Alixida Ramos‐pibernu
Biographic Data
| ID | 209614 |
|---|---|
| NAME | Alixida Ramos‐pibernu |
| GIVEN NAMES | Alixida |
| FAMILY NAME | Ramos‐pibernu |
| SIGNATURE | PIBERNU A R |
| AFFILIATIONS | Ponce Health Sciences University |
| ORCID | 0000-0002-2457-555X |
| VERIFIED | Yes |
| TOTAL WORKS | 16 |
| TOTAL CITATIONS | 19 |
| AUTHOR COUNT | 16 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2016 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
Assessing Text Messaging Interactivity with a Vaping Cessation Intervention Among Latino Young Adults: A Quantitative and Qualitative Analysis
Objective To assess text messaging interactivity with a vaping cessation intervention among Latino young adults.Methods As part of a single-arm pilot study, 40 Latino young adults (ages 18–25) received Kick Vaping, a vaping cessation text messaging intervention. Kick Vaping, available in English and Spanish, was developed in partnership with a Community Advisory Board of Latino young adults and consisted of 212 text messages delivered throughout …
Beyond financial incentives: A quantitative study on spatial stigma and Puerto Rican physician migration to the United States
Puerto Rico faces a significant health crisis due to the mass migration of physicians to the United States, exacerbating the challenge of achieving the World Health Organisation's recommended physician-to-population ratio. While economic factors such as higher salaries in the US have been identified as primary drivers, the complexity of this migration wave requires a deeper exploration. This study quantitatively examines the role of push factors,…
Reframing the National Institute on Minority Health and Health Disparities Research Framework: Strengthening the Behavioral Domain with the Inclusion of Psychological Factors
The National Institute on Minority Health and Health Disparities Research Framework (NIMHD-RF) provides a multidimensional structure to examine health disparities across domains and levels of influence. While influential, its current Behavioral Domain centers on observable behaviors and underrepresents key psychological factors and determinants that shape health outcomes among minoritized populations. This gap limits the framework's capacity to a…
Understanding biopsychosocial factors influencing cigarette smoking among transgender and gender diverse individuals living in Argentina: A qualitative study
The prevalence of cigarette smoking among transgender women in Argentina is 42%, more than double the rate compared to cisgender women. To understand biopsychosocial factors influencing cigarette smoking among transgender and gender-diverse (TGD) individuals living in Argentina. Between December 2023 and January 2024, 19 qualitative semi-structured interviews were conducted face-to-face with TGD individuals. TGD peer navigators recruited particip…
Development and Preliminary Validation of a Scale to Measure Perceived Therapist’s Knowledge about Gender Identity Diversity among Trans and Non-Binary Individuals in Puerto Rico
This study aimed to describe the development of the Perceived Therapist’s Knowledge about Gender Identity Diversity Scale and to preliminarily validate this scale by describing its psychometric properties. This research instrument was constructed based on the existing literature and recommendations for instrument development. Initially, a 36-item scale was devised to assess perceived openness and knowledge about gender identity diversity in thera…
They think we wear loincloths: Spatial stigma, coloniality, and physician migration in Puerto Rico
Puerto Rico (PR) is facing an unprecedented healthcare crisis due to accelerating migration of physicians to the mainland United States (US), leaving residents with diminishing healthcare and excessively long provider wait times. While scholars and journalists have identified economic factors driving physician migration, our study analyzes the effects of spatial stigma within the broader context of coloniality as unexamined dimensions of physicia…
Prevalence and correlates of current cigarette smoking among transgender women in Argentina
Objective To assess the prevalence of current cigarette smoking among transgender women in Argentina, and to examine the unique associations of current cigarette smoking with demographic and psychosocial factors. Methods This study is a secondary data analysis of the TransCITAR – a prospective cohort study of transgender individuals living in Buenos Aires, Argentina – baseline data. The baseline survey collected information on sociodemographic ch…
The impact of the Covid-19 pandemic and previous natural disasters on the mental health of healthcare workers in Puerto Rico
