Alejandra Paniagua-Avila
Biographic Data
| ID | 6061186 |
|---|---|
| NAME | Alejandra Paniagua-Avila |
| GIVEN NAMES | Alejandra |
| FAMILY NAME | Paniagua-Avila |
| SIGNATURE | PANIAGUA-AVILA A |
| AFFILIATIONS | Columbia University |
| ORCID | 0000-0002-1152-3785 |
| VERIFIED | Yes |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 1 |
| WORKS AS AUTHOR | 13 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2021 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Alcohol and other drug use among HIV-affected adolescents and young adults in Zambia
Background Alcohol and other drug (AOD) use is a growing public health problem among AYA and young adults (AYA) globally. AYA who are affected by HIV in low-and-middle-income countries (LMICs) may have high risk for AOD use problems, yet the context of AOD use remains an understudied area in this population. Method ology: In this qualitative study, we conducted 16 focus group discussions with HIV-affected AYA (ages 16-24), caregivers, and healthc…
Beyond “Ch'jurnaaq”
Psychotic conditions are major causes of disability in Latin America, where mental healthcare is mostly limited and inadequate. Indigenous People throughout this region experience additional barriers to mental health care, compounded by structural inequities and diverse health practices. This study in Guatemala described the Maya Indigenous People’s perceptions about psychosis, its symptoms, causes, responses to, and recovery. Results will inform…
Experiences and impact of Duelo Migratorio among Venezuelan refugees and migrants in Peru
Duelo Migratorio is a salient psychosocial experience faced by refugees and migrants that is not explicitly captured by existing frameworks. Future research ought to explore Duelo Migratorio in additional populations and explore how MHPSS interventions can alleviate cultural constructs of distress
Researchers’ agency and the boundaries of global mental health
The decolonise global health movement has critically reassessed the field’s historical and political underpinnings, urging researchers to recognise biases and power imbalances through reflexivity and action. Genuine change is seen as the outcome of the researcher’s self-awareness, often leaving the underlying structures of global health—and global mental health (GMH)—in the background. Here, we problematise how expectations around agency and chan…
Task Sharing and Remote Delivery of Brief Interpersonal Counseling for Venezuelan Migrants and Refugees Living in Peru during the Covid-19 Pandemic
Refugees and migrants experience an elevated risk for mental health problems and face significant barriers to receiving services. Interpersonal counseling (IPC-3) is a three-session intervention that can be delivered by non-specialists to provide psychological support and facilitate referrals for individuals in need of specialized care. We piloted IPC-3 delivered remotely by eight Venezuelan refugee and migrant women living in Peru. These counsel…
Immigrant generation status and its association with pubertal timing and tempo among H ispanic girls and boys
PURPOSE: In the United States, Hispanic-Latino children reach puberty earlier on average than non-Hispanic white children. Yet among U.S. Hispanic/Latino children, pubertal timing comparisons between immigrant generations have not been made, hence we examined whether pubertal timing differs by immigrant generational status, independent of BMI and acculturation measures. METHODS: Cross-sectional data on 724 boys and 735 girls, aged 10-15 years, fr…
HIV stigma and disclosure of alcohol use to physicians
Alcohol use among persons living with HIV (PWH) can lead to poor disease outcomes. Disclosure of alcohol consumption to physicians is critical to inform HIV care. HIV stigma is associated with poor care engagement, and this relationship is partially mediated by depression. However, less is known about how HIV stigma and depression affect reporting of alcohol use to care providers. We used baseline data from an HIV intervention trial of 330 adult …
Effectiveness of trauma-focused cognitive behavioral therapy compared to psychosocial counseling in reducing HIV risk behaviors, substance use, and mental health problems among orphans and vulnerable …
Explanatory models of hypertension in Guatemala
As understandings of hypertension vary between types of participants, it is important to describe their similarities and differences considering the role each has in the health system. Considering different perceptions of hypertension will enable better informed program planning and implementation efforts
