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Rafael Pérez-Escamilla

Biographic Data

ID874998
NAMERafael Pérez-Escamilla
GIVEN NAMESRafael
FAMILY NAMEPérez-Escamilla
SIGNATUREPÉREZ-ESCAMILLA R
AFFILIATIONSYale University
ORCID0000-0001-9416-8039
VERIFIEDYes
TOTAL WORKS148
TOTAL CITATIONS156
AUTHOR COUNT148
EDITOR COUNT0
FIRST PUBLICATION YEAR1992
LATEST PUBLICATION YEAR2026
H-INDEX8
  • Navigating Change: Biocultural Dimensions of Feeding in a Pilagá Community Undergoing Lifestyle and Economic Transition in Argentina

    Open Access•Sofía Irene Olmedo, Claudia Valeggia et al.•ARTICLE•American Journal of Human Biology•2026

    This Pilagá community is experiencing a dietary transition toward westernized foods, driven by biosociocultural factors that mirror broader shifts in local food systems and consumption patterns

  • The impact of the United States’ distancing from the UN and withholding WHO funding on maternal and child health and nutrition in the Latin America & Caribbean region

    Open Access•Mónica Ancira-Moreno, Rafael Pérez-Escamilla et al.•ARTICLE•International Journal for Equity…•2026

    This commentary examines the serious implications of the United States’ (US) decision to withdraw funding from the World Health Organization (WHO) and the United Nations (UN) system for maternal and child health and nutrition in Latin America and the Caribbean (LAC). The region has made significant progress in reducing maternal and infant mortality through coordinated efforts led by WHO, PAHO, and other UN agencies, as an example, infant mortalit…

  • Food insecurity and hypertension prevalence, awareness, and control in the Eastern Caribbean Health Outcomes Research Network Study

    Open Access•Carol R Oladele, Neha Khandpur et al.•ARTICLE•PLOS Global Public Health•2025

    Limited evidence exists on the association between food insecurity (FI) and the hypertension care cascade in the Caribbean despite the high burden of both. The objective of this study is to examine the relationship between FI and hypertension prevalence, awareness, and control in the Eastern Caribbean. We conducted a cross-sectional analysis of baseline data (2013–2018) from the Eastern Caribbean Health Outcomes Research Network Cohort Study (n =…

  • Support or Interference: Relational Influences on Mother's Exclusive Breastfeeding Practices in Ghana

    Open Access•Georgiana Esteves, Adam Sandow et al.•ARTICLE•Maternal and Child Nutrition•2025

    Breastfeeding (BF) is a crucial step in the path to improving a child's health. Exclusive breastfeeding (EBF) is recognized as the best practice to improve a child's physical growth and cognitive development in the first months of life. The World Health Organization (WHO) recommends EBF for 6 months. Family support is an important element to help mothers' adhere to breastfeeding recommendations in Ghana. This study aimed to: (a) understand, at th…

  • Digital Marketing Claims and Their Association With the Perceptions of Parents of Children Under 2 Years Old of Commercial Milk Formulas in Mexico

    Open Access•Valeria Aureoles‐García, Mishel Unar‐Munguía et al.•ARTICLE•Maternal and Child Nutrition•2025

    We analysed digital marketing claims for commercial milk formula (CMF) and their association with parents' perceptions of the health and nutrition benefits of this industrialised product. The study sample consisted of 1074 parents ≥ 18 years old with internet access, with children < 2 years old, living in Mexico, who responded to an online survey between December 2020 and January 2021. The most frequent health-related, nutrition, technical, and e…

  • Nurturing Care Systems Underlying Early Childhood Food Insecurity in Brazil: A Causal Loop Diagram Approach

    Open Access•Gabriela Buccini, Krystyna Anne Stave et al.•ARTICLE•Maternal and Child Nutrition•2025

    Experiencing food insecurity in early childhood is associated with adverse health and nutrition outcomes. About 66% of Brazilian households with children are food insecure; however, interventions targeting early childhood have fallen short in addressing food insecurity due to a lack of funding and multisectoral coordination combined with the COVID-19 pandemic. Therefore, protecting children from food insecurity is a complex task in Brazil and req…

  • Content Analysis of Austrian Print and Online Newspaper Coverage of Breastfeeding Over Two Decades

    Open Access•Birgit Zuckerhut, Brigitte Naderer et al.•ARTICLE•Maternal and Child Nutrition•2025