The objective of this study was to assess the impact of COVID-19 pandemic worries (e.g., fear of contagion) and previous exposure to natural disasters (e.g., hurricanes) on Healthcare Workers (HCWs) mental health in Puerto Rico. Participants completed a self-administered online survey including items on sociodemographic information, working conditions, fears, and worries about the COVID-19 pandemic, past natural disaster experiences, depressive s…
Recommendations from Latinx Trans and Non-Binary Individuals to Promote Cancer Prevention in Puerto Rico and Florida
Latinx trans and non-binary individuals (LTNB) face increased cancer-related health disparities. Studies evidence how barriers at the individual, provider and organizational levels drive cancer disparities among LTNB individuals. These barriers increase the emotional discomfort associated with testing and disengagement from cancer prevention efforts. Moreover, there are no guidelines or interventions that address cancer prevention specifically am…
On staying: Non-migration among Puerto Rican physicians
Since 2000, an exodus of Puerto Ricans leaving the island has reduced the local population by almost 20 per cent. One of the migratory waves of greatest concern is that of physicians due to its potential impact on Puerto Rico’s (PR) public health. Strategies to curtail their migration have overlooked the island’s unique cultural and geographic strengths that could encourage physicians to stay. This article, influenced by place attachment theory, …
On leaving: Coloniality and physician migration in Puerto Rico
Covid-19 impact on the psychological health of Latinx transgender and non-binary individuals in mainland United States and Puerto Rico: A mixed-methods study
Findings evidence that although most of LTNB participants were negatively impacted by the COVID-19 pandemic in multiple aspects of their lives, those living in Puerto Rico experienced these differently when compared to those in mainland US. More research is needed to understand better the mechanisms and pathways through which this context specifically impacts LTNB health and wellbeing, particularly in Puerto Rico. This study could help shape the …
Examining Cervical Cancer Preventive Behaviors for Latinx Transmasculine Individuals among Medical Students
Latinx transmasculine men (LTM) can be at a particularly high risk for cervical cancer as they lie at the intersection of two health disparity populations (gender and ethnic minorities). Previous research using self-report measures has documented how negative interactions with providers are a key barrier for cervical cancer screening among LTM. However, no research to date has examined, via direct observation, cervical cancer preventive behaviors…
Experiences of Violence Among Transgender Women in Puerto Rico: An Underestimated Problem
Violence is a public health concern faced on a daily basis by transgender women. Literature has documented how it adversely affects quality of life and health and in some instances leads to homicide. Considering the lack of research documenting the experiences of violence among transgender women, the objective of this article was to explore manifestations of violence among this population in Puerto Rico. The data presented in this article are par…
Trans-Migrations: Border-Crossing and the Politics of Body Modification Among Puerto Rican Transgender Women
This research describes the context and health consequences of migration/mobility that accompany the search for gender transitioning procedures among Puerto Rican transgender/transsexual women. We term migration/mobility for gender transitioning trans-migration. We conducted an ethnographic study focusing on trans-migration, including participant observation and semi-structured interviews with 39 transgender/transsexual women in Puerto Rico. Our …
Intersections and evolution of ‘Butch-trans’ categories in Puerto Rico: Needs and barriers of an invisible population
Public health research among transgender populations globally has primarily focused on HIV/AIDS. However, trans men remain outside of this conceptual framework, with distinct but overlapping social contexts and needs. In Puerto Rico (PR), the trans men population has remained largely hidden within the 'butch' lesbian community. The objective of this article is to document the identity construction of trans men and 'buchas' (local term to refer to…
Experiences of Violence Among Transgender Women in Puerto Rico: An Underestimated Problem
Violence is a public health concern faced on a daily basis by transgender women. Literature has documented how it adversely affects quality of life and health and in some instances leads to homicide. Considering the lack of research documenting the experiences of violence among transgender women, the objective of this article was to explore manifestations of violence among this population in Puerto Rico. The data presented in this article are par…