La salud mental de los trabajadores de salud en Guatemala durante la pandemia de Covid-19
Objetivos. Evaluar la prevalencia de base de los trastornos de salud mental y exposiciones conexas en una cohorte de trabajadores de salud de Guatemala. Métodos Se analizó la información de base del estudio HÉROES (por COVID-19 HEalth caRe wOrkeRs Study, sobre los trabajadores de salud durante la pandemia) en Guatemala, realizado en línea en el 2020. Las variables de resultado fueron malestar psicológico y síntomas depresivos. Las exposiciones in…
Mental Health of Guatemalan Health Care Workers During the Covid-19 Pandemic
Objectives. To assess the baseline prevalence of mental health conditions and associated exposures in a cohort of health care workers (HCWs) in Guatemala. Methods. We analyzed baseline information from the 2020 Web-based COVID-19 Health Care Workers Study (HEROES)–Guatemala. Outcomes included mental distress and depressive symptoms. Exposures included COVID-19 experiences, sociodemographic characteristics, and job characteristics. We used crude a…
Excess Mortality During the Covid-19 Pandemic in Guatemala
Objectives. To describe excess mortality during the COVID-19 pandemic in Guatemala during 2020 by week, age, sex, and place of death. Methods. We used mortality data from 2015 to 2020, gathered through the vital registration system of Guatemala. We calculated weekly mortality rates, overall and stratified by age, sex, and place of death. We fitted a generalized additive model to calculate excess deaths, adjusting for seasonality and secular trend…
Student Perspectives From a Covid-19 Epicenter
Student Perspectives From a COVID-19 Epicenter: Bridging Educational Training and Public Health Practice Joanne Michelle F. Ocampo MS, Jessica A. Lavery MS, Yongmei Huang MD, MPH, Damemarie Paul MPH, Alejandra Paniagua-Avila MD, MPH, Nahid Punjani MD, MPH Affiliation Joanne Michelle F. Ocampo is a doctorate of public health student with the Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York,…
Excess Mortality During the Covid-19 Pandemic in Guatemala
Objectives. To describe excess mortality during the COVID-19 pandemic in Guatemala during 2020 by week, age, sex, and place of death. Methods. We used mortality data from 2015 to 2020, gathered through the vital registration system of Guatemala. We calculated weekly mortality rates, overall and stratified by age, sex, and place of death. We fitted a generalized additive model to calculate excess deaths, adjusting for seasonality and secular trend…
Excess Mortality During the Covid-19 Pandemic in Guatemala
Objectives. To describe excess mortality during the COVID-19 pandemic in Guatemala during 2020 by week, age, sex, and place of death. Methods. We used mortality data from 2015 to 2020, gathered through the vital registration system of Guatemala. We calculated weekly mortality rates, overall and stratified by age, sex, and place of death. We fitted a generalized additive model to calculate excess deaths, adjusting for seasonality and secular trend…
Student Perspectives From a Covid-19 Epicenter
Student Perspectives From a COVID-19 Epicenter: Bridging Educational Training and Public Health Practice Joanne Michelle F. Ocampo MS, Jessica A. Lavery MS, Yongmei Huang MD, MPH, Damemarie Paul MPH, Alejandra Paniagua-Avila MD, MPH, Nahid Punjani MD, MPH Affiliation Joanne Michelle F. Ocampo is a doctorate of public health student with the Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York,…
Explanatory models of hypertension in Guatemala
As understandings of hypertension vary between types of participants, it is important to describe their similarities and differences considering the role each has in the health system. Considering different perceptions of hypertension will enable better informed program planning and implementation efforts
La salud mental de los trabajadores de salud en Guatemala durante la pandemia de Covid-19
Objetivos. Evaluar la prevalencia de base de los trastornos de salud mental y exposiciones conexas en una cohorte de trabajadores de salud de Guatemala. Métodos Se analizó la información de base del estudio HÉROES (por COVID-19 HEalth caRe wOrkeRs Study, sobre los trabajadores de salud durante la pandemia) en Guatemala, realizado en línea en el 2020. Las variables de resultado fueron malestar psicológico y síntomas depresivos. Las exposiciones in…
Mental Health of Guatemalan Health Care Workers During the Covid-19 Pandemic