    In the first 6 months, breastfeeding is the optimal nutrition for newborns, but the breastfeeding prevalence in Austria is still below the official WHO Guidelines (64% breastfeeding and 1.9% exclusive breastfeeding after 6 months). Exclusive breastfeeding rates in the first 6 months are low in the European Region but higher globally at 48%. Breastfeeding behaviour and the decision to breastfeed can be influenced by many factors, such as social no…

  • Validation of a food security experience scale among indigenous populations in Brazil

    Open Access•Ana Maria Segall-Corrêa, Verônica Gronau Luz et al.•ARTICLE•International Journal for Equity…•2025

    EBIA-I is a valid scale with strong potential to inform decisions by policymakers and to support indigenous organizations monitoring, addressing, and advocating for policies to prevent or mitigate food and nutrition insecurity in their communities

  • Food insecurity and water insecurity measurement in Brazil: Sustainable Development Goals monitoring through experiential scales

    Open Access•Rosana Salles-Costa, Camilla Christine De Souza Cherol et al.•ARTICLE•Cadernos de Saude Publica•2025•References: 10

  • Food and nutrition security definitions, constructs, frameworks, measurements, and applications: Global lessons

    Open Access•Rafael Pérez-Escamilla•ARTICLE•Frontiers in Public Health•2024

    Food security (FS) is a powerful social determinant of health (SDOH) and is crucial for human and planetary health. The objectives of this article are to (i) provide clarity on the definitions of FS and nutrition security; (ii) provide a framework that clearly explains the links between the two constructs; (iii) summarize measurement approaches, and (iv) illustrate applications to monitoring and surveillance, policy and program design and evaluat…

  • Clients’ experiences and satisfaction with produce prescription programs in California: A qualitative evaluation to inform person-centered and respectful program models

    Open Access•E C Rhodes, Rafael Pérez-Escamilla et al.•ARTICLE•Frontiers in Public Health•2024

    Background Produce prescription programs have strong potential to improve food security, fruit and vegetable consumption, and health across the life course. Understanding clients’ experiences and satisfaction with produce prescription programs is critical for evaluating the person-centeredness and quality of these programs. The objectives of this study were to (1) describe client experiences and satisfaction with produce prescription programs, wi…

  • Critical research gaps in treating growth faltering in infants under 6 months: A systematic review and meta-analysis

    Open Access•Cecilia Tomori, Deborah L O’Connor et al.•ARTICLE•PLOS Global Public Health•2024

    In 2020, 149.2 million children worldwide under 5 years suffered from stunting, and 45.4 million experienced wasting. Many infants are born already stunted, while others are at high risk for growth faltering early after birth. Growth faltering is linked to transgenerational impacts of poverty and marginalization. Few interventions address growth faltering in infants under 6 months, despite a likely increasing prevalence due to the negative global…

  • Barriers and facilitators for implementing the WHO Safe Childbirth Checklist (SCC) in Mozambique: A qualitative study using the Consolidated Framework for Implementation Research (CFIR)

    Open Access•Anqi He, Elsa Luís Kanduma et al.•ARTICLE•PLOS Global Public Health•2024

    High maternal and neonatal mortality rates persist in Mozambique, with stillbirths remaining understudied. Most maternal and neonatal deaths in the country are due to preventable and treatable childbirth-related complications that often occur in low-resource settings. The World Health Organization introduced the Safe Childbirth Checklist (SCC) in 2015 to reduce adverse birth outcomes. The SCC, a structured list of evidence-based practices, target…

  • Black Fathers' Views on Breastfeeding Facilitators, Barriers, and Support Services: Insights From a Qualitative Community‐Based Participatory Research Study

    Open Access•Jasmine Rios, Tomeka Frieson et al.•ARTICLE•Maternal and Child Nutrition•2024

    Despite the persistence of breastfeeding racial and ethnic disparities in the United States, little is known about Black fathers' perceptions of breastfeeding and breastfeeding support services (e.g., maternity hospital-based care and lactation management care). This qualitative, community-based participatory research study reports Black fathers' perceptions of barriers and facilitators to breastfeeding, including the provision of breastfeeding s…

  • Empowering Global Health Systems to Protect, Promote and Support Optimal Breastfeeding

    Open Access•David T Zhu, Tanu Gupta et al.•ARTICLE•Maternal and Child Nutrition•2024

    Breastfeeding is a critical public health strategy for optimal child development and maternal health across the life course. The 2021 Global Burden of Diseases, Injuries and Risk Factors Study reveals that, despite reductions in mortality and disability-adjusted life years (DALYs) attributed to suboptimal breastfeeding practices-namely, non-exclusive breastfeeding during the first 6 months or early discontinuation within the first 2 years-low- an…