On leaving: Coloniality and physician migration in Puerto Rico
On staying: Non-migration among Puerto Rican physicians
Since 2000, an exodus of Puerto Ricans leaving the island has reduced the local population by almost 20 per cent. One of the migratory waves of greatest concern is that of physicians due to its potential impact on Puerto Rico’s (PR) public health. Strategies to curtail their migration have overlooked the island’s unique cultural and geographic strengths that could encourage physicians to stay. This article, influenced by place attachment theory, …
Trans-Migrations: Border-Crossing and the Politics of Body Modification Among Puerto Rican Transgender Women
This research describes the context and health consequences of migration/mobility that accompany the search for gender transitioning procedures among Puerto Rican transgender/transsexual women. We term migration/mobility for gender transitioning trans-migration. We conducted an ethnographic study focusing on trans-migration, including participant observation and semi-structured interviews with 39 transgender/transsexual women in Puerto Rico. Our …
Intersections and evolution of ‘Butch-trans’ categories in Puerto Rico: Needs and barriers of an invisible population
Public health research among transgender populations globally has primarily focused on HIV/AIDS. However, trans men remain outside of this conceptual framework, with distinct but overlapping social contexts and needs. In Puerto Rico (PR), the trans men population has remained largely hidden within the 'butch' lesbian community. The objective of this article is to document the identity construction of trans men and 'buchas' (local term to refer to…
Experiences of Violence Among Transgender Women in Puerto Rico: An Underestimated Problem
Violence is a public health concern faced on a daily basis by transgender women. Literature has documented how it adversely affects quality of life and health and in some instances leads to homicide. Considering the lack of research documenting the experiences of violence among transgender women, the objective of this article was to explore manifestations of violence among this population in Puerto Rico. The data presented in this article are par…
Examining Cervical Cancer Preventive Behaviors for Latinx Transmasculine Individuals among Medical Students
Latinx transmasculine men (LTM) can be at a particularly high risk for cervical cancer as they lie at the intersection of two health disparity populations (gender and ethnic minorities). Previous research using self-report measures has documented how negative interactions with providers are a key barrier for cervical cancer screening among LTM. However, no research to date has examined, via direct observation, cervical cancer preventive behaviors…
Covid-19 impact on the psychological health of Latinx transgender and non-binary individuals in mainland United States and Puerto Rico: A mixed-methods study
Findings evidence that although most of LTNB participants were negatively impacted by the COVID-19 pandemic in multiple aspects of their lives, those living in Puerto Rico experienced these differently when compared to those in mainland US. More research is needed to understand better the mechanisms and pathways through which this context specifically impacts LTNB health and wellbeing, particularly in Puerto Rico. This study could help shape the …
Prevalence and correlates of current cigarette smoking among transgender women in Argentina
Objective To assess the prevalence of current cigarette smoking among transgender women in Argentina, and to examine the unique associations of current cigarette smoking with demographic and psychosocial factors. Methods This study is a secondary data analysis of the TransCITAR – a prospective cohort study of transgender individuals living in Buenos Aires, Argentina – baseline data. The baseline survey collected information on sociodemographic ch…
The impact of the Covid-19 pandemic and previous natural disasters on the mental health of healthcare workers in Puerto Rico
The objective of this study was to assess the impact of COVID-19 pandemic worries (e.g., fear of contagion) and previous exposure to natural disasters (e.g., hurricanes) on Healthcare Workers (HCWs) mental health in Puerto Rico. Participants completed a self-administered online survey including items on sociodemographic information, working conditions, fears, and worries about the COVID-19 pandemic, past natural disaster experiences, depressive s…
Recommendations from Latinx Trans and Non-Binary Individuals to Promote Cancer Prevention in Puerto Rico and Florida