Objectives. To assess the baseline prevalence of mental health conditions and associated exposures in a cohort of health care workers (HCWs) in Guatemala. Methods. We analyzed baseline information from the 2020 Web-based COVID-19 Health Care Workers Study (HEROES)–Guatemala. Outcomes included mental distress and depressive symptoms. Exposures included COVID-19 experiences, sociodemographic characteristics, and job characteristics. We used crude a…
Immigrant generation status and its association with pubertal timing and tempo among H ispanic girls and boys
PURPOSE: In the United States, Hispanic-Latino children reach puberty earlier on average than non-Hispanic white children. Yet among U.S. Hispanic/Latino children, pubertal timing comparisons between immigrant generations have not been made, hence we examined whether pubertal timing differs by immigrant generational status, independent of BMI and acculturation measures. METHODS: Cross-sectional data on 724 boys and 735 girls, aged 10-15 years, fr…
HIV stigma and disclosure of alcohol use to physicians
Alcohol use among persons living with HIV (PWH) can lead to poor disease outcomes. Disclosure of alcohol consumption to physicians is critical to inform HIV care. HIV stigma is associated with poor care engagement, and this relationship is partially mediated by depression. However, less is known about how HIV stigma and depression affect reporting of alcohol use to care providers. We used baseline data from an HIV intervention trial of 330 adult …
Effectiveness of trauma-focused cognitive behavioral therapy compared to psychosocial counseling in reducing HIV risk behaviors, substance use, and mental health problems among orphans and vulnerable …
Researchers’ agency and the boundaries of global mental health
The decolonise global health movement has critically reassessed the field’s historical and political underpinnings, urging researchers to recognise biases and power imbalances through reflexivity and action. Genuine change is seen as the outcome of the researcher’s self-awareness, often leaving the underlying structures of global health—and global mental health (GMH)—in the background. Here, we problematise how expectations around agency and chan…
Task Sharing and Remote Delivery of Brief Interpersonal Counseling for Venezuelan Migrants and Refugees Living in Peru during the Covid-19 Pandemic
Refugees and migrants experience an elevated risk for mental health problems and face significant barriers to receiving services. Interpersonal counseling (IPC-3) is a three-session intervention that can be delivered by non-specialists to provide psychological support and facilitate referrals for individuals in need of specialized care. We piloted IPC-3 delivered remotely by eight Venezuelan refugee and migrant women living in Peru. These counsel…
Beyond “Ch'jurnaaq”
Psychotic conditions are major causes of disability in Latin America, where mental healthcare is mostly limited and inadequate. Indigenous People throughout this region experience additional barriers to mental health care, compounded by structural inequities and diverse health practices. This study in Guatemala described the Maya Indigenous People’s perceptions about psychosis, its symptoms, causes, responses to, and recovery. Results will inform…
Experiences and impact of Duelo Migratorio among Venezuelan refugees and migrants in Peru
Duelo Migratorio is a salient psychosocial experience faced by refugees and migrants that is not explicitly captured by existing frameworks. Future research ought to explore Duelo Migratorio in additional populations and explore how MHPSS interventions can alleviate cultural constructs of distress
Alcohol and other drug use among HIV-affected adolescents and young adults in Zambia
Background Alcohol and other drug (AOD) use is a growing public health problem among AYA and young adults (AYA) globally. AYA who are affected by HIV in low-and-middle-income countries (LMICs) may have high risk for AOD use problems, yet the context of AOD use remains an understudied area in this population. Method ology: In this qualitative study, we conducted 16 focus group discussions with HIV-affected AYA (ages 16-24), caregivers, and healthc…
Medicine (10 works) · Psychiatry (6 works) · Internal Medicine (5 works) · Mental health (5 works) · Nursing (5 works) · Disease (4 works) · Environmental health (4 works) · Family medicine (4 works) · Gerontology (4 works) · Mental Health Treatment and Access (4 works)