  • Depression and Anxiety Mediate the Relationship between Discrimination and Well-Being in a Sample of Latinx Adults with Type 2 Diabetes: Results from a Dual Mediation Analysis

    Open Access•Kevin Matlock, Rafael Pérez-Escamilla et al.•ARTICLE•Journal of Immigrant and Minority…•2024

    Latinxs experience greater risk for type 2 diabetes, discrimination, and poor mental health. The pathways linking these factors, however, are not well understood. This study tested whether depression and anxiety mediated the relationship between discrimination and well-being. Bootstrapped mediation tests were conducted using a sample of Latinx adults with type 2 diabetes (n = 121) and regression models adjusted for demographic and health covariat…

  • Commercial milk formula marketing entry points: Setting the course of infant and young child feeding trajectories

    Open Access•Mireya Vilar-Compte, Sonia Hernández‐Cordero et al.•ARTICLE•BMC Public Health•2024

    The cases in our study highlight how, together with a weak breastfeeding counseling system, and health professionals who lack training in breastfeeding and normal infant behavior, lead to the opportunity for CMF marketing to shape infant feeding, and ultimately to the decision to feed formulas that some mothers were not planning to use and cannot afford

  • Marketing of commercial milk formula: A system to capture parents, communities, science, and policy

    Open Access•Nigel Rollins, Ellen Piwoz et al.•ARTICLE•The Lancet•2023

    Despite proven benefits, less than half of infants and young children globally are breastfed in accordance with the recommendations of WHO. In comparison, commercial milk formula (CMF) sales have increased to about US$55 billion annually, with more infants and young children receiving formula products than ever. This Series paper describes the CMF marketing playbook and its influence on families, health professionals, science, and policy processe…

  • Breastfeeding: Crucially important, but increasingly challenged in a market-driven world

    Open Access•Rafael Pérez-Escamilla, Cecilia Tomori et al.•ARTICLE•The Lancet•2023

    In this Series paper, we examine how mother and baby attributes at the individual level interact with breastfeeding determinants at other levels, how these interactions drive breastfeeding outcomes, and what policies and interventions are necessary to achieve optimal breastfeeding. About one in three neonates in low-income and middle-income countries receive prelacteal feeds, and only one in two neonates are put to the breast within the first hou…

  • Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study

    Open Access•J L Martinez-Brockman, Amber Hromi-Fiedler et al.•ARTICLE•Frontiers in Public Health•2023

    Background: Globally, 1.3 billion people were considered food insecure as of 2022. In the Caribbean region, the prevalence of moderate or severe food insecurity was 71.3% as of 2020, the highest of all subregions in Latin America. Experienced based measurement scales, like the Latin American and Caribbean Food Security Scale, are efficient measurement tools of food insecurity used globally. The Eastern Caribbean Health Outcomes Research Network (…

  • Implementation of the Baby-Friendly Hospital Initiative in Mexico: A systematic literature review using the RE-AIM framework

    Open Access•Angela K Bueno, Mireya Vilar-Compte et al.•ARTICLE•Frontiers in Public Health•2023

    The Baby-Friendly Hospital Initiative (BFHI) is a global strategy to encourage health facilities to promote, support, and protect breastfeeding by implementing a package of policies and practices known as the Ten Steps to Successful Breastfeeding. Prior studies have found that implementing the Ten Steps has a positive impact on breastfeeding outcomes. Yet, little is known about the implementation of the Ten Steps in Mexico. The objective of this …

  • An analysis of actors participating in the design and implementation of workplace breastfeeding interventions in Mexico using the NetMap analysis approach

    Open Access•Kathrin Litwan, Vania Lara‐Mejía et al.•ARTICLE•Frontiers in Public Health•2023

    Introduction: While breastfeeding is recognized as providing optimal nutrition for infants and toddlers, maternal employment is a commonly mentioned barrier to breastfeeding. The goal was to (a) identify key actors participating in the design and implementation of workplace breastfeeding interventions in Mexico, (b) understand the complexity of interactions between the actors, and (c) map the connections and influence between the actors when look…

  • Healthcare professionals and commercial milk formula recommendations in the urban Mexican context

    Open Access•Sonia Hernandez-Cordero, Sonia Hernández‐Cordero et al.•ARTICLE•Frontiers in Public Health•2023

    Introduction: Breastfeeding (BF) is considered an essential component of optimal care for child health and development. In the past two decades, global data have shown improvements in some, but not all, BF indicators. Despite these positive changes sales and per capita intake of commercial milk formula (CMF) have increased globally. The CMF industry invests millions of dollars in marketing, which targets families and healthcare professionals (HCP…