Latinx trans and non-binary individuals (LTNB) face increased cancer-related health disparities. Studies evidence how barriers at the individual, provider and organizational levels drive cancer disparities among LTNB individuals. These barriers increase the emotional discomfort associated with testing and disengagement from cancer prevention efforts. Moreover, there are no guidelines or interventions that address cancer prevention specifically am…
On staying: Non-migration among Puerto Rican physicians
Since 2000, an exodus of Puerto Ricans leaving the island has reduced the local population by almost 20 per cent. One of the migratory waves of greatest concern is that of physicians due to its potential impact on Puerto Rico’s (PR) public health. Strategies to curtail their migration have overlooked the island’s unique cultural and geographic strengths that could encourage physicians to stay. This article, influenced by place attachment theory, …
On leaving: Coloniality and physician migration in Puerto Rico
Development and Preliminary Validation of a Scale to Measure Perceived Therapist’s Knowledge about Gender Identity Diversity among Trans and Non-Binary Individuals in Puerto Rico
This study aimed to describe the development of the Perceived Therapist’s Knowledge about Gender Identity Diversity Scale and to preliminarily validate this scale by describing its psychometric properties. This research instrument was constructed based on the existing literature and recommendations for instrument development. Initially, a 36-item scale was devised to assess perceived openness and knowledge about gender identity diversity in thera…
They think we wear loincloths: Spatial stigma, coloniality, and physician migration in Puerto Rico
Puerto Rico (PR) is facing an unprecedented healthcare crisis due to accelerating migration of physicians to the mainland United States (US), leaving residents with diminishing healthcare and excessively long provider wait times. While scholars and journalists have identified economic factors driving physician migration, our study analyzes the effects of spatial stigma within the broader context of coloniality as unexamined dimensions of physicia…
Assessing Text Messaging Interactivity with a Vaping Cessation Intervention Among Latino Young Adults: A Quantitative and Qualitative Analysis
Objective To assess text messaging interactivity with a vaping cessation intervention among Latino young adults.Methods As part of a single-arm pilot study, 40 Latino young adults (ages 18–25) received Kick Vaping, a vaping cessation text messaging intervention. Kick Vaping, available in English and Spanish, was developed in partnership with a Community Advisory Board of Latino young adults and consisted of 212 text messages delivered throughout …
Beyond financial incentives: A quantitative study on spatial stigma and Puerto Rican physician migration to the United States
Puerto Rico faces a significant health crisis due to the mass migration of physicians to the United States, exacerbating the challenge of achieving the World Health Organisation's recommended physician-to-population ratio. While economic factors such as higher salaries in the US have been identified as primary drivers, the complexity of this migration wave requires a deeper exploration. This study quantitatively examines the role of push factors,…
Reframing the National Institute on Minority Health and Health Disparities Research Framework: Strengthening the Behavioral Domain with the Inclusion of Psychological Factors
The National Institute on Minority Health and Health Disparities Research Framework (NIMHD-RF) provides a multidimensional structure to examine health disparities across domains and levels of influence. While influential, its current Behavioral Domain centers on observable behaviors and underrepresents key psychological factors and determinants that shape health outcomes among minoritized populations. This gap limits the framework's capacity to a…
Understanding biopsychosocial factors influencing cigarette smoking among transgender and gender diverse individuals living in Argentina: A qualitative study
The prevalence of cigarette smoking among transgender women in Argentina is 42%, more than double the rate compared to cisgender women. To understand biopsychosocial factors influencing cigarette smoking among transgender and gender-diverse (TGD) individuals living in Argentina. Between December 2023 and January 2024, 19 qualitative semi-structured interviews were conducted face-to-face with TGD individuals. TGD peer navigators recruited particip…
Medicine (14 works) · Psychology (12 works) · LGBTQ Health, Identity, and Policy (10 works) · Sociology (10 works) · Psychiatry (8 works) · Political science (7 works) · Environmental health (6 works) · Geography (6 works) · Gender Studies (5 works) · Public health (5 works)