referral sample of 403 African American, 393 Asian and Pacific Islander (API), and 400 Latino MSM recruited in Los Angeles County, California completed a standardized questionnaire. Data were obt…
Risk Adjustment for Health Care Financing in Chronic Disease
BACKGROUND: Adjustment for differing risks among patients is usually incorporated into newer payment approaches, and current risk models rely on age, sex, and diagnosis codes. It is unknown the extent to which controlling additionally for disease severity improves cost prediction. Failure to adjust for within-disease variation may create incentives to avoid sicker patients. We address this issue among patients with chronic obstructive pulmonary d…
Socioeconomic status, health behavior, and leukocyte telomere length in the National Health and Nutrition Examination Survey, 1999-2002
What Type of Social Support Influences Self-Reported Physical and Mental Health Among Older Women
For clinicians, assessing individuals' emotional support is important for maintaining or increasing physical and mental health. Clinicians can also assess Asian women's stress, providing informational support accordingly as too much information could be detrimental to their health. For researchers, the inclusion of emotional support items is the most important
Medicine (39 works) · Psychology (32 works) · Demography (16 works) · Gerontology (16 works) · Clinical Psychology (15 works) · Population (15 works) · Environmental health (14 works) · Psychiatry (14 works) · Public health (14 works) · Ethnic group (13 works)