  • Client experience of food assistance programs among adults in the United States: A qualitative evidence synthesis protocol

    Open Access•E C Rhodes, Kate Nyhan et al.•ARTICLE•Frontiers in Public Health•2023

    Introduction: Policymakers, health practitioners, and other key partners are increasingly focused on ensuring that clients of food assistance programs have positive experiences, a key aspect of high-quality programming. The objectives of this review are to describe the experiences of clients participating in food assistance programs in the United States (US) and to identify ways that these programs promote or hinder positive experiences. Methods …

  • Gender, skin color, and household composition explain inequities in household food insecurity in Brazil

    Open Access•Lissandra Amorim Santos, Rafael Pérez-Escamilla et al.•ARTICLE•PLOS Global Public Health•2023

    It is well known that female-headed households (FHHs) are more likely to experience food insecurity (FI) than male-headed households (MHHs), however there is a dearth of evidence on how gender intersects with other social determinants of FI. Thus, this paper investigated changes in the prevalence of household FI in Brazil from 2004 to 2018 by the intersection of gender, race/skin color and marital status of the household reference person. Data fr…

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  • Insegurança alimentar como indicador de iniqüidade: Análise De Inquérito Populacional

    Open Access•Giseli Panigassi, Ana Maria Segall-Corrêa et al.•ARTICLE•Cadernos de Saude Publica•2008•Cited by: 27•References: 18

    O objetivo deste trabalho foi investigar a associação da insegurança alimentar com algumas variáveis indicativas de desigualdades sociais, como renda, escolaridade, raça/cor, composição familiar, características da moradia e condições de saneamento. Para medida de segurança alimentar, aplicou-se o instrumento EBIA (Escala Brasileira de Insegurança Alimentar) a uma amostra de 456 famílias residentes em área urbana do Município de Campinas. Verific…

  • The longer you stay, the bigger you get: Length of time and language use in the U.S. are associated with obesity in Puerto Rican women

    Open Access•D Himmelgreen, David A Himmelgreen et al.•ARTICLE•American Journal of Physical…•2004•Cited by: 27•References: 20

    This cross‐sectional study examined whether length of time in the U.S., language use, and birthplace (proxy measures of acculturation) were associated with body mass index (BMI) and obesity in a sample of 174 low‐income Puerto Rican women from Hartford, Connecticut. The mean BMI for the total sample (N = 174) was 27.39 (S.D. = 5.07), and nearly 34% of the sample was considered obese (BMI ≥ 30). There was a statistically significant increase in BM…

  • Health Care Access Among Hispanic Immigrants: Alguien Está Escuchando?[is Anybody Listening]

    Open Access•Rafael Pérez-Escamilla, Rafael Perez‐escamilla et al.•ARTICLE•NAPA Bulletin•2010•Cited by: 20•References: 68

    This systematic review identified 77 studies to examine patterns and determinants of health care access among Hispanic immigrants (HI) living in the United States. In spite of major mental and physical care needs, HI and their families are at very high risk of not having access to health care compared with nonimmigrant Hispanics and non-Hispanic whites. Noncitizenship status is a major barrier for accessing health care because of program ineligib…

  • Breastfeeding promotion and priority setting in health

    Open Access•Susan Horton, Tina Sanghvi et al.•ARTICLE•Health Policy and Planning•1996•Cited by: 15

    An increase in exclusive breastfeeding prevalence can substantially reduce mortality and morbidity among infants. In this paper, estimates of the costs and impacts of three breastfeeding promotion programmes, implemented through maternity services in Brazil, Honduras and Mexico, are used to develop cost-effectiveness measures and these are compared with other health interventions. The results show that breastfeeding promotion can be one of the mo…

  • Health Care Access Among Latinos: Implications for Social and Health Care Reforms

    Open Access•Rafael Pérez-Escamilla•ARTICLE•Journal of Hispanic Higher…•2009•Cited by: 10

    According to the Institute of Medicine, health care access is defined as “the degree to which people are able to obtain appropriate care from the health care system in a timely manner.” Two key components of health care access are medical insurance and having access to a usual source of health care. Recent national data show that 34% of Latino individuals do not have health insurance and 27% do not have access to a usual source of health care. Th…

  • A percepção de insegurança alimentar em famílias com idosos em Campinas, São Paulo, Brasil

    Open Access•Leticia Marín-León, Ana Maria Segal-Corrêa et al.•ARTICLE•Cadernos de Saude Publica•2005•Cited by: 9•References: 9

    O objetivo deste estudo foi determinar a prevalência de insegurança alimentar em famílias com idosos e descrever seu perfil sócio-demográfico. Foram estudadas famílias com membros de 65 anos e mais (n = 195), selecionadas de inquérito domiciliar realizado em 2003, em Campinas, São Paulo, Brasil. A Escala Brasileira de Insegurança Alimentar, versão brasileira do módulo de insegurança alimentar do United States Department of Agriculture, foi utiliz…

  • Community Health Workers in Low- and Middle-Income Countries: What Do We Know About Scaling Up and Sustainability

    Sarah Wood Palla, Sarah Wood Pallas et al.•ARTICLE•American Journal of Public Health•2013•Cited by: 8•References: 32

    Objectives. We sought to provide a systematic review of the determinants of success in scaling up and sustaining community health worker (CHW) programs in low- and middle-income countries (LMICs). Methods. We searched 11 electronic databases for academic literature published through December 2010 (n = 603 articles). Two independent reviewers applied exclusion criteria to identify articles that provided empirical evidence about the scale-up or sus…

  • Determinants of lactation performance across time in an urban population from Mexico

    Open Access•Rafael Pérez-Escamilla, Sofia Segura‐millán et al.•ARTICLE•Social Science & Medicine•1993•Cited by: 8•References: 26

  • Household food insecurity and excess weight/obesity among Brazilian women and children: A Life-Course Approach

    Open Access•Michael Maia Schlüssel, Antonio Augusto Moura Da Silva et al.•ARTICLE•Cadernos de Saude Publica•2013•Cited by: 7•References: 23

    Household food insecurity (HFI) may increase obesity risk, but results are not consistent across the life course or between developed/underdeveloped settings. The objective of this paper is to review findings from previous analyses in Brazil among adult women, female adolescents, and children up to five. Data were derived from the 2006 Brazilian Demographic and Health Survey. Associations between HFI (measured with the Brazilian Food Insecurity S…

  • Interseções de gênero e raça/cor em insegurança alimentar nos domicílios das diferentes regiões do Brasil

    Open Access•Lissandra Amorim Santos, Aline Alves Ferreira et al.•ARTICLE•Cadernos de Saude Publica•2022•Cited by: 6•References: 6

    A insegurança alimentar e seus determinantes se distribuem de forma desigual entre as macrorregiões brasileiras. O objetivo deste estudo foi investigar as intersecções de gênero e raça/cor da pessoa de referência na ocorrência de insegurança alimentar em domicílios nas diferentes regiões do Brasil. Foram utilizados os microdados da Pesquisa de Orçamentos Familiares (POF) de 2018, com amostra de 57.920 domicílios. Os níveis de insegurança alimenta…

  • No second chances? Early critical periods in human development

    Open Access•Pia Rebello Britto, Rafael Pérez-Escamilla•ARTICLE•Social Science & Medicine•2013•Cited by: 5•References: 24

  • Breastfeeding and the nutritional transition in the Latin American and Caribbean Region: A Success Story

    Open Access•Rafael Pérez-Escamilla•ARTICLE•Cadernos de Saude Publica•2003•Cited by: 5•References: 23

    The objectives of this paper are to examine recent breastfeeding duration trends in Latin America and the Caribbean to document: (a) rural-urban differentials, (b) differences in educational levels, and (c) changes in breastfeeding duration across time. Secondary data analyses were conducted with 23 Demographic and Health Surveys collected between the mid-1980s and mid-1990s. Results indicate that median breastfeeding duration is still greater in…

  • Effects of Food Label Use on Diet Quality and Glycemic Control Among Latinos With Type 2 Diabetes in a Community Health Worker–Supported Intervention

    Grace Kollannoor-Samuel, F M Shebl et al.•ARTICLE•American Journal of Public Health•2016•Cited by: 4•References: 26

    Objectives. To determine the impact of an intervention led by community health workers (CHWs) on food label use and to assess whether food label use and diet quality mediate the intervention’s impact on glycemic control. Methods. From 2006 to 2010, 203 Latinos (intervention group, n = 100; control group, n = 103) in Hartford County, Connecticut, with type 2 diabetes were randomized to an intervention that included 17 CHW-led home-based sessions o…

  • Breastfeeding in the 21st century: How we can make it work

    Open Access•Rafael Pérez-Escamilla•ARTICLE•Social Science & Medicine•2020•Cited by: 2•References: 30

  • Ultra-processed foods and the nutritional transition among infants and young children: A radiography from Brazil

    Open Access•Rafael Pérez-Escamilla•ARTICLE•Cadernos de Saude Publica•2023•Cited by: 1•References: 8

  • An assessment of the social cognitive predictors of exclusive breastfeeding behavior using the Health Action Process Approach

    Open Access•J L Martinez-Brockman, F M Shebl et al.•ARTICLE•Social Science & Medicine•2017•Cited by: 1•References: 31

  • Food habits of drug-using Puerto Rican women in inner-city Hartford

    Nancy Romero‐daza, D Himmelgreen et al.•ARTICLE•Medical Anthropology•1999•Cited by: 1•References: 18

    Research on the impact of heroin, cocaine, and other drugs on the dietary patterns of drug users is limited. This paper presents qualitative data from Project SANA (Salud y Nutrición en Addición/Health and Nutrition in Addiction) on the food habits of drug‐using Puerto Rican women in inner‐city Hartford, Connecticut. The results indicate that both the quantity and the quality of food intake are inadequate in this group of women. The physiological…

  • Neonatal feeding patterns and reports of insufficient milk among low‐income urban Mexican mothers

    Rafael Pérez-Escamilla, R Perez‐Escamilla et al.•ARTICLE•Ecology of Food and Nutrition•1992

    Neonatal feeding patterns of 73 low‐income Mexican women who delivered vaginally and without complications a healthy term infant in 2 public maternity hospitals were studied in Hermosillo, Sonora, Mexico. Women were interviewed at hospital discharge and in their homes 8 and 16 days post‐partum (PP). Even though 71% reported full breastfeeding as the ideal feeding mode, only 47% were planning to follow this method at hospital discharge, by 16 days…

  • Determinants of lactation performance across time in an urban population from Mexico

    Open Access•Rafael Pérez-Escamilla, Sofia Segura‐millán et al.•ARTICLE•Social Science & Medicine•1993•Cited by: 8•References: 26

  • Folic acid fortification for the prevention of neural tube defects: Consensus needed on potential adverse effects

    Rafael Pérez-Escamilla•ARTICLE•American Journal of Public Health•1995•References: 5

    Folic acid fortification for the prevention of neural tube defects: consensus needed on potential adverse effects. R Pérez-Escamilla Patrick S. Romano, Norman J. Waitzman, Richard M. Scheffler, and Randy D. Pi CopyRight https://doi.org/10.2105/AJPH.85.11.1587-a Published Online: October 07, 2011

  • Breastfeeding promotion and priority setting in health

    Open Access•Susan Horton, Tina Sanghvi et al.•ARTICLE•Health Policy and Planning•1996•Cited by: 15

    An increase in exclusive breastfeeding prevalence can substantially reduce mortality and morbidity among infants. In this paper, estimates of the costs and impacts of three breastfeeding promotion programmes, implemented through maternity services in Brazil, Honduras and Mexico, are used to develop cost-effectiveness measures and these are compared with other health interventions. The results show that breastfeeding promotion can be one of the mo…

  • Identification of risk factors for short breastfeeding duration in Mexico city through survival analysis 1 2

    Rafael Pérez-Escamilla, R Perez‐Escamilla et al.•ARTICLE•Ecology of Food and Nutrition•1997

    The objectives of these analyses are to identify in Mexico City recent: a) infant feeding policies in maternity wards, b) infant feeding patterns, and c) socio‐economic, cultural, behavioral and biomedical determinants of breastfeeding. Subjects (n = 518) were recruited in two large public hospitals and followed‐up in their homes at one and four months post‐partum (pp). Breastfeeding rates at four months ranged from 49% to 60%. The main reason gi…

  • A comparison of the nutritional status and food security of drug-using and non-drug-using Hispanic women in Hartford, Connecticut

    Open Access•D Himmelgreen, David A Himmelgreen et al.•ARTICLE•American Journal of Physical…•1998

    This study compared food insecurity, nutritional status (as measured through anthropometry and dietary intake), and food preparation patterns of low-income Puerto Rican female out-of-treatment drug users with that of low-income Puerto Rican women who reported no drug use. A convenience sample of 41 drug users was compared with 41 age-matched non-drug-users from inner-city Hartford, Connecticut. A culturally appropriate food frequency questionnair…

  • A comparison of the nutritional status and food security of drug‐using and non‐drug‐using Hispanic women in Hartford, Connecticut

    Open Access•D Himmelgreen, David A Himmelgreen et al.•ARTICLE•American Journal of Physical…•1998

  • Specifying the antecedents of breast-feeding duration in Peru through a structural equation model

    Open Access•Rafael Pérez-Escamilla, José A Cobas et al.•ARTICLE•Public Health Nutrition•1999

    Objective: To examine the effects of socioeconomic status and biocultural variables (planned pregnancy, prenatal care, timing of initiation of breast-feeding and caesarean section delivery) on breast-feeding duration in Peru using structural equation models. Design and setting: Structural equation models were analysed with LISREL using data from the 1991–92 Peruvian Demographic and Health Survey. Subjects: Models were tested among 6020 women whos…

  • Food habits of drug-using Puerto Rican women in inner-city Hartford

    Nancy Romero‐daza, D Himmelgreen et al.•ARTICLE•Medical Anthropology•1999•Cited by: 1•References: 18

    Research on the impact of heroin, cocaine, and other drugs on the dietary patterns of drug users is limited. This paper presents qualitative data from Project SANA (Salud y Nutrición en Addición/Health and Nutrition in Addiction) on the food habits of drug‐using Puerto Rican women in inner‐city Hartford, Connecticut. The results indicate that both the quantity and the quality of food intake are inadequate in this group of women. The physiological…

  • Food Insecurity Among Low-Income Hispanics in Hartford, Connecticut: Implications for Public Health Policy

    D Himmelgreen, Rafael Pérez-Escamilla et al.•ARTICLE•Human Organization•2000

    During the last two decades hunger has reemerged as an important social issue in the United States. As a result, efforts were initiated to adequately define hunger and food insecurity (i.e., limited or uncertain access to nutritionally adequate and safe foods) and to develop appropriate indicators for their measurement. The purpose of this study is to examine hunger and food insecurity among low-income Hispanic families with children in Hartford,…

  • Council On Nutritional Anthropology: Nutritional Anthropology Session Proposal

    Open Access•Rafael Pérez-Escamilla, Rafael Perez‐escamilla et al.•ARTICLE•Anthropology News•2000

  • La promoción de la lactancia materna en la era del sida

    Open Access•Rafael Pérez-Escamilla•ARTICLE•Revista Panamericana de Salud…•2001

  • Nutrition knowledge, attitudes, and behaviors among Latinos in the USA: Influence of language

    Rafael Pérez-Escamilla, Rafael Perez‐escamilla et al.•ARTICLE•Ecology of Food and Nutrition•2001

    The objectives of this study are to: (a) assess Latino's nutrition knowledge, attitudes, behaviors, and sources of nutrition information, and (b) examine the association of these with language use at home. Household‐to‐household interviews were conducted in five predominantly Latino neighborhoods in Hartford, Connecticut in households with at least one child ≤ 12 years of age. The typical Latina respondent was a woman in her early 30s who was the…

  • The Childhood Obesity Epidemic in the USA: Epidemiology, Causes, and Solutions

    Open Access•Rafael Pérez-Escamilla•ARTICLE•Nutritional Anthropology•2002

  • Breastfeeding and the nutritional transition in the Latin American and Caribbean Region: A Success Story

    Open Access•Rafael Pérez-Escamilla•ARTICLE•Cadernos de Saude Publica•2003•Cited by: 5•References: 23

    The objectives of this paper are to examine recent breastfeeding duration trends in Latin America and the Caribbean to document: (a) rural-urban differentials, (b) differences in educational levels, and (c) changes in breastfeeding duration across time. Secondary data analyses were conducted with 23 Demographic and Health Surveys collected between the mid-1980s and mid-1990s. Results indicate that median breastfeeding duration is still greater in…

  • Fertility Desires and Sample Selection Bias: The Case of Senegal

    Open Access•Diafuka Saila-Ngita, Boris E Bravo-Ureta et al.•ARTICLE•Journal of Asian and African…•2003•References: 16

    The Heckman two-stage model for correcting selection bias was applied to analyze the determinants of fertility desire using DHS II (Demographic and Health Survey) data from Senegal. The study concludes that significant differences exist between women that report numeric answers and those who report non-numeric answers to a question relative to fertility desire. Therefore, excluding non-numeric answers from regression models produces biased parame…

  • An Adapted Version of the U.S. Department of Agriculture Food Insecurity Module Is a Valid Tool for Assessing Household Food Insecurity in Campinas, Brazil

    Open Access•Rafael Pérez-Escamilla, Ana Maria Segall-Corrêa et al.•ARTICLE•The Journal of Nutrition•2004

  • The longer you stay, the bigger you get: Length of time and language use in the U.S. are associated with obesity in Puerto Rican women

    Open Access•D Himmelgreen, David A Himmelgreen et al.•ARTICLE•American Journal of Physical…•2004•Cited by: 27•References: 20

    This cross‐sectional study examined whether length of time in the U.S., language use, and birthplace (proxy measures of acculturation) were associated with body mass index (BMI) and obesity in a sample of 174 low‐income Puerto Rican women from Hartford, Connecticut. The mean BMI for the total sample (N = 174) was 27.39 (S.D. = 5.07), and nearly 34% of the sample was considered obese (BMI ≥ 30). There was a statistically significant increase in BM…

  • Birthplace, Length of Time in the U.S., and Language Are Associated With Diet Among Inner-City Puerto Rican Women Keywords

    D Himmelgreen, David A Himmelgreen et al.•ARTICLE•Ecology of Food and Nutrition•2005

    This study examined whether the length of time in the U.S., language use, and birthplace were associated with food consumption among 174 low-income Puerto Rican women in Hartford, Connecticut. A condensed food frequency questionnaire (FFQ) was used to examine the dietary intake for various food groups and composite food groups among the studied women. Length of time in the U.S. was positively associated with the frequency of consumption of artifi…

  • Factors associated with infant feeding practices after hospital discharge

    Open Access•Celene Aparecida Ferrari Audi, Ana Maria Segall Corrêa et al.•ARTICLE•Revista de Saúde Pública•2005•References: 10

    OBJECTIVE: To assess factors associated with infant feeding practices on the first day at home after hospital discharge. METHODS: A total of 209 women, who had a child aged four months or less and were living in Itapira, Brazil, were interviewed during the National Immunization Campaign Day in 1999. Statistical analysis was performed using the Chi-square test and a logistic regression model was used for verifying an association between dependent …

  • A percepção de insegurança alimentar em famílias com idosos em Campinas, São Paulo, Brasil

    Open Access•Leticia Marín-León, Ana Maria Segal-Corrêa et al.•ARTICLE•Cadernos de Saude Publica•2005•Cited by: 9•References: 9

    O objetivo deste estudo foi determinar a prevalência de insegurança alimentar em famílias com idosos e descrever seu perfil sócio-demográfico. Foram estudadas famílias com membros de 65 anos e mais (n = 195), selecionadas de inquérito domiciliar realizado em 2003, em Campinas, São Paulo, Brasil. A Escala Brasileira de Insegurança Alimentar, versão brasileira do módulo de insegurança alimentar do United States Department of Agriculture, foi utiliz…

  • Unintended pregnancies are associated with less likelihood of prolonged breast-feeding: An analysis of 18 Demographic and Health Surveys

    Open Access•Amber J Hromi-Fiedler, Amber Hromi‐Fiedler et al.•ARTICLE•Public Health Nutrition•2006

    Prospective studies are needed to further understand if and how pregnancy intentions influence breast-feeding outcomes in different settings

  • The Role of Acculturation in Nutrition, Lifestyle, and Incidence of Type 2 Diabetes among Latinos

    Open Access•Rafael Pérez-Escamilla, Predrag Putnik•ARTICLE•The Journal of Nutrition•2007

  • Insegurança alimentar como indicador de iniqüidade: Análise De Inquérito Populacional

    Open Access•Giseli Panigassi, Ana Maria Segall-Corrêa et al.•ARTICLE•Cadernos de Saude Publica•2008•Cited by: 27•References: 18

    O objetivo deste trabalho foi investigar a associação da insegurança alimentar com algumas variáveis indicativas de desigualdades sociais, como renda, escolaridade, raça/cor, composição familiar, características da moradia e condições de saneamento. Para medida de segurança alimentar, aplicou-se o instrumento EBIA (Escala Brasileira de Insegurança Alimentar) a uma amostra de 456 famílias residentes em área urbana do Município de Campinas. Verific…

  • Egg Contribution Towards the Diet of Pregnant Latinas

    Angela Bermudez-Millan, Angela Bermúdez‐millán et al.•ARTICLE•Ecology of Food and Nutrition•2009

    Proper nutrition during gestation is important to prevent adverse pregnancy outcomes. Eggs contain many important nutrients necessary for fetal development and human survival. Three focus groups were conducted with Latina women living in Connecticut to identify cultural beliefs toward egg consumption during pregnancy, traditional egg dishes, and methods of preparation. A cross-sectional study was then carried out with a sample of predominately Pu…

Medicine (124 works) · Environmental health (75 works) · Child Nutrition and Water Access (61 works) · Breastfeeding Practices and Influences (58 works) · Breastfeeding (49 works) · Food Security and Health in Diverse Populations (49 works) · Nursing (48 works) · Geography (47 works) · Pediatrics (47 works) · Demography (42 works)